Summary
Overview
Work History
Education
Skills
Websites
Personal Information
Timeline
Generic

Jessica Eady

Atlanta Metropolitan Area

Summary

Certified IT Support through MWCC, proficient with Host, Artiva, Passport, McKesson, Zirmed, Pay Span, Allscripts, Sorian, and Meditech; proficient with Microsoft Word, Excel, PowerPoint, Access, and Outlook.

Highly knowledgeable Medical Reimbursement Specialist with a thorough understanding of medical billing procedures, diagnosis coding, and insurance claims processing. Demonstrates strong analytical skills to identify discrepancies, and resolve issues effectively. Known for ensuring accurate payment for services rendered through thorough review and follow-up on outstanding balances. Contributed significantly to streamlining processes in previous roles, improving efficiency in medical reimbursement tasks.

Overview

18
18
years of professional experience

Work History

Administrative Assistant Bookkeeper

Dream Job handyman
05.2022 - Current
  • Ability to manage both accounting and office-related responsibilities efficiently in a fast-paced environment
  • Manage daily bookkeeping tasks including accounts payable (AP), accounts receivable (AR), and bank reconciliation
  • Process invoices, payments, and track expenses using QuickBooks Online
  • Reconcile bank and credit card statements on a monthly basis, resolving any discrepancies
  • Generate financial reports such as balance sheets, income statements, and cash flow statements
  • Ensure compliance with accounting policies and procedures
  • Schedule appointments and assist with office management tasks
  • Other duties as assigned to support ongoing operations

Discrepancy Analyst

HCA Healthcare
Nashville
08.2019 - 04.2022
  • Analyze contract data
  • Analyze fee payment for accuracy and opportunity to maximize reimbursement for our clients
  • Work with insurance carriers to ensure appropriate payment for procedures performed
  • Ensure discrepancy analysis and processes are performed efficiently and effectively
  • Monitoring and resolution of unpaid claims and month-end reports
  • Review Managed Care Contracts and verify accuracy in how claims were reimbursed
  • Maintain permanent record of all payer contracts and fee schedules, Monthly Operating Report, status updates and support related service center payer contract compliance efforts
  • Identify problem accounts/processes/trends and escalate as appropriate
  • Utilize effective documentation standards that support a strong historical record of actions taken on the account
  • Ability to perform basic math to ensure accurate statement of accounts receivable
  • Meet the productivity and quality standards of the organization
  • Manage Care Logging discrepancy analysis and resolution
  • Batch report corrections
  • Practice and adhere to the 'Code of Conduct' philosophy and 'Mission and Value Statement'
  • Administer company's guidelines for payer contracting and compliance

Insurance Resolution Specialist

AMCOL Systems
Columbia
11.2018 - 05.2019
  • Process and collect Medicare Claims through DDE
  • Process and collect Commercial, Liability, private, and self pay accounts
  • Responsible for full billing and collection cycle procedures
  • Processes claims and mails bills on a regular basis
  • Establishes possible payment plans if appropriate and agreeable
  • Maintains daily log of patients from whom the practice is expecting payment; follows-up on non-payments
  • Works with supervisor to determine which accounts over 90 days need appropriate tracer letters
  • Meets with the supervisor of the accounts receivable department weekly to discuss problem accounts and plans for upcoming week
  • Monitors daily appointment schedules to become aware of scheduled patients with open balances; calls patients prior to their arrival
  • Takes calls directed to the accounts receivable department from patients and/or insurance carriers
  • Discusses accounts with patients and provides whatever information is required by insurance companies in order to get claim paid
  • Reviews the accounts Aging Analysis Report monthly to determine the accounts requiring immediate attention

Customer Service Rep/Payroll Support Specialist

Arise/LIVEOPS AGENT SERVICES, LLC
01.2018 - 11.2018
  • Respond quickly to all employee inquiries regarding paycheck/direct deposit discrepancies, withholdings, elective deductions, etc
  • Solve problems by receiving inbound customer service calls for assistance with billing inquiries, service requests, and/or fraud protection on accounts
  • Ensure customer questions and problems are resolved properly, accurately, and efficiently
  • Promote and monitor adherence to company policies and procedures
  • Support client initiatives to support high quality service delivery

Program Manager

DREA
Andover
05.2014 - 01.2018
  • Assists with the development and maintenance of project plans under the direction of the President
  • Attends all related meetings in order to fully understand the scope and pace of a project
  • Assist the progress of meeting obligations identified in contracts to insure timely implementation
  • Maintain a professional and open relationships
  • Assists with project financials by gathering and tracking key data points
  • Works closely with key stakeholders
  • Assists in the identification of training locations, facilities, and lodging
  • Coordinates, as assigned, meetings and conferences with conference hotel staff from first contact through post-conference follow-up including contracts, room and time scheduling, banquets, audiovisual equipment and billing
  • Coordinates travel
  • Provides administrative support to the programs assigned to the department
  • Transcribes training key points when assigned
  • Prepares materials for duplication and performs other logistics as assigned
  • Uses Excel to assist with developing and analyzing data for budgeting reports and trend analysis

