Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jordon Jones

Duluth,GA

Summary

Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 9 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.

Overview

10
10
years of professional experience

Work History

Revenue Recovery Specialist

Boost Healthcare Consulting
Alameda, CA
04.2022 - Current
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Completed appeals and filed and submitted claims.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.

Revenue Cycle Account Analyst

Currance
09.2021 - Current
  • Managed delinquent accounts initiating collection procedures
  • Research billing issues and correct problems
  • Monitors billing requirements and receivables pursuant to contracts with third party payers or government programs
  • Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
  • Checked patient's referrals from hospitals and eligibility
  • Manages and analyzes account summaries of outstanding receivable balances for negotiations or settlements
  • Review aging accounts for follow-up and resolve any correction issues
  • Refund insurance and patient overpayment for services through customer support
  • Communicate with all departments to resolve insurance refunds
  • Resolve patient accounts regarding concerns
  • Data entry of communications with patients, insurance and etc
  • Update all patient files with address, patient insurance and all information for a clean file
  • Working on UB and 1500 claim forms.

Medical Billing Specialist/ Refund Analyst

Emory Healthcare
09.2019 - 12.2021
  • Working with patients to be able to help them understand the reasons for the medical billing and help them understand their insurance policies with what is and is not covered
  • Research billing issues and correct problems
  • Responsible for working accounts receivable to recover the most money for each practice and physician
  • Managed delinquent accounts initiating collection procedures
  • Research billing issues and correct problems
  • Monitors billing requirements and receivables pursuant to contracts with third party payers or government programs
  • Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
  • Manages and analyzes account summaries of outstanding receivable balances for negotiations or settlements
  • Review aging accounts for followup and resolve any correction issues
  • Refund insurance and patient overpayment for services through customer support
  • Communicate with all departments to resolve insurance refunds
  • Resolve patient accounts regarding concerns
  • Data entry of communications with patients, insurance and etc.

Medical Billing Specialist

Advanced Urology of Georgia
10.2018 - 07.2019
  • Ready to multitask, such as answer and operate several phone lines, have great communication skills when talking to doctors
  • Balance monthly billing statements for existing clients
  • Verification of third party payer information, registration, & coordination of benefits
  • Research billing issues and correct problems
  • Handling all BCBS accounts
  • Liaison between company 3rd party labs and company itself for payment
  • Collections when a patient account goes into the red and resolve outstanding accounts for full payment or payment plan
  • Insurance Verification
  • Prepared weekly aged account receivables report.

Accounting/Collector

Convergent Outsourcing, Inc
08.2016 - 09.2018
  • Establish payment plans for patients and ensured consistent account activity and communication
  • Set monthly account collection goals with achievement rate of 90%
  • Ensured all collections were conducted in full compliance with workplace, local, state and federal requirements
  • Implemented marketing strategies which resulted in 12% growth of customer base
  • Developed a new process for employee evaluation which resulted in marked performance improvements
  • Researched and updated all required materials needed for firms and partners
  • Performed initial client assessment and analysis to begin research process
  • Balance monthly billing statements for existing clients after changes are entered into the billing system and adjust as necessary to the statements
  • Managed delinquent accounts in a timely and effective manner toward maximum collection
  • Ready to multitask, such as answer and operate several phone lines, have great communication skills when talking to doctors
  • Customer Service.

Medical Billing Specialist

Choice One Physical Therapy
08.2014 - 09.2016
  • Balance monthly billing statements for existing clients and new customers
  • Verification of third party payer information, registration, & coordination of benefits
  • Research billing issues and correct problems
  • Handle all insurances, MVA and etc
  • Worked with Attorneys and patients for reimbursement
  • Submitted claims electronically through Medisoft system after patient DOS
  • Collected patient copay for office visit
  • Prepared weekly aged account receivables report
  • Traveled to Attorney offices for collection of MVA accidents
  • Worker Compensation accounts.

Education

Associate in Medical Billing & Coding -

Medtech Institute

Skills

  • Medicare RAC process
  • These are the different facilities I worked for Physical Therapy, Urology, OB-GYN, Hospital and etc
  • Ensured State and Federal regulation compliance for medical billing/collections
  • Medisoft, EClinical, GE Centricity ICD-10/9 and Epic
  • Availity, Navinet CMS Palmetto GBA and Ability to navigate all insurance online provider portals
  • Insurance Verification
  • Medical Office Experience
  • Medical Coding
  • Medical Records
  • Workers' Compensation
  • EMR Systems
  • CPT Coding
  • ICD-9
  • Medical Receptionist
  • HIPAA
  • Microsoft Excel
  • Medical Terminology
  • Customer Service

Timeline

Revenue Recovery Specialist

Boost Healthcare Consulting
04.2022 - Current

Revenue Cycle Account Analyst

Currance
09.2021 - Current

Medical Billing Specialist/ Refund Analyst

Emory Healthcare
09.2019 - 12.2021

Medical Billing Specialist

Advanced Urology of Georgia
10.2018 - 07.2019

Accounting/Collector

Convergent Outsourcing, Inc
08.2016 - 09.2018

Medical Billing Specialist

Choice One Physical Therapy
08.2014 - 09.2016

Associate in Medical Billing & Coding -

Medtech Institute

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Jordon Jones