Summary
Overview
Work History
Education
Skills
Timeline
Generic

JESSICA RICHARD

Follansbee

Summary

Health Information Specialist with 8+ years of experience, demonstrating a solid track record in medical claims management and customer service. Medical billing and coding, adept at identifying patterns to improve claims processing efficiency and reduce costs. Proven ability to facilitate effective communication between medical providers and insurance companies. Known for exceptional office administration skills and adherence to HIPAA guidelines. Eager to leverage these skills to enhance data management and health information systems.

Overview

14
14
years of professional experience

Work History

Insurance Claims Specialist

Peak Health
03.2024 - Current

Facilitating communication between medical providers and insurance company, to resolve claim disputes and ensure accurate reimbursement.


Evaluating claims data to identify trends and patterns in order to improve claim processing efficiency and reduce costs

Claims Benefit Specialist

Aetna
02.2020 - 02.2024
  • Facilitating communication between medical providers and insurance company to resolve claim disputes and ensure accurate reimbursement
  • Evaluating claims data to identify trends and patterns in order to improve claims processing efficiency and reduce costs

Claims Analyst

The Health Plan of The Upper Ohio Valley
02.2018 - 02.2020
  • Facilitating communication between medical providers and insurance company to resolve claim disputes and ensure accurate reimbursement
  • Evaluating claims data to identify trends and patterns in order to improve claims processing efficiency and reduce costs

Front office Assistant

Med Express Urgent Care
01.2014 - 12.2014
  • Scheduled appointments and managed front office operations
  • Conducted courtesy calls to remind patients of upcoming appointments
  • Verified insurance coverage and collected copays and balances
  • Maintaining a clean and organized front office area

Hostess/waitress

Fusion Japanese Steak House
01.2013 - 12.2014
  • Providing exceptional customer service by greeting and seating guests in a timely manner, and addressing any concerns or special requests

Hostess/waitress/cashier

Drovers Inn
01.2011 - 12.2013
  • Serving and assisting the public
  • Greeting and seating guests in a prompt and friendly manner
  • Providing a welcoming and friendly atmosphere for guests, ensuring a positive dining experience

Education

Associate of Applied Science - Health Information Technology

WVNCC
Wheeling, WV
05.2017

Diploma -

Brooke High School
Follansbee, WV
01.2013

Skills

  • Microsoft Office
  • Microsoft Excel
  • Answering Phones
  • Taking Payments
  • Copy/Fax Machines
  • ICD-10
  • HCPCS
  • CPT Coding
  • Medical Records
  • EMR Systems
  • Insurance Verification
  • Medical Terminology
  • Medical Coding
  • Medical Scheduling
  • Medical Billing
  • Medical Office Experience
  • Office Administration
  • Data Entry
  • HIPAA

Timeline

Insurance Claims Specialist

Peak Health
03.2024 - Current

Claims Benefit Specialist

Aetna
02.2020 - 02.2024

Claims Analyst

The Health Plan of The Upper Ohio Valley
02.2018 - 02.2020

Front office Assistant

Med Express Urgent Care
01.2014 - 12.2014

Hostess/waitress

Fusion Japanese Steak House
01.2013 - 12.2014

Hostess/waitress/cashier

Drovers Inn
01.2011 - 12.2013

Associate of Applied Science - Health Information Technology

WVNCC

Diploma -

Brooke High School
JESSICA RICHARD