Experienced medical billing specialist with 6+ years of experience handling various medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Hi, I’m
JESSICA CORAZON
Keller,TX
Summary
Overview
7
years of professional experience
Work History
Work It Health
Medical Billing Specialist
01.2022 - Current
Job overview
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Trained new employees on multiple medical billing programs and data entry software.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with patients for unpaid claims for HMO, PPO, and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Evaluated patients' financial status and established appropriate payment plans.
- Performed billing and coding procedures for inpatient, and outpatient services.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Delivered timely and accurate charge submissions.
- Orchestrated medical coding, payment posting, accounts receivables, and collections.
- Adhered to established standards to safeguard patients' health information.
- Performed month-end reconciliation and developed reporting metrics in coordination with corporate finance executives.
711 Corporate
Data Analyst Intern
07.2021 - 12.2022
Job overview
- Identified and documented detailed business rules and use cases based on requirements analysis.
- Transformed project data requirements into project data models.
- Coordinated statistical data analysis, design, and information flow.
- Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of the best placement for needed resources.
- Produced monthly reports using advanced Excel spreadsheet functions.
- Participated in requirements meetings and data mapping sessions to understand business needs.
- Researched and resolved issues regarding the integrity of data flow into databases.
- Built a library of models and reusable knowledge-base assets to produce consistent and streamlined business intelligence results.
- Created and improved intelligence resources to facilitate consistent data management strategies.
- Developed tables, views, and materialized views using SQL.
- Utilized various professional statistical techniques and maintained large databases to collect and analyze data from partners and customers.
- Identified, analyzed, and interpreted trends or patterns in complex data sets by finding correlations and visualizing them with charts.
Veterans Affairs Medical Center- CPAC
Medical Billing Specialist
01.2020 - 07.2021
Job overview
- Health Administration/ CPAC Veterans Health Administration/ CPACVeterans Health Administration/ CPAC Veterans Health Administration/
- Collected payments and applied them to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Reviewed billing problems, researched issues, and resolved concerns.
- Created new standard operating procedures improving billing accuracy and cash flow.
- Developed strategic plans for day-to-day financial operations.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Cardiology Center Of Amarillo
Medical Billing Assistant Supervisor
08.2017 - 12.2020
Job overview
- Established workflow processes, monitored daily productivity, and implemented modifications to improve the overall performance of personnel.
- Maximized cash flow through optimal billing and collection processes.
- Utilized the company's accounting systems to review reports and prepare assessments.
- Attended meetings, seminars, and workshops to enhance knowledge of bookkeeping functions and other job duties.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Trained new employees on multiple medical billing programs and data entry software.
- Orchestrated medical coding, payment posting, accounts receivables, and collections.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Entered more than 500 insurance claims per week.
- Submitted electronic/paper claims documentation for timely filing.
- Maintained knowledge of benefits claims processing, claims principles, medical terminology, procedures, and HIPAA regulations.
- Responded to correspondence from insurance companies.
Education
Diamond Ranch AcademyHurricane, UT
Diploma
04.2005
University Overview
Nassau Community CollegeGarden City, NY
Some College (No Degree) from Information Technology
University Overview
AAPC REMOTE
No Degree from CPC AND CBC/ MEDICAL AUDITOR
08.2023
University Overview
Skills
- Billing and Collections Procedures
- ICD-10
- Medicare, Medicaid, Commercial billing
- CMS-1500 Billing Forms/ UB-04
- Accounts Payable and Accounts Receivable
- Hospital Inpatient and Outpatient coding
- Filing Appeals
- Multitasking and Organization
Timeline
Medical Billing Specialist
Work It Health
01.2022 - Current
Data Analyst Intern
711 Corporate
07.2021 - 12.2022
Medical Billing Specialist
Veterans Affairs Medical Center- CPAC
01.2020 - 07.2021
Medical Billing Assistant Supervisor
Cardiology Center Of Amarillo
08.2017 - 12.2020
Diamond Ranch Academy
Diploma
Nassau Community College
Some College (No Degree) from Information Technology
AAPC
No Degree from CPC AND CBC/ MEDICAL AUDITOR
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