Tina Jackson
Moreno Valley,CA
Summary
Resourceful Medical Billing Specialist known for high productivity and efficiency in task completion. Specialize in accurate claim submission, effective revenue cycle management, and comprehensive insurance follow-up. Excel in problem-solving, communication, and time management to ensure smooth financial operations within healthcare.
Overview
13
13
years of professional experience
Work History
Billing Manager
Rehab Specialists, Inc.
02.2023 - Current
- Oversee the billing department, ensuring accurate and timely processing of claims
- Manage and resolve rejected and denied claims by various payers, including Medicare, Medicaid, and commercial insurance carriers
- Interact with the Credentialing Department to handle enrollment issues
- Train staff and conduct weekly meetings with offices regarding demographic and insurance errors
- Compile aging reports and other relevant data for upper management
- Perform data entry and maintain productivity reports
- Review CPT and ICD-10 codes for accuracy on patient ledgers
Medical Billing Specialist
Carbon Health
05.2021 - 03.2023
- Processed rejected and denied complex claims to generate revenue
- Disputed denied claims with Medicare, Medicaid, and various commercial insurance carriers
- Reported insurance trends to management and researched complex claims for proper handling
- Interacted with the Credentialing Department to resolve enrollment issues
- Performed data entry and maintained productivity reports
- Reviewed CPT and ICD-9 codes for accuracy on patient ledgers
Medical Billing Specialist
Rehab Specialists
05.2021 - 06.2022
- Posted all insurance payments and assisted the manager with accounts receivables
- Accurately interpreted EOBs and posted them daily to patient ledgers
- Identified and corrected medical coding procedure or fee errors and omissions
- Disputed unpaid claims with insurance companies and appealed claims when necessary
Accounts Receivable Manager
Med-Billing Solutions, LLC
01.2020 - 05.2022
- Managed and collected over $1.3 million per month for an infusion therapy center
- Supervised and trained billing staff and off-shore support teams
- Appealed and followed up on problematic claims
Accounts Receivables Manager
Complete Medical Administrative Assisting
08.2012 - 12.2019
- Managed accounts receivables and trained billing staff
- Ensured timely follow-up and payment of claims
- Served as the initial contact for clients and patients regarding insurance claims and account inquiries
Education
Medical Billing and Coding Diploma -
Charter College
03.2011
Associate of Arts - Social Science
Laney College
01.1992
Skills
- Project Management
- Revenue Cycle Management
- HIPAA knowledge
- Payment posting
- Insurance Verification
- Team direction
- Workflow Planning
- Invoice Processing
- Collections understanding
- Report Preparation
- Staff Training and Development
- Claims Processing
- Operations Monitoring
- Process Improvements
Timeline
Billing Manager
Rehab Specialists, Inc.
02.2023 - Current
Medical Billing Specialist
Carbon Health
05.2021 - 03.2023
Medical Billing Specialist
Rehab Specialists
05.2021 - 06.2022
Accounts Receivable Manager
Med-Billing Solutions, LLC
01.2020 - 05.2022
Accounts Receivables Manager
Complete Medical Administrative Assisting
08.2012 - 12.2019
Medical Billing and Coding Diploma -
Charter College
Associate of Arts - Social Science
Laney College