Monica Garrett-Jones
Hixson,TN
Summary
Experienced Medical Billing & Coding Representative with over 23 years of experience in medical. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
11
11
years of professional experience
Work History
Insurance Resolutions
Galen Medical Group
Chattanooga, TN
04.2022 - Current
- Maintained high standards of customer service by building relationships with clients.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
- Identified root cause of denials to provide plans for denial resolution.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Documented medical claim actions by completing forms, reports, logs and records.
Billing Coordinator
Chattanooga Retina,PLLC
Chattanooga, TN
12.2016 - 04.2022
- Organized accounts for financial audits and supported audit process.
- Referred past due payments to collections department.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to
- Performed targeted collections on past due accounts aged over 30 days.
- Updated documentation, reports and spreadsheets with financial information.
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Maintained detailed understanding of insurance plans and company requirements.
- Entered details into accounts and tracked payments.
- Completed appeals of denied claims on patient bills.
Billing/Coding Specialist
North Park Eye Center
Hixson, TN
05.2003 - 12.2008
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Responded to customer concerns and questions on daily basis.
- Executed billing tasks and recorded information in company databases.
- Used data entry skills to accurately document and input statements.
- Managed invoicing and payment processing operations.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Generated financial statements and reports detailing accounts receivable status
Education
Medical Billing & Coding Certification -
Academy of Allied Heath
Chattanooga, TN05.2011
Medical Assistant Certification -
Academy of Allied Health
Chattanooga, TN05.1999
General Studies
Red Bank High School
Chattanooga, TN05.1987
Skills
- Chart Auditing
- Charge Slips
- Adding, Calculating and Billing Machines
- Financial Documentation
- Past Due Account Management
- Customer Contact
- Reviewing Patient Information
- Billing and Collections Procedures
- Commercial and Private Insurance
- HIPAA Compliance Certification
- Multitasking and Organization
- Accounts Payable and Accounts Receivable
- Medical Terminology
- Work Prioritization
- Electronic Health Record Software
- Workers' Compensation Knowledge
- Regulatory Compliance
- Physician Interaction
- CMS-1500 Billing Forms
- Statement Billings
- Credit Adjustments
- Obtaining Authorizations
- Payer Contracts
- Electronic Claims
- Patient Collections
- Medicare and Medicaid Knowledge
- Clerical Support
- ICD-10
- ICD-9
Timeline
Insurance Resolutions
Galen Medical Group
04.2022 - Current
Billing Coordinator
Chattanooga Retina,PLLC
12.2016 - 04.2022
Billing/Coding Specialist
North Park Eye Center
05.2003 - 12.2008
Medical Billing & Coding Certification -
Academy of Allied Heath
Medical Assistant Certification -
Academy of Allied Health
General Studies
Red Bank High School
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