Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
Generic

Jennifer Proulx CPC LPN

Chicopee,MA

Summary

Experienced Revenue Cycle/ Billing Manager and experienced Coder with a LPN background, seeking to use years of acquired skills for the benefit of MGB as part of the Revenue Cycle Team. Strong leadership, excellent at managing Professional Billing from claim submission through follow up, with premier organizational skills and a thorough understanding of the revenue cycle. With proven experience as a Billing Manager, maintains a highly productive, quality-driven, and efficient environment.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Billing Support Manager

Cooley Dickinson Medical Group (MGB)
01.2022 - Current
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Enhanced revenue cycle management by overseeing timely and accurate claims submission.
  • Reduced denied claims through diligent review, correction, and resubmission of errors.
  • Worked with A/R staff to track claim denials and improve documentation for claim appeals
  • Cross-trained existing employees to maximize team agility and performance.
  • Accomplished multiple tasks within established timeframes.
  • Achieved departmental goals by executing strategic plans and performance metrics.
  • Increased patient satisfaction by addressing billing inquiries promptly and professionally.
  • Collaborated with providers and staff to ensure accurate coding for billing purposes.
  • Conducted performance reviews and implemented improvement plans.

BILLING MANAGER/REVENUE CYCLE MANAGER

WOMEN’S HEALTH ASSOCIATES OF WESTERN MA
01.2013 - 01.2022

Managed Revenue Cycle Billing Department, ensuring accurate capturing of charges, timely filing of claims, and reducing aging claims to less than 3% over 90 days

  • Accomplished this task by retraining staff on billing standards
  • Provided exceptional customer service to patients, insurance companies, pharmaceutical representatives, and other business associates
  • Developed and updated policies and procedures to improve the efficiency of workflow for all areas of the practice
  • Provided leadership for daily operations of the practice, including resume reviewing, hiring, employee orientation, supervision, setting performance standards, empathetic and proper counseling, documentation of personnel issues, and ongoing evaluations of the staff
  • Effective verbal and written communication, able to multitask and prioritize projects, created reports, collaborated with other departments to resolve billing and claim issues.

LICENSED PRACTICAL NURSE

UROLOGY GROUP OF WESTERN NEW ENGLAND
03.1999 - 12.2011
  • Provided quality patient care, educated patients and their family members, and kept patients comfortable during vulnerable procedures
  • Assisted providers with procedures such as urodynamics, bladder biopsies and vasectomies
  • Communicated with insurance companies such as Medicare, Medicaid, and other third-party payers to verify eligibility, obtain benefits and check status of authorizations for procedures
  • Obtained vital statistics, administered medications and treatments to patients, and documented records thoroughly and compliantly in adherence to local, state, and federal laws.

Education

ASSOCIATES IN SCIENCE, Medical terminology, Anatomy & physiology, Pathology, Pharmacology, Components of a healthcare record, U.S. healthcare system organization and delivery, Medical insurances, ICD-10-CM, CPT, and HCPCS coding, Research methodology, Reviewing patient records for completeness, accuracy, and compliance with regulations - HEALTH INFORMATION TECHNOLOGY

SPRINGFIELD TECHNICAL COMMUNITY COLLEGE
Springfield, MA
01.2017

ASSOCIATES IN SCIENCE, Database and file management, Administrative systems and procedures, Information processing software and applications, Keyboarding, Accounting, Finance, Interpersonal communication, Word processing - OFFICE INFORMATION TECHNOLOGIES

SPRINGFIELD TECHNICAL COMMUNITY COLLEGE
Springfield, MA
01.2013

PRACTICAL NURSING, Medical terminology, Anatomy & physiology, Pharmacology, Pathology, Patient care, Clinical applications in vital statistics, documentation, and patient education -

WILLIAM DEAN TECHNICAL SCHOOL
Holyoke
01.1997

Skills

  • Teamwork and Collaboration
  • Analyzes Data, Great with Numbers
  • Denials & Appeals Expert
  • Practice Management Software including, EPIC, Athena, EClinicalWorks & Prime Suite
  • Able to Supervise, Manage and Lead
  • HIPAA Compliant
  • Time Management
  • Complex Problem-Solving
  • Verbal and written communication
  • Multitasking
  • Microsoft Suite

Certification

  • Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC), 01403920
  • Licensed Professional Nurse (LPN), state of Massachusetts, LN58801

Personal Information

Title: LPN, CPC

Timeline

Billing Support Manager

Cooley Dickinson Medical Group (MGB)
01.2022 - Current

BILLING MANAGER/REVENUE CYCLE MANAGER

WOMEN’S HEALTH ASSOCIATES OF WESTERN MA
01.2013 - 01.2022

LICENSED PRACTICAL NURSE

UROLOGY GROUP OF WESTERN NEW ENGLAND
03.1999 - 12.2011

ASSOCIATES IN SCIENCE, Medical terminology, Anatomy & physiology, Pathology, Pharmacology, Components of a healthcare record, U.S. healthcare system organization and delivery, Medical insurances, ICD-10-CM, CPT, and HCPCS coding, Research methodology, Reviewing patient records for completeness, accuracy, and compliance with regulations - HEALTH INFORMATION TECHNOLOGY

SPRINGFIELD TECHNICAL COMMUNITY COLLEGE

ASSOCIATES IN SCIENCE, Database and file management, Administrative systems and procedures, Information processing software and applications, Keyboarding, Accounting, Finance, Interpersonal communication, Word processing - OFFICE INFORMATION TECHNOLOGIES

SPRINGFIELD TECHNICAL COMMUNITY COLLEGE

PRACTICAL NURSING, Medical terminology, Anatomy & physiology, Pharmacology, Pathology, Patient care, Clinical applications in vital statistics, documentation, and patient education -

WILLIAM DEAN TECHNICAL SCHOOL
Jennifer Proulx CPC LPN