Summary
Overview
Work History
Education
Skills
Timeline
Generic
Jodie Crane

Jodie Crane

Boise, Idaho,ID

Summary

Dynamic Billing Specialist with extensive experience at Red Rock Pharmacy, adept at resolving billing discrepancies and enhancing customer satisfaction. Proven expertise in medical billing and collections, coupled with strong problem-solving skills. Successfully improved financial reporting accuracy and minimized write-offs, fostering robust client relationships through effective communication.

Experienced with managing billing cycles and maintaining financial accuracy. Utilizes billing software to streamline processes and resolve discrepancies. Knowledge of financial regulations and compliance ensures accurate and timely billing operations.

Knowledgeable Ambitions of Idaho with solid history of managing billing processes and ensuring accurate financial records. Adept at resolving discrepancies and improving billing procedures. Demonstrated proficiency in utilizing accounting software and maintaining organized records.

Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable, and performance-driven.

Overview

15
15
years of professional experience

Work History

Billing Specialist Pharmacy

Red Rock Pharmacy
05.2024 - Current
  • Research and resolve billing discrepancies to enable accurate billing.
  • Identifie, research, and resolve billing variances to maintain system accuracy and currency.
  • Work with multiple departments to check proper billing information.
  • Assist colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Prepare itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Collaborate with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
  • Maintain detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
  • Reduce errors in financial records by conducting regular audits of billed accounts.
  • Contribute to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
  • Enhance customer satisfaction with timely and accurate invoice generation.
  • Maximize revenue potential by identifying and resolving under-billed accounts.
  • Strengthen client relationships through effective communication regarding billing issues and concerns.

Owner/Medical Biller and Coder

Home Sweet Billing, LLC
04.2021 - Current
  • Manage day-to-day business operations.
  • Develope and maintaine strong relationships with clients, resulting in repeat business and referrals.
  • Oversee daily operations, ensuring all tasks are completed accurately and efficiently.
  • Increase customer satisfaction by implementing efficient business processes and providing exceptional service.
  • Manage financial aspects of the business, including budgeting, financial reporting, and tax preparation.
  • Consulte with customers to assess needs and propose optimal solutions.
  • Establish foundational processes for business operations.
  • Achieve financial growth with strategic planning, cost control measures, and targeted marketing efforts.
  • Successfully navigated challenging economic conditions by making informed decisions that protected the business''s financial stability.

Billing Specialist

The Allergy Group
12.2022 - 05.2024
  • Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
  • Played key role in annual audit process by providing comprehensive billing records and explanations for variances.
  • Developed user-friendly billing guide for patients, improving their understanding and satisfaction with billing process.
  • Streamlined billing process efficiency by implementing updated billing system.
  • Improved customer satisfaction with prompt and clear communication regarding their billing inquiries.
  • Proactively addressed potential billing discrepancies by conducting pre-billing audits.
  • Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
  • Optimized payment collection times by implementing effective follow-up strategies with clients.
  • Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.

Medical Billing Specialist

Primary Health Medical Group
10.2022 - 03.2023
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from Tricare and Medicare companies.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Identified and resolved patient billing and payment issues.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.

Medical Billing Specialist II

Sage Health Care, Llc
08.2021 - 10.2022

Patient billing, AR, taking payments from patients, answering phones, scanning documents into EHR, used Healthpac, Advanced MD and ebridge. Handled 3 doctors and 3 counselors.

  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.

Records/Filing Lead/Assistant Billing Director/Billing Specialist

Ambitions of Idaho
03.2018 - 07.2022
  • Started out as a billing clerk, posting payments and completing the consult process eventually working into billing community services and DDA.
  • Also took over billing PCS in October 2018.
  • Was asked October 2018 to become the Assistant Director and accepted, taking on the majority of posting payments and learning to run monthly reports.
  • April 2020, I became the Lead Biller as most of clinical billing was moved to an outside billing company. Billing directly to Medicaid and government agencies.
  • April 2021, moved to Records/Filing Lead as the billing I was doing was move to the corporate office in Coeur d'Alene.
  • Filing hard copy paperwork and documents, sending and receiving medical records and scheduling for Psych Evaluations.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Mentored and guided employees to foster proper completion of assigned duties.
  • Partnered with managers to identify and capitalize on sales trends and brand initiatives.
  • Initiated timely response to emails, voicemails, and written correspondence.

Direct Support Professional

Ambitions of Idaho
05.2017 - 03.2018
  • Maintained clean, safe, and well-organized patient environment.
  • Documented progress notes thoroughly to track client achievements, concerns, or changes in behavior patterns that may need attention from the interdisciplinary team.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
  • Enhanced quality of life for individuals with disabilities by providing compassionate and consistent direct support.
  • Assisted clients in achieving personal goals through tailored care plans and daily skill-building activities.
  • Monitored medication administration, maintaining accurate records to ensure client safety and compliance with prescribed treatment plans.
  • Participated in ongoing training opportunities to stay current on best practices in disability support services.

