Michelle Jonelunas
Pasadena,Texas
Summary
A highly analytical, enthusiastic, innovative, honest, and responsible individual with a track record of troubleshooting, problem-solving, quick thinking, and diplomatically resolving conflicts with a great work ethic. Seeking a work environment with stability and a formidable, positive team. Organized Medical Collector working with billing and intake coordinators. Meticulous worker identifies discrepancies and issues related to billing and reimbursements and implements corrective actions and adjustments PRN. Maintains patient credibility by keeping important information confidential.
Overview
4
4
years of professional experience
Work History
Medical Billing And Collections Specialist
Home Health Professionals
Houston
10.2020 - 04.2022
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements
- Reviewed account information to confirm patient and insurance information is accurate and complete
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house
- Investigated denials and collaborated with internal team members and third-party representatives to identify solutions
- Coordinated communications between patients, billing personnel, and insurance carriers
- Entered procedure codes, diagnosis codes, and patient information into WellSky
- Documented and filed patient data and medical records
- Reviewed medical records to meet insurance company requirements
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Took billing calls, questions, and concerns from patients and third-party carriers
- Identified discrepancies and carrier issues regarding billing and reimbursements
- Processed claims and forwarded information to insurance companies
- Attended provider meetings and workshops when appropriate
- Protected medical office operations and integrity by keeping patient information confidential
- Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within the clinic as appropriate
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
- Applied HIPAA privacy and security regulations while handling patient information
- Filed and submitted insurance claims
- Prepared and submitted claims to insurance companies electronically.
Receptionist/Digital Marketer
Fix-Free Homes
Pasadena, TX
11.2017 - 10.2020
- Completed and submitted appeals for denied claims
- Collaborated with relevant parties to resolve billing issues, insurance claims, and patient payments
- Reviewed and verified benefits and eligibility with speed and precision
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts
- Corrected, completed, and processed claims for payer codes
- Sent incomplete or incorrect claims to supervisors for proper adjudication
- Wrote social media content to increase engagement with customers
- Errands, flyers & postcards
- Correspondence and contact with clients
- Credit repair counseling
- Open houses
- Some construction help
- Bill pay, accounts payable, and accounts receivables, and general support.
Education
Medical Insurance Billing -
NIT
Houston, TX02.2007
Medical Billing and Coding -
NIT
Houston, TX02.2007
Psychology -
San Jacinto College
Pasadena, TX01.2005
Skills
- Attention to detail
- Accurately check patient's benefits
- People and customer service skills
- Ability to work in a fast-paced environment
- Decision-making and problem-solving skills
- Multi-line phone system
- Medical Billing
- Windows OS
- Microsoft Office Suite
- Kinnser/WellSky
- Excel
- Dropbox
- Error Revision
- Services Rendered Documentation
- Discrepancy Resolution
- Verbal and Written Communication
- Customer Contact
- Billing Data Verification
- Billing and Invoicing
- Relationship Building
- Data Analysis
- Deadline Adherence
- 10-Key Data Entry
- Decision Making
- Correspondence Preparation
- Billing Document Creation
- Inquiry Handling
- Database Maintenance
- Word Processing
- Work Planning and Prioritization
- Spreadsheet Tracking
- Dispute Negotiation
- Statement Distribution
- Itemized Statement Preparation
- Invoice Documentation Management
References
- Bre Hayward, Long-term friend | Instructor/Mentor at NIT, 29 years, 832-641-6463, haywardbre@outlook.com
- Kristina Reff, Co-worker and Long-term friend, 10 years, 281-639-7146, k.reff@hotmail.com
- Cera Vaughn, Long-term friend, 7 years, 903-445-8932, cera.williamson@resolutionshospice.com
- Jenny Rampy, Colleague at Co-Op, 7 years, 281-217-6748, jenrampy@gmail.com
- Yesenia Canales, Long-term friend, Former neighbor, 11 years, 832-335-1571
Timeline
Medical Billing And Collections Specialist
Home Health Professionals
10.2020 - 04.2022
Receptionist/Digital Marketer
Fix-Free Homes
11.2017 - 10.2020
Medical Insurance Billing -
NIT
Medical Billing and Coding -
NIT
Psychology -
San Jacinto College
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