JODI BAILEY
Laurel,MD
Summary
Experienced staffing manager with marketing program management and healthcare administration skills seeks career opportunity that will utilize my unique skill set while offering career advancement and growth Effective at creating and optimizing training programs for new, professional, supervisory and management positions. Excellent communicator, multitasker and problem-solving abilities. Advanced skills in EHR systems, Webex, Zoom and Microsoft Teams (collaboration tools) with in-depth understanding of training requirements for different departments and levels.
Overview
42
42
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Adventist Healthcare Shady Grove Hospital
07.2022 - Current
- Patient registration walk-ins and ambulance delivered
- Determine whether new patient or has an existing Medical Record Number
- Review and or enter demographics
- Collect ID and Insurance
- Collect Co-pay or determine if financial assistance is needed
- Determine Payer coordination of benefits
- Verify eligibility with commercial payers, government payers, workers compensation and Motor Vehicle Personal Injury and Protection.
Senior Business Operations Analyst
Children's National Medical Center
03.2021 - Current
- Identify underpayment variance trends due to payment reductions, delays and non-payment
- Work with payer to secure payment resolution
- Collaborate cross organization with managers and department leaders to review root cause of denials resulting in underpayment trends
- Pull and analyze data reports to identify variance trends.
Communications Specialist
Erickson Living
08.2021 - 07.2022
- Greet and direct residents, visitors and staff
- Handle emergency calls from residents, visitors and staff; dispatch appropriate personnel; page on-call physicians as needed
- Log resident packages, notify residents when packages are delivered.
PFS Client Management Analyst
Inova Health System
01.2020 - 03.2021
- Revenue cycle outcomes management and performance improvement
- Review and analyze scorecards, dashboards and ad hoc reports to provide oversight and analysis on internal/external performance
- Create strategies to avoid or reverse adverse payment determinations
- Communicate and report to leadership and cross teams on findings; collaborate cross team for improved outcomes.
Financial Specialist
Inova Health System
10.2018 - 12.2019
- Patient Access and registration functions
- Verify and update insurance, authorization and referral information
- Counsel patient on financial liability, collect deductible, copay and coinsurance
- Refer patients to financial assistance
- Assist in completing financial assistance application - hospital funds and Medicaid.
Patient Financial Services
MedStar Health and Hospitals
04.2014 - 12.2019
- Point of contact for claim dispute and resolution
- Revenue cycle specialist facilitating front end and back end communications, claim denial review research identifying denial trends with adverse impact on revenue; strategize on correcting and avoiding adverse reimbursement outcomes; interpret payer reimbursement guidelines and policy guidelines
- Resolve hospital and physician claims processing issues to include charge correction, payment posting and third-party payer follow-up for denials, claims adjudication, appeals and resubmissions
- Handle multiple, primary, secondary billing with major payers Medicare, Medicaid, Tricare, Blue Cross, Auto Liability and Worker's Compensation
- Perform insurance verification, review and edit patient registration records to correct errors made during registration; update insurance carrier information post encounter for claim correction and resubmission
- Handle collection activities to include credit card payment, payment plan negotiations, debit accounting and billing transactions
- Second level support for patient escalations from the Executive office or patient advocacy department
- Team liaison for provider enrollment/credentialing issues.
Customer Relations Representative
COR-TECH LLC
Baltimore, MD
05.2013 - 02.2014
- In high volume contact call center averaging 100 calls per day
- Handled gas and electric customer calls concerning account status, billing and collections
- Scheduled utility service orders, processed utility outages from customers and government first responder emergency personnel.
Provider Services Associate
Wellpoint Inc. (Blue Cross Blue Shield Empire Plan)
Albany, NY
11.2010 - 09.2012
- Provider Services Representative in high volume contact call center
- Responded to medical provider questions by telephone and written correspondence regarding member health insurance benefits, provider contracts, eligibility and claims
- Worked with multiple technology sources claims repositories, contract and knowledge databases, membership and enrollment profiling systems in order to analyze and resolve contact call
- Facilitate information and managed call flow with major healthcare systems, individual medical practitioners, government entities (MEDICARE, MEDICAID, TRICARE, US DEPARTMENT OF VETERAN AFFAIRS) skilled nursing facilities, acute care facilities, free-standing ambulatory/surgical centers and imaging centers.
