Meryl Jackson

• Accurately gather complete financial and demographic information to ensure medical records/billing process flows efficiently.
• Obtain and/or gather verification of benefits and/or pre-certification for applicable tests and/or procedures.
• Prepare, present, and thoroughly explains applicable legal, ethical, and compliance documents; ensure proper consents are signed by the appropriate parties. Maintain documentation of the same.
• Maximize reimbursements for services rendered by identifying insurance carrier, benefits, etc. Prevent denials by ensuring timely notification of admission to insurance carrier.
• Assist patients in understanding financial obligations; collect co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable.

• Obtains and process authorizations for reorders.
• Resolve patient issues and ensures accurate reorder processing via phone, document processing and medical record validation.
• Ensure patients have all required medical documentation to permit billing of services as assigned.
• Maximize patient base through retention efforts and cross-selling via phone.
• Audit configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
• Maintain a strong understanding of medical documentation, Insurance requirements and company procedures.
• Maintain a high degree of confidentiality always due to access to sensitive information.

• Assist members, providers and health plans over the phone with eligibility, claims and medical necessity reviews pertaining to chiropractic, acupuncture, massage therapy, physical therapy and occupational therapy.
• Use dual monitor computer with a phone.
• Take about 40 calls a day.

• Managed 20+ employees.
• Created a plan to delegate to my team of all on-line orders received throughout the shift.
• Interacting with a wide range of people.
• Writing a weekly schedule
• Managed a multi-line phone
• Resolved conflicts

This was my last roll at Central Market. I also worked in the following departments throughout my 8 years there:

• Cashier
• Assistant Front End Manager
• Bookkeeper
• Curbside Shopper