Jennifer Stenski
Norton,Virginia
Summary
Motivated, personable, professional with extensive experience in billing and multiple areas of a medical office, included, but not limited to scheduling appoints, medical coding and billing
Strong organizational skills
Excellent communication skills
Customer service
Data Entry
Overview
37
37
years of professional experience
Work History
Utilization Review Specialist
Modivcare Solutions LLC
04.2012 - 08.2023
- Supervised and maintained all utilization review documentation.
- Offered exceptional care and support to individuals with intellectual disabilities by having an Attendant approved by Mediciaid to travel with the member back and forth to their Day Programs safely.
- Determine Member Eligibility
- Verify appropriate levels of service.
- Manage denial and appeal process
- Assist with Standing Order Recertifications
- Audits Provider Transportation Billing
- Confirms utilization of closest Medical Provider and Excessive Mileage Reports
Medicare Enrollment Specialist
Results Companies
07.2007 - 10.2009
- Assisted clients with completion of applications and paperwork.
- Communicated with people from various cultures and backgrounds on application process.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Enrolled Medicare Beneficiaries into Wellcare's Part D Prescription Programs and Medicare Advantage Plans.
- Member of Wellcare's Retention Team whose goal was to retain the member with Wellcare by using strong telecommunication skills
- Member of Escalation Team whose goal was to research any billing issues and correct them accordingly
- Assisted in training of new Agents
- Maintained a number 2 Ranking in the Call Center for Quality Assurance
Office Manager
Dr, R Michael Moore
12.1999 - 05.2005
- Maintained computer and physical filing systems.
- Created, maintained and updated filing systems for paper and electronic documents.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Coordinated special projects and managed schedules.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
- Evaluated employee records and productivity and submitted evaluation reports.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Improved staffing during busy periods
- Improved staffing during busy pe,ri including Electronic Billing for Medicare and Medicaid
- Credentialing of Physician for all Major Insurance carriers
Receptionist Promoted to Billing Supervisor
Powell Valley Family Physicians
08.1986 - 12.1999
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Responded to inquiries from callers seeking information.
- Corresponded with clients through email, telephone, or postal mail.
- Handled cash transactions and maintained sales and payments records accurately.
- Managed multiple tasks and met time-sensitive deadlines.
- Maintained confidentiality of information regarding clients and company.
- Answered central telephone system and directed calls accordingly.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Assisted with onboarding new clients and securing paperwork completion.
- Maintained visitor log for entering and leaving facility for security purposes.
- Organized, maintained and updated information in computer databases.
- Handled assignments independently with good judgement and critical thinking skills.
- Monitored and screened visitors to verify accessibility to inter-office personnel.
- Oversaw financial operations, producing invoices, processing payments and preparing deposits.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Performed account reconciliations and resolved variances.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Developed and maintained billing procedures to make timely payments.
- Provided excellent customer service, developing and maintaining client relationships.
- Worked with multiple departments to check proper billing information.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared and submitted monthly billing reports to management for financial overview.
- Monitored customer accounts to identify and rectify billing issues.
- Processed and verified invoices to secure accuracy of billing information.
- Generated monthly invoices for customers in multiple formats to provide transparency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Kept high average of performance evaluations.
Education
Associate of Applied Science - Medical Coding And Billing
Mountain Empire Community College
Big Stone Gap, VA05.2012
High School Diploma -
John I Burton
Norton, VA06.1980
Skills
- Benefits Guidelines
- Determine Medical Necessity
- Operational Procedures
- Invoice Statements
Timeline
Utilization Review Specialist
Modivcare Solutions LLC
04.2012 - 08.2023
Medicare Enrollment Specialist
Results Companies
07.2007 - 10.2009
Office Manager
Dr, R Michael Moore
12.1999 - 05.2005
Receptionist Promoted to Billing Supervisor
Powell Valley Family Physicians
08.1986 - 12.1999
Associate of Applied Science - Medical Coding And Billing
Mountain Empire Community College
High School Diploma -
John I Burton
Similar Profiles
Linda SnellLinda Snell
CSR - Customer Service Representative at ModivCare Solutions LLCCSR - Customer Service Representative at ModivCare Solutions LLC
Leslie BrownLeslie Brown
Customer Service Representative II at Modivcare Solutions LLCCustomer Service Representative II at Modivcare Solutions LLC
Onaje IzzardOnaje Izzard
Customer Service Representative at Modivcare Solutions, LLCCustomer Service Representative at Modivcare Solutions, LLC
Roland CochraneRoland Cochrane
Corrections Captain at Wallens Ridge State PrisonCorrections Captain at Wallens Ridge State Prison
Alex MarkwellAlex Markwell
Guest Service Advisor at B Holdings LTDGuest Service Advisor at B Holdings LTD