LaToya T. Jones
Smyrna,GA
Summary
Motivated professional seeking a challenging career in the medical field to utilize front/back office and total revenue cycle skills, with opportunities for advancement and growth.
Overview
16
16
years of professional experience
Work History
Coding Quality Analyst
Thomas Eye Group
Atlanta , GA
05.2018 - Current
- Audit claim bills for sixteen physicians, and verify accuracy of procedure codes to ensure proper reimbursement levels.
- Review patient medical records for correctness, completeness, and compliance with coding regulations.
- Research discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Validate accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
Front Office Specialist
Concentra Urgent Care
Marietta, GA
08.2014 - 04.2018
- Register 90-150 patients into EMR system manually in accordance with client protocol daily.
- Enter data for registration, billing, patient tracking, and charge capture quickly and accurately to minimize patient wait times.
- Verify insurance coverage and obtain authorizations if applicable.
- Processed payments accurately and efficiently.
3rd Key Holder/Assistant Manager
The UPS Store Inc.
Atlanta, GA
04.2009 - 08.2014
- Opened, managed and closed the store in the absence of the owner.
- Balanced registers,posted daily income to QuickBooks,consolidated register reports,make bank deposits and handle excess of $4000.00 daily.
Graduate Student Extern
Crosslinks Family Practice & Rehab
Stone Mountain, GA
09.2008 - 03.2009
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
Education
Medical Office Expert Program - Healthcare
Javelin Technical Training Center
Tucker, GA09.2008
Skills
- Medical collections,financial counseling,insurance verification,processing Managed Care claims
- Medical billing and posting payments
- Experience with EOB's,ICD-9,ICD-1O CPT & HCPCS codes
- Understands Revenue Cycle and the concepts of modifiers usage
- Following up with insurance companies for fast resolution on unresolved claims
- Patient billing and interaction,making payment arrangements on existing balances
- Ensure Timely A/R Updates
- Easily establish and maintain professional relationships with colleagues,physicians, as well as management team
Timeline
Coding Quality Analyst
Thomas Eye Group
05.2018 - Current
Front Office Specialist
Concentra Urgent Care
08.2014 - 04.2018
3rd Key Holder/Assistant Manager
The UPS Store Inc.
04.2009 - 08.2014
Graduate Student Extern
Crosslinks Family Practice & Rehab
09.2008 - 03.2009
Medical Office Expert Program - Healthcare
Javelin Technical Training Center
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