Jerri Lare
Alliance,OH
Summary
Hardworking and detail-oriented Medical Billing Specialist with over 30 years of experience. I have a strong insurance knowledge and communication skills. Searching for a permanent role in the medical billing field so I may utilize my years of experience. I have a strong knowledge of EOB's, appeals, rejected claims and charge entry.
Overview
8
8
years of professional experience
Work History
Charge Entry Specialist
Advocate RCM – A Division of Ventra
10.2023 - Current
- Monitors and maintains Fast Review, Fast Translate within Imagine.
- Maintains Imagine charge buckets per specifications.
- Perform manual charge entry of charges received.
- Actively researches time of service and charge logs.
- Maintains the rebilling of unbilled claims.
- Performs monthly manual or electronic charge verification research.
- Research, entry, and mapping of referring physicians.
- Requesting missing reports from multiple contacts and/or accessing remote systems for missing information.
- Monitoring internal AIMS site for potential charge issues with the client.
United Healthcare
Provider Representative
10.2022 - 10.2023
- Answered incoming calls from providers.
- Assisted with claim inquiries.
- Assisted with authorization initiation and status.
- Assisted with eligibility questions.
- Investigated non-standard requests and problems.
- Provided explanations and information to providers.
Senior Analyst Team Lead
Aultman Alliance Community Hospital
11.2016 - 10.2022
- Daily use of Athena and Meditech.
- Credentialing tasks in Athena.
- Kronos timekeeping for the department.
- Productivity reports for the department.
- Liaison between the physician offices and the billing staff.
- Insurance verification using portals.
- Coder for Gastroenterology and Wound Care.
- Unpostables in Athena.
- Charge entry including hospitalist claims.
- Submitting remittances in Athena.
- Aging buckets in Athena.
- Aging reports in Athena.
- Worked collaboratively with management to create and analyze tracking reports to evaluate trends.
- Gatekeeper for all of the individual insurance portals including Availity.
- Updated fee schedule yearly in Athena.
- Charge reconciliation for the individual provider offices.
- Working buckets in Athena correcting modifiers, ICD-10, laterality and LCD guidelines.
- Reconsiderations and appeals in Athena.
- Bank reconciliations.
Education
AAPC Medical Coding Course -
01.2021
Aultman College Medical Billing and Coding Certificate of Completion -
01.2021
Marlington High School
01.1988
Skills
- Medical Terminology
- Microsoft Teams
- Organizational Skills
- Communication
- Problem-solving
- 30 plus years in Medical Billing
Leadership Experience
I was Senior Analyst/Team Lead at Aultman Alliance Community Hospital. I led the team of billers and coders.
Communication Skills
Active listening, friendliness, empathy and respect are all examples of my communication skills.
References
Available upon request.
Timeline
Charge Entry Specialist
Advocate RCM – A Division of Ventra
10.2023 - Current
United Healthcare
Provider Representative
10.2022 - 10.2023
Senior Analyst Team Lead
Aultman Alliance Community Hospital
11.2016 - 10.2022
AAPC Medical Coding Course -
Aultman College Medical Billing and Coding Certificate of Completion -
Marlington High School