Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kimberly D. Jones

Atlanta,GA

Summary

Infusion Billing/Collection Specialist with a proven track record in claims processing and dispute resolution. Successfully reduced outstanding accounts through effective negotiation and problem-solving skills. Adept at managing billing discrepancies and enhancing customer engagement, ensuring a seamless revenue cycle management experience. Organized Data Entry Keyer with a track record of accuracy in fast-paced environments. Punctual and reliable employee, committed to thoroughness and quality.

Overview

13
13
years of professional experience

Work History

Infusion Billing/Data Collection Specialist

PruittHealth Pharmacy Svc
Norcross , Georgia
04.2015 - Current
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
  • I wrote appeals, redetermination letters to insurance companies for the denial of Medicare and commercial claims.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Resolved disputes and negotiated settlements to satisfy all parties involved.
  • Handled incoming calls from customers regarding account status, billing inquiries, payment arrangements.
  • Prescription Drug Adjudication: Drug Claims.
  • Experience with managing referrals as an intake coordinator, prior authorizations, and financial letters.
  • Respond to insurance audit letters.

Reimbursement Liaison

Option Care Home Infusion
Clarkson , GA
08.2012 - 04.2015
  • Coordinated communications between teams to ensure accurate information was shared in a timely manner.
  • Conducted research into customer needs and preferences in order to develop solutions that meet their requirements.
  • Compiled data from multiple sources for use in presentations or reports.
  • Collaborated and spoke with entities both inside and outside of the business.

Education

Associate of Arts - Communication

Houston Community College
Houston, TX
05-1994

Some College (No Degree) - Communications

University of Houston
Houston, TX

Skills

  • Claims processing
  • Billing analysis
  • Insurance verification
  • Account reconciliation
  • Revenue cycle management
  • Customer service
  • Dispute resolution
  • Payment processing
  • Attention to detail
  • Problem solving
  • Effective communication
  • Negotiation skills
  • Medical billing and collections
  • Client relationship management
  • Denial management
  • Financial reporting
  • Collection practices
  • Customer engagement
  • Collections management
  • Team collaboration
  • Monthly billing management
  • Invoice processing
  • Billing dispute resolution
  • Time management abilities

Timeline

Infusion Billing/Data Collection Specialist

PruittHealth Pharmacy Svc
04.2015 - Current

Reimbursement Liaison

Option Care Home Infusion
08.2012 - 04.2015

Associate of Arts - Communication

Houston Community College

Some College (No Degree) - Communications

University of Houston

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Kimberly D. Jones