Jenny L Copple
Lakewood,CO
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and continue to learn and master new skills.
Overview
13
13
years of professional experience
Work History
Coord, Collections
Ameripath/Quest Diagnostics/Optum
12.2015 - Current
- Verify Medicare/Commercial eligibility; Meet productivity of 275 + accounts per week; Perform charge correction to claims when needed and submit corrected claims; Submit redeterminations; Submit 1st & 2nd level appeal with all supporting documentation; Communicate with Medicare/Commercial payers for claims inquiry.
Accounts Receivable Representative
Touchstone Medical Imaging
07.2014 - 05.2015
- Communicated with various insurance companies and/or patients to resolve outstanding accounts; Worked assigned accounts for an average of 65 accounts per day; Worked all correspondence paper and electronic; Made necessary and required corrections to ensure account resolution in a timely manner; Submitted 1st & 2nd level appeals for timely filing with supporting documentation; Attorney Liens; Worked aging reports/spreadsheets.
Accounts Receivable Representative
Pinnacle CBO
12.2013 - 02.2014
- Performed follow-up on assigned facilities’ aged trial balance; Coordinated submission of claims to third party payers electronically or on paper; Submitted appeals with supporting documentation; Processed denials by reviewing zero pay EOB’s, logging appropriate entries to denials spreadsheets and distributing and/or following up on denials to appropriate personal; Identified denial trends and worked with claims representatives to resolve issues; Prepared account adjustment write-offs; Worked credit balance related to third-party payers.
Contractor
SCL Health Systems
06.2013 - 11.2013
- Worked on CICP clean-up project to access physician billing work queue; Entered the effective dates in the FPL field to making sure that the scanned CICP effective dates match and add the CICP insurance; Communicated with employers to try and retrieve workers’ comp insurance and employer information; Helped in the commercial billing department making payment adjustments on patient accounts and dropping patient responsibility to self-pay.
Accessioner/ Lab Processor, Cytology Department (Aerotek)
MetroPath
04.2012 - 11.2012
- Served as a key member of interdisciplinary healthcare team for a busy medical lab; Opened specimen bags and entered patient information; Was given praise for efficiently entering information; Maintained specimen slide filing, pulled specimen vials for re-testing and helped in lab when needed.
Medical Assistant (Externship 165 Hours Completed)
Mile High Family Medicine
07.2011 - 08.2011
- Assisted two MDs as well as PA and three other Medical Assistants in ensuring optimal patient care and smooth daily function; Demonstrated proficiency in taking patient medical history and vital signs and performed venipunctures; Performed injections and various diagnostic procedures and ancillary tests such as: EKGs, PFT’s; Performed chemistry analysis, hematology, and urinalysis; Maintained and ensured the cleanliness, sanitation and maintenance of all exam rooms and equipment.
Education
Graduate, Medical Claims & Billing Course -
U.S. Career Institute
Fort Collins, CO04-2017
CPR -
American Heart Association
Denver, CO01-2012
Associate of Occupational Science Medical Assistant - Medical Assistant
Westwood College
Denver, CO01.2011
Associate of Health Information Technology -
DeVry University
Lisle, ILSkills
- EMR Software
- Submitting Appeals
- Claim Adjustments
- Data Entry (75 WPM)
- Medical Terminology
- Insurance Collections
- Aging Claims Reports
- Ambulatory Billing
- Radiology Billing
- Insurance Reimbursement
- Account Receivable
- Timely Follow Up
- Denial Management
- HIPAA & JCAHO
- Customer Service
- Change Healthcare Clearinghouse
- Commercial Insurance
- Posting Denials
- Pathology Billing
- Medicare Insurance Billing
- Productivity 255 Accounts
- Centricity Task Manager
- Retrieve Supporting Documents
- Submit Re-openings
- Pulling Claim Inquiry
- Charge Corrections
- Problem-solving capabilities
- Conflict resolution techniques
- Critical Thinking
Target
Detail-oriented Billing Operations Specialist with extensive experience managing billing processes remotely. Proficient in analyzing financial data, resolving discrepancies, and ensuring accurate invoicing and payment processing. Skilled in utilizing billing software and maintaining compliance with regulations. Demonstrated ability to communicate effectively with internal teams and clients to address inquiries and streamline operations.
Timeline
Coord, Collections
Ameripath/Quest Diagnostics/Optum
12.2015 - Current
Accounts Receivable Representative
Touchstone Medical Imaging
07.2014 - 05.2015
Accounts Receivable Representative
Pinnacle CBO
12.2013 - 02.2014
Contractor
SCL Health Systems
06.2013 - 11.2013
Accessioner/ Lab Processor, Cytology Department (Aerotek)
MetroPath
04.2012 - 11.2012
Medical Assistant (Externship 165 Hours Completed)
Mile High Family Medicine
07.2011 - 08.2011
Graduate, Medical Claims & Billing Course -
U.S. Career Institute
CPR -
American Heart Association
Associate of Occupational Science Medical Assistant - Medical Assistant
Westwood College
Associate of Health Information Technology -
DeVry University
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