Jordan Small
Dallas
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Kids Care Therapy
01.2024 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Work AR list of over 1,000 claims
- Work daily denials on waystar
Medical Biller and Claims Specialist
Summit Dermatology & Aesthetic Surgery
01.2023 - 01.2024
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Medical Biller and Coder
Dupage Immediate Care
01.2023 - 01.2024
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Knowledge of clearing house, EOB, advanced MD, Availity, encounters and more.
Cardiac Monitor Technician
Loyola Medical Center Hospital
01.2021 - 01.2023
- Monitored patients' heart rhythms and functions through cardiac monitoring strips.
- Collaborated with healthcare team to maintain quality patient care.
- Served as an dependable resource for nurses and other healthcare staff, providing guidance on proper lead placement and interpretation of cardiac monitor findings.
- Trained and supervised new cardiac monitor technicians on best practices and safety measures.
- Demonstrated strong attention to detail while analyzing complex waveform patterns for abnormalities or changes in patient condition.
- Assisted in saving lives through efficient recognition and reporting of life-threatening arrhythmias.
- Enhanced communication between medical staff by providing timely updates on patient cardiac status.
- Knowledge of epic
Claims Specialist and Medical Receptionist
Dr. Jessie Jay Medical Clinic
01.2018 - 01.2020
- Completed patient referrals to other medical specialists.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Utilized appropriate cost containment techniques to reduce overall claim costs
Education
Bachelor of Science - Health Administration
Arizona State University (online)
Tempe, AZ05.2026
Carl Sandburg High School
Orland Park, IL05.2017
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- Medicare and Medicaid Billing
- Claim submisson
- Denial Management
- Claims Processing
- Data Entry
- Medical Billing
- Medical Terminology
- EMR Systems: Epic, NextGen, EClinicalWorks, Athenahelath, AdvancedMD
Certification
- CPC-P - Certified Professional Coder-Payer ( testing)
- CET - EKG Technician
Additional Information
Portals I use: Waystar, Kanetime, avality, THMP, Aetna, BCBs, Community health Choice, Parkland, and more.
Timeline
Medical Billing Specialist
Kids Care Therapy
01.2024 - Current
Medical Biller and Claims Specialist
Summit Dermatology & Aesthetic Surgery
01.2023 - 01.2024
Medical Biller and Coder
Dupage Immediate Care
01.2023 - 01.2024
Cardiac Monitor Technician
Loyola Medical Center Hospital
01.2021 - 01.2023
Claims Specialist and Medical Receptionist
Dr. Jessie Jay Medical Clinic
01.2018 - 01.2020
Bachelor of Science - Health Administration
Arizona State University (online)
Carl Sandburg High School
- CPC-P - Certified Professional Coder-Payer ( testing)
- CET - EKG Technician
Similar Profiles
Sarai VazquezSarai Vazquez
Registered Behavior Technician RBT at Kids Care Therapy Center, IncRegistered Behavior Technician RBT at Kids Care Therapy Center, Inc
Gina Lee MendozaGina Lee Mendoza
Speech Language Pathologist Assistant at Circle of CareSpeech Language Pathologist Assistant at Circle of Care
JACQUELINE ORTEGAJACQUELINE ORTEGA
Medical Billing Skilled Home Health /Liaison at Elara Caring, Dba Jordan Health CareMedical Billing Skilled Home Health /Liaison at Elara Caring, Dba Jordan Health Care