Jessica DePuy

• Manage and mentor dedicated team of remote billing and AR specialists for physical and occupational therapy.
• Oversee daily operations to ensure accuracy, efficiency, compliance with insurance guidelines and company procedures.
• Streamline processes to ensure timely claims submission and payment posting, reducing manual paperwork and improving overall efficiency.
• Conduct account audits to ensure claim rejections, denials, appeals, and claim follow-up is completed in a timely manner.
• Collaborate with cross-functional departments to resolve billing issues and ensure timely reimbursement from insurance companies.
• Coordinate and execute month-end invoicing and reporting.
• Assist with insurance verifications and prior authorizations.
• Conduct monthly meetings with owners to analyze financial reports and key performance indicators (KPIs) to achieve maximum results.
• Conduct team meetings to provide feedback, address concerns, and offer guidance that will effectively empower my team.
• Assist clients with implementation of EMR/billing systems and clearinghouses, including EDI and ERAs.
• Maintain compliance and confidentiality of patient privacy and data protection in accordance with HIPAA regulations.

Achievements

• Three management promotions within first year of hire
• Assisted with developing and implementing training program and SOPs for billing department.
• Idea presented to create dedicated training department was implemented.
• Exceeded yearly billing goal in first quarter for 5 consecutive years
• Only employee that can solely operate 4 billing systems

• Worked daily in 5 Practice Management systems.
• Managed accounts for up to 15 specialists, both inpatient and outpatient.
• Filed claims, denials, rejections, completed appeals, and posted payments.
• Delegated work assignments daily to team of AR and billing specialists.
• Data entry of patient payments and insurance payments via electronic remittance advice and manually by paper EOB.
• Served as a liaison between healthcare providers, insurance companies, and patients regarding billing matters.
• Developed strong relationships with physicians' offices to obtain missing information needed for claim submission.
• Ensured HIPAA compliance by maintaining confidentiality of all patient information.

Achievements

• Coordinated onboarding sessions for new hires to ensure smooth integration.
• Continuously maintained AR with less than 6% of accounts over 90 days
• Given raise and promotion within 3 weeks of hire

• Worked in Eclipse EMR billing software and Microsoft Office programs.
• Managed daily office operations, including scheduling appointments, coordinating meetings, and handling correspondence.
• Verified and entered patient demographics and insurance data accurately into EMR system.
• Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines.
• Maintained a high level of attention to detail and accuracy when posting insurance and patient payments, minimizing errors and reducing the need for corrections.
• Reviewed medical documentation and coding to identify any discrepancies or errors that could impact reimbursement.
• Detected fraudulent billing by a current employee
• Led to raise and promotion within 6 weeks of hire

• Supported front desk operations by verifying demographic information, collecting co-payments, and entering data into EMR system.
• Verified insurance coverage and processed billing information accurately to facilitate timely reimbursement.
• Audited patient charts for completeness and accuracy of coding information before submitting claims for processing.
• Ordered medical supplies and equipment, ensuring availability for daily operations.