Jerlene Tyson
Byhalia,MS
Summary
Results driven medical biller with several years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
30
30
years of professional experience
Work History
Payment Posting Specialist
Baptist Memorial Hospital
Memphis , TN
05.2021 - Current
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Researched outstanding invoices to recover lost revenues.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Handled electronic payment processing from multiple sources.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Created receiving reports and updated vendor balance sheets to record accounts payable.
- Processed invoice payments timely.
Oncology Billing/Medical Insurance Specialist
Baptist Memorial Hospital
Memphis, TN
01.2019 - 05.2021
- Facilitated resolution of complex insurance cases through engagement with multiple stakeholders.
- Analyzed guidelines during claims processing.
- Handled pending claims, identifying issues preventing auto-adjudication.
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
- Processed high volumes of medical claims each shift.
- Ensured accuracy in claims before submission for billing.
- Maintained up-to-date knowledge on HIPAA regulations and benefits claims processing.
Hospital Billing /Account Executive - Payables and Receivables
Baptist Memorial Hospital
Memphis, TN
06.2018 - 01.2019
- Boosted revenue by aligning customer needs with suitable offerings.
- Ensured accuracy in review and processing of accounts receivable invoices.
- Analyzed customer account information to ensure proper billing.
- Collaborated with various departments to address discrepancies.
- Created monthly accounts receivable aging summaries for review.
- Performed collections activities as necessary to obtain payment from customers.
Insurance Follow-Up Specialist
UT Medical Group
Memphis, TN
07.2015 - 05.2018
- Identified and corrected errors related to billing, coding, and reimbursement from insurance companies.
- Communicated with insurance carriers for updates on unpaid claims.
- Addressed patient concerns about billing.
- Coordinated with various departments to achieve accurate follow-ups.
- Formulated plans to increase revenue collection from third-party payers through prompt resolution of due balances.
- Initiated appeals for denied claims following contract guidelines.
Customer Service Executive
UT Medical Group
Memphis, TN
03.2015 - 06.2015
- Generated comprehensive daily activity reports for supervisory assessment.
- Welcomed customers warmly using positive telephone etiquette.
- Processed financial transactions and coordinated billing schedules.
- Assist in processing grants for low-income applicants.
- Collaborated with legal professionals to resolve patient payment settlements.
- Developed a spreadsheet to track credit card payments.
Assistant Manager
Joann's Hair Salon
Byhalia, MS
05.1995 - 06.2015
- Developed operational strategies for increased efficiency and productivity.
- Created a streamlined inventory monitoring system.
- Maintained strict adherence to safety regulations.
Education
Some College (No Degree) - Medical Billing And Coding
Delta Technical College
Horn Lake, MS05-2015
Skills
- Remote
- Data Management Expertise
- Timely Payment Reconciliation
- Proficient in Cash Transactions
- Management of Billing Processes
- Financial Reporting
- Trend Identification
- Medical Coding Proficiency
- ICD-10-CM, CPT, HCPCS
- Anatomy and Medical Terminology
- HIPAA Policy Adherence
- Healthcare Billing Specialist
- Effective Communication Skills
- Typing Speed: 40 WPM
- Strategic Decision Making
- Analytical Research Skills
- Rapid Adaptation Skills
- Refund Management Specialist
- Denial Appeals Management
- Revenue Cycle Management
- Electronic Health Record Expertise
- Accounts Collections
- Coding proficiency
- Medicare, Medicaid, and commercial payors
- Research and due diligence
- Follow-up skills
- Billing dispute resolution
- Effective Collection Practices
- Effective Time Management
- Active Listening Proficiency
- Strong Planning Abilities
- Teamwork
- Medical terminology expertise
- Inpatient records coding
- Patient confidentiality
- Data entry and management
- Account resolution
- Medical billing procedures
- Professional ethics
- Code validation
- Documentation oversight
- Ethical standards
Highly proficient in EPIC, Microsoft Azure, Microsoft Excel, Adobe Professional, Microsoft XP, Centricity, NextGen, Optum, Cerner, Molli, Sorian, Windows 10, Microsoft Office, Outlook, Microsoft Teams, Health Logic, Experian, Cash Pro, Waystar, Regions, Bank of America, etc
Affiliations
- Member of AAPC
Timeline
Payment Posting Specialist
Baptist Memorial Hospital
05.2021 - Current
Oncology Billing/Medical Insurance Specialist
Baptist Memorial Hospital
01.2019 - 05.2021
Hospital Billing /Account Executive - Payables and Receivables
Baptist Memorial Hospital
06.2018 - 01.2019
Insurance Follow-Up Specialist
UT Medical Group
07.2015 - 05.2018
Customer Service Executive
UT Medical Group
03.2015 - 06.2015
Assistant Manager
Joann's Hair Salon
05.1995 - 06.2015
Some College (No Degree) - Medical Billing And Coding
Delta Technical College