Phatimah L. Jones
Long Branch,New Jersey
Summary
Experienced with managing patient accounts and resolving billing discrepancies. Utilizes strong analytical skills to ensure accuracy in financial record-keeping and claim processing. Knowledge of effective communication strategies to support patient inquiries and insurance coordination.
Overview
21
21
years of professional experience
Work History
Commercial Patient Account Representative
Barnabas Health
Oceanport, New Jersey
12.2014 - Current
- 2014 - 2016: Resolved account exceptions causing balance discrepancies, updating insurance, transferring balances, requesting rebills, or posting adjustments to maintain proper collection flow.
- 2017 - 2019: Trained team members to perform work activities and use computer applications.
- Streamlined billing processes and procedures through collaboration with team members, enhancing overall efficiency.
- Collaborated with relevant parties to resolve billing issues, insurance claims, and patient payments.
- 2020 - 2026: Managed patient account inquiries and resolved billing issues efficiently.
- Addressed and resolved patient complaints regarding account balances, insurance coverage, and payment plans to improve patient satisfaction.
- Educated patients on financial responsibilities and payment options available.
- Assisted patients in understanding statements and addressing concerns promptly.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Reviewed EOB statements submitted by insurance companies for accuracy against provider's charges.
- Submitted electronic bills following facility and legal compliance standards.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
Associate Commercial Patient Account Representative
RWJ Barnabas Health
Oceanport, New Jersey
04.2013 - 12.2014
- My primary responsibility has been to review correspondence for priority or urgent mail and process accordingly.
- Ensure the correspondence is coded with the appropriate note code.
- Provide a detailed note pertaining to the type of correspondence received and the action taken.
- While processing the correspondence I may need to perform insurance updates and fulfill attorneys' requests.
Independent Contractor
Publisher Circulation Fulfillment
Neptune, New Jersey
04.2010 - 02.2016
- Deliver various newspapers to homes and businesses.
Program Associate
Bancroft
Brick, New Jersey
01.2013 - 03.2013
- I provided supervision, guidance, and instruction to neurologically challenged individuals.
Clerk
Staffing Remedies/ Horizon Blue Cross Blue Shield
Wall, New Jersey
04.2011 - 09.2011
- I was a temp in the Operation Support Center.
- I performed any tasks that are asked of me such as, preparing documents for DOCTI, verifying items in DOCTI, indexing Horizon subscribers, and other duties such a filing, faxing, and making copies.
Payment Poster
Pre Billing Consultants
Red Bank, New Jersey
03.2008 - 04.2009
- Post insurance, client, and patient payments to the appropriate accounts.
- Post contractual and negotiated adjustments when applicable.
- Review case history and remittance to determine the next steps in the process.
- Initiate the appeals process or the patient billing process on cases with a remaining balance.
- Determine the cause of credit balances and make the appropriate adjustments.
- May undertake special projects assigned by the Billing Manager.
- Reconciled discrepancies between payment postings and account statements to maintain data integrity.
- Processed and posted payments efficiently, ensuring accuracy in financial records.
Photo Technician/ Customer Service
Walgreens Pharmacy
West Long Branch, New Jersey
06.2005 - 04.2008
- Process one-hour photos, and assist customers around the store as well as with cash transaction.
Data Entry Clerk
Pre- Billing Consultants
Red Bank, New Jersey
06.2007 - 03.2008
- Entered data into an in-house system called MediSolutions, keying and checking all patient demographic information, medical codes, and charges.
- Prepared and sorted documents from hospitals and/or physician offices for data entry.
- Performed general clerical duties such as typing, answering phones, faxing, and filing.
Education
Public Administration (M.A.) -
The University of Arizona Global Campus
Chandler, Arizona11-2021
Certified Nurse's Aide -
LTC Career Training
Neptune, New Jersey08-2012
Bachelor of Arts (B.A.) - Criminal Justice
Saint Peter's University
Jersey City, New Jersey12-2007
Academic Diploma - undefined
Long Branch High School
Long Branch, New Jersey06-2003
Skills
- Proficient in Epic and
- Strong knowledge of medical billing procedures and insurance policies
- Excellent verbal and written communication skills
- Ability to work independently and as part of a dynamic team
- Strong problem-solving and conflict-resolution skills
- Detail-oriented with a focus on accuracy
Timeline
Commercial Patient Account Representative
Barnabas Health
12.2014 - Current
Associate Commercial Patient Account Representative
RWJ Barnabas Health
04.2013 - 12.2014
Program Associate
Bancroft
01.2013 - 03.2013
Clerk
Staffing Remedies/ Horizon Blue Cross Blue Shield
04.2011 - 09.2011
Independent Contractor
Publisher Circulation Fulfillment
04.2010 - 02.2016
Payment Poster
Pre Billing Consultants
03.2008 - 04.2009
Data Entry Clerk
Pre- Billing Consultants
06.2007 - 03.2008
Photo Technician/ Customer Service
Walgreens Pharmacy
06.2005 - 04.2008
Academic Diploma - undefined
Long Branch High School
Bachelor of Arts (B.A.) - Criminal Justice
Saint Peter's University
Public Administration (M.A.) -
The University of Arizona Global Campus
Certified Nurse's Aide -
LTC Career Training