PETRILLA JONES
Kissimmee,FL
Summary
Motivated healthcare revenue cycle professional with expertise in payment reconciliation, accounts receivable management, and insurance billing. Skilled in resolving payment discrepancies and ensuring compliance with Medicare and Medicaid regulations, while utilizing EPIC/EMR systems for accurate reimbursement and streamlined operations.
Overview
4
4
years of professional experience
Work History
BILLING COORDINATOR
Westminster Communities of Florida
Orlando, FL
03.2026 - Current
- Bill Medicare, Medicaid, and commercial insurance for skilled nursing services, ensuring accurate and timely reimbursement
- Manage accounts receivable (A/R) for multiple communities, including payment posting, deposit reconciliation, and billing adjustments
- Review and interpret EOBs and remittance advice to resolve discrepancies and properly allocate balances
- Perform A/R aging follow-up, moving balances and correcting accounts based on payer responses
- Process ancillary charges and resident billing, ensuring accuracy prior to distribution
- Obtain and verify insurance authorizations and assist in resolving claim and coverage issues
- Collaborated with clinical and therapy teams to ensure accurate billing and documentation of services, supporting compliance and reimbursement
- Support insurance audits and documentation requests, ensuring compliance with payer and regulatory requirements
- Conducted collections efforts on delinquent accounts, documenting outreach and resolutions for accountability and tracking
- Prepared monthly billing and financial reports for internal and community support teams to facilitate informed decision-making
- Liaise with the Therapy department to review and update billing for therapy services and ensure proper documentation.
- Support and coordinate with clinical teams for insurance audit requests, ensuring timely submission and compliance with payer requirements.
- Provided interim coverage for the Business Office Manager position, supporting daily operations and administrative continuity.
CASH RECEIPTS ANALYST I
Orlando Health
Orlando, FL
08.2025 - 03.2026
- Processed and reconciled daily lockbox, remittance, and electronic payments to ensure accurate posting to patient and insurer accounts.
- Researched unidentified and misapplied payments, resolving exceptions per payer rules to enhance accuracy in account management.
- Monitored assigned AR and followed up on outstanding balances, denials, and underpayments to support timely reimbursement.
- Investigate government payer denials, underpayments, and coordination of benefits issues to support timely reimbursement.
- Resolved complex payer discrepancies and coordinated claim corrections or rebilling to secure appropriate reimbursement.
- Identified payment variances and credit balances, recommending refunds that ensured compliance with financial policies.
- Investigated payment variances using EPIC transaction logs to identify root causes, implementing corrective actions that improved reconciliation processes.
- Examined remittance patterns across payers to diagnose recurring posting errors, proposed corrective steps that produced noticeable improvements in account resolution.
- Review Medicare and Medicaid remittance advice (RA) and Explanation of Benefits (EOBs) to verify claim adjudication and resolve payment discrepancies.
FINANCIAL COUNSELOR II
Orlando Health
Orlando, FL
02.2024 - 08.2025
- Negotiated discharge settlement options to convert outstanding balances into timely payments, supporting revenue capture and maintaining patient relationships.
- Coordinated with clinical teams, payers, and financial services to eliminate barriers and enhance access to care.
- Clarified financial responsibility for patients by explaining Medicaid and Medicare benefits and coverage limits.
- Collected and verified patient demographic and financial data and secured necessary authorizations to support accurate billing.
- Used electronic verification and registration systems to validate insurance and support medical necessity screening.
- Ensured HIPAA, CMS, and payer policy compliance during all patient financial interactions.
RECEPTIONIST / PATIENT ACCESS REPRESENTATIVE
HCA Florida Hospital
Orlando, FL
01.2023 - 02.2024
- Verified patient demographics and insurance at check-in, improving registration accuracy and reducing eligibility errors.
- Scheduled and confirmed appointments across departments following provider templates and authorization rules to maintain appointment integrity.
- Managed high-volume inbound calls, routing clinical and admin inquiries to ensure timely patient care delivery.
- Coordinated communication among patients, nurses, physicians, and ancillary teams to prevent service delays and enhance patient flow.
- Coordinated with billing and clinical teams to expedite authorization checks, improving appointment readiness and reducing administrative back-and-forth.
- Scanned insurance cards and uploaded documents while maintaining HIPAA compliance to secure patient records.
- Performed clerical tasks including faxing, emailing, and filing to keep patient files organized and support operational efficiency.
- Trained new front-desk staff on system navigation and customer service standards, reducing onboarding time and improving team readiness.
Education
BACHELORS - HEALTH SERVICE ADMINISTRATION
University of Central Florida
Orlando, FL08-2025
ASSOCIATE - GENERAL STUDIES
Valencia College
Orlando, FL12-2023
Skills
- Insurance payer communication (Experienced)
- EOB analysis (Skillful)
- Denial research and resolution (Skillful)
- Reimbursement support (Skillful)
- Accounts receivable management (Skillful)
- Insurance validation (Skillful)
- EMR Systems (Experienced)
- EPIC System (Experienced)
- Data management (Skillful)
- Data entry (Skillful)
- Microsoft office (Experienced)
- Customer service (Expert)
- Multitasking (Skillful)
- Reimbursement support (Skillful)
COURSES
- CERTIFIED REVENUE CYCLE REPRESENTATIVE (CRCR) Healthcare Financial Management Association (HFMA) Jun 2025 – Jul 2027
- BUSINESS OF HEALTH CARE Healthcare Financial Management Association (HFMA) Mar 2026 – Mar 2028
Timeline
BILLING COORDINATOR
Westminster Communities of Florida
03.2026 - Current
CASH RECEIPTS ANALYST I
Orlando Health
08.2025 - 03.2026
FINANCIAL COUNSELOR II
Orlando Health
02.2024 - 08.2025
RECEPTIONIST / PATIENT ACCESS REPRESENTATIVE
HCA Florida Hospital
01.2023 - 02.2024
BACHELORS - HEALTH SERVICE ADMINISTRATION
University of Central Florida
ASSOCIATE - GENERAL STUDIES
Valencia College