Jessica Baker
Westland
Summary
Detailed-oriented Insurance Verification and Medical Billing Specialist with 6+ years of experience in a fast-paced gastroenterology practice, plus extensive customer service and administration support experience. Strong background in insurance eligibility verification, prior authorizations, medical billing and patient account management. Recognized for accuracy, efficiency, and delivering excellent patient service while managing multiple priorities in deadline-driven healthcare environments.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Procedure Insurance Verification
Digestive Health Associates
Farmington Hills, MI
07.2020 - Current
- Maintain patients demographics information and medical insurance.
- Verify insurance eligibility for medical procedures.
- Review patients deductible, copay and coinsurance.
- Enter insurance referrals.
- Obtain authorizations.
- Answer questions from patients, clerical staff, and insurance companies.
- Explain insurance coverage to the patient.
- Collect any money owed by patient.
Medical Billing and Coding Specialist
Coronis Health
Novi, MI
02.2017 - 06.2020
- Posted and adjusted payments from insurance companies.
- Evaluated patients' financial status and established appropriate payment plans.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Located errors and promptly refiled rejected claims.
- Responded to requests for information from various individuals by providing medical documents.
- Accurately posted and sent out all medical claims.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls to ensure proper payments were made according to contracts.
- Oriented and trained new staff on proper procedures and policies.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- DENTAL:
- Verification of benefits
- Calling for Authorization and GAP exceptions.
Customer Service Representative
Walgreens
Livonia, MI
09.2010 - 05.2020
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Achieved and consistently exceeded revenue quota through product and service promotion during routine calls.
- Provided primary customer support to internal and external customers in fast-paced environment.
- Preserved revenue streams by utilizing strong communication and negotiation skills, offering refunds as last resort to maintain customer satisfaction.
- Evaluated account and service histories to identify trends, using data to mitigate future issues.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Responded to customer requests for products, services and company information.
- Consulted with outside parties to resolve discrepancies and create effective solutions.
- Cultivated customer loyalty, promoted repeat customers and improved sales.
Education
High school diploma -
Medical Administration And Billing - Billing And Coding
Dorsey
Farmington Hills,MI11-2016
Skills
- Medicare and Medicaid process
- Financial reporting
- Payment processing
- EMR / EHR
- Medical office administration
- Medical Billing
- CPT Coding
- Insurance Verification
- HIPAA
- Epic
- Medical Receptionist
- ICD Coding
- Customer Service
- Organizational skills
- Time management
Certification
- Medical Billing and Coding
Timeline
Procedure Insurance Verification
Digestive Health Associates
07.2020 - Current
Medical Billing and Coding Specialist
Coronis Health
02.2017 - 06.2020
Customer Service Representative
Walgreens
09.2010 - 05.2020
High school diploma -
Medical Administration And Billing - Billing And Coding
Dorsey