JILL SLEPSKY

West Newton,PA

Summary

Sr Accounts receivable specialist with 14 years experience in medical billing. In depth knowledge of insurance carriers and denials. Knowledge of working denied claims and the appeal process. Able to utilize insurance carrier websites. Knowledge of Medical terminology, diagnosis codes, procedure codes and modifiers.

Overview

years of professional experience

Work History

Sr. Accounts Receivable Specialist

Change Healthcare Corporation (formerly Mckesson)

Pittsburgh, PA

09.2006 - Current

Follow up on claims/ accounts for Radiology clients
Knowledge utilizing insurance carrier websites such as Navinet, Medicare, Medicaid and numerous others to verify eligibility, claim status and submit online provider inquiries
Utilize hospital system to retrieve demographic criteria and authorizations
Send appropriate appeals with supporting documentation and effectively communicated to the payer of what is expected of the outcome of the appeal
Knowledge of timely filing limits for insurance carriers
Work closely with coding and payment team to identify issues
Work aging reports and special reports/ projects
Knowledge of Excel and Word
Ability to identify insurance denials and correct the errors to submit a corrected claim
Knowledge of HIPAA and PHI
Working remotely using Team Advocate, Perceptive Concepts and special reports

Education

High School Diploma -

Yough Senior High School

Herminie, PA

06.1995

No Degree - Business Courses And Website Creation

Penn State University

McKeesport, PA/ State College, PA

08.2004

Some College (No Degree) - Medical Billing/ Coding

Career Training Academy

Monroeville, PA

Skills

Teamwork and collaboration
Ability to to identify and correct medical billing errors
Utilize insurance carrier websites
Professionalism and strong work ethic
Oral and written communications skills

Computer skills
Problem solving
Willingness to learn
Dependability

Timeline