JESSICA MCPHERSON
Lapeer,MI
Summary
Dynamic and personable representative with over 15 years of experience delivering exceptional support in fast-paced environments, including public hospitals, call centers, and community services. A steadfast commitment to customer satisfaction aides the ability to cultivate productive relationships, resolve complex issues, and foster satisfaction. Expertise in strategic relationship-building combines attentive listening, creative problem-solving, and a diplomatic approach to achieve mutually beneficial outcomes. Additionally, a strong background in healthcare provides the skills to efficiently process and manage sensitive information while ensuring compliance with regulations, all within a collaborative and adaptable framework.
Overview
24
24
years of professional experience
Work History
Medical Claims Specialist
Automated Benefit Services (ABS)
03.2015 - Current
- Frequent recognition for exceptional customer Service.
- Willingness to take new projects and support requested assistance with efficiency and enthusiasm.
- Requested by peers and management to provide shadowing and training.
- Genuine affection and respect both given and received with peers and management.
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Conducted regular audits of processed claims to identify areas for improvement and potential fraud risks.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
- Developed strong relationships with healthcare providers to facilitate efficient information exchange regarding patient eligibility and benefits coverage.
Financial Counselor
Accretive Health (St. John and William Beaumont Hospital)
Detroit, Michigan, United States
10.2009 - 03.2015
- Coordinated extensive resources to identify or provide financial assistance including facilitating applications for insurance coverage for individuals in need.
- Collected co-pays, submitted payment options and formulated settlements when appropriate
- Managed personal and insurance demographics.
- Encouraged team efforts in coordinating shared information to minimize repetition/duplication
- Worked extensively with self-pay options and demographics
- Extremely knowledgeable on Medicaid, Medicare, Auto Assigned Claims, Crime Victims, IHP, and charity qualifications and documentation
- Sensitive to demographics and comfortable discussing health care and financial circumstances
- Worked directly with clients to provide financial counseling and education using individualized counseling model and personal finance course.
Financial Advisor
Greenpath Inc
Farmington Hills, Michigan, United States
03.2006 - 10.2009
- Provided resources, options, and alternatives to individuals in financial crisis through immediate counseling and education.
- Trained and mentored new employees.
- Recognized frequently for outstanding customer service.
- Conducted detailed financial analyses to assess clients'' eligibility for various debt relief options.
Executive Director
Metro East Chamber of Commerce
Saint Clair Shores, Michigan, United States
04.2004 - 05.2006
- Planed and administered budgets for programs, equipment, and support services
- Researched and analyzed member or community needs to determine program directions and goals
- Consulted with agency staff and other community programs regarding the interpretation of program-related federal, state, and county regulations and policies
- Increased membership by 30%, participation in events by 60%, and sponsorship by 150%
- Set organizational goals and objectives to guide and direct company focus and achieve mission fulfillment.
District Executive
Boy Scouts of America
Waterford, Michigan, Canada
10.2001 - 04.2004
- Organized, maintained, and managed training, recruitment, fundraising, program development, marketing, and volunteers.
Education
Medical Billing And Coding -
Vocare
11-2025
Certified Housing Counselor - Debt Management Counselor
01.2010
Bachelor of Arts - Communications, minor in Sociology
Aquinas College
Grand Rapids, Michigan, United States01.1994
Diploma - undefined
Brown City High School
Brown City, MI01.1990
Skills
- Data Entry/Records Manage
- Expert Knowledge of community resources
- ICD-10 proficiency
- Industry networking
- Healthcare compliance
- Claims processing
- Customer service/Problem Solving
Timeline
Medical Claims Specialist
Automated Benefit Services (ABS)
03.2015 - Current
Financial Counselor
Accretive Health (St. John and William Beaumont Hospital)
10.2009 - 03.2015
Financial Advisor
Greenpath Inc
03.2006 - 10.2009
Executive Director
Metro East Chamber of Commerce
04.2004 - 05.2006
District Executive
Boy Scouts of America
10.2001 - 04.2004
Certified Housing Counselor - Debt Management Counselor
Diploma - undefined
Brown City High School
Medical Billing And Coding -
Vocare
Bachelor of Arts - Communications, minor in Sociology
Aquinas College