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)
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
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
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
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