Talisha Jackson
Memphis,TN
Summary
Healthcare professional with solid background in medical billing and coding. Expertise in managing billing cycles, resolving discrepancies, customer Care,Insurance,and ensuring compliance with healthcare regulations. Known for strong team collaboration and adaptability to changing requirements, effectively utilizing attention to detail and communication skills.
Overview
16
16
years of professional experience
Work History
Billing Specialist III
Quest Diagnostics Lab
12.2023 - Current
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Researched and resolved billing discrepancies to enable accurate billing.
- Claims processing
- Quality Assurance
- Medical billing
- Insurance verification
- EOB/UB04
- Prior Authorizations/Denials/Appeals
- Refund/Payment Posting
- Collections
Insurance Verification Specialist II
Semmes Murphey Clinic
08.2021 - 12.2023
- Clinical liaison between patient and third party
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Obtained payments from patients and scanned identification and insurance cards.
Clinical Liaison (Floater/mult-Specialties)
University Clinical Health
10.2019 - 06.2021
- Floater to all specialties including dentistry dermatology general medicine neurology ophthalmology plastics rheumatology and many more
- Responded to and investigated complaints and concerns of patients.
- Served as a liaison between patients and their insurance providers, advocating for coverage of necessary treatments and services.
- Conducted thorough assessments of patients'' medical histories, diagnoses, prognoses, medications, and treatment goals to determine eligibility for specific programs or services.
- Verified insurance coverage for patients and worked with clinic to schedule doctor visits and therapy sessions.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Evaluated patient satisfaction and made suggestions for changes or improvements.
Customer Service Lead
Randstad
02.2017 - 10.2019
- Enhanced customer satisfaction by resolving complex issues and providing timely solutions.
- Trained, oversaw, and mentored new team members to strengthen performance and job expertise.
- Handled escalated customer complaints professionally, ensuring prompt resolution and follow-up actions were taken as necessary.
- Managed high call volumes while maintaining a professional demeanor, resulting in increased customer loyalty.
- Greeted customers and listened closely to problems described to determine solutions.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Resolved customer service issues using company processes and policies and provided updates to customers.
Sr. Billing Specialist
Cigna
03.2013 - 03.2018
- Collections
- Negotiated payment plans with delinquent clients, minimizing losses while maintaining positive customer relationships.
- Enhanced customer satisfaction by addressing billing inquiries professionally and providing effective solutions.
- Reduced late payments by consistently following up with customers and ensuring timely communication of invoice details.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Claims processing
- Insurance verification
- Billing/payment posting/collections
- Claims processing
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Medical and Insurance terminology(extensive) Healthcare coverage (medicare/medicaid)
- High volumes of payment transactions, remittance, scanning and posting all insurance payment
- Appeals/prior authorization
Medical Office Assistant Lead
Methodist Lebonheur Healthcare
08.2009 - 03.2013
- Insurance verification, EMR, Medical records
- Negotiated favorable payment plans for uninsured patients, easing financial burdens while maintaining revenue goals for the organization.
- Optimized workflow efficiency by creating well-organized schedules for appointments, follow-ups, and claim processing deadlines.
- Resolved claim disputes between healthcare providers and insurers swiftly through clear communication, thorough documentation review, and professional negotiation skills.
- Managed large volume of medical claims on daily basis.
- General Medicine/Pediatrics/OBGYN/Delivery/ENT/Multi Specialty/Pediatrics/Geriatrics various specialties
- Enhanced patient satisfaction through prompt responses to inquiries, accurate appointment scheduling, and clear communication of policies.
- Managed patient records with strict adherence to HIPAA regulations, ensuring confidentiality and security of sensitive information.
- Streamlined patient registration processes by implementing efficient check-in procedures and digital forms.
- Communicated with patients, insurance companies and providers through phone calls, emails and office drives concerning formularies and coverage limits.
Education
High School Diploma -
Central High School
Memphis, TN05-2024
Medical Billing And Coding - Medical Billing And Coding
DeVry University
Chicago, IL10-2018
Timeline
Billing Specialist III
Quest Diagnostics Lab
12.2023 - Current
Insurance Verification Specialist II
Semmes Murphey Clinic
08.2021 - 12.2023
Clinical Liaison (Floater/mult-Specialties)
University Clinical Health
10.2019 - 06.2021
Customer Service Lead
Randstad
02.2017 - 10.2019
Sr. Billing Specialist
Cigna
03.2013 - 03.2018
Medical Office Assistant Lead
Methodist Lebonheur Healthcare
08.2009 - 03.2013
High School Diploma -
Central High School
Medical Billing And Coding - Medical Billing And Coding
DeVry University
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