Laramie Jones

• Evaluated and processed insurance claims to ensure compliance with policy guidelines.
• Assisted in training new team members on claims processing procedures and systems.
• Provided excellent customer service by addressing concerns and answering questions promptly and professionally.
• Conducted thorough investigations by gathering relevant information from various sources.
• Improved claim resolution times by efficiently processing and investigating claims.
• Utilized advanced software tools to manage large caseloads effectively.
• Reviewed policy documents to determine appropriate coverage levels for each individual case, ensuring fairness in settlement decisions.
• Developed in-depth understanding of insurance policies and procedures.
• Collaborated with internal departments and external vendors to resolve claims.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.

• Compiled and tracked outstanding balances owed to medical facilities.
• Managed a team of follow up specialists in charge of multiple medical offices ranging in specialty while managing my own.
• Processed billing calls and answered questions from patients and third-party carriers.
• Corrected, completed and processed claims for multiple payer codes.
• Processed online and paper appeal submissions and refund requests.
• Assisted in reconciling deposit and patient collections.
• Logged charges and payments within Software.
• Audited and corrected billing and posting documents for accuracy.
• Handled account payments and provided information regarding outstanding balances.
• Responded to customer concerns and questions on daily basis.
• Monitored outstanding invoices and performed collections duties.
• Used data entry skills to accurately document and input statements.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Utilized various software programs to process customer payments.
• Generated monthly billing and posting reports for management review.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Reconciled accounts receivable to general ledger.
• Maintained accurate records of customer payments.
• Generated accounts payable reports for management review to aid in financial and business decision making.
• Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
• Processed vendor and supplier payments on weekly basis.

• Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
• Developed and maintained electronic record management systems to analyze and process data.
• Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Reviewed patient records, identified medical codes and created invoices for billing purposes.
• Printed and reviewed monthly patient aging report and solicited overdue payments.
• Posted and adjusted payments from insurance companies.
• Precisely evaluated and verified benefits and eligibility.
• Evaluated patients' financial status and established appropriate payment plans.
• Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.

I was promoted in November of 2020 to Office Manager and took on the following responsibilities:

• Oversaw accounting, budgeting, and financial reporting.
• Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
• Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures.
• Recommended ways to reduce overhead and cut costs, effectively saving our practice money.
• Built relationships with physicians to create steady referral pipeline.
• Assessed processes and procedures, complying with OSHA and HIPAA regulations.
• Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
• Developed policies and procedures for effective practice management.

• Collected credit card, cash and gift certificate payments from customers and made proper change for cash transactions.
• Cultivated warm relationships with regular customers.
• Used slow periods to restock supplies, ice, trays and delivery bags.
• Worked with POS system to place orders, manage bills and handle complimentary items.
• Kept register accurate through correct billing, payment processing and cash management practices.
• Carried out complete opening, closing and shift change duties to keep restaurant working efficiently and teams ready to meet customer needs.
• Displayed enthusiasm and promoted excellent service to customers, successfully increasing referrals and walk-in business.

• Communicated effectively with staff, patients and insurance companies by email and telephone.
• Interacted and communicated easily with department personnel and public.
• Utilized Eclipse to manage and confirm patient data, such as insurance, demographic and medical history information.
• Applied proper codes to invoices, files and receipts to keep records organized and easily searchable.
• Generated accounts payable reports for management review to aid in financial and business decision making.
• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
• Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.