Jill Jackson
Dallas,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet goals.
Overview
20
20
years of professional experience
Work History
Patient Services Manager - MA
TCPA
12.2024 - Current
- Manage chronic care activities by monitoring patient data, logging updates, and maintaining accurate EHRs.
- Collect vital signs and prepared reports to assist in clinical assessments.
- Served as a liaison to patients, families, and medical teams, providing Hospice, ALF, & SNF service overviews and consent.
- Generate accurate superbills and supported billing cycles using ICD-10 and CPT coding systems.
- Review care plans, educating patients on disease management and health goals and interventions
- Collaborated with clinical staff to maintain communication and workflow coordination.
- Ensured HIPAA compliance in all communications and data handling in a high-volume, value-based care setting.
Managed Care Coordinator
Kare Bare Home Health
02.2020 - 12.2024
- Verified insurance coverage, obtained authorizations, and managed billing processes using ICD-10 and CPT coding systems.
- Collaborated with payers to resolve claim discrepancies and ensure accurate reimbursements.
- Coordinated communication between clinical teams and insurance providers to align care plans with payer guidelines.
- Educated patients and families on coverage, care plans, and available resources to support informed decision-making.
- Analyzed patient data to track care plan adherence, identifying gaps and recommending adjustments.
- Strengthened operational workflows by identifying inefficiencies and implementing improvements.
- Maintained comprehensive documentation of patient interactions, billing transactions, and authorizations in compliance with HIPAA.
Scheduling Coordinator
WellStar Cardiovascular Medicine Physicians Group
12.2010 - 02.2020
- Schedules all surgical and test procedures between the hospital and physician offices
- Coordinates all resources with anesthesia, nurse manager, or coordinators, director, vascular department, vendors and admissions offices to ensure a smooth transition from admissions through surgical services for both inpatients and outpatients
- Prior authorizations for surgery, medical procedures, treatments, or hospitalization.
Scheduler/Medical Records Lead
Northside Orthopedics And Sports Medicine
01.2014 - 08.2018
- Prior authorizations, Precertification's, medical procedures, treatments, or hospitalization
- All front office functions including patient relations, appointment scheduling, telephone duties, patient registration, insurance verification, billing/collections, handling medical records, organize and maintain paper and electronic files, conduct research, provide information via the telephone
- Validates request and authorizations for release of medical information according to established procedures and HIPPA guidelines.
Medical Sales Representative
Butler County Health of Ohio
10.2005 - 10.2010
- Increased sales revenue by consistently meeting and exceeding sales targets through strong relationship building and product knowledge.
- Developed key relationships with medical professionals, leading to consistent referrals and increased customer base.
Education
Nursing -
Southwestern College Of Business
Cincinnati, OH01.2004
High School Diploma -
Withrow High School
Cincinnati, OH05.1999
Skills
- Billing, Claims Processing
- Team leadership
- Medicare, Medicaid & Commercial Insurance
- ICD-10 & CPT Coding Medical Terminology
- HIPAA Compliance & Data Security
- EHR & CRM Systems
- Microsoft Office Suite (Word, Excel, Outlook)
- Claims Management & Reimbursement
- Client Communication & Call Handling/Call Center
- Cross-Team Coordination & Process Improvement
Timeline
Patient Services Manager - MA
TCPA
12.2024 - Current
Managed Care Coordinator
Kare Bare Home Health
02.2020 - 12.2024
Scheduler/Medical Records Lead
Northside Orthopedics And Sports Medicine
01.2014 - 08.2018
Scheduling Coordinator
WellStar Cardiovascular Medicine Physicians Group
12.2010 - 02.2020
Medical Sales Representative
Butler County Health of Ohio
10.2005 - 10.2010
Nursing -
Southwestern College Of Business
High School Diploma -
Withrow High School