Jennifer Spinks-Pottenger
Cape Coral,FL
Summary
Results-driven Equipment Billing Specialist with proven success in insurance verification and resolving billing issues. Adept at team leadership, goal setting, and policy development to enhance operational efficiency.
Overview
14
14
years of professional experience
Work History
Supervisor Patient Accounting IV & DME/IV Auth
Fidelity Health Care
Moraine, Ohio
08.2026 - Current
- Supervised daily operations to ensure efficient patient care delivery.
- Trained and mentored new staff on company policies and procedures.
- Coordinated schedules to optimize resource allocation and workflow efficiency.
Equipment Reimbursement Specialist
Fidelity Health Care
Moraine, Ohio
03.2025 - Current
- Responsible for billing services/charges to the appropriate payer, as well as validation of receipt of electronic and hard copy claims.
- Review assigned accounts receivable as well as monitor trending denials, payment/underpayments and reporting changes to fee schedule to management team.
- Assisted management team with special projects to include but not limited to fee schedule updates and adjustments.
- Completion of Emerging Talent Academy program, Mental Health First Aid Responder Program, and Six Sigma White Belt Certification sponsored by Premier Health Partners.
Accounts Receivable Representative
Bottomline Solutions LLC
Cape Coral, Florida
05.2024 - 03.2025
- Responsible for all aspects of the revenue cycle management for home health and LTC/ SNF billing.
- Claim submission and follow up of home health and skilled nursing LTC, for all payer types.
- Rebilling of rejected claims and denial management, requesting reconsideration and appealing denied claims.
- Working knowledge of Medicare DDE and other payer direct data entry systems. Responsible for RTP resolution for claim acceptance by Medicare.
- Payer setup for managed care plans. Troubleshooting and resolution for EDI claim submissions, rejections and denials due to system generated errors.
- Working knowledge of PCC, Matrix and Axxess EMRs.
Operations Manager
Suncoast Integrated Medical Center
Fort Myers, Florida
06.2023 - 10.2023
- Office closure effective Sept 2023. Streamlined the revenue cycle management process by implementing automated systems for claims submission and payment posting
- Oversaw the timely submission of electronic claims to insurance carriers using various clearinghouses or direct connections
- Analyzed financial reports related to collections, aging accounts receivable, denial rates, and reimbursement trends for performance evaluation purposes
- Collaborated with healthcare providers to address any issues related to documentation requirements or missing information necessary for accurate billing
- Established quality control measures within the department ensuring accurate coding practices according to current guidelines.
Billing Operations Manager
Compass Home Care of Southwest Ohio
Dayton, OH
01.2019 - 05.2023
- Managed all departmental functions for timely billing of Medicare, Medicaid and commercial payers, both episodic and non-episodic, home health claims, to include: skilled nursing, home health aide/personal care, therapy services and infusion therapy services. Submitted claims via payer DDE, Availity and Waystar.
- Conducted insurance verification and monthly eligibility. Verified proper code usage, both CPT and HCPCS and managed patient charts.
- Led the Insurance & Authorization dept. handling more than $270K in monthly charges.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Delegated work to staff, setting priorities and goals.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Directed or coordinated financial or budget activities to fund operations and maximize investments.
Charge Scrub Specialist
Millennium Physician Group
North Fort Myers, FL
06.2016 - 07.2018
- Followed all company procedures to keep data confidential.
- Investigated claim and settlement deals and reviewed coverage determinations, working in Athena Healthcare EMR.
- Reviewed coverage determinations, investigated and evaluated claims and negotiated settlements.
- Gathered proper documentation and data to prepare claims for submission.
- Input claim information and payments into company database.
Provider Data Specialist
CareSource
Dayton, OH
09.2012 - 08.2014
- Detected and resolved data quality issues and discrepancies for integrity and quality control.
- Processed provider additions, terminations and changes to provider profiles for claims processing.
- Ensured providers were loaded properly in the Facets System for accurate compensation.
- Stayed current on available policies and plans.
- Maintained positive working relationship with fellow staff and management.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Implemented strategies to take advantage of new opportunities.
Education
Short-Term Technical Certificate - Medical Coding
Clark State Community College
Beavercreek01.2009
Skills
- Accounts Payable and Receivable
- Decision Making
- Goal Setting
- Insurance verification
- Performance Assessment
- Policy Development and Enforcement
- Prior Authorization Management
- Records Organization and Management
- Team Leadership
Timeline
Supervisor Patient Accounting IV & DME/IV Auth
Fidelity Health Care
08.2026 - Current
Equipment Reimbursement Specialist
Fidelity Health Care
03.2025 - Current
Accounts Receivable Representative
Bottomline Solutions LLC
05.2024 - 03.2025
Operations Manager
Suncoast Integrated Medical Center
06.2023 - 10.2023
Billing Operations Manager
Compass Home Care of Southwest Ohio
01.2019 - 05.2023
Charge Scrub Specialist
Millennium Physician Group
06.2016 - 07.2018
Provider Data Specialist
CareSource
09.2012 - 08.2014
Short-Term Technical Certificate - Medical Coding
Clark State Community College