Jessica Wilson
Bay Minette,AL
Summary
Results-oriented Billing and Posting Resolution Advocate at Trubridge, specializing in claims processing and financial analysis. Demonstrated success in boosting collection rates and optimizing operational efficiency while promoting team collaboration. Expertise in employee training and complex problem resolution, ensuring adherence to HIPAA regulations and maintaining strong client relationships.
Overview
9
9
years of professional experience
1
1
Certificate
Work History
Billing and Posting Resolution Advocate
Trubridge
Mobile, AL
07.2016 - Current
- Reviewed employees' work to check adherence to quality standards and proper procedures.
- Analyzed financial activities of department to share budgetary input with managers.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Implemented departmental policies and standards in conjunction with management to streamline internal processes.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Applied HIPAA privacy and security regulations while handling patient information.
- Organized information for past-due accounts and transferred to collection agency.
- Developed work schedules according to budgets and workloads, covering priority tasks.
- Conducted regular audits of all medical billing activities to identify errors or discrepancies.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Guided employees in handling difficult or complex problems.
- Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
- Submitted appeals using provider portals and phone communication.
- Interpreted and explained work procedures and policies to brief staff.
- Reviewed claims prior to submission to determine accuracy and completeness.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Recruited, interviewed and selected employees to fill vacant roles.
- Reviewed reports on employee attendance, productivity and effectiveness to evaluate performance.
- Developed strategies for improving collection rates while minimizing bad debt write-offs.
- Resolved any billing issues that arose in a timely manner.
- Researched and prepared reports required by management or governmental agencies.
- Delegated work to staff, setting priorities and goals.
- Recommended solutions related to staffing issues and proposed procedural changes to managers.
- Completed and submitted appeals for denied claims.
- Provided guidance and training to new medical billers on coding practices.
- Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Worked effectively in team environments to make the workplace more productive.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Education
Billing Certificate - Medical Billing And Coding
Virginia College
Mobile, AL04-2016
Skills
- Claims processing
- Medical billing
- Financial analysis
- Budget management
- HIPAA compliance
- Data auditing
- Team leadership
- Problem resolution
- Employee training
- Report preparation
- Collaboration skills
- Communication skills
- Time management
- Client representation
- Attention to detail
- Collaboration and teamwork
- Time management abilities
- Adaptability and flexibility
- Client relations
Affiliations
- Knitting
- Crocheting
- Nature walking
- Light Hiking
Accomplishments
- Deans list
- Presidents list
Certification
- Billing and Coding Certificate from NHA
Timeline
Billing and Posting Resolution Advocate
Trubridge
07.2016 - Current
Billing Certificate - Medical Billing And Coding
Virginia College
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The best way out is always through.
Robert Frost
Yarn crafting
Yarn crafting is an exceptionally calming craft for me. It allows me to take a step away from the day-to-day stresses of work and life and just get lost in the moment of creating projects for either myself or my loved ones. I have been doing yarn crafting for over 30 years. Creating a multitude of different things from blankets and clothing to children's toys.
References
References available upon request.