Onesiana Jackson
Houston,Texas
Summary
I am a healthcare professional with 10 years experience patient registration, insurance verification, billing and coding payment posting, claims appeals, authorization request and referrals. I am excited to meet with and describe how I could be a value add to your organization.
Overview
16
16
years of professional experience
Work History
Cash Application Specialist
Houston Methodist
05.2020 - Current
- Reviews remittance advices or explanation of benefits received in lockbox correspondence to apply correct contractual adjustment and enters appropriate account status.
- Researches transactions appropriately to ensure that payments are correctly applied. Resolves any pending electronic transactions upon management's request.
- Identifies and resolves unmatched cash transactions in a timely manner. Thoroughly utilizes all available resources to research any potential refund to ensure accuracy and prepares refund requests when appropriate; consistently follows the Levels of Authority (LOA). (EF)
- Completes reconciliation of unidentifiable/unmatched cash receipts. Processes insurance refunds as applicable.
- Reviews and enters all transactions from work driver rejections/exceptions.
- Resolves assigned reconciling items to ensure the proper statement of cash in financial reports.
- Plays a key role in month end by clearing any assigned tasks for month end and assists with additional research and/or posting as needed to close month properly.
- Reviews remittance advices or explanation of benefits received in lockbox correspondence to apply correct contractual adjustment and enters appropriate account status.
- Researches transactions appropriately to ensure that payments are correctly applied. Resolves any pending electronic transactions upon management's request.
- Identifies and resolves unmatched cash transactions in a timely manner. Thoroughly utilizes all available resources to research any potential refund to ensure accuracy and prepares refund requests when appropriate; consistently follows the Levels of Authority (LOA). (EF)
- Completes reconciliation of unidentifiable/unmatched cash receipts. Processes insurance refunds as applicable.
Patient Access Representative III
Lyndon B Johnson Emergency Center
10.2018 - 10.2019
- Directly oversee the daily activities of the registration areas to ensure department standards are met
- Continually educate all registration staff of any changes pertinent to their roles, when appropriate, and relieve staff members during employee sick/vacation time
- Insurance verification , prior authorizations, and referrals
- Order supplies according to budget guidelines and department needs, assist with the processing
- Trainer for all New hires
- Collect copay and deductibles
- Post Payments to patient account.
- Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
Sr. Patient Access Rep
UT Physicians Ortho
06.2015 - 09.2017
- Scheduling patients for the Orthopedic department
- Insurance verification, prior authorizations, and referrals
- Obtains and inputs patient demographic information into the patient database
- Enter physician's Billing charges daily Coding with knowledge of modifiers
- Collect copay and deductibles
- Post Payments to patient account.
ER Patient Access Representative III
St. Joseph Medical Center
12.2008 - 06.2015
- Assist Manager to ensure all personnel and department policies and procedures are followed, assume on-call responsibilities to ensure adequate staffing
- Order supplies according to budget guidelines and department needs, assist with the processing of payroll for his/her direct reports by maintaining employee edit requests, PTO requests, etc
- Directly oversee the daily activities of the registration areas to ensure department standards are met, continually educate all registration staff of any changes pertinent to their roles, when appropriate, and relieve staff members during employee sick/vacation time
- Register patient in the emergency as well as bed control for both of the hospital campuses Financial Counselor
- Review contract interpretation, pre-cert/authorization compliance, and upfront collection for all in-house accounts
- Facilitates the coordination of account follow up with the assigned Case Manager Admissions Representative
- Interview the patient, obtained and records demographic and financial information, ensures insurance eligibility, performs pre-cert/authorization, calculates and collects patient portion at time of service.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Claims Examiner
Office Team
07.2008 - 09.2008
- Ensures payments are processed according to contract terms
- Strong knowledge of HCFA's, UB92s and the ability to extract and enter data from claims system.
- Overseeing and working rejected claims
- Work aging claims appeal and followup
- Medical records request for processing claims
Insurance Collection and Appeals
Express Personnel
03.2008 - 06.2008
- Insurance billing and coding for City of Houston Fire Department and Cy Fair Volunteer Department
- Payment collections and posting
- Appeal insurance companies as need to collect payment for accounts drop invoices to patients and insurance for payments.
- Improved cash flow by efficiently managing outstanding accounts receivable balances.
- Analyzed customer financial records to determine appropriate payment plan.
Education
Associate of Science Health Care Administration/Health Management -
University Of Phoenix
Houston, TX09.2013
Skills
- Microsoft Excel proficiency
- Cash Management
- Payment Processing
- ERP System Knowledge
- Spreadsheet tracking
- Account updating
Timeline
Cash Application Specialist
Houston Methodist
05.2020 - Current
Patient Access Representative III
Lyndon B Johnson Emergency Center
10.2018 - 10.2019
Sr. Patient Access Rep
UT Physicians Ortho
06.2015 - 09.2017
ER Patient Access Representative III
St. Joseph Medical Center
12.2008 - 06.2015
Claims Examiner
Office Team
07.2008 - 09.2008
Insurance Collection and Appeals
Express Personnel
03.2008 - 06.2008
Associate of Science Health Care Administration/Health Management -
University Of Phoenix
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