Nicola Jackson
Medical Billing Specialist
Powder Springs,GA
Summary
Competent Medical Billing Professional with 8 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist
One Stop Wellness Clinic
06.2015 - 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.
Education
Associate of Applied Science - Medical Insurance Billing
Gwinnett College
Marietta, GA08.2023
Skills
- Claims Review
- Healthcare Terminology
- Insurance Collections
- Microsoft Office
- Benefits Verifications
- Electronic Health Record Software
- MEDISOFT
- Medicare and Medicaid Processes
- ICD-10 Coding
- Payments Posting
- ECLIPSE
- HIPAA Compliance
- Medical Claims Submission
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
I feel that luck is preparation meeting opportunity.
Oprah Winfrey
Timeline
Medical Billing Specialist
One Stop Wellness Clinic
06.2015 - Current
Associate of Applied Science - Medical Insurance Billing
Gwinnett College
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