Kimberly Jackson
Gallatin,TN
Summary
Competent Medical Billing professional with ability to manage a busy medical office and provide excellent customer service to all patients.
Overview
27
27
years of professional experience
Work History
ASA Financial Analyst
Covendis-State of TN (CHS)
02.2024 - Current
- Submit requisitions for good and service
- Maintain contracts d YTD spreadsheets
- Review and analyze budgets as new contracts and /or amendments, adjustments, revisions and funds revisions are submitted
- Maintain employee database
- Maintain contract totals and allocations
- Update and maintain Local and Regional Health Catalog
- Assist with preparation of impromptu reporting
- Assist with special projects as needed
- Submit EFT Enrollment for existing payors or new payor contracts
- Process provider information through Availity
- Prepare CAQH application for dental credentialing
- Assist with preparation of credentialing applications
Office Manager /Medical Biller
Rama Medical Group
01.2008 - 01.2024
- Handled new-hire orientation and basic recruiting tasks for best-in-class talent identification
- Oversaw office inventory activities, including ordering and requisitions, stocking, and shipment receiving
- Prepared vendor invoices and processed incoming payments
- Hired, managed, developed and trained staff, developed and monitored goals, conducted performance reviews and administered salaries for the staff
- Verify insurance coverage for established and new patients
- Key and record daily patient charges
- Key and post cash/remittances
- Update patient files as needed
- Balance accounts receivable and claim over payments
- Process claims, payments, adjustments, refunds, denials and paid and unpaid patient /insurance balances
- Answer patient and insurance calls /correspondence regarding billing questions, financial polices, and claims submission
- Input patient demographics, scheduling, and medical records
- Processed meaningful use
- Credentialing Re-credentialing for providers with insurance companies
Accounts Receivable Supervisor
Community Health Systems, Inc
11.2002 - 12.2007
- Supervised accounts receivables clerks, team of five
- Assigned employee areas, scheduled staff breaks and authorized overtime
- Processed primary, secondary claims, adjustments, refunds and unpaid patient and insurance balances
- Verified insurance coverage for established and new patients
- Update patient demographics, insurance and financial information
- Key and record daily patient charges
- Key and post cash and remittance advises
- Balance accounts receivable and claim over payment accounts
- Prepare A/R report with denial reason and submit to office for corrections
- Reviewed data to ensure correct CPT coding was used and inputted
- Verified benefits and worked with insurance companies to obtain payments.
Medical Biller
Family Health Care Group
01.1998 - 01.2002
- Scheduled patients in Medical Manager System
- Collected payments that were made and applied them to patient accounts
- Researched and followed up on denied insurance claims
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
- Posted payments and collections on a regular basis
- Oversaw all billing for Medicaid, waiver and skilled claims, commercial insurance and private pay clients
- Received and processed medical records requests
- Pulled charts and prepared them for nurses and doctors assessment.
Education
Some College (No Degree) - Health Information Technology
Volunteer State Community College
Gallatin, TNSkills
- Medical Office Management
- Medical Billing & Collections
- Data Entry
- Medical Records
- Accounts Receivable & Payables
- Insurance Benefits Verification
- Medical Coding ICD9, ICD10, HCPCS & CPT
- Provider Credentialing
- Updating Provider Database
- Multitasking and Organization
- Process Meaningful Use
- Front Desk Task
- Triage Patients
Timeline
ASA Financial Analyst
Covendis-State of TN (CHS)
02.2024 - Current
Office Manager /Medical Biller
Rama Medical Group
01.2008 - 01.2024
Accounts Receivable Supervisor
Community Health Systems, Inc
11.2002 - 12.2007
Medical Biller
Family Health Care Group
01.1998 - 01.2002
Some College (No Degree) - Health Information Technology
Volunteer State Community College
Similar Profiles
Denisse VelaDenisse Vela
Bilingual Medical Scheduling Specialist at CHSBilingual Medical Scheduling Specialist at CHS
Casey SawyerCasey Sawyer
Eligibility Screening Specialist at CHSEligibility Screening Specialist at CHS
Maritza RodriguezMaritza Rodriguez
Registered Nurse at CHSRegistered Nurse at CHS
Ali M. LannomAli M. Lannom
Regional Sales Manager at Cook MedicalRegional Sales Manager at Cook Medical
Deborah AbrahamDeborah Abraham
Lead Occupational Therapist and AT Consultant at Sumner County Board of EducationLead Occupational Therapist and AT Consultant at Sumner County Board of Education