Jessica Blakemore
Paducah,KY
Summary
Adept at fostering patient-provider-insurer relations and streamlining billing processes, significantly enhanced customer satisfaction and compliance at Credit Bureau Systems. Skilled in HIPAA compliance and denial management, strategic approach to insurance verification and claims processing drove revenue cycle improvements. Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously.
Overview
15
15
years of professional experience
Work History
Medical Insurance Coordinator
Pain Management Centers Of America
04.2019 - Current
- Negotiated favorable payment plans for uninsured patients, easing financial burdens while maintaining revenue goals for the organization.
- Served as a liaison between patients, healthcare providers, and insurers, fostering positive relationships and open communication channels for all parties involved.
- Create daily deposits and account for all insurance and patient payments in the bank accounts.
- Post all insurance payment and patient payments.
- Balance daily and end of month close out.
- Run all patient credit cards and post to patients account.
- Pay invoices for the company for portal access.
- Send out patient billing statements.
- Complete attorney request for billing statements/take attorney request calls.
- Manage approximately 40+ incoming calls and emails from customers and front desk per day.
- Keep calendar and run recurring patient credit cards daily.
- Collections on patients with balances.
- Managed high volumes of patient case files efficiently by employing effective document management systems and prioritizing tasks strategically.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Identified and resolved discrepancies between patient information and claims data.
- Processed insurance payments and maintained accurate documentation of payments.
Medical Insurance Biller
Credit Bureau Systems
11.2009 - 04.2019
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Maintained strict compliance with federal and state regulations, ensuring proper coding practices were followed consistently.
- Trained new employees on multiple medical billing programs and data entry software.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
Education
Associates of Healthcare Administration - Healthcare Administration
University of Phoenix
Tempe, AZ12.2010
Skills
- Patient Registration
- Insurance Verification
- Denial Management
- Healthcare compliance
- Medical Billing
- Payment posting
- Customer Service
- Insurance claims processing
- Medical terms and procedure knowledge
- Word Processing Software
- Medical Billing Processing
- HIPAA Compliance
- Data Entry
- Insurance Billing
Timeline
Medical Insurance Coordinator
Pain Management Centers Of America
04.2019 - Current
Medical Insurance Biller
Credit Bureau Systems
11.2009 - 04.2019
Associates of Healthcare Administration - Healthcare Administration
University of Phoenix
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