Nicola Jackson

Medical Billing Specialist

One Stop Wellness Clinic

2015.06 - Current

Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Collected payments and applied to patient accounts.
Posted and adjusted payments from insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Precisely evaluated and verified benefits and eligibility.
Precisely completed appropriate claims paperwork, documentation and system entry.
Filed and updated patient information and medical records.
Prepared billing correspondence and maintained database to organize billing information.
Communicated effectively and extensively with other departments to resolve claims issues.
Liaised between patients, insurance companies, and billing office.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Evaluated patients' financial status and established appropriate payment plans.
Maintained and updated collections tracking spreadsheet to help organize payment information.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Corrected, completed and processed claims for multiple payer codes.
Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Scanned medical records in digital format for easy retrieval and accessibility.
Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
Scanned and uploaded medical records into electronic medical records system.
Provided prompt, polite and professional in-person and telephone customer service.
Updated patient information and insurance details for accurate electronic medical records.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Used Eclipse Practice Management Software to schedule appointments for doctor visits and procedures.
Verified insurance of patients to determine eligibility.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.

Summary

Overview

Work History

Medical Billing Specialist

Education

Associate of Applied Science - Medical Insurance Billing

Skills

Work Availability

Quote

Timeline

Medical Billing Specialist

Associate of Applied Science - Medical Insurance Billing

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