Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jennifer Duckett

Medical Billing Specialist
Buffalo,NY

Summary

Proven Medical Billing Specialist with a track record of enhancing revenue collection and patient care efficiency at Healthtec Solutions. Skilled in HIPAA compliance and adept at insurance verification, I excel in fostering clear communication and resolving billing discrepancies. Demonstrated ability to improve payment processes and maintain high confidentiality standards, ensuring client satisfaction and compliance accuracy.


Overview

21
21
years of professional experience
1
1
Certification

Work History

Medical Billing Specialist

Healthtec Solutions
10.2024 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Verified and updated prior authorization status for therapy services.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.

Medical Billing Specialist

McGuire Group
08.2021 - 09.2024
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Collected payments and applied to patient accounts.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Identified and resolved patient billing and payment issues.

Medical Billing Specialist

Aurora Cares/Tara Cares
12.2018 - 08.2021
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Collected payments and applied to patient accounts.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.

Authorization Coordinator

Fidelis Care, NY
06.2014 - 11.2018
  • Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
  • Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
  • Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
  • Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.

Medical Client Service Representative

Quest Diagnostics, Inc.
06.2004 - 06.2014
  • Handled sensitive client information with discretion, ensuring confidentiality at all times.
  • Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.
  • Managed incoming calls, providing prompt and accurate information to clients about products and services.
  • Maintained accurate record-keeping with proactive attention to client information updates.

Education

Associate of Applied Science - Medical Billing And Coding

Bryant And Stratton College
Getzville, NY
08-2013

Skills

  • HIPAA compliance
  • Payment posting
  • Claim submission
  • Insurance verification

Certification

Medical Billing Certification

Timeline

Medical Billing Specialist

Healthtec Solutions
10.2024 - Current

Medical Billing Specialist

McGuire Group
08.2021 - 09.2024

Medical Billing Specialist

Aurora Cares/Tara Cares
12.2018 - 08.2021

Authorization Coordinator

Fidelis Care, NY
06.2014 - 11.2018

Medical Client Service Representative

Quest Diagnostics, Inc.
06.2004 - 06.2014

Associate of Applied Science - Medical Billing And Coding

Bryant And Stratton College

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