Jeryl Horan
San Tan Valley,USA
Summary
Adept at enhancing billing operations, I leveraged analytical thinking and attention to detail at WebPT to streamline Accounts Receivable processes, significantly reducing claim denials. My proficiency in Microsoft Excel and collaborative spirit drove efficiencies, showcasing my ability to exceed in fast-paced environments. Motivated Accounts Receivable Specialist with comprehensive knowledge in accounting principles, financial reporting and data analysis. Possess strong problem-solving abilities, excellent communication skills, and adept at managing high-volume accounts while meeting tight deadlines. Past roles have consistently resulted in improved operational efficiency and reduced delinquency on outstanding invoices.
Overview
3
3
years of professional experience
Work History
Accounts Receivable Specialist with the Billing Team
WebPT
02.2024 - 01.2025
- Participate in Team meetings to discuss any issues related to claims
- Prepare and analyze aging reports
- Identify patterns and root causes of denied claims and work with the billing team to implement solutions that reduce future denials
- Follow up on claims requiring manual resolution, including making phone calls to payers or other stakeholders
- Using Insurance portals to gain eligibly and benefits information as well as locate claims to see what the issue was
- Submitting medical records to different insurance portals
- Submit emails to the payment department to update payments that were either partial posted or not posted at all
- Follow up with patients as needed regarding claims, unpaid copays, etc
- Ensuring compliance with policies and procedures
- Work the weekly QC report to determine further steps to be taken to close out an account
- Work claims that are self-pay and reducing the billed amount to the self-pay
- Call the member and submit an Out Standing Balance Letter and a Statement
- Handled accounts payable and receivable, including invoicing and payment processing.
- Recommended process improvements that increased efficiency in Accounts Receivable operations.
- Generated weekly aging reports used to identify delinquent accounts requiring follow-up action.
- Performed daily cash application functions accurately and efficiently.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Billing and Collections Specialist
MOBILE THERAPY CENTER of AMERICA
Libertyville, IL
01.2023 - 08.2023
- Responsible for ongoing monitoring of claims activity for accuracy and successful submission
- Responsible for ensuring that patient billing information is set up appropriately
- Participate in team meetings to brainstorm reimbursement and billing issues
- Utilize ICD-10-CM and CPT coding including common modifiers
- Submit and monitor client medical records, authorization and claims
- Contact insurers regarding claim status, denials, outstanding payments and authorization
- Research and resolve outstanding claim issues
- Prepare appeals for denial claims in all Insurance Portals and Faxes
- Apply payment from insurer companies to clients account in Central Reach program
- Work on rejection claims in Office Ally
- Coding for Behavioral Health (Autism), Coding for PT, SP and OT
Billing and Collections Specialist
Mobile Therapy Centers of America
Libertyville, IL
04.2022 - 10.2022
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Prepared weekly AR aging report for review by accounting manager.
- Accepted and processed customer payments and applied toward account balances.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Handled accounts payable and receivable, including invoicing and payment processing.
Education
Undergraduate Certificate - Medical Billing and Coding Certificate
DEVRY UNIVERSITY
04.2021
Master of Science - Business Management
UNIVERSITY OF PHOENIX
05.2014
Bachelor of Science - Business Management
UNIVERSITY OF PHOENIX
05.2011
Skills
- Medical Records
- Time Management
- Attention to Detail
- Team Player
- Confidentiality
- Adherence to Policy and Procedure
- Clearance Level 2
- SharePoint
- Oracle OPN
- Microsoft Applications – Access
- Microsoft Applications – Excel
- Microsoft Applications – Word
- Microsoft Applications – PowerPoint
- Collections Experience
- Collections Understanding
- Work Planning and Prioritization
- Scheduling
- Flexible Schedule
- Analytical Thinking
- Critical Thinking
- Microsoft Office
- Data Entry
Websites
Timeline
Accounts Receivable Specialist with the Billing Team
WebPT
02.2024 - 01.2025
Billing and Collections Specialist
MOBILE THERAPY CENTER of AMERICA
01.2023 - 08.2023
Billing and Collections Specialist
Mobile Therapy Centers of America
04.2022 - 10.2022
Undergraduate Certificate - Medical Billing and Coding Certificate
DEVRY UNIVERSITY
Master of Science - Business Management
UNIVERSITY OF PHOENIX
Bachelor of Science - Business Management
UNIVERSITY OF PHOENIX
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