Jessica Corazon
Bellmore,NY
Summary
Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Driven and responsible with adaptable, solution-oriented nature. Excellent conflict mediator and efficient multitasker. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Cerner Consultant
Wakefield & Associates Inc.
01.2022 - Current
- Promoted a culture of continuous improvement by actively seeking feedback from clients and incorporating learnings into future projects.
- Enhanced client satisfaction by providing tailored Cerner solutions and support.
- Assisted clients in navigating complex regulatory requirements, ensuring compliance throughout the implementation process.
- Advised clients on best practices for system utilization while maintaining strict adherence to security protocols.
- Filed and updated patient information and medical records.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Posted and adjusted payments from insurance companies.
Data Entry Clerk
7-eleven Corporate
07.2021 - 01.2022
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Gathered data from multiple sources and programs.
- Produced monthly reports using advanced Excel spreadsheet functions.
- Corrected data entry errors to prevent later issues such as duplication or data degradation.
- Verified accuracy of data before transcribing.
- Organized, sorted and checked input data against original documents.
- Completed data entry tasks with accuracy and efficiency.
- Verified data files prior to entry to maintain high data accuracy.
- Created reports based on up-to-date data to inform business decisions.
- Reviewed completed work for compliance with regulations.
- Researched and resolved issues regarding integrity of data flow into databases.
- Updated organizational systems and subsystems to improve and streamline data collection.
- Located and corrected data entry errors and reported to management.
- Collaborated with cross-functional teams to ensure data integrity and accuracy, resulting in better-informed decisions.
- Participated in requirements meetings to understand business needs.
- Improved decision-making processes with accurate data analysis and visualization techniques.
Call Center Customer Service Representative
MCI
01.2021 - 10.2021
- Documented and detailed calls and complaints using call center's CRM database.
- Helped average of 50 customers every day by approaching conversations with positive attitude and focus on customer satisfaction.
- Researched issues through identification of similar past problems and recommended most appropriate solution.
- Maintained accurate and current customer account data with manual forms processing and digital information updates.
- Contributed to company achieving and holding industry-leading customer service ratings.
- Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
- Called vaccine patient's to coordinate schedules and set appointments.
Leveraged Service Representative
AT&T
01.2021 - 05.2021
- Investigated and resolved customer inquiries and complaints quickly.
- Promptly responded to inquiries and requests from prospective customers.
- Entered customer interaction details in CRM to track requests, document problems and record solutions offered.
- Maintained up-to-date knowledge of product and service changes.
- Educated customers about billing, payment processing and support policies and procedures.
- Delivered excellent customer service, resulting in consistent 100% customer satisfaction rating.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
- Met all customer call guidelines including service levels, handle time and productivity.
Facility Revenue Technician
Veterans Health Administration/ CPAC
10.2020 - 01.2021
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
- Assisted veterans and dependents in preparing forms and documents to present claims for benefits.
- Reviewed and requested medical records, military personnel records and service verification records to determine eligibility status.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Analyzed claims to determine percentage of disability, permanent and total disability and entitlement to compensation.
- Reported plans, findings and results to employers and insurance carriers.
Medical Billing Supervisor
Cardiology Center Of Amarillo LLP
08.2017 - 10.2020
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Applied charges and updated patient records by using Nextgen and Waystar.
- Posted charges, payments and overpayments on all insurance claims.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Set up and maintained new electronic billing system.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Transferred balances to correct payers.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Liaised between patients, insurance companies and billing office.
- Maintained current accounts through aged revenue reporting.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Devised new methods to improve billing workflows.
- ICD10, UB Claims
- Submitted all Cath lab, ASC and hospital & UB claims.
Customer Service Representative
TMG Health Inc.
01.2017 - 08.2017
- Provided primary customer support to internal and external customers in fast-paced environment.
- Consulted with outside parties to resolve discrepancies and create effective solutions.
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
- Responded to customer requests for products, services and company information.
- Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Receptionist Manager
DermAesthetica
02.2014 - 12.2016
- Greeted customers and visitors in-person and via telephone calls.
- Oversaw inventory activities, including materials monitoring, ordering or requisition and supply stocking or re-stocking.
- Coordinated travel accommodations for staff and out-of-town visitors, including vouchers, agendas and transportation.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
- Scheduled office meetings and client appointments for team of 15 professional astheticians.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Managed files and records for clients and adhered to safety procedures to prevent breaches and data misuse.
Education
High School Diploma -
Diamond Ranch Academy
Hurricane, UTInformation Technology
Nassau Community College
Garden City, NYSkills
- Accounts receivable management
- Patient account analysis
- Medical terminology expert
- Medical claims submission
- Medical coding knowledge
- Medicare and Medicaid process
- Payment posting
- Staff Management
- Credit and collections
- Bookkeeping
- Business administration
- Documentation and control
- Understanding Customer Needs
- Building Customer Trust and Loyalty
- HIPAA Compliance
- Workflow Processes
Timeline
Cerner Consultant
Wakefield & Associates Inc.
01.2022 - Current
Data Entry Clerk
7-eleven Corporate
07.2021 - 01.2022
Call Center Customer Service Representative
MCI
01.2021 - 10.2021
Leveraged Service Representative
AT&T
01.2021 - 05.2021
Facility Revenue Technician
Veterans Health Administration/ CPAC
10.2020 - 01.2021
Medical Billing Supervisor
Cardiology Center Of Amarillo LLP
08.2017 - 10.2020
Customer Service Representative
TMG Health Inc.
01.2017 - 08.2017
Receptionist Manager
DermAesthetica
02.2014 - 12.2016
High School Diploma -
Diamond Ranch Academy
Information Technology
Nassau Community College
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