Michelle Jones
Orangeburg,SC
Summary
Dynamic Revenue Cycle Specialist with proven expertise in claims review and processing at Eau Claire Cooperative Health Center. Adept at ensuring HIPAA compliance while fostering professionalism and ethics. Recognized for enhancing operational efficiency and effectively managing patient interactions, demonstrating strong communication and cultural competency skills.
Overview
24
24
years of professional experience
Work History
Revenue Cycle Specialist
Eau Claire Cooperative Health Center
08.2016 - Current
- Track and report insurance, billing, and coding errors that impact claim creation.
- Perform daily encounter review to assure a general documentation supports coding on super bills.
- Review and prepare claims for submission to various insurance carriers.
- Responsible for responding to emails and Athena text pertaining to claims corrections.
- Responsible for performing other billing task as directed by Revenue Cycle Leadership.
- Receipt posting, medical and dental poster payments.
Office Manager
Pelion Family Practice
09.2011 - 08.2016
- Managed daily office operations to ensure smooth workflow and efficiency.
- Manage the daily operations of the medical practice, including personnel, financials, clerical, housekeeping, and maintenance and purchasing functions.
- Monitoring activities and operations to ensure that the practice successfully meets its overall objectives.
- Responsible for the supervision and management of both the patient flow and PSR staff.
Receptionist
Palmetto Endocrine Associates
08.2006 - 09.2010
- Scheduled appointments and managed chart filling efficiently. Processed charges and assisted with daily deposit tasks. Checked in outpatients, ensuring smooth operational flow. Utilized MISYS program for effective management.
Clinical Interviewer
Family Health Center, Inc.
04.2002 - 02.2005
- Collaborated with healthcare teams to ensure comprehensive patient care and follow-up.
- Documented interview findings using electronic health record systems for accurate data management.
- Engaged with diverse populations, demonstrating cultural competency and sensitivity during interviews.
Education
Bachelor of Science -
Claflin University
Orangeburg, SCSkills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Receipt Poster
Timeline
Revenue Cycle Specialist
Eau Claire Cooperative Health Center
08.2016 - Current
Office Manager
Pelion Family Practice
09.2011 - 08.2016
Receptionist
Palmetto Endocrine Associates
08.2006 - 09.2010
Clinical Interviewer
Family Health Center, Inc.
04.2002 - 02.2005
Bachelor of Science -
Claflin University