Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

LaTrisha Jones

Henderson,NV

Summary

Experienced Medical billing/AR specialist/Lead/ Supervisor Experience/Managing Specialist offering 17 years of progressive experience in medical billing/Coding/Payment posting/Collections/Revenue Cycle In several specialties.

AR market. The mission is to obtain a challenging position in a career-oriented clinic, hospital or office setting utilizing excellent communication and computer skills to assist in efficient production of company operations. A Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

18
18
years of professional experience
1
1
Certification

Work History

AR Rep Lead

Conifer Health
09.2023 - Current
  • Compiled and tracked outstanding balances owed to medical facilities.
  • 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 ACE.
  • Audited and corrected billing and posting documents for accuracy.
  • Utilized various software programs to process customer payments.

Payment Poster

Sonora Quest Laboratories
01.2022 - 09.2023
  • Accurately posted payments and adjustments both electronically and manually.
  • Processed payments that had been received from insurance companies and Medicare.
  • Communicated effectively with others through active listening and dynamic interpersonal skills.
  • Identified overpayments and processed refunds for insurance carriers and patients.
  • Handled payment transactions for customer purchases.
  • Managed large volumes of data efficiently and with great care on daily basis.
  • Took money and cards from customers to handle payment processing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Submitted cash and check deposits and generated cash receipts to record money received.
  • Monitored accounts to verify compliance with payment terms and schedules.
  • Reconciled accounts receivable ledger to verify payments and resolve variances.
  • Developed and maintained positive relationships with clients to maximize collections.
  • Prepared and mailed invoices to customers, processed payments, and documented account updates.
  • Encoded and canceled checks using bank machines.
  • Disbursed petty cash by recording entries and verifying documentation.
  • Reconciled accounts receivable to general ledger.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues

AR Rep/Team Leader

Ironwood Cancer Research Center
02.2018 - 01.2022

    • Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
    • Supervised team members to confirm compliance with set procedures and quality requirements.
    • Built strong relationships with customers through positive attitude and attentive response.
    • Worked with team to identify areas of improvement and devised solutions based on findings.
    • Established open and professional relationships with team members to achieve quick resolutions for various issues.
    • Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
    • Compiled and tracked outstanding balances owed to medical facilities.
    • 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.
    • Follow-up
    • Appeals
    • Medicare/Hospice/SNF
    • Eligibility Verification
    • Special projects
    • Radiation Training
    • Centricity/G4/Onco EMR computer systems
    • Correspondence
    • Prepare and print medical records.
    • Work Heavy email volume.
    • Work aging reports
    • Work excels spreadsheets
    • Call insurances
    • Work heavy on Norridian Medicare portal.

Medical Biller/Collector I/ Collector II/Supervisor

Loma Linda University Health Care
06.2012 - 02.2018
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Collected payments and applied to patient accounts.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Liaised between patients, insurance companies, and billing office.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.
  • Adhered to established standards to safeguard patients' health information.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Used data entry skills to accurately document and input statements.
  • Responded to customer concerns and questions on daily basis.
  • Audited and corrected billing and posting documents for accuracy.
  • Handled account payments and provided information regarding outstanding balances.
  • Monitored outstanding invoices and performed collections duties.
  • Collaborated with customers to resolve disputes.
  • Maintained accurate records of customer payments.
  • Utilized various software programs to process customer payments.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • 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.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Reconciled accounts receivable to general ledger.
  • Generated accounts payable reports for management review to aid in financial and business decision making.
  • Created improved filing system to maintain secure client data.
  • Follow-up
  • Appeals
  • Vantage Insurance
  • Medicare/Medicaid Insurances
  • All commercial Insurance
  • Eligibility Verification
  • Special Projects
  • CCS/SAR requests/TAR requests
  • On Base (electronic mail)
  • Aging of AR/Follow-up on unpaid and denied claims for status.
  • Verification of insurance coverage Medi-cal/HMO's/PPO's and Dual choice
  • Hands on billing and collections
  • Billing and coding
  • Medical records management
  • Typing 60 WPM
  • CMS 1500/CMS 1450
  • Authorizations/Appeals Knowledge of Medicare/Medi- Cal/Commercial Insurances.

Medical Biller

Medical Personal Management Corp.
03.2006 - 06.2012
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.
  • Collected payments and applied to patient accounts.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.

Billed for OB/GYN/Pediatrics/Outpatient services

Worked Aging of AR/Follow-up on unpaid and denied claims for status

Verification of insurance coverage for Medi-cal/HMO's/PPO's/and Dual choice

Heavy data entry tasking/Answering phones/filing/faxing/and copying documents.

Hands on billing and collections

Experience with Medicare/Medi-cal/commercial insurance/HMO/Managed care/IPA's/PPO's

Prepare and print medical records.

Wrote Appeals.

  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Adhered to established standards to safeguard patients' health information.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Delivered timely and accurate charge submissions.
  • Filed and updated patient information and medical records.
  • Prepared billing statements for patients and verified correct diagnostic coding.

Education

Bachelor of Arts - Health Management Administration

Ashford University
San Diego, CA
08.2025

Medical Billing And Coding Certificate - Medical Insurance Billing

Summit Career College
Colton
03.2006

High School Diploma -

San Jacinto High School
San Jacinto, CA
06.2003

Skills

  • Technical Troubleshooting
  • Customer Support
  • Market Research
  • Sales Reporting
  • Paperwork Processing
  • Records Management

Recordkeeping

Managed care

Medical billing

ICD-10

Insurance verification

Medicare

Records management

Medical coding

Medical office experience

Hospital experience

EMR systems

CPT coding

Workers' compensation

Healthcare management

Transcription

Practice management

Hospice care

Anatomy knowledge

Employee orientation

Triage

Account management

Case management

HIPAA

Accounts receivable

ICD-9

ICD-10

Epic

Medical terminology

ICD coding

Phone etiquette

Care plans

Leadership Experience

Neurology knowledge

Pediatric knowledge

OBGYN knowledge

Pain Management knowledge

Hospice knowledge

Skilled Nursing/Sniff knowledge

  • Staff Training
  • Client Services
  • Performance Improvement
  • Customer Relations
  • Account Development

Accomplishments

    I have been licensed in 13 states for Auto Insurance. Used Microsoft Excel to develop inventory tracking spreadsheets. Supervised team of 10 staff members.

Certification

  • Licensed Auto Insurance - 1yr.
  • Medical Billing and Coding Training - 17yrs.

Timeline

AR Rep Lead

Conifer Health
09.2023 - Current

Payment Poster

Sonora Quest Laboratories
01.2022 - 09.2023

AR Rep/Team Leader

Ironwood Cancer Research Center
02.2018 - 01.2022

Medical Biller/Collector I/ Collector II/Supervisor

Loma Linda University Health Care
06.2012 - 02.2018

Medical Biller

Medical Personal Management Corp.
03.2006 - 06.2012

Bachelor of Arts - Health Management Administration

Ashford University

Medical Billing And Coding Certificate - Medical Insurance Billing

Summit Career College

High School Diploma -

San Jacinto High School
LaTrisha Jones