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)
Nashville, TN
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
Nashville, TN
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
Franklin, TN
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
Nashville, TN
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