Jessica Coughlin
Haverhill,MA
Summary
Critical thinking professional with talents in validating workflows, maintaining a knowledge of policy changes to insurance plans and sharing best practices with management. A reliable Revenue Cycle Analyst known for successfully handling various tasks in deadline-driven environments.
Overview
17
17
years of professional experience
Work History
Professional Billing Analyst II
Boston Medical Center (BMC)
01.2022 - Current
- Track and resolve claim adjustments and rejection trends
- Develop comprehensive reporting tools to analyze billing trends, identify potential issues, and recommend corrective actions
- Reconcile Colonoscopy/Endoscopy, Echocardiogram, Stress Test, Heart Catheterization and Electrophysiology charges
- Log Heart Catheterization and Electrophysiology billing sheets needing manual entry and request any that are missing
- Assist clinics with questions regarding missing charges and other miscellaneous billing questions
- Review and work charges in charge review workqueues that are holding for various edits related to registration, place of service, referral and bill area issues, keeping all designated workqueues worked within 14 days of workqueue entry
- Work all claim rejections for referral and registration.
- Manually enter copayments into Massachusetts DPH billing system for all Tuberculosis patients
- Maintain up-to-date knowledge of industry regulations, ensuring compliance in all aspects of the billing process
- Maintain strict confidentiality with all personal data as per company guidelines
Billing Supervisor
Boston Medical Center (BMC)
05.2017 - 01.2022
- Responsible for supervising staff in proper billing procedures
- Assisted Director of Revenue with special projects
- Tracked and resolved claim adjustments and rejection trends
- Assisted Management Team during software implementation and transition from GE Healthcare to Epic Systems
- Management responsibilities include answering staff inquiries, referrals, registration, training, and mentoring.
- Enhanced team productivity by providing ongoing training, guidance, and support to billing staff members.
Patient Account Specialist
Boston Medical Center (BMC)
09.2016 - 05.2017
- Responsible for assuring claims were billed correctly to prevent invalid patient charges
- Adjusted claims that were holding invalid information
- Obtained retroactive referrals and authorizations for claims that were rejected by payer
- Corrected insurance information for claims that rejected for invalid insurance
- Verified monthly collection accounts.
Revenue Analyst
Cambridge Health Alliance
01.2014 - 09.2016
- Responsible for daily billing operations and claim rejections for the Physician's Organization
- Reviewed claims, updated account registrations, and submitted claims to insurance companies
- Identified and resolved incorrect registration information and trends
- Reviewed registration rejections and submitted payer appeals as appropriate
- Corrected insurance and/or registration information as required.
Billing Coordinator
Boston Children's Hospital
12.2011 - 01.2014
- Responsible for daily billing operations for the PO Cooperative Billing Office, supporting the billing functions for multiple Foundations/Service Areas
- Designed, documented and implemented policies and procedures for areas of responsibility
- Identified trends and recommended solutions for areas of responsibility
- Responsible for processing, logging and reconciling incoming lockboxes to ensure all payments were processed in a timely manner
- Continued to perform all functions as indicated below as Representative.
Billing Representative
Boston Children's Hospital
12.2010 - 12.2011
- Managed entire accounts receivable operation for the Surgical Foundation
- Maintained A/R Days at an acceptable level - consistently below MGMA standards
- Submitted and reconciled daily claims and filed to insurance carriers for reimbursement
- Reviewed all rejections and submitted payer appeals as appropriate
- Performed follow-up with insurance carriers on past due and appealed claims
- Prospectively reviewed all self-pay balances for accuracy prior to submitting statements
- Answered all billing inquiries from clients and patients as needed.
Billing Assistant
Somerville Mental Health Association
07.2007 - 12.2010
- Responsible for daily transactions for all Clinicians
- Submitted all insurance claims to insurance carriers
- Posted payment batches in a timely and effective manner
- Medical billing responsibilities, including daily correspondence with insurance agencies.
Education
Master of Business Administration - MBA - Health/Health Care Administration/Management
11.2023
Bachelor of Science - BS - Health/Health Care Administration/Management
01.2019
Skills
Charge reconciliation
- Payment posting
- Claims review
- Claims submissions
- Data Analysis
- HIPAA Compliance
- Billing systems and software
- Claims Processing
- Patient account management
- Insurance Verification
- Collections
- Data entry proficiency
- Microsoft Office
Personal Information
Title: Professional Billing Analyst
Timeline
Professional Billing Analyst II - Boston Medical Center (BMC)
01.2022 - Current
Billing Supervisor - Boston Medical Center (BMC)
05.2017 - 01.2022
Patient Account Specialist - Boston Medical Center (BMC)
09.2016 - 05.2017
Revenue Analyst - Cambridge Health Alliance
01.2014 - 09.2016
Billing Coordinator - Boston Children's Hospital
12.2011 - 01.2014
Billing Representative - Boston Children's Hospital
12.2010 - 12.2011
Billing Assistant - Somerville Mental Health Association
07.2007 - 12.2010
Southern New Hampshire University - Master of Business Administration - MBA, Health/Health Care Administration/Management
Southern New Hampshire University - Bachelor of Science - BS, Health/Health Care Administration/Management
Similar Profiles
Sarah SalemSarah Salem
Nursing Professional Development Generalist- PACU/Radiology Holding at Boston Medical Center (BMC)Nursing Professional Development Generalist- PACU/Radiology Holding at Boston Medical Center (BMC)
MERHAWI TAFEREMERHAWI TAFERE
Pharmacy Technician at Boston Medical Center (BMC Pharmacy)Pharmacy Technician at Boston Medical Center (BMC Pharmacy)
Akbota AmanAkbota Aman
Graduate Administrative Assistant at Boston University School of Public HealthGraduate Administrative Assistant at Boston University School of Public Health
Tyler ScalleatTyler Scalleat
Bagger at Market BasketBagger at Market Basket
KENNETH SNAYKENNETH SNAY
Lifeguard at City Of MethuenLifeguard at City Of Methuen