Jessica Hurst
Little Rock,AR
Summary
I am an excellent communicator, dependable team player, and leader with a strong understanding of the insurance/medical industry. One of my prominent attributes is building relationships while delivering outstanding service. I am highly organized and detail-oriented with a strong ability to identify issues and develop solutions. I pride myself on my flexibility to learn and grow where I am , and on my integrity to put my best efforts forward when I take on new endeavors.
Overview
13
13
years of professional experience
Work History
Billing/Credentialing Specialist
Pinnacle Revenue Cycle
Little Rock, AR
04.2023 - Current
- Achieved accuracy in database management by regularly updating provider records and tracking status changes
- Provided exceptional customer service to clients, addressing inquiries promptly and professionally
- Maintained and updated systems for providers such as CAQH and insurance portals needing regular timely updates
- Coordinated with clients, providers, and management to obtain documents and necessary information to streamline the credentialing process
- Enrolled providers in Medicaid, Medicare, and commercial insurance plans; completed and evaluated applications to look for missing and inaccurate information
- Assisted in training new employees on proper credentialing procedures, contributing to their rapid integration into the environment
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously
- Provided updates to the client on the status and process of provider and group applications
- Provided regular updates on billing status to management through emails and text, including reports
- Reached out to insurance companies to verify coverage
- Balanced and reconciled accounts
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies
- Streamlined processes by implementing efficient workflows
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy
- Researched CPT and ICD-10 coding for current standards and accuracy
- Developed customized reports for management review, highlighting trends in claim denial issues. Escalated these issues when necessary
- Communicate with insurance providers to resolve denied claims and resubmit
- Locate errors and promptly refile rejected claims.
- Post and adjust payments
- Utilize many systems to research and track claims and payments
Owner/Manager of Operations
Rocket Bounce And Party Rentals LLC
Little Rock, AR
06.2021 - 05.2023
- Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
- Implemented marketing strategies to increase brand awareness and attract new customers.
- Mentored staff members on best practices in customer service and sales techniques, leading to increased performance levels.
- Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members.
- Hired, trained, and managed employees
- Evaluated industry competition regularly to maintain a competitive advantage in the marketplace.
- Proactively identified areas of risk within the organization implemented necessary safeguards mitigating any potential negative impact on the business.
- Ensured regulatory compliance by staying abreast of industry-related changes and implementing necessary policies or procedures as needed.
- Maintained high levels of customer satisfaction through diligent scheduling coordination and communication, ensuring all rentals were met within agreed timeframes.
Senior Customer Service Representative
Arkansas Blue Cross And Blue Shield
Little Rock, AR
11.2014 - 08.2022
- Enhanced customer satisfaction by promptly addressing and resolving complex inquiries and complaints; addressed escalated issues with diplomacy and tact while finding resolutions that satisfied both the client's concerns and company interests
- Streamlined customer service processes for increased efficiency and improved response times
- Reduced call wait times by implementing effective time management techniques
- Developed comprehensive knowledge of company products and services in order to provide accurate information to customers
- Collaborated communication between different departments to ensure member/provider issues were researched and resolved in an efficient time frame
- Provided backup support during peak periods or staff shortages to ensure seamless service delivery to clients at all times
- Demonstrated excellent multitasking abilities by managing multiple concurrent tasks while ensuring timely completion (i.e, calls, emails, regular follow-ups on status, special projects and tasks/ reporting, and training opportunities)
- Responded to customer calls and emails to answer questions about claims, coverage, and status
- Followed up with customers about resolved issues to maintain high standards of customer service
- Responded positively to rapid change
- Mentored and assisted junior team members through training; trained and directed new employees in call script use, conflict resolution, and data entry practices to boost customer satisfaction ratings
- Consistently exceeded performance targets, earning recognition as a top-performing Senior Customer Service Representative on multiple occasions
Insurance Producer
Tim Allison Allstate Agency
Little Rock, AR
03.2011 - 11.2014
- Increased client satisfaction by providing personalized insurance solutions tailored to individual needs.
- Boosted policy sales through effective communication of product benefits and features.
- Developed strong relationships with clients, fostering trust and loyalty for long-term business growth.
- Collaborated with underwriters to ensure accurate risk assessment and appropriate coverage options.
- Maintained up-to-date knowledge of industry trends and regulations, ensuring compliance in all transactions.
- Implemented marketing strategies to generate new leads and expand the client base, including building strong relationships with other industry professionals such as mortgage brokers and financial advisors to build a referral network.
- Conducted regular follow-ups with existing clients to review coverage needs and suggest appropriate adjustments.
- Participated in ongoing professional development opportunities to maintain licensure and stay abreast of industry advancements.
- Organized office paperwork efficiently, resulting in easier access to important documents when needed.
- Set up policies and completed all documentation.
- Responded to customer calls swiftly to resolve issues and answer questions.
- Completed daily bank deposits.
- Opened and closed business daily.
Education
Insurance Producer License
03.2011
High School Diploma
2009
Skills
- Integrity
- Professionalism
- Customer Service
- Organizational Skills
- Issue Identification and Resolution
- Multitasking Capabilities
- Analytical Thinking
- Adaptability and Flexibility
- Planning and Execution
- Time Management
- Teamwork Abilities
- Records Organization and Review
- Documentation Workflows
- Medical/Insurance Terminology
- HIPAA Compliance
- Claims Processing
- Payment Posting
- Data Entry
- Client Engagement
- Training and Development
- Delegation
- Business Management
- Marketing
Timeline
Billing/Credentialing Specialist
Pinnacle Revenue Cycle
04.2023 - Current
Owner/Manager of Operations
Rocket Bounce And Party Rentals LLC
06.2021 - 05.2023
Senior Customer Service Representative
Arkansas Blue Cross And Blue Shield
11.2014 - 08.2022
Insurance Producer
Tim Allison Allstate Agency
03.2011 - 11.2014
Insurance Producer License
High School Diploma