Lily Jackson
Sikeston,Missouri
Summary
Analytical Medical Biller successful at resolving claim denials, disputes and billing inquiries. Detail-oriented individual with 5 years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers, as well as Medicare, Medicaid and all HMO plans.
Familiar with CMS 1500 claim forms, and UB-04 claim forms.
Overview
1824
1824
years of professional experience
Work History
Accounts Receivable Specialist
Precision Practice Management
Belleville, IL
09.2022 - Current
- Contacted insurance providers to obtain claim status, and work claim denials in a timely manner.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Applied adjustments into medical manager system.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Collaborated closely with other departments to resolve claims issues.
- Entered procedure codes, diagnosis codes and patient information into Cerner.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
- Meticulously tracked and resolved underpayments.
- Maintaining a 92% score or higher during quarterly audit reviews.
- Consistently meeting weekly goals.
Patient Accounts Representative
Missouri Delta Medical Center
Sikeston, MO
12.2021 - 09.2022
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Applied payments, adjustments and denials into medical manager system.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Collaborated closely with other departments to resolve claims issues.
- Entered procedure codes, diagnosis codes and patient information into Cerner and SSI.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
- Meticulously tracked and resolved underpayments.
Accounts Receivable Specialist
Electronic Billing Services
Sikeston, MO
10.2019 - 12.2021
- Generated, mailed and monitored invoices.
- Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
- Evaluated open accounts to look for past-due balances and pursue collection strategies.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Applied payments, adjustments and denials into medical manager system.
- Collaborated closely with other departments to resolve claims issues.
Assistant Manager
Empire Finance
Sikeston, Missouri
07.2019 - 10.2019
- Delegated daily tasks to team members to optimize group productivity.
- Collaborated with store manager to develop strategies for achieving sales and profit goals.
- Enforced company policies and procedures to strengthen operational standards across departments.
- Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies.
- Processed customer applications to obtain small personal loans
- Running weekly reports and meeting weekly goals to report to my direct supervisor
- Opening and closing duties
- Handling delinquent customer accounts
- Worked closely with customers to understand needs and resolve diverse issues.
Store Supervisor
Here We Go Again
Sikeston, Missouri
01.2015 - 10.2019
- Dealt with customer complaints and rectified product and service issues.
- Coordinated restocks to keep retail displays organized and full for customers.
- Stocked shelves and racks and placed mannequins in key areas to attract customers to store.
- Tracked inventory and conducted cycle counts to maintain accurate records.
- Maintained clean and organized facility to prevent accidents, damages and lost items.
- Implemented security measures to prevent store theft and trespassing.
- Handled customer transactions and balanced cash drawers.
- Received store deliveries and transported items to correct facility locations.
- Answered customer queries and complaints and provided prompt solutions.
Barista/Store Supervisor
The Knew New
Sikeston, Missouri
04.2018 - 07.2018
- Dealt with customer complaints and rectified product and service issues.
- Coordinated restocks to keep retail displays organized and full for customers.
- Supervised work of cashiers, training new team members and monitoring performance.
- Stocked shelves and racks and placed mannequins in key areas to attract customers to store.
- Boosted customer satisfaction with proactive initiatives focused on improved engagement and service resolutions.
- Tracked inventory and conducted cycle counts to maintain accurate records.
- Contributed to merchandising ideas at team meetings to increase sales.
- Answered customer queries and complaints and provided prompt solutions.
- Received store deliveries and transported items to correct facility locations.
Cashier
Wendy's
Sikeston, MO
01.2013 - 01.2015
- Collected payments and provided accurate change.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Helped customers find specific products, answered questions and offered product advice.
- Worked closely with front-end staff to assist customers.
- Worked the front counter as well as the drive through
- Stocked shelves
- Training new employees
Office Assistant
Food Giant
Sikeston, MO
07.2012 - 07.2013
- Greeted visitors or callers to handle questions or direct to appropriate staff.
- Organized files, developed spreadsheets, faxed reports and scanned documents to bolster organizational workflow.
- Collected payments, issued receipts and updated accounts to reflect new balances.
- Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation.
- Maintained business records by updating customer information.
- Answered phone calls and welcomed visitors to office.
- Processed lottery and Western Union transactions
Childcare Supervisor
YMCA of Southeast Missouri
Sikeston, MO
07.2011 - 07.2012
- Created lesson, activity and field trip plans.
- Maintained current understanding of applicable laws and kept facility in compliance with requirements.
- Continually kept abreast of toy and child-related recalls and safety warnings.
- Recommended methods for modifying behavior and encouraging learning experiences.
- Established and enforced modern educational standards to support student needs.
- Worked with parents and staff to improve student behavioral and learning issues with proactive approaches.
Cashier
Wendy's
Sikeston, MO
10.201 - 07.2012
- Collected payments and provided accurate change.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Helped customers find specific products, answered questions and offered product advice.
- Worked closely with front-end staff to assist customers.
- Processed sales transactions to prevent long customer wait times.
- Trained new team members in cash register operation, stock procedures and customer services.
Education
GED -
Sikeston Career And Technology Center
Sikeston, MO01.2013
Skills
- Contract Negotiation and Closing Tactics
- Personalized Financial Reviews
- Credit Accounts
- Customer Advising and Referral
- AR Aging Reports
- Problem Investigation
- Managing Delinquent Accounts
- Audit Procedures
- Adjustment posting
- Statement issuing
- Payment posting
- Credit and collections
- Accounts Receivable
- Microsoft Excel
- Claims Processing
- Collections
- HIPAA Compliance
- Insurance Verification
- Billing and Collection Procedures
- Claims review
- Commercial and Private Insurance
- Teamwork and Collaboration
- Account Reconciliation
- Attention to Detail
- Critical Thinking
- Self-Directed
Timeline
Accounts Receivable Specialist
Precision Practice Management
09.2022 - Current
Patient Accounts Representative
Missouri Delta Medical Center
12.2021 - 09.2022
Accounts Receivable Specialist
Electronic Billing Services
10.2019 - 12.2021
Assistant Manager
Empire Finance
07.2019 - 10.2019
Barista/Store Supervisor
The Knew New
04.2018 - 07.2018
Store Supervisor
Here We Go Again
01.2015 - 10.2019
Cashier
Wendy's
01.2013 - 01.2015
Office Assistant
Food Giant
07.2012 - 07.2013
Childcare Supervisor
YMCA of Southeast Missouri
07.2011 - 07.2012
GED -
Sikeston Career And Technology Center
Cashier
Wendy's
10.201 - 07.2012
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