Summary
Overview
Work History
Education
Skills
Additional Experience
Timeline
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Jocelyn Nichole Ho

Jocelyn Nichole Ho

Denver,CO

Summary

Certified Medical Biller with a proven track record in managing full-cycle billing in fast-paced medical settings. Skilled in EOB analysis, prior authorization processes, and accurate insurance claim submissions. Familiar with ICD-10, CPT, and HCPCS coding standards, as well as EMR/EHR systems like Athenahealth and Centricity. Capable of resolving patient billing issues, and contributing to revenue cycle efficiency, while prioritizing compliance and patient experience.

Overview

9
9
years of professional experience

Work History

Patient Financial Coordinator / Billing Representative

CCRM Fertility
Denver, CO
01.2024 - Current
  • Performed full-cycle medical billing and coding for fertility procedures using ICD-10, CPT, and HCPCS
  • Verified insurance benefits and secured authorizations for complex fertility treatments
  • Posted payments, reconciled accounts, and ensured accurate patient invoicing
  • Interpreted EOBs and resolved billing discrepancies to minimize claim denials
  • Utilized Athenahealth and Centricity EMR for accurate patient documentation
  • Collaborated with providers and the finance team to streamline billing workflows

Claims Specialist

Maximus
Sacramento, CA
04.2022 - 02.2023
  • Reviewed and evaluated unemployment insurance claims for eligibility and compliance
  • Analyzed supporting documentation such as termination letters and wage statements
  • Conducted detailed investigations and claimant interviews to determine the causes of job separation
  • Documented findings and decisions in the case management system with precision and confidentiality
  • Collaborated with internal departments to escalate and resolve complex cases efficiently
  • Maintained high accuracy while processing time-sensitive claims in a fast-paced environment

Member Support Representative

Telus International
Rancho Cordova, CA
12.2020 - 04.2022
  • Processed enrollment and plan changes for Medicare, dental, and vision coverage
  • Resolved member and provider billing concerns, including incorrect charges and plan misunderstandings
  • Verified member eligibility and insurance details using proprietary systems and payer portals
  • Reviewed documentation for financial and identity verification (including for Robinhood users)
  • Trained and mentored new hires on call handling, data entry, and compliance procedures
  • Maintained consistent quality and service level scores in a high-volume contact center environment

Member Services Specialist

Anthem
Richmond, VA
12.2016 - 07.2017
  • Provided frontline support to policyholders and providers regarding claims, benefits, and authorizations
  • Investigated and corrected billing errors, initiated adjustments, and tracked claim statuses daily
  • Educated members on coverage details and out-of-pocket responsibilities
  • Escalated appeals and grievances according to internal policies and regulatory timelines
  • Delivered customer service in compliance with HIPAA and company guidelines
  • Utilized internal systems to document interactions and ensure follow-up on unresolved issues

Education

GED -

ETS HiSET
05-2022

Skills

  • Medical billing and coding (ICD-10, CPT, HCPCS)
  • Patient financial services
  • Insurance verification and authorizations
  • EMR/EHR systems (Athenahealth, Centricity)
  • Claims processing and denials management
  • Accounts receivable and payment posting
  • HIPAA compliance
  • Microsoft Office Suite (Word, Excel, Outlook)
  • Revenue cycle management
  • Conflict resolution and communication

Additional Experience

Chat Support Specialist – AAA

Denver, CO | 06/2023-12/2023

  • Delivered real-time customer support through multiple chat platforms
  • Resolved member inquiries efficiently while managing several cases at once

Tier3 Escalations Support Specialist – DoorDash

Sacramento, CA | 02/23-06/2023

  • Handled high-priority support tickets involving billing errors, payment issues, and platform bugs
  • Communicated with customers, merchants, and drivers to ensure timely resolutions

Fraud Specialist – Capital One

Glen Allen, VA | 12/2017–12/2019

  • Monitored accounts for fraudulent activity and educated customers on prevention strategies
  • Prevented a $200K fraudulent wire transfer and submitted SARs to meet compliance standards

Timeline

Patient Financial Coordinator / Billing Representative

CCRM Fertility
01.2024 - Current

Claims Specialist

Maximus
04.2022 - 02.2023

Member Support Representative

Telus International
12.2020 - 04.2022

Member Services Specialist

Anthem
12.2016 - 07.2017

GED -

ETS HiSET

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Jocelyn Nichole Ho