Overview

Work History

Education

Skills

Timeline

Toni Jamison

Cleveland,OH

Overview

12

12

years of professional experience

Work History

Revenue Cycle Team Lead

Cloudmed R1

12.2018 - Current

Supervise team of five which includes but is not limited to training, performing quality assurance audits, monitoring staff productivity, and assigning worklist.
Responsible for resolving complex and high dollar claim denials.
Identify and research denial trends and provide recommendations for resolution.
Bill medical claims to insurance companies.
Submit appeals to insurance companies.

Revenue Cycle Team Lead

Bottom Line Systems, LLC

08.2015 - 11.2018

Billed medical claims to insurance companies.
Audited 1500 claims quarterly using managed care contracts.
Resolved underpaid accounts by articulating contract language to insurance representatives and submitted appeals and reconsiderations.
Trained and motivated team members to achieve organizational goals.
Reviewed month-end reporting for errors and reconciled variances.
Worked closely with client's revenue cycle management to resolve claims denials.

Customer Service Specialist

Medical Mutual

06.2012 - 07.2015

Handled over 100 inbound calls daily with personalized friendly service to ensure customer satisfaction.
Provided medical benefits and explained financial obligations via telephone to provider and members.
Resolved customer problems.
Adjudicated medical claims.
Trained newly hired specialist on business processes, internal operating systems, and medical benefits.

Education

BBA - Accounting

Cleveland State University

Cleveland, OH

Skills

Problem solving
Coaching and Mentoring

Performance monitoring and improvement
Proficient in Microsoft Word, Excel, Outlook, and Epic

Timeline

Revenue Cycle Team Lead

Cloudmed R1

12.2018 - Current

Revenue Cycle Team Lead

Bottom Line Systems, LLC

08.2015 - 11.2018

Customer Service Specialist

Medical Mutual

06.2012 - 07.2015

BBA - Accounting

Cleveland State University