Jeri Wolfe
Mount Juliet,Tennessee
Summary
Dedicated and seasoned healthcare professional with a comprehensive background in healthcare administration, billing, and patient services. Over the course of a dynamic career, I have honed my skills in various capacities, demonstrating proficiency in roles ranging from Billing Specialist and Claims Processor to Office Lead and Patient Service Representative.
Overview
16
16
years of professional experience
2004
2004
years of post-secondary education
Work History
Revenue Cycle Specialist
Mindful Billing Solutions
Denton, Texas
10.2025 - Current
- Managed patient account inquiries and resolved billing discrepancies.
- Processed insurance claims using advanced billing software systems.
- Coordinated with healthcare providers to ensure accurate coding and documentation.
- Handled billing, claims, and payment processing for multiple behavioral health practices
Billing Specialist
Clearfork Academy
01.2024 - 09.2025
- Proficiently code mental health and substance abuse visits for adolescents using Alleva and CollaborateMD EMR systems.
- Ensure accurate coding of claims before submission to clearinghouses.
- Send out corrected claims as needed depending on denials from insurance.
- Adding and correcting newly admitted patients' demographics and insurance to both EMR systems.
- Collect payments through Collab as needed from clients.
- Contacting parents to update COB with insurance companies to allow claims to be processed and paid.
Billing Specialist/Claims Resolution
Vertava Health
05.2023 - 01.2024
- Proficiently code behavioral health, mental health, and substance abuse visits using Sunwave and Kipu EMR systems.
- Ensure accurate coding of claims before submission to clearinghouses.
- Verify provider credentials with insurance prior to claims submission.
- Identify denial reasons and billing errors promptly to facilitate timely claims payment.
- Initiate contact with insurance companies to dispute claims and secure payments.
- Conduct thorough comparisons of patients' benefits with insurance payments to validate the accuracy of payments.
Office Lead
Pain Management Group
Nashville, TN
08.2018 - 01.2023
- Directly support the Clinic Manager in overseeing operations across multiple offices in Cookeville, Gallatin, Hendersonville, and Mount Juliet.
- Handle disciplinary actions with employees as needed to ensure a cohesive and productive work environment.
- Fulfill requests for records and documents from state authorities for audits, ensuring compliance with regulatory standards.
- Provide coverage for clinics in the absence of staff members to maintain uninterrupted workflow.
- Conduct meticulous audits of patient charts, verifying accuracy in demographics, insurance information, paperwork, pharmacy details, and documentation.
- Monitor and ensure the correct scheduling of patients by checking providers' schedules.
- Coordinate Peer to Peer reviews for Mount Juliet patients in instances where procedures or radiology exams are denied by insurance companies.
Patient Access Scheduler Lead
Anesthesia Services Associates
Nashville, TN
07.2014 - 06.2018
- Managed a high volume of calls from referring medical offices, patients, pharmacies, and insurance companies, coordinating activities for over 50 offices spanning 12 states.
- Utilized the electronic medical record system, eClinical Works, to create and maintain accurate patient accounts.
- Efficiently handled incoming referrals and records by employing fax and scan procedures, seamlessly integrating them into patients' electronic medical records.
- Thoroughly verified and entered patients' insurance information and demographics to ensure precision in the healthcare database.
- Orchestrated the scheduling process for new and follow-up appointments for pain management patients, demonstrating organizational and time-management skills.
- Conducted credential verification for healthcare providers, ensuring alignment with each patient's insurance, utilizing Symplr for comprehensive credentialing processes.
Pre-Appointment Coordinator/Clinical Administrative Assistant
Vanderbilt Orthopaedic Institute
Nashville, TN
12.2009 - 07.2014
- Gathered and meticulously maintained medical records and demographic information for incoming sports medicine patients prior to appointments, adhering to stringent HIPAA compliance standards.
- Established and maintained regular, effective communication channels with patients, partner facilities, and medical staff to uphold standards of excellence, efficiency, and accuracy in transmitting information.
- Provided comprehensive training to both clinical and administrative team members on various programmatic changes, ensuring a smooth transition and adaptation to systematic updates.
- Reviewed and directed the completion of clinic notes, operative reports, and other clinical documents from sports surgeons to referring providers and primary care providers.
- Managed the responsibility of collecting operative notes from physicians, uploading them into patient medical records, and forwarding them to the appropriate departments for seamless integration.
- Implemented a systematic process for filtering faxes and incoming documents to relevant team members, meticulously documenting them within the electronic system.
- Played a key role in submitting impairment rating charges to law offices and insurance companies as required.
- Assisted in the completion of FMLA and Disability paperwork, contributing to the smooth and efficient operation of administrative processes.
Education
Hunters Lane
Nashville, TNSkills
- Insurance Claims
- Medical Coding
- Medical Records
- Computer Literacy
- Health Information Management
Websites
Timeline
Revenue Cycle Specialist
Mindful Billing Solutions
10.2025 - Current
Billing Specialist
Clearfork Academy
01.2024 - 09.2025
Billing Specialist/Claims Resolution
Vertava Health
05.2023 - 01.2024
Office Lead
Pain Management Group
08.2018 - 01.2023
Patient Access Scheduler Lead
Anesthesia Services Associates
07.2014 - 06.2018
Pre-Appointment Coordinator/Clinical Administrative Assistant
Vanderbilt Orthopaedic Institute
12.2009 - 07.2014
Hunters Lane