Program Coordinator

Progressive Behavior Systems
05.2016 - 04.2017
  • Facilitated regular meetings with team members to discuss progress updates, address challenges, and brainstorm solutions for ongoing success.
  • Established strategic partnerships with external organizations, expanding program reach and impact.
  • Maintained detailed records of program activities and participant data, ensuring compliance with internal policies and external regulations.
  • Led training sessions for staff and volunteers, fostering a knowledgeable and cohesive team environment.
  • Supervising about 30 staff
  • Maintaining monthly paperwork and quality assurance in the paperwork.
  • Finding housing for participant and managing behaviors of 16 participants

Direct Support Professional

Progressive Behavior Systems
05.2015 - 05.2016
  • Supported clients with personal care tasks, ensuring their dignity and privacy were maintained at all times.
  • Provided ongoing communication between clients, families, and other service providers to enhance overall care coordination efforts.
  • Assisted disabled clients to support independence and well-being.
  • Maintained a safe and inclusive environment by addressing behavioral challenges with patience and understanding.
  • Monitored clients to assess and report physical and behavioral changes to supervisors.
  • Encouraged and supported clients to participate in recreational and leisure activities to promote social interactions and reduce loneliness.

Program Coordinator/QIDP/Staff Supervisor

Community Connections, Inc.
06.2011 - 05.2015
  • Organized events and workshops to engage participants, enhancing their learning experience within the program framework.
  • Provided exceptional customer service to program participants through prompt response times and attentive assistance with inquiries or concerns.
  • Designed program implementation and maintenance plan.
  • Managing 60+ staff with another supervisor. Maintaining monthly paperwork and the completion by each staff. Scheduling staff of 8 to 17 Supported living homes, plus a transition house.

Direct Support Professional

Community Connections, Inc.
03.2010 - 06.2011
  • Facilitated social outings and community integration activities, promoting inclusion and positive experiences for clients.
  • Addressed emergency situations calmly and effectively, prioritizing the safety of both clients and staff members involved.
  • Promoted physical well-being by supporting clients in engaging in regular exercise routines or therapeutic activities suited to their abilities.
  • Transported clients to medical and dental appointments to provide support.
  • Monitored progress and documented patient health status changes to keep care team updated.
  • Improved client self-sufficiency through teaching essential skills such as meal preparation, housekeeping, and financial management.
  • Assessed clients'' needs on an ongoing basis, making adjustments to support plans as necessary to ensure optimal outcomes.

Education

Bachelor of Science - Healthcare Administration

Stevens-Henager College
Boise, ID
05-2011

Associate of Science - Accounting

College of Southern Idaho
Twin Falls, ID
05-1999

High School Diploma -

Borah Senior High School
Boise, ID
05-1988

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Customer service
  • Claims processing
  • Data entry proficiency
  • HIPAA compliance
  • Account reconciliation
  • Claim submission
  • Denial management
  • Payment posting
  • Customer engagement
  • Month-end closing procedures
  • Patient account management
  • Invoicing proficiency
  • Research and due diligence
  • Collections
  • Accounts receivable management
  • Records organization and review
  • Audit procedures
  • Collection practices
  • Problem-solving
  • Attention to detail
  • Multitasking and organization
  • Verbal and written communication
  • Client relationship management
  • Analytical thinking
  • Conflict resolution
  • Dispute resolution
  • Revenue cycle management
  • Collections management
  • Data research
  • Insurance claim processing
  • Billing software proficiency
  • Cash posting
  • Billing best practices
  • Insurance confirmation
  • Billing dispute resolution
  • Accounts receivable expertise
  • Medical billing and collections
  • Billing and invoicing
  • Microsoft office
  • Customer service support
  • Administrative support
  • Customer account management
  • Billing data verification
  • 10-key data entry
  • Invoice documentation management
  • Quality control
  • Word processing

Timeline

Billing Specialist Pharmacy

Red Rock Pharmacy
05.2024 - Current

Billing Specialist

The Allergy Group
12.2022 - 05.2024

Medical Billing Specialist

Primary Health Medical Group
10.2022 - 03.2023

Medical Billing Specialist II

Sage Health Care, Llc
08.2021 - 10.2022

Owner/Medical Biller and Coder

Home Sweet Billing, LLC
04.2021 - Current

Records/Filing Lead/Assistant Billing Director/Billing Specialist

Ambitions of Idaho
03.2018 - 07.2022

Direct Support Professional

Ambitions of Idaho
05.2017 - 03.2018

Program Coordinator

Progressive Behavior Systems
05.2016 - 04.2017

Direct Support Professional

Progressive Behavior Systems
05.2015 - 05.2016

Program Coordinator/QIDP/Staff Supervisor

Community Connections, Inc.
06.2011 - 05.2015

Direct Support Professional

Community Connections, Inc.
03.2010 - 06.2011

Bachelor of Science - Healthcare Administration

Stevens-Henager College

Associate of Science - Accounting

College of Southern Idaho

High School Diploma -

Borah Senior High School