Jerlene Tyson
Byhalia,MS
Summary
Experienced in preparing invoices, processing payments, and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented and dependable individual driven by performance. Possess exceptional communication and project management skills. Keen eye for detail and proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Proactive approach to identifying and addressing issues. Recognized for optimizing processes and supporting team objectives.
Overview
29
29
years of professional experience
Work History
Medical Payment Posting Specialist/Finance Analyst
Baptist Medical Group CBO
05.2021 - Current
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Collaborated closely with coding specialists for accurate charge capture, enabling timely and complete reimbursement from payers.
- Enhanced team productivity by training new specialists on payment posting procedures and best practices.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
- Streamlined revenue cycle operations for increased cash flow and reduced days in accounts receivable.
- Provided valuable insights during departmental meetings that led to continuous improvements in the payment posting process.
- Achieved high levels of data accuracy during payment batching, ensuring smooth bank deposits and financial reporting processes.
- Mitigated potential revenue loss by diligently monitoring credit balance accounts for necessary refunds or adjustments.
- Utilized various software programs to process customer payments.
- Used data entry skills to accurately document and input statements.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Audited and corrected billing and posting documents for accuracy.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to general ledger.
- Verified accuracy of accounts payable payments, resulting in 99% reduction in payment errors and check reissues.
- Reviewed and reconciled general ledger accounts for monthly and year-end reports.
- Developed financial models, analytics and automated reporting and forecasting tools to increase productivity.
- Assisted in preparation of presentations, data tables and other documents for investor meetings.
- Developed complex spreadsheets and charts and tables of financial and budget information in Microsoft Excel.
Oncology Billing/ Insurance Follow-up Specialist
Baptist Medical Group CBO
01.2019 - 04.2021
- Stayed current on industry regulations and trends to ensure compliance and optimize insurance follow-up strategies resolving 70 claims per day.
- Managed approximately 30 incoming calls/ outgoing calls , emails and faxes per day to insurance payers.
- Developed strong relationships with payer representatives, facilitating faster issue resolution for unpaid claims.
- Analyzed denial patterns regularly to develop targeted strategies for reducing claim rejections.
- Participated in regular staff meetings to discuss and strategize action plans for problematic accounts, resulting in improved collections performance.
- Collaborated with insurance companies to expedite claim processing, improving cash flow management.
- Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
- Streamlined follow-up processes for improved efficiency, ensuring timely resolution of unpaid claims.
- Reduced denials and underpayments through effective communication with payers, leading to increased revenue.
- Supported team members in resolving complex issues, fostering a collaborative work environment focused on continuous improvement.
- Implemented efficient workflows for claim submissions, reducing processing delays from insurers.
- Managed multiple priorities effectively while working within tight deadlines, ensuring optimal outcomes for both clients and the organization as a whole.
- Enhanced claim resolution rates by diligently reviewing and analyzing outstanding insurance claims.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
- Responded proactively and positively to rapid change.
- Trained new personnel regarding company operations, policies and services.
- Developed and updated databases to handle customer data.
- Cross-trained and provided backup support for organizational leadership.
- Trained staff on operating procedures and company services.
Hospital Billing/ Account Receivable Specialist
Baptist Memorial Hospital CBO
06.2018 - 01.2019
- Followed all company policies and procedures to deliver quality work.
- Managed approximately 30 incoming calls/ outgoing calls, emails and faxes per day to insurance payers and patients.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Conducted thorough research to identify trends and inform decision-making for business growth initiatives.
- Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
- Maintained database systems to track and analyze operational data.
- Collected, arranged, and input information into database system.
- Generated reports detailing findings and recommendations.
- Met productivity goal of resolving 70 claims per day.
PB Insurance Follow Up/ Reimbursement Specialist
Partners CBO/UT Medical Group
06.2015 - 05.2018
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
- Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
- Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
- Enhanced the overall financial performance of the organization by diligently monitoring outstanding claims and following up on overdue payments.
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
- Reduced claim denial rates by thoroughly reviewing documentation before submission to insurance providers.
- Verified accuracy of accounts payable payments, resulting in 99% reduction in payment errors and check reissues.
Customer Service Representative
Partners CBO / UT Medical Group
03.2015 - 06.2015
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed approximately 30 incoming calls, emails and faxes per day from customers.
- Cross-trained and backed up other customer service managers.
- Developed and updated databases to handle customer data.
- Trained new personnel regarding company operations, policies and services.
- Educated customers about billing, payment processing and support policies and procedures.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Assistant Manager/ Stylist
Joann's Hair Salon
05.1995 - 03.2015
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Recorded client payments and payment information daily with 100% accuracy rate.
- Streamlined appointment scheduling process, resulting in improved efficiency and reduced wait times for clients.
- Supported reception desk, receiving phone calls, entering appointments, and collecting payments for services rendered.
Education
Diploma - Medical Billing and Coding
Delta Tech College
Horn Lake, MS07.2015
Skills
- Remote
- Medical Coding: ICD-10 CM,CPT, and HCPCS
- Medical Billing and Insurance Followup
- Anatomy and Medical Terminology
- Medical Documentation Review
- Remote Meeting via Microsoft Teams
- Complex Problem-Solving
- Time Management
- Analytical and Critical Thinking
- Strong Decision Making Abilities
- High Attention to Details and Trends
- Interpersonal Skills
- Medical Coding knowledge
- Problem-Solving
- Excellent Communication and Written Skills
- Deadline-Oriented
Timeline
Medical Payment Posting Specialist/Finance Analyst
Baptist Medical Group CBO
05.2021 - Current
Oncology Billing/ Insurance Follow-up Specialist
Baptist Medical Group CBO
01.2019 - 04.2021
Hospital Billing/ Account Receivable Specialist
Baptist Memorial Hospital CBO
06.2018 - 01.2019
PB Insurance Follow Up/ Reimbursement Specialist
Partners CBO/UT Medical Group
06.2015 - 05.2018
Customer Service Representative
Partners CBO / UT Medical Group
03.2015 - 06.2015
Assistant Manager/ Stylist
Joann's Hair Salon
05.1995 - 03.2015
Diploma - Medical Billing and Coding
Delta Tech College
Similar Profiles
Florida LacyFlorida Lacy
Promotion - AR Appeals Specialist at CBO of Post-Acute Medical LLCPromotion - AR Appeals Specialist at CBO of Post-Acute Medical LLC
Debby RyanDebby Ryan
Revenue Cycle Specialist at North Mississippi Medical Clinics, CBORevenue Cycle Specialist at North Mississippi Medical Clinics, CBO
Christina ChaconChristina Chacon
Physician Practice Supervisor at Baptist Health Medical Group North, Urology | Baptist Health South FloridaPhysician Practice Supervisor at Baptist Health Medical Group North, Urology | Baptist Health South Florida
Wesley BrownWesley Brown
Audi Brand Specialist at Gossett MotorsAudi Brand Specialist at Gossett Motors
Teresa SmithTeresa Smith
Assistant Store Manager at Dollar GeneralAssistant Store Manager at Dollar General