Summary
Overview
Work History
Education
Skills
Timeline
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Jessica Herbst

Jessica Herbst

Raleigh,NC

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.

Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.

Overview

24
24
years of professional experience

Work History

Medical Billing Specialist

Horizon Family Medical Group
05.2024 - 10.2024
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances
  • Created and processed claims to third-party payers using specific coding guidelines
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements

Revenue Cycle Specialist

Crystal Run Healthcare/Optum
12.2018 - 03.2024
  • Processed appeals related to denied or rejected claims in a timely manner
  • Assisted in scheduling, rescheduling, and canceling appointments for patients
  • Provided assistance with additional tasks as needed or requested by management
  • Reviewed patient accounts to ensure accuracy and completeness of information
  • Monitored accounts receivables daily to determine appropriate follow-up action needed
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances
  • Created and processed claims to third-party payers using specific coding guidelines
  • Follow-up on open balances listed on monthly AR and payor follow up reports for primary care and specialist claims.
  • Worked account for Blue Cross Blue Shield


Dispatcher/ Quota Analyst

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.
  • Quota Administrator for the Hudson Valley, scheduled quota for weekly technician schedules to fulfill patient appointments.

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

  • Medical Claims Processing
  • HIPAA Adherence
  • Insurance Verification
  • Revenue Cycle Management
  • Waystar Knowledge
  • Epic Management
  • NextGen Experience

Timeline

Medical Billing Specialist

Horizon Family Medical Group
05.2024 - 10.2024

Revenue Cycle Specialist

Crystal Run Healthcare/Optum
12.2018 - 03.2024

Dispatcher/ Quota Analyst

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