Kylee Jackson
Alex
Summary
Qualified and hardworking,
Reimbursement Specialist with expertise in policy research and customers service. Offering 2 years of experience in analyzing coverage and securing collection for claims. Excellent written and verbal communication skills.
Overview
9
9
years of professional experience
Work History
Reimbursement Specialist
Central Oklahoma Community Mental Health Center
Norman
05.2023 - Current
- Ensured compliance with applicable laws and regulations when processing reimbursement requests.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Assisted in developing new processes for more efficient management of reimbursement requests.
- Coordinated initial privileging and re-privileging processes for individual practitioners.
- Performed ongoing monitoring of providers' licensure status and privileges granted.
- Reviewed applications and supporting documents to verify accuracy of information provided.
- Analyzed billing reports for errors or discrepancies in payment postings.
- Maintained detailed records of all payments posted in the system.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Updated patient and insurance data and input changes into company computer system.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Completed day-to-day duties accurately and efficiently.
- Worked effectively in team environments to make the workplace more productive.
Communications Dispatcher
City of Purcell
Purcell
05.2022 - 05.2023
- Spoke clearly to each caller, asked pertinent questions, and used interpersonal skills to keep callers calm to determine the severity of the situation.
- Used my multitasking skills to talk to callers and type information into the system at the same time in an emergency.
- Kept meticulous records of all available field personnel, as well as all active and completed calls.
- Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
- Proficient in programs MS Word, Excel, MS Outlook, CallWorks, OLETS, ODIS, FLEX
- Communicated with external agencies such as utility companies or state police when necessary.
- Answered emergency phone lines promptly and provided necessary information to responding personnel.
- Dispatched police, fire, medical or other personnel as needed to respond to emergency situations.
- Maintained a log of all incoming and outgoing calls, including type of call and response time.
- Monitored multiple radio channels simultaneously while maintaining accurate records of all communications.
- Utilized mapping systems such as Google Earth or ArcGIS in order to determine best routes for responding units.
- Transmitted messages using radios, telephones, computers or other communication devices according to established protocols.
Analysis Manager
Sonic Drive-In
Lindsay
01.2016 - 10.2021
- Created and managed an annual budget with effective controls to avoid overspending, reduce burn rate, and support sustainability goals.
- Opened and closed locations and monitored shift changes to maintain successful operations strategies and maximize business success.
- Assessed suppliers in order to assess delivery quality, timeliness, and compliance, maintain tight cost controls, and maximize business operational efficiency.
- Maintained a professional demeanor by remaining calm when dealing with unhappy or angry customers.
- Improved staffing during peak periods by creating employee schedules and monitoring call-outs.
- Created budgets and prepared quotes for new products and services.
- Coordinated bookkeeping activities such as invoicing and accounts payable/accounts receivable, reconciliation of vendors ledgers, posting of payments and general book keeping.
- Coordinated benefits for multiple insurance companies, submission of workman comp claims for employees
Education
Associate of Applied Science - Emergency Medical Technology
Mid-America Technology Center
Wayne, OK01.2018
Some college -
University of Central Oklahoma
Edmond, OKSkills
- MS Office
- Communications
- Verifying coverage
- Budgets
- Prioritizing calls
- Patient referrals
- Prior authorizations
- Data entry
- Vendor billing
- Accounts receivable/payable
- Posting payments
- Excel
- Insurance verification
- Customer service
- Time management
- Attention to detail
- Effective communication
- Critical thinking
- Eligibility verification
- Payment posting
- Provider enrollment
- Document management
Timeline
Reimbursement Specialist
Central Oklahoma Community Mental Health Center
05.2023 - Current
Communications Dispatcher
City of Purcell
05.2022 - 05.2023
Analysis Manager
Sonic Drive-In
01.2016 - 10.2021
Associate of Applied Science - Emergency Medical Technology
Mid-America Technology Center
Some college -
University of Central Oklahoma