Medical Biller/Authorization

GVNA HEALTHCARE, INC.
Gardner
10.2013 - 01.2018
  • Verify eligibility
  • Prepare and submit claims for all assigned payers
  • Monitor/Collect all outstanding claims by maintaining aging report
  • Review EOB/EOP, Post all cash accurately, Investigate credit and debit balances that remain after cash posting, Ensure Adjustment and rate changes, and Ensure all recurring charges are generated
  • Verifies medical information through patient's medical records
  • Assign appropriate ICD-10-CM codes and HCPC/CPT CODES
  • Knowledge McKesson, Zirmed, and Payspan
  • Initiates authorization requests with insurance companies and obtains the necessary documentation to process requests
  • Obtain prior authorizations in a timely manner from various insurance companies
  • Prioritizes pending authorizations according to date of service
  • Notifying appropriate staff when authorization is delayed, approved and processed
  • Monitors outstanding authorization requests and initiates follow up of outstanding authorizations in a timely manner
  • Run assigned reports
  • Proficiency in Microsoft Office applications

Admission Coordinator

LifeCare Center of Acton
Acton
06.2013 - 10.2013
  • Develop and maintain relationships with current and potential referral sources
  • Knowledge of insurances, verify insurance, obtain authorizations, verify longterm assets, explain benefits to residents/responsible parties, and input patient demographics
  • Screen potential residents in different settings; review medical records at hospitals, in Meditech, Curaspan, and Allscripts;
  • Arrange for a smooth admission; market to local businesses and the community; conduct tours at facility; handle inquiries and sales calls successfully to close the sale; plan events both internally and externally; and oversee staff

Department Assistant/Pre-registration

Health Alliance Hospital
Leominster
10.2009 - 06.2013
  • Works directly with Oncologists/ Enter orders for patients such as lab work, xrays, EKG, etc./Pre-register patients for upcoming appointments
  • Immediate response to phone, fax, walk-in inquiries/referrals, Schedule patient appointments/Excellent customer service and organizational skills
  • Prepare and submit claims; send out and collect self-pay bills
  • Apply federal laws, policies, procedures throughout all tasks/ Knowledge of Sorian Financial/ Knowledge of Sorian Financial

Radiology Receptionist

Nashoba Valley Medical Center
Ayer
09.2007 - 10.2009
  • Schedules patients and updates patient demographic by collecting detailed patient information including insurance information
  • Maintain patient file's and uploads new images as they become available
  • Knowledge of insurance coverage's for appropriate timeliness of exams
  • Protects health information by keeping secure

Education

CCA -

AHIMA
01.2018

Certificate - IT Support

Mount Wachusett Community College
01.2017

Bachelor's degree - English Language and Literature/Letters

Fitchburg State University
01.2012

Associate's degree - Liberal Arts and Sciences/Liberal Studies

Middlesex Community College
01.2009

Skills

  • Contract Management
  • Collections processing
  • Coding accuracy
  • Accounts receivable
  • Payment posting
  • Financial reporting
  • Data analysis
  • Customer service
  • Problem resolution
  • Attention to detail
  • Time management
  • Regulatory compliance
  • Billing document creation
  • Insurance claims handling
  • Claim processing
  • Insurance verification
  • HIPAA compliance certification

Websites

Personal Information

Title: Medical Biller/Managed Care Contracts/Authorization/Bookkeeper

Timeline

Administrative Assistant Bookkeeper

Dream Job handyman
05.2022 - Current

Discrepancy Analyst

HCA Healthcare
08.2019 - 04.2022

Insurance Resolution Specialist

AMCOL Systems
11.2018 - 05.2019

Customer Service Rep/Payroll Support Specialist

Arise/LIVEOPS AGENT SERVICES, LLC
01.2018 - 11.2018

Program Manager

DREA
05.2014 - 01.2018

Medical Biller/Authorization

GVNA HEALTHCARE, INC.
10.2013 - 01.2018

Admission Coordinator

LifeCare Center of Acton
06.2013 - 10.2013

Department Assistant/Pre-registration

Health Alliance Hospital
10.2009 - 06.2013

Radiology Receptionist

Nashoba Valley Medical Center
09.2007 - 10.2009

CCA -

AHIMA

Certificate - IT Support

Mount Wachusett Community College

Bachelor's degree - English Language and Literature/Letters

Fitchburg State University

Associate's degree - Liberal Arts and Sciences/Liberal Studies

Middlesex Community College

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Jessica Eady