Monica Jones
Hixson,TN
Summary
Dynamic Medical Billing Supervisor with extensive experience at Chattanooga Retina, adept in claims processing and revenue cycle management. Proven track record of enhancing billing accuracy and reducing claim denials. Skilled in ICD-10 coding and committed to exceptional customer service, fostering team development and optimizing workflow for improved financial outcomes.
Overview
25
25
years of professional experience
2
2
Certification
Work History
Medical Billing Supervisor
Chattanooga Retina
12.2013 - 04.2024
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Reviewed outgoing bills for eligibility and accurateness.
- Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Enhanced accuracy of claims submissions through thorough reviews and staff training.
- Maintained current accounts through aged revenue reporting.
- Scheduled patients in Medical Manager System.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Posted payments and collections on regular basis.
Billing/Coding Specialist
North Park Eye Center
05.2003 - 12.2008
- Contributed to the development and implementation of company-wide coding policies and procedures, ensuring consistency in practices across various departments.
- Boosted staff productivity, conducting regular training sessions on best practices in medical billing and coding.
- Increased efficiency, implementing electronic billing systems and automating manual processes.
- Improved billing accuracy by implementing a streamlined coding system and regularly updating the database.
- Maintained patient confidentiality, adhering to HIPAA guidelines while managing sensitive medical information.
- Streamlined communication with patients, addressing their billing inquiries promptly and professionally.
- Facilitated smooth payment processes, setting up payment plans for patients struggling financially and guiding them through available options.
- Responded to customer concerns and questions on daily basis.
MOS/Medical Office Coordinator
HCA Physician Services
05.1999 - 09.2008
Education
No Degree - Certified Billing & Coding
Academy of Allied Health
Chattanooga05-2013
No Degree - Certified Medical Assistant
Academy of Allied Health
Chattanooga06-1999
Red Bank High School
Red Bank, TN05-1987
Skills
- ICD-10 knowledge
- Claims processing proficiency
- HIPAA compliance
- Electronic health records experience
- Accounts receivable management
- Financial reporting
- Revenue cycle management
- CPT coding
- Payment posting
- Customer service
- Electronic claims
- Billing and collection procedures
- Insurance claims processing
- CMS-1500 billing forms
- Medical claims submission
- Verbal and written communication
Certification
- [Area of certification], [Company Name] - [Timeframe]
Timeline
Medical Billing Supervisor
Chattanooga Retina
12.2013 - 04.2024
Billing/Coding Specialist
North Park Eye Center
05.2003 - 12.2008
MOS/Medical Office Coordinator
HCA Physician Services
05.1999 - 09.2008
No Degree - Certified Billing & Coding
Academy of Allied Health
No Degree - Certified Medical Assistant
Academy of Allied Health
Red Bank High School
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