Jessica James
Healthcare
Baton Rouge,LA
Summary
Highly trained professional with a background in verifying insurance benefits, Medical claims follow up and creating appropriate patient documentation. An established Insurance & Billing Specialist known for handling various office tasks with undeniable ease.
Overview
10
10
years of professional experience
Work History
Medical Claims Examiner
Boomy Healthcare
02.2023 - 11.2023
- Paid or denied medical claims based upon established claims processing criteria.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Completed data entry tasks with accuracy and efficiency.
Sr Patient Account Rep
Our Lady Of The Lake Hospital
08.2015 - 08.2022
- Worked with insurance providers to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Verified patient insurance eligibility and entered patient information into system.
- Identified trends and formulated resolutions
- Provided quality training to department over 40+ team members
- Timely follow up of outstanding insurance claims using appropriate resources
Patient Account Representative
Our Lady Of The Lake Hospital
12.2013 - 08.2015
- Worked with outside entities to resolve issues with billing, claims and payments.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Posted payments and processed refunds.
Education
Bachelor of Arts - Healthcare
Upper Iowa University
Baton Rouge, LAAssociate of Arts - Healthcare Medical Office
Virginia College
Baton Rouge, LADiploma - Medical Billing & Coding
Delta College of Arts & Technology
Baton Rouge, LA2018
Skills
- Thorough Claims Reviews
- Customer Service
- Complex Problem-Solving
- Health Insurance Industry Knowledge
- Benefits Guidelines
- Insurance Terminology
- Billing Procedures
- Electronic Claims Processing
- Epic Software
- Salesforce User Profile
- Data Entry
- Billing Dispute Resolution
Timeline
Medical Claims Examiner
Boomy Healthcare
02.2023 - 11.2023
Sr Patient Account Rep
Our Lady Of The Lake Hospital
08.2015 - 08.2022
Patient Account Representative
Our Lady Of The Lake Hospital
12.2013 - 08.2015
Bachelor of Arts - Healthcare
Upper Iowa University
Associate of Arts - Healthcare Medical Office
Virginia College
Diploma - Medical Billing & Coding
Delta College of Arts & Technology
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