Jhaviance Etheridge
Chicago,IL
Summary
Skilled professional with 9 years experience in collections, appeals and audits and customer service. Effectively mediates customer disputes and collects payment in timely manner. Demonstrates proficiency in data analysis, medical terminology, and EMR systems, consistently refining processes for enhanced efficiency and customer satisfaction
Overview
9
9
years of professional experience
Work History
Human Resource Specialist
Chicago Public Schools
08.2023 - Current
- Optimize HR processes, reducing onboarding time with efficient document systems
- Address employee concerns promptly, enhancing staff retention and environment
- Organize and submits reports to internal management on status of outstanding medical bills and proposed / planned payment settlement details
- Align HR functions with educational regulations, effectively supporting staff
- Assist employees in navigating benefits and managing various employee benefits programs, including health insurance, retirement plans, and other benefits
- Assist employees with BCBS HMO/ PPO Plans
BILLING SPECIALIST/ CUSTOMER SERVICE REPRESENTATIVE
Duly Health and Care
10.2017 - 03.2022
- Collect payments from patients and manage accounts receivable, and follow up on unpaid claims and appeal denied claims
- Audit of Authorization, denials, appeals, or grievances cases files and letters.
- Processed medical billing claims while delivering definitive customer support
- Audit and review of polices and procedures , letters , attachment against legislation policies.
- Trained in Medicare and Medicaid policies
- Thorough use of epic, excel and microsoft applications
- Tracked all incoming calls and emails from customers using appropriate software applications
Customer Service Representative
University of Illinois Hospital
09.2016 - 10.2017
- Demonstrated expertise in scheduling radiology appointments, coordinating with medical staff and patients to ensure timely service delivery
- Managed patient records efficiently through electronic health record systems, ensuring accuracy of data entry
- Resolved and clarified codes and diagnoses with conflicting, missing, and unclear information by consulting with doctors and others and by participating in the coding team's regular meetings
- Collaborated with physicians, nurses, and other healthcare providers to ensure the accuracy of patient information in the system
- Created policies and procedures for handling confidential patient data according to HIPAA guidelines
Education
Associates -
City Colleges of Chicago-Malcolm x College
08.2026
Certified Nursing Assistant - undefined
Nirvana
03.2017
Skills
- Data Analysis
- Medical Terminology
- EMR systems
- Epic
- Certified Nursing Assistant
- Proficient Microsoft applications
- BCBS HMO PPO Plans / medicare and medicaid
Timeline
Human Resource Specialist
Chicago Public Schools
08.2023 - Current
BILLING SPECIALIST/ CUSTOMER SERVICE REPRESENTATIVE
Duly Health and Care
10.2017 - 03.2022
Customer Service Representative
University of Illinois Hospital
09.2016 - 10.2017
Certified Nursing Assistant - undefined
Nirvana
Associates -
City Colleges of Chicago-Malcolm x College
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