Summary
Overview
Work History
Education
Skills
Databasesystemsused
Timeline
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Jessica Herbst

Jessica Herbst

Bloomingburg,NY

Summary

Proven skills in revenue cycle management for medical facilities such as Crystal Run Healthcare. Proficient in reducing debt, collecting payments and collaborating with insurance companies to resolve concerns. Talented communicator and practiced multitasker. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Overview

24
24
years of professional experience

Work History

Medical Billing Specialist

Horizon Family Medical Group
05.2024 - Current
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances
  • Created and processed claims to third-party payers using specific coding guidelines
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received
  • Assisted with the reconciliation of accounts receivable ledgers at month-end close process
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria
  • Verified the accuracy of claim data prior to submission to insurance carriers
  • Updated patient accounts with information obtained from internal departments or external sources
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment
  • Reviewed patient records for accuracy and completeness of information in medical billing system
  • Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
  • Reviewed and verified benefits and eligibility with speed and precision
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.

Revenue Cycle Specialist

Crystal Run Healthcare/Optum
12.2018 - 03.2024
  • Processed appeals related to denied or rejected claims in a timely manner
  • Collaborated with other departments to resolve customer inquiries regarding billing issues
  • Contacted insurance providers to check patient coverage
  • Generated daily reports on the number of booked, canceled, rescheduled appointments
  • Assisted in scheduling, rescheduling, and canceling appointments for patients
  • Performed follow up calls to confirm scheduled appointments
  • Provided clear instructions to patients regarding their upcoming visits
  • Conducted outbound calls to remind patients of upcoming appointments
  • Maintained accurate records of patient appointments in computer system
  • Answered incoming calls from potential new patients and existing patient inquiries
  • Reviewed patient medical history documents prior to appointment scheduling
  • Provided assistance with additional tasks as needed or requested by management
  • Worked collaboratively with other team members to meet departmental goals
  • Managed a high volume of emails related to appointment scheduling requests
  • Reviewed patient accounts to ensure accuracy and completeness of information
  • Ensured all regulatory requirements were met when submitting claims for payment
  • Maintained current knowledge of insurance policies, procedures, regulations, and guidelines
  • Monitored accounts receivables daily to determine appropriate follow-up action needed
  • Evaluated existing workflows for efficiency and effectiveness in order to recommend changes as needed.
  • Balanced and reconciled accounts.
  • Identified and resolved payment issues between patients and providers.

Dispatcher/ Quota Anaylst

Time Warner Cable
03.2008 - 09.2018
  • Managed a large volume of phone calls while ensuring accuracy in data entry
  • Assigned drivers to appropriate routes based on customer needs
  • Resolved customer complaints related to service issues or delays.

Customer Service Team Member

Empire Blue Cross Blue Shield
01.2001 - 05.2006
  • Reviewed insurance policies to ensure compliance with existing regulations
  • Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations
  • Facilitated dispute resolution between customers and insurance providers when necessary
  • Provided guidance to customers regarding available insurance plans and their benefits and limitations.

Education

High School Diploma -

Valley Central High School

Skills

  • Paperwork Management
  • Medical Billing
  • Analytical Problem Solving
  • Insurance Collaboration
  • HIPAA Compliance
  • Claims Review
  • Managing Records
  • Verifying Insurance
  • Revenue Cycle Analysis
  • Insurance Verification
  • Revenue Quotas
  • Due Diligence
  • Knowledgeable in Waystar,Epic,Medics,EHR

Databasesystemsused

  • Waystar
  • Epic
  • EHR
  • Medics
  • Word/Excel

Timeline

Medical Billing Specialist

Horizon Family Medical Group
05.2024 - Current

Revenue Cycle Specialist

Crystal Run Healthcare/Optum
12.2018 - 03.2024

Dispatcher/ Quota Anaylst

Time Warner Cable
03.2008 - 09.2018

Customer Service Team Member

Empire Blue Cross Blue Shield
01.2001 - 05.2006

High School Diploma -

Valley Central High School

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Jessica Herbst