Marketing Program Manager
IBM Corporation
Albany, NY
01.2008 - 08.2010
- Crafted marketing material and content in consistent tone and brand voice
- Launched and customized products for domestic and regional markets, adapting strategies and messaging
- Facilitated affinity programs through vendor and service provider contracts
- Planned, delivered and hosted 60+ business partner web conferences, business partner advisory council meetings innovation center openings and anniversary celebrations per year
- Prepared agendas, executive bios and kiosk materials for events
- Coordinated conference set up, travel, meals and entertainment.
Marketing Program Manager
IBM Corporation
Atlanta, GA
01.2005 - 12.2007
- Overall responsibility for website strategy, planning and direction for IBM PartnerWorld Industry Networks
- Advised, coordinated and prioritized web content
- Directed core team and extended teams on content preparedness, standards and guideline
- Analyzed website traffic trends for business management reporting
- Launched content to PartnerWorld Industry Network conferences
- Collaborated cross teams regional and international.
Marketing Program Manager
IBM Corporation
Atlanta, GA
01.2001 - 12.2004
- Planned, managed and delivered worldwide business partner solutions database
- Implemented program guidelines and deliverables to include registry, business partner solutions profile; creation and maintenance
- Authored training materials and desk side procedures
- Built and maintained an internal wiki to communicate key messages such as sales and marketing team successes, upcoming events, post event highlights, and high-level programmatic information
- Created marketing materials: collateral, brochures, flash demos, banner ads, talking points, sparklers and FAQs.
Customer Service Call Center Team Leader
IBM Corporation
Atlanta, GA
01.1997 - 12.2000
- Provided day to day leadership support to team of 40 1-800 Customer Service Representatives - second level escalations for critical customer satisfaction calls
- Created and conducted new hire training; teamed with IBM management team to address quality improvement issues and provided desk-side call coaching support
- Collaborated with IT team for business operations re-design/modifications - quality management and knowledge management database systems.
District Manager
MANPOWER, Inc
New York, NY
03.1982 - 01.1995
- Evaluated, coached, developed and held staff members accountable for staffing and sales quotas
- Maintained and built client base through consistent sales, marketing and customer service efforts
- Managed office operations
- Recruited office and administrative staff for financial services, legal and pharmaceutical clients in major market New York City.
Education
Master of Science - Care Administration
SOUTHERN NEW HAMPSHIRE UNIVERSITY
Bachelor of Arts - English Literature, Communication Arts & Sciences
HOWARD UNIVERSITY
Skills
- Patient Access
- Credit/Collections/Billing
- Staffing
- Denials Management
- Revenue Cycle Specialist
- Database Administration
- Software: MS Office (Access, Excel, Outlook, PowerPoint, Word), MS Project, EPIC Cerner (EHR, A/R, Management Information Dashboards) MedConnect (EHR), GE Centricity, CS/90 (WellPoint), McKesson Medisoft (EHR), Credit, Collections and Billing (BGE), SharePoint, Constant Contact, WebEx
- Skills: Medical Transcription, Medical Terminology, ICD-9, CPT-4, 60 WPM typing
Certification
AMERICAN ASSOCIATION OF HEALTHCARE ADMINISTRATIVE MANAGEMENT AAHAM Certified Revenue Cycle Specialist
Timeline
Patient Access Representative
Adventist Healthcare Shady Grove Hospital
07.2022 - Current
Communications Specialist
Erickson Living
08.2021 - 07.2022
Senior Business Operations Analyst
Children's National Medical Center
03.2021 - Current
PFS Client Management Analyst
Inova Health System
01.2020 - 03.2021
Financial Specialist
Inova Health System
10.2018 - 12.2019
Patient Financial Services
MedStar Health and Hospitals
04.2014 - 12.2019
Customer Relations Representative
COR-TECH LLC
05.2013 - 02.2014
Provider Services Associate
Wellpoint Inc. (Blue Cross Blue Shield Empire Plan)
11.2010 - 09.2012
Marketing Program Manager
IBM Corporation
01.2008 - 08.2010
Marketing Program Manager
IBM Corporation
01.2005 - 12.2007
Marketing Program Manager
IBM Corporation
01.2001 - 12.2004
Customer Service Call Center Team Leader
IBM Corporation
01.1997 - 12.2000
District Manager
MANPOWER, Inc
03.1982 - 01.1995
Master of Science - Care Administration
SOUTHERN NEW HAMPSHIRE UNIVERSITY
Bachelor of Arts - English Literature, Communication Arts & Sciences
HOWARD UNIVERSITY
AMERICAN ASSOCIATION OF HEALTHCARE ADMINISTRATIVE MANAGEMENT AAHAM Certified Revenue Cycle Specialist
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