Spreadsheets
Hi, I’m
Jessica Jordan
Cypress,TX
Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt
Summary
Detail-oriented and methodical Medical Office Specialist offering 15 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
15
years of professional experience
Work History
America’s ER and Urgent Care
Lead Patient Care/Marketing Assistant
03.2019 - 07.2024
Job overview
- Conducted as a resource to patient services staff, which includes training/orienting, providing day to day work direction, scheduling of staff, and giving input on performance
- Scheduled meetings with all 17 employees monthly with outline of discussion
- Created and updated any and all forms, inventory, audits, logs and policy and procedures as needed
- Supported the Marketing Director on projects to maximize the company's profit and develop patient increase strategies and marketing campaigns.
America’s ER and Urgent Care
Outpatient Adminatrator
07.2020 - 02.2023
Job overview
- Scheduling and Registration of patients utilizing the current computerized system for both locations
- Responsible for reviewing patient accounts, verifying insurance benefits and ensuring that all required insurance authorizations and pre-certifications are in order for all proposed treatment plans
- My position requires communication with physician offices or nursing staff to clarify or correct specific CPT and/or ICD codes regarding treatment plans and all primary and secondary diagnosis as well as obtain clinical information to validate the use of these codes, using available software for determining medical necessity
- Identifying and attempting to resolve coding (CPT/ICD) discrepancies and or deficiencies prior to service, to insure proper and maximum reimbursement for services, utilizing software and assistance from Medical Records or clinical staff
- Ensuring accurate data entry for patient demographics as well as payor information for submission of claims, to facilitate timely reimbursement
- Establishing and maintaining effective and efficient working relationships with patients, patient families, physicians and their staff, payors, co-workers, and other revenue cycle entities
- Updating and creating forms, inventory, audits, logs and policies and procedures as needed.
America’s ER and Urgent Care
Patient Care Coordinator
03.2019 - 07.2020
Job overview
- Actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes
- Demonstrating flexibility with vacation holiday coverage and to support the operations of a 24/7 department
- Provides information to patients regarding Patients’ Bill of Rights, Notice of Privacy Practice per the state of Tx and federal regulations
- In a 24 hour, 7 days a week environment, collects and documents patient information demographics, insurance, contact info in the EHR and or other electronic system in accordance with established registration standards policies
- Verified insurance and collect payments, copayments and coinsurance associated with the patient’s plan of care
- Facilitates phone consults, coordinates the transfer of patients to other facilities and schedules follow up appointments
- Audit charts daily and make corrections as needed before submitting to billing.
1960 Family Practice
Sleep Coordinator/ENT
11.2017 - 04.2019
Job overview
- Sleep Coordinator: Responsibilities include educating patients on general basics of sleeping disorders, most commonly Obstructive Sleep Apnea, as well as coordination their care
- Obtaining demographic, insurance and financial information from patient or guarantor
- Enter all information in the computer system with a high degree of accuracy
- Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patients and obtaining necessary signatures
- Complete Insurance verification and obtain authorizations if required
- Protecting the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility
- Post payments, monitor, review and resolve patient account issues
- Communicate with referring physician offices at each step of their patients’ care, from consultation to sleep study follow up appointment and CPAP setup if applicable via fax or other method preference
- Working with the billing staff to provide necessary patient information for accuracy payments
- Monitor and manage the schedule
- Created processes and procedures for the sleep department and updated with critical information as needed
- Performed EKGs as needed or requested by Physician
- ENT Front Office: scheduling, insurance verification, authorization, referrals and patient consultations
- Including all general office duties.
