Joycelyn Spears
Greenwell Springs,LA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
AR Collection Specialist
Coastal Infusion Services
Baton Rouge, LA
11.2023 - Current
- Followed up on unpaid or denied claims in a timely manner.
- Submit claims to copay assistant programs
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
- Assisted in preparation of annual audits by providing required documentation upon request.
- Analyzed account receivables aging report to identify delinquent accounts.
- Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
- Took billing calls, questions and concerns from patients and third party carriers.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Collected, posted and managed patient account payments.
- Submitted claims to insurance companies.
Claims Audit Manager
Carpenter Health Network
Baton Rouge, LA
07.2023 - 11.2023
- Provided guidance to staff on best practices for collecting payments from patients or third-party payers.
- Assisted in training new medical collectors on collection processes and procedures.
- Analyzed account aging reports to identify delinquent accounts and prioritize collections efforts.
- Reported trends or patterns that could affect cash flow positively or negatively.
- Worked with insurance companies to resolve denied claims.
- Participated in meetings with senior management to discuss strategies for improving collections efficiency.
- Verified patient insurance eligibility and coverage for medical services rendered.
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
- Followed up on unpaid or denied claims in a timely manner.
- Monitored changes in regulations related to healthcare billing practices.
Billing/Collection Specialist
National Infusion Services
Baton Rouge , LA
03.2023 - 07.2023
- Developed relationships with insurance companies to facilitate timely payments.
- Assisted in developing new processes for more efficient management of reimbursement requests.
- Analyzed patient data to ensure accuracy of reimbursement information.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Provided training to new staff on the proper submission process for reimbursement requests.
- Generated reports summarizing daily activity related to reimbursements and payments.
- Researched rejections, investigating problems to appeal claims.
- Collected coinsurance and deductibles from patients for rendered services.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Performed insurance verification, pre-certification and pre-authorization.
- Submitted claims to insurance companies.
Billing Manager
Still Me Inc (DME)
Baton Rouge, LA
06.2017 - 03.2023
- Created monthly financial reports summarizing revenue cycle performance metrics such as denials, payment lag time.
- Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
- Maintained up-to-date knowledge of CPT and HCPCS codes, Medicare regulations, and other third-party requirements.
- Assisted with the development of policies and procedures related to medical billing operations.
- Monitored accounts receivable reports on a weekly basis to ensure timely payments from insurers.
- Resolved any billing issues that arose in a timely manner.
- Developed and maintained effective billing processes for medical office.
- Reviewed claims prior to submission to determine accuracy and completeness.
- Developed strategies for improving collection rates while minimizing bad debt write-offs.
- Established relationships with insurance companies and managed appeals process when necessary.
- Prepared documents for auditing purposes including patient account histories, eligibility verifications.
- Coordinated with department managers regarding changes in reimbursement policies or procedure updates.
- Provided leadership, insight and mentoring to newly hired employees, sharing valuable knowledge within the company.
Education
High School Diploma -
Woodlawn High School
Baton Rouge05-2004
Skills
- Professionalism and Ethics
- Time management abilities
- Organizational Skills
- Goal Setting
- Analytical Skills
- Auditing proficiency
- Self Motivation
- Analytical Thinking
Timeline
AR Collection Specialist
Coastal Infusion Services
11.2023 - Current
Claims Audit Manager
Carpenter Health Network
07.2023 - 11.2023
Billing/Collection Specialist
National Infusion Services
03.2023 - 07.2023
Billing Manager
Still Me Inc (DME)
06.2017 - 03.2023
High School Diploma -
Woodlawn High School
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