Rashya Jackson
Arlington,TX
Summary
Seeking a position in healthcare administration as a Patient Advocate, Medical Biller, Accounts Receivable Specialist, Insurance Verifications, or Financial Counselor. My years of experience in the healthcare industry show that I have the qualifications required to successfully fill the position.
Overview
24
24
years of professional experience
Work History
Medical Billing Specialist
Independent Contractor Medical Biller/A/R Specialist - R & R Billing Services
Dallas, Houston, Texas
01.2016 - Current
- Duties: DME Authorizations, Credentialing, Insurance Verifications, DME billing, In State and Out of State Medicaid billing, and Commercial insurance billing. Use of Epic and Centricity. Trained new hires and trained with new implementations of software. Took patient calls to discuss and resolve any problems with their accounts.
- Verified accuracy of accounts, resulting in 98% or more in monthly revenue
Billing Specialist Medicaid and Commercial Insurance Biller
Trinity Healthcare LLC
Fort Worth, Texas
05.2024 - 03.2025
- Duties: Medicaid and Commercial billing for 23 Skilled Nursing Facilities, responsible for managing the Aging reports for each facility, creating monthly claims according to the census to bill, editing claims when rejected in Claims Management and Innovalon. Follow up on claims to ensure that they are processed and paid in a timely manner. Work denials by sending appeal letters for reconsideration by mail or on the payer portals. Posting payments daily. Interact with the facilities Regional Financial Consultants and the Business office managers to ensure that the resident accounts were accurate.
Sr. Insurance Specialist • Financial Counselor
USMD Hospital
Arlington, Fort Worth, Texas
08.2008 - 09.2015
- Duties: Inbound self-pay calls from patients, verification of new insurance. Sent applications to patients in need of financial assistance. Billing/Collections for both in/outpatient facility services. Edited rejected claims in SSI, researched with admissions on rejected claims to be resubmitted, appeals, etc. Reviewed all incoming applications for financial assistance to make sure the patient met the mandated poverty guidelines to quality for financial assistance.
A/R and Billing Supervisor
Central Line Infusion
Amarillo, Dallas, Texas
06.2002 - 07.2008
- Duties: Created Billing/ A/R dept. for company, trained all new hired employees, worked and resolved all difficult accounts. Reconcile Month end, performed supervisor duties including checking payroll and overseeing employee evaluations, overseeing internal insurance company audits. Worked aging reports to ensure that Billing A/R goals were met each month. Had to interact with the home health patients regarding their services.
- Built highly efficient A/R and billing team through ongoing coaching and professional development opportunities.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Participated in interdepartmental initiatives aimed at streamlining workflows across various billing functions, resulting in more efficient resource allocation and improved overall performance.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Improved billing accuracy by implementing systematic audits and updating procedural manuals.
- Reviewed documentation for compliance with requirements and accuracy of information.
Education
Business Administration And Management
Eastfield College
Mesquite, TXSkills
- Proficient in billing software
- Insurance eligibility verification
- Billing document handling
- Customer support
Summary of Qualifications
- Over 25 years of Experience in the Healthcare industry
- Knowledge of various Software, Payer Portals, Claims Clearinghouses
- Waystar, Availity, Echo, TMHP, Superior, Matrix Care, Innovalon, Claims Management, Epic, Centricity, and Medix
- Leadership Skills, Excellent Customer and Patient service skills
Timeline
Billing Specialist Medicaid and Commercial Insurance Biller
Trinity Healthcare LLC
05.2024 - 03.2025
Medical Billing Specialist
Independent Contractor Medical Biller/A/R Specialist - R & R Billing Services
01.2016 - Current
Sr. Insurance Specialist • Financial Counselor
USMD Hospital
08.2008 - 09.2015
A/R and Billing Supervisor
Central Line Infusion
06.2002 - 07.2008
Business Administration And Management
Eastfield College