Malaika Jamison
Jackson,MS
Summary
Experienced professional with exceptional organizational skills, educational background, and aptitude for effective collaboration. Proven track record of streamlining processes and managing multiple tasks. Equipped to contribute to team success. Strong attention to detail and ability to prioritize tasks for efficient and accurate project completion. Committed to fostering positive working relationships. Excels in independent and collaborative environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Hospital Biller / Commercial Insurance
UMMC
04.2023 - Current
- Company Overview: The University of Mississippi Medical Center-Jackson, MS
- Duties include but are not limited to core revenue cycle functions such as, billing, claims filing & mailing, data entry, insurance verification, resolve authorization errors, and billing records review
- Maintain strict confidentiality and adheres to all HIPAA guidelines and regulations
- Focus daily on complying with policies, processes and department guidelines for assigned revenue cycle duties
- Submit clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner
- Maintain a basic understanding of payer guidelines related to claim submission; knowledgeable and proficient with payer websites and other useful resources pertaining to revenue cycle functions
- Effectively complete assigned reports, work-lists, and patient accounts
- Collaborate with management and co-workers in an open and positive manner
- Contribute to a positive working environment
- Perform any other assigned duties in varies work queues including correcting registration & coding errors, dialysis edits, resolving claim rejections from clearing house and resubmitted corrected claims
- Claim types: inpatient, outpatient, therapies, dialysis series, emergency, observation, workers comp, third party liabilities and etc
- The University of Mississippi Medical Center-Jackson, MS
Healthcare Advocate
Conduent
11.2020 - 06.2022
- Greet new members and explain the plan
- Assist with the change of members demographic information
- Order ID cards, coupon books, provider directories, and plan documents
- Explain benefits for medical and pharmacy
- Check the status of Pharmacy mail orders for members
- Resolve Pharmacy claims
- Determine if authorization and/or referral is needed
- Check the status of authorizations and referrals
- Quote copays, coinsurance, and deductibles for members
- Assist with finding in-network providers and pharmacies
- Participated in Outbound Campaign for Oak Street Health, Walmart, and Walgreens to help schedule members for Covid-19 vaccination in various states
- Assist in transferring misrouted calls to the correct department
- File Grievance, Complaints, and Appeals for members on denied claims
- File Quality and Attitude Appeal for members due to treatment by providers and/or staff
- Assist with making payments, quoting premiums, setting up payment arrangements, checking payment history, and reporting payment issues
- Help members to set up an online account, reset the password, assist with troubleshooting, and guiding members on to navigate through the online website
Medical Biller/Payment Poster
Emmanuel's Health Clinic
09.2019 - 10.2019
- Verify insurance companies
- Review patient bills for accuracy and obtain missing information
- Use electric and paper claim system to process billing
- Inform nurse practitioner of any errors to billing claim
- Organizing medical records
Therapist Assistant/ Assistant Driver
Landers Counseling Services
11.2014 - 05.2015
- Assisting with planning and performing therapeutic activities
- Taking notes during group sessions
- Identify behaviors and statements that require intervention by the psychiatric staff
- Designing programs to enhance social skills and provide recreational therapy
- Monitoring child behavior and counseling
- Providing transportation for children
Administration Assistant/ Therapist Assistant
Garden of Angels Mental Health Services
06.2014 - 11.2014
- Operate office machines such as photocopiers and scanners, facsimile machines
- Maintain and update files
- Communicate with clients, employees, and other individuals to answer questions, disseminate or explain information
- Monitoring children behavior and counseling
- Assisting with children therapy
- Providing transportation for children
- Typing incident reports
- Assisting with planning and performing therapeutic activities
- Taking notes during group sessions and Type group documents for each child in group session to be monitor for progress of their behavior
- Identify behaviors and statements that require intervention by the psychiatric staff
- Design programs to enhance social skills and provide recreational therapy
Administrative Support
Hinds Community College
08.2011 - 05.2012
- Type, format, proofread, and edit correspondence and other documents, from notes, using computers or typewriters
- Room inspections in Residence hall
- Greet new and returning students as well as parent or guardian, direct each student to their assigned room and introduce them to the appropriate RA, resident assistant, floor staff
- Check financial aid, file resident documents, and checking residents in and out of assigned rooms in the residence hall
- Counseling students on academic, financial, and personal issues by creating a comfortable environment
- Collecting payments
Education
Associate - Psychology
Hinds Community College
Jackson, MS05.2014
Skills
- Medical Records
- ICD-10
- Medical Scheduling
- CPT coding
- Medical coding
- Insurance Verification
- Medical Terminology
- Medical Billing
- EMR Systems
- Microsoft Excel
- Microsoft Office
- Microsoft Word
- Medical office experience
- Anatomy knowledge
- Phone etiquette
Certification
- Medical2 Phlebotomy with EKG Certification
- NPS Phlebotomy Certification
Timeline
Hospital Biller / Commercial Insurance
UMMC
04.2023 - Current
Healthcare Advocate
Conduent
11.2020 - 06.2022
Medical Biller/Payment Poster
Emmanuel's Health Clinic
09.2019 - 10.2019
Therapist Assistant/ Assistant Driver
Landers Counseling Services
11.2014 - 05.2015
Administration Assistant/ Therapist Assistant
Garden of Angels Mental Health Services
06.2014 - 11.2014
Administrative Support
Hinds Community College
08.2011 - 05.2012
Associate - Psychology
Hinds Community College
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