JENNIFER ALICIA SMITH
Moscow,ID
Summary
Dedicated Medical Billing Specialist with over 6 years of experience in claims auditing, payment reconciliation, and accounts receivable management. Recognized for strong attention to detail and effective communication skills, driving timely resolutions and enhancing billing processes. I have over 10 years of working in a professional environment. I also have experience working remote.
Overview
7
7
years of professional experience
Work History
Medical Billing Specialist
Washington State University
12.2023 - Current
- Process and audit medical claims for accuracy and compliance
- Researched and resolved denied claims with insurance carriers to ensure timely reimbursement
- Post payments and reconcile accounts in a high-volume environment
- Work independently to manage accounts receivable and follow-ups
- Utilize MS Office, Excel, Point-and-Click EHR systems daily
- Communicated with insurance companies to resolve billing issues.
- Collaborated with healthcare providers to verify patient information.
- Adhered to HIPAA regulations when handling confidential patient information.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Monitored aging accounts receivable balances to facilitate timely resolution of outstanding payments
Medical biller/Collections Specialist
Gritman Medical Center
04.2021 - 11.2023
- Handled insurance billing, payment posting, and collections
- Collected, posted and managed patient account payments.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Assisted with collection efforts by contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Performed insurance verification, pre-certification and pre-authorization.
- Maintained precise records of all billing activity, supporting compliance with departmental standards.
- Processed refund requests timely and accurately according to established protocols.
- Executed tasks using Athena EHR software to manage patient records.
- Coordinated information for past-due accounts and facilitated transfer to collection agency for recovery.
- Organized information for past-due accounts and transferred to collection agency.
- Answered incoming calls regarding billing inquiries from patients and providers in a professional manner.
- Applied HIPAA privacy and security regulations while handling patient information.
- Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
- Managed all payments processing, invoicing and collections tasks.
Medical Biller/coder
Dragonfly Counseling
01.2019 - 04.2021
- Processed and submitted insurance claims for healthcare services, ensuring accuracy and compliance with regulations.
- Reviewed patient accounts to identify and promptly resolve billing discrepancies.
- Maintained up-to-date knowledge of medical coding practices and billing software systems.
- Collaborated with healthcare providers to verify patient information and secure service authorizations.
- Verified patient insurance to determine eligibility for services.
- Communicated with insurance providers to resolve denied claims and resubmitted accordingly.
- Filed and updated patient information along with medical records efficiently.
- Collected payments and accurately applied them to patient accounts.
Education
Associate of Applied Science - Health Information Technology
Carrington College
Albuquerque08.2020
Certificate - Medical Billing And Coding
Carrington College
Albuquerque, NM05.2019
Skills
Medical coding
Claims processing
Insurance verification
Patient billing
Payment posting
Payment reconciliation
Accounts receivable management
Debt recovery
HIPAA compliance
Billing regulations
Invoice processing
Customer relationship management
Attention to detail
Effective communication
Problem solving
Time management
Timeline
Medical Billing Specialist
Washington State University
12.2023 - Current
Medical biller/Collections Specialist
Gritman Medical Center
04.2021 - 11.2023
Medical Biller/coder
Dragonfly Counseling
01.2019 - 04.2021
Associate of Applied Science - Health Information Technology
Carrington College
Certificate - Medical Billing And Coding
Carrington College