Shaneena L. Jackson
Health Information Technology
Philadelphia,PA
Summary
Dedicated healthcare professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
15
15
years of professional experience
Work History
Medical Biller
Golden Hour
05.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on over 35 accounts daily.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Biller, Accounts Receivable
Prime Healthcare Management-Lower Bucks Hospital
12.2021 - 05.2022
- Proactively review over 40 patient records daily, to identified medical codes and created invoices for billing purposes
- Identity trends that result in non-payment of medical claims due to internal/external review.
- Collaboratively work with other team members to expedite resolution of outstanding medical claims.
- Utilize EPIC for posting payments, adjusting accounts and working denials.
- Prepare billing statements for patients and verified correct diagnostic coding
- Track contracts, proposals and waivers to keep billing accurate and current
Patient Access Navigator 2 Team Lead
Cooper University Hospital
01.2017 - 12.2021
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Managed team of 7 employees, overseeing escalated issues, training, and professional growth of employees
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Medical Biller, Accounts Receivable
SAGE Virtual Staffing, LLC
10.2020 - 11.2021
- Examined EOBs for services being denied or rejected for specific encounter by insurance provider.
- Verified patients' COB while also resubmitting claim to correct insurance payor.
- Updated A/R work list medical claim status using EPIC.
- Resubmitted denied/rejected claims by providing medical documentation electronically and on paper.
- Utilized EPIC to accurately manage over 40 patient accounts daily.
- Evaluated patients' financial status and established appropriate payment plans
- Prepared billing correspondence and maintained database to organize billing information
Licensed Health Insurance Agent
The Carney Group
01.2016 - 01.2021
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Adhered to health and prescription insurance products, delivery systems and claims systems.
- Educated clients on insurance policies and procedures.
- Analyzed customer needs to provide customized insurance solutions.
- Calculated premiums and established payment methods for sales.
- Managed over 50 customer calls per day.
Commercial Driver
AutoZone
04.2016 - 04.2017
- Loaded van efficiently, properly organizing packages depending on route.
- Demonstrated safe driving by following all regulations and safety procedures, resulting in zero accidents.
- Enhanced customer relations by consistently delivering shipments according to schedule and quickly addressing any concerns.
- Completed daily route consisting of up to 20 over more stops, focusing on safety and timeliness
Verification Specialist
Express Employment Professionals
10.2015 - 12.2015
- Decreased workflow queue by 50% by making over 200+ outbound calls daily.
- Verified information provided by over 50 applicants on application through oral and written communication.
- Conducted interviews pertaining to applicant's job performance and created comprehensive report in proprietary database using Microsoft excel.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration
Customer Service Representative
Office Team, Comcast Inc
07.2015 - 10.2015
- Maintained 100% customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided primary customer support to over 50 or more internal and external customers.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Regularly exceeded daily sales and product add-on quotas.
Certified Nursing Assistant
Public Partnerships LLC
02.2009 - 03.2015
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Assisted Registered nurse to completing about 10 wound treatments daily.
Education
Associate of Applied Science - Health Information Technology
DeVry University
Philadelphia, PA07.2021
Certification - Medical Assisting
Sanford-Brown Institute
TREVOSE, PA05.2007
Skills
- Accounts Receivable
- Analysis Skills
- Bill Payment and Recordkeeping
- Documenting and Recording Information
- EPIC
- ICD-10/CPT/HCPCS
- Medical billing
- Medical claims submission
- Medical terminology expert
- Medicare and Medicaid process
- Payment posting
- Registration and Scheduling
Timeline
Medical Biller
Golden Hour
05.2022 - Current
Medical Biller, Accounts Receivable
Prime Healthcare Management-Lower Bucks Hospital
12.2021 - 05.2022
Medical Biller, Accounts Receivable
SAGE Virtual Staffing, LLC
10.2020 - 11.2021
Patient Access Navigator 2 Team Lead
Cooper University Hospital
01.2017 - 12.2021
Commercial Driver
AutoZone
04.2016 - 04.2017
Licensed Health Insurance Agent
The Carney Group
01.2016 - 01.2021
Verification Specialist
Express Employment Professionals
10.2015 - 12.2015
Customer Service Representative
Office Team, Comcast Inc
07.2015 - 10.2015
Certified Nursing Assistant
Public Partnerships LLC
02.2009 - 03.2015
Associate of Applied Science - Health Information Technology
DeVry University
Certification - Medical Assisting
Sanford-Brown Institute
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