Summary
Work History
Skills
Timeline
Generic
JODY MIGUEL

JODY MIGUEL

Copperas Cove,Tx

Summary

Polished and professional medical revenue specialist bringing over 10 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.

Work History

LEAD PAYMENT POSTER

HEALTHTRONICS
12.2019 - Current
  • Accurately posted payments and adjustments both electronically and manually.
  • Review overpayments and process refunds
  • Review contracts to ensure accuracy of payments and denials
  • Update cash flow reports and research chargebacks and write-offs
  • Investigate billing discrepancies and implement effective solutions to resolve concerns and prevent future problems
  • Post and verify entries to logs, spreadsheets, and reports to update department records
  • Complete month-end and year-end closings and keep records audit-ready
  • Perform monthly transaction audits.
  • Processed payments that had been received from insurance companies and Medicare.

COLLECTIONS SPECIALIST

EMD's
07.2017 - 11.2019
  • Daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
  • Identified discrepancies and carrier issues regarding billing and reimbursements
  • Drafted appeal letters to insurance companies for claim denials
  • Processed claims and forwarded information to Medicare, Medicaid, and commercial insurance companies
  • Corrected, completed, and processed claims for payer codes

SENIOR CLAIMS SPECIALIST

FINANCIAL CORP OF AMERICA
02.2012 - 07.2017
  • Responsible for an average of $8,000.000.00 inventory of high dollar medical claims for multiple hospitals and physician groups
  • Identified errors and re-filed denied or rejected claims
  • Drafted appeal letters to insurance companies and workman’s compensation carriers for denied claims
  • Negotiated with attorneys on third-party liability claims across multiple states
  • Contacted patients for unpaid claims to resolved varies insurance issues (COB, accident details, etc.) and performed friendly follow-ups to ensure proper payments were made according to agreements.
  • Followed up with customers on unresolved issues.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Worked in call center environment handling manual and automatically dialed outbound calls

CITY SECRETARY

CITY OF BRACKETVILLE
01.2011 - 11.2011
  • Supported municipal operations by processing financial transactions, reconciling vendor invoices, delivering on-call clerical support to district offices, and assisting with month-end accounting
  • Issued various permits and licenses
  • Prepared reports, correspondence, executive summaries, meeting agendas and agenda packet materials
  • Performed accounts payable and payroll activities.

MEDICAL OFFICE MANAGER

NATIONAL MANAGED MED
01.1993 - 03.2002
  • Managed staff of over 20 different personalities for a multiple physician family practice.
  • Interviewed, hired, and trained medical office teams and conducted performance reviews
  • Performed physician credentialing
  • Maintained and managed filing, chart keeping and organizational systems
  • Oversee patient charting, data entry and administrative duties regarding insurance, billing, and accounts receivable
  • Kept abreast on contracts, regulations, and procedural guidelines to verify compensation compliance
  • Streamlined office processes and procedures to boost profits and productivity and facilitate continuous improvements

Skills

  • Ability to work in multiple software systems
  • ICD-10, CPT, HCPCS, and medical terminology
  • Claims processing
  • Billing and collection procedures
  • Appointment scheduling
  • Patient financial services
  • Claim entry and payment posting
  • Claim denial resolution and appeals
  • Third party collection practices

Timeline

LEAD PAYMENT POSTER

HEALTHTRONICS
12.2019 - Current

COLLECTIONS SPECIALIST

EMD's
07.2017 - 11.2019

SENIOR CLAIMS SPECIALIST

FINANCIAL CORP OF AMERICA
02.2012 - 07.2017

CITY SECRETARY

CITY OF BRACKETVILLE
01.2011 - 11.2011

MEDICAL OFFICE MANAGER

NATIONAL MANAGED MED
01.1993 - 03.2002

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JODY MIGUEL