Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Jessica Hales

Cypress,TX

Summary

Detail-oriented revenue cycle specialist with extensive experience in billing processes and medical chart auditing. Proven ability to enhance documentation standards and ensure compliance with regulatory guidelines. Strong analytical skills and attention to detail contribute to identifying discrepancies and improving data accuracy. Committed to optimizing healthcare service delivery through effective planning and problem-solving.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Healthcare Revenue Cycle Specialist

Banner Healthcare
Cypress
01.2025 - Current
  • Completed weekly account reconciliations to identify discrepancies.
  • Evaluated existing workflows for efficiency and effectiveness in order to recommend changes as needed.
  • Monitored accounts receivables daily to determine appropriate follow-up action needed.
  • Reviewed patient charts for accuracy prior to submitting claims for reimbursement.
  • Researched discrepancies on unpaid invoices and reconciled them.
  • Reviewed patient accounts to ensure accuracy and completeness of information.
  • Identified and corrected payment problems involving patients or third-party payers.
  • Identified areas where process improvements can be made within the revenue cycle.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
  • Updated and maintained databases with current information.
  • Achieved cost-savings by developing functional solutions to problems.
  • Worked effectively in team environments to make the workplace more productive.
  • Daily EMR auditing and reconciliation in collaboration with the clinical team.
  • Auditing of accurate payment processing for all POS charges.
  • Team building and training on EMR and billing system.

Endoscopy Technician/Charge Capture Specialist

Memorial Hermann
Cypress, TX
04.2022 - 01.2025
  • Set-up and tore down procedure rooms in preparation for upcoming operations.
  • Ordered supplies efficiently to maintain stock within desired levels and meet expected patient.
  • Auditing of nursing documentation.
  • Pushing charges thru the billing system as needed to accurately reflect documentation.
  • Quality assurance of daily procedural documentation and changes reflected in EMR system as well as billing system.

Endoscopy Technician

Methodist Healthcare
The Woodlands, Texas
08.2021 - 04.2022
  • Conducted regular inventory checks of supplies needed for endoscopic suite operations.
  • Ran diagnostic tests and biologic quality assurance tests on endoscopic machines.
  • Cared for patients undergoing endoscopy procedures and transitioned from pre- to post-procedure care.
  • Close collaboration with physical to execute safe, effective gastrointestinal, and pulmonary procedures.
  • Ensured that all instruments used during endoscopic procedures were functioning properly before use.
  • Prepared collected specimens for cytological, microbiological and pathological analysis.
  • Use aseptic techniques to sterilize endoscopes, forceps, snares and other endoscopic tools and equipment.
  • Assisted in the training of new staff members on proper operation of endoscopic equipment.
  • Provided post-procedure patient education regarding diet, medication and follow-up instructions.
  • Recorded patients' medical history and other relevant information in the electronic health record system.
  • Performed maintenance on scopes following manufacturer's recommended schedules.
  • Adhered to operating and safety procedures during cleaning, disinfecting, and sterilizing endoscopes and equipment.
  • Communicated effectively with nursing staff concerning patient needs throughout procedure processes.

Emergency Room Technician

Our Lady of Lake
Baton Rouge, Louisiana
01.2019 - 12.2019
  • Triaged patients to award priority to patients with more severe complications.
  • Assisted with CPR and airway clearing procedures during emergencies.
  • Coordinated with nurses to assess and prepare patients for tests and medical procedures.
  • Received blood and bodily fluid samples and passed to employees
  • Educated patients about their condition and treatment options upon discharge from the ER.
  • Transported patients from the ER to other departments or units throughout the hospital as needed.
  • Collaborated with healthcare teams to determine needs and support daily objectives.
  • Performed quality assurance activities related to emergency room processes, protocols and equipment maintenance.
  • Built strong and trusting rapport with clients and loved ones.
  • Collected and compiled data to document performance or assess program quality.
  • Collected blood samples for lab analysis to diagnose disease or screen for health problems.
  • Took patients' vital signs, collected medical specimens and updated information in patient charts.

Education

Associate of Science -

Baton Rouge Community College
Baton Rouge, LA
12-2018

Skills

  • Audit principles and guidelines
  • Healthcare billing practices
  • Charge capture and reconciliation
  • CPT/HCPCS coding knowledge
  • Health information management standards
  • Discrepancy resolution skills
  • Regulatory compliance knowledge
  • Medical terminology proficiency
  • Office equipment proficiency
  • Effective relationship building
  • Communication skills
  • Excel, Microsoft Office, MS4, Cerner, Epic
  • Regulatory compliance awareness
  • Continuous improvement mindset
  • Healthcare reimbursement
  • Electronic health records management
  • Medical record review expertise
  • Interpersonal relationship building
  • Auditing techniques
  • Spreadsheet skills
  • Policy interpretation
  • Compliance monitoring
  • Chart auditing
  • Workflow evaluation

Certification

  • CERTIFIED REVENUE INTEGRITY SPECIALIST (CRCR)
  • CERTIFIED SPECIALIST BUSINESS INTELLIGENCE (CSBI)
  • CERTIFIED ENDOSCOPY TECHNICIAN (SGNA)

Accomplishments

  • Team Lead
  • Outstanding Employee

Timeline

Healthcare Revenue Cycle Specialist

Banner Healthcare
01.2025 - Current

Endoscopy Technician/Charge Capture Specialist

Memorial Hermann
04.2022 - 01.2025

Endoscopy Technician

Methodist Healthcare
08.2021 - 04.2022

Emergency Room Technician

Our Lady of Lake
01.2019 - 12.2019

Associate of Science -

Baton Rouge Community College

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