Kezia Jenkins
Bensenville,IL
Summary
Driven & experienced healthcare professional with a proven track record in revenue cycle management and healthcare billing proficiency, notably at Milwaukee Avenue Eye Center. Excelled in this 8 physician practice in implementing software transitions and enhancing claims efficiency, boosting revenue and patient financing options. Demonstrates strong management experience and detail orientation, alongside effective public speaking and staff training abilities.
Overview
23
23
years of professional experience
Work History
Assistant Practice Manager
Milwaukee Avenue Eye Center
02.2020 - Current
- Inspired transition into new software to improve revenue
- Implemented daily balancing and claims efficiency measures.
- Perform billing, collection, and reporting functions for office generating over $4M annually
- Implemented other patient financing options
- Executed consistent weekly AR strategies to improve timely payments
- Established daily practice balancing measures
- Work closely with department managers to improve processes to impact revenue
- Formulated insurance appeal letter templates to improve insurance collections
- Resolve complex patient complaints
- Work with Medicare, Medicaid, BCBS of IL, Aetna, Cigna, Humana, UHC, various Medicaid replacement and supplemental plans to ensure timely claim payments
- Authorize diagnostic tests (MRIs & CTs), procedures and injectable medications.
- Establish and check coding procedures, monitor reports and update internal files.
- Implement annual updates to ensure we are as current as possible in our billing industry knowledge.
- Create maintain staff schedules for the billing and optical departments
- Conduct performance reviews and implement improvement plans
- Led the practice morale team
Reimbursement Specialist
Lifewatch Services, A Biotel Heart Company
02.2019 - 02.2020
- Resolved denials via research, phone inquiries to insurance providers, and compiling appeals.
- Coordinated with insurance providers to verify customer's policy benefits via phone inquiries, insurance portals or third party verification systems like Navinet, Availity, and Emdeon Assist for efficient resubmission.
- Create and submitted documents, in accordance with payer guidelines, for corrected claims, appeals or additional information needed to adjudicate claims.
- Recognized denial trends for changes in contract status and variances in payment from contractual agreements.
- Contacted patients to verify new or changes in coverages.
Optometric Assistant / Medical Biller / Account Receivables
Skowron Eye Care
11.2012 - 02.2019
- Reviewed accounts on a monthly basis to assess aging and pursued collection of funds
- Handled in-bound calls pertaining to reconciliation of delinquent accounts
- Contacted patients with past due accounts to formulate payment plans and discuss restructuring options
- Credentialed new doctors and re-credentialed doctors using CAQH, PECOS, and NPPES systems
- Submitted medical and DME claims to Medicare, BCBS of IL, Cigna, Aetna, Humana and United Healthcare via CMS-1500s or electronic filing
- Processed Appeals and Redeterminations in order to reconcile claims with most insurances companies
- Fit and adjusted eyeglasses
- Used lensometers to measure and record patients' lens power
- Accurately measure bridge and eye size, vertex distance, temple length, pupillary distance and optical centers of eyes
- Helped patients select frames according to desired style and color
- Recommended lenses, lens coatings and frames to suit patient's needs
- Performed pre-testing and ancillary testing on patients to prepare them for the doctor's examinations
Certified Pharmacy Technician
CVS Pharmacy
02.2012 - 10.2012
- Receptively answered customer questions and helped locate desired items in the pharmacy
- Assisted other pharmacy staff with drug inventory, purchasing, and receiving
- Fielded phone calls with questions about customer's prescriptions
- Translated doctor's prescriptions and entered them into the system for processing
Medical Biller / Optician / Account Receivables
DuPage Family Eye Care
05.2008 - 05.2011
- Maintained all the vision, medical and DME billing by submitting claims with CMS 1500s or electronically, reconciling claims and denials, and posting all payments from Medicare and various insurance companies
- Shifted the practice from paper claims to electronic filing using C-Snap
- Maintained Accounts Receivables by following up with patients for payment
- Began collection processes with a third party agency to resolve account balances over 120 days past due
- Responded monthly to management and the owner with aging reports
- Scheduled the doctor's appointments in Officemate and fielding all in-bound calls to assist in resolving the patient's needs
- Accurately measured bridge and eye size, vertex distance, temple length, pupillary distance and optical centers of eyes
- Fitted and adjusted eyeglasses
- Provided complete patient eye care and eyeglass and contact lens distribution services
- Performed pretesting and ancillary testing on patients to prepare them for the doctor's examination
Medical Biller
Eye Care Associates
04.2001 - 05.2008
- Credentialed and re-credentialed doctors using CAQH, PECOS, and NPPES systems
- Maintained vision and medical billing in this high volume practice by submitting claims, reconciling claims and denials, posting all incoming payments and working closely with insurance companies to ensure timely payment
- Submitted appeals and redeterminations for denied claims with various insurance companies
- Provided complete patient eye care and eyeglass and contact lens distribution services
- Performed pretesting and ancillary testing
Education
High School Diploma -
Walther Lutheran High School
Melrose Park, IL1998
N/A - Biological Studies
University of Illinois At Chicago
Chicago, ILSkills
- Revenue Cycle Management
- Healthcare billing proficiency
- Management experience
- Detail oriented
- Diagnostic Codes
- Payer collections
- Disciplined and self-starter
- Public speaker
- Staff Training and Development
- Word, Excel and Powerpoint proficient
- Electronic Medical Records experience
References
- Dr. Kerry John (630) 728-7482, owner of West End Vision & former associate doctor at Skowron Eye Care for 7 years
- Marla Bralles (630) 294-2490, mbralles@aol.com, former manager at DuPage Family Eyecare for 3 years
- Danielle McLucas (484) 431-3472, dmclucas@gmail.com, former colleague at Skowron Eye Care for 3 years
- Wendy Salinas (630) 877-6115, wymm83@gmail.com, former colleague at Skowron Eye Care for 5 years
- Angela Thibeaux (847) 917-0104, angelathibeaux@gmail.com, overseer of leadership role in my church for 17 years
Timeline
Assistant Practice Manager
Milwaukee Avenue Eye Center
02.2020 - Current
Reimbursement Specialist
Lifewatch Services, A Biotel Heart Company
02.2019 - 02.2020
Optometric Assistant / Medical Biller / Account Receivables
Skowron Eye Care
11.2012 - 02.2019
Certified Pharmacy Technician
CVS Pharmacy
02.2012 - 10.2012
Medical Biller / Optician / Account Receivables
DuPage Family Eye Care
05.2008 - 05.2011
Medical Biller
Eye Care Associates
04.2001 - 05.2008
High School Diploma -
Walther Lutheran High School
N/A - Biological Studies
University of Illinois At Chicago
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