Global Sleep
Administrative Assistant/Collections
10.2015 - 10.2017
Job overview
- Administrative: Responsible for 7 Houston Sleep locations, 2 Austin locations and 2 San Antonio locations
- Review of all Medical Records
- Insurance verification for both Commercial and Government plans
- Obtaining authorization if required
- Verifying CPT codes Billable/Allowed
- Calculating patient’s portion
- Collections: Timely follow-up on insurance claim denials, exceptions or exclusions
- Corrective claims and appeals
- Reading and interpreting insurance explanations of benefits
- Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
- Respond to inquiries from insurance companies, patients and providers
- Meet deadlines
- Regularly attend monthly staff meetings and continuing education sessions as requested
- Perform additional duties as requested by Team Lead or Management team.
Medco Medical Supply
Billing Specialist
06.2014 - 09.2015
Job overview
- Responsible for timely and accurate billing of $2.8 million per month
- Review and approve delivery of 12,000 orders monthly
- Responsible for posting insurance checks into Fastrack; posting/balancing patient payments; auditing cash log versus accounting log; A/R transfer; and electronic records management
- Process patient statements and follow up on unpaid claims
- Maintain current information and supporting documentation on 8500 accounts
- Research and respond to patient inquiries regarding billing issues
- Knowledge of Commercial, Medicaid (TMHP)/Medicaid (CHIP)plans, Medicare and Medicare Supplements
- Participated in development of organization procedures and updating of standard operating procedures
- Train new hires and ensure office practices are following HIPAA regulations
- Volunteer work and member of the Employee Committee.
Spring Spine Center
Assistant Office Manager
04.2011 - 06.2014
Job overview
- Responsible for sending and following up on Medical Records in a timely manner
- Verifying patient’s insurance before scheduled appointment time
- Review and process paper/EDI claims timely and accurately
- Block scheduling
- Collection of patients Co-pay/Co-ins
- Scheduled meetings for doctors
- Following up on all attorney cases
- Greeted and maintained relationships with patients
- Assisted with physical therapy included exercise, tens units with ice or heat
- Trained new hires
- Discuss treatment plans with patients
- All general office duties
- Closed and Opened office.
Education
Texas School of BusinessHouston, TX
Certification from Medical Business Specialist
01.2004
Skills
- Healthcare operations
- Payment arrangements & negotiation
- Clinical practice operations
- Database coordination
- Medical record requests
- Organizational standards
- Billing statement processing
- HIPAA protocol adherence
- Administrative supervision
Knowledgebase
- Extensive experience managing medical office
- Insurance billing procedures.
- Healthcare coding.
- Payment collection and processing.
- Medical Records Management.
- Strong familiarity with medical terminology and related computer applications
- Outstanding skill in Microsoft Office applications including Word Excel and Access
Certification
- CBCS - Certified Billing and Coding Specialist
- BLS and CPR
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of 18 staff members.
- Resolved product issue through consumer testing.
- Achieved production by completing Policies and Procedures with accuracy and efficiency.
- Collaborated with team of 5 in the development of Marketing Strategies.
- Achieved profit increase through effectively helping with providing additional studies and training.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
- Toys for Tots
- Montgomery County Food Bank
- KSBJ
- BioLife Plasma
- Gulf Coast Regional Blood Center
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Career advancementWork-life balanceCompany CulturePersonal development programsHealthcare benefitsPaid time offTeam Building / Company RetreatsPaid sick leave401k matchStock Options / Equity / Profit SharingSoftware
Microsoft Office
Word Processors
Data and information visualization
Computer literacy
Timeline
Outpatient Adminatrator
America’s ER and Urgent Care
07.2020 - 02.2023
Lead Patient Care/Marketing Assistant
America’s ER and Urgent Care
03.2019 - 07.2024
Patient Care Coordinator
America’s ER and Urgent Care
03.2019 - 07.2020
Sleep Coordinator/ENT
1960 Family Practice
11.2017 - 04.2019
Administrative Assistant/Collections
Global Sleep
10.2015 - 10.2017
Billing Specialist
Medco Medical Supply
06.2014 - 09.2015
Assistant Office Manager
Spring Spine Center
04.2011 - 06.2014
Texas School of Business
Certification from Medical Business Specialist
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