Jenelle Allen

Jenelle Allen acgo09@r.postjobfree.com / acgo09@r.postjobfree.com

**** ****** **

Miramar, Fl. 33023

954-***-**** Cell 954-***-****

OBJECTIVE: To advance in a career with-in the Financial Management division of the Healthcare

Industry

EXPERIENCE:

06/2014 – Present PEDIATRIX Medical Group Sunrise FL

Provider Enrollment Associate

02/2014 – 05/2014 DCRX Infusion Ft Lauderdale FL

Reimbursement Billing Specialist Customer Account Specialist

Billing Collections Customer Representative

Temporary Assignments All Medical Staffing

10/2013-12/2013 UPM / Florida Woman Care Collections Claims Billing Manager

Contract Position Physicians Management Billing OBGYN billing specialist

09/2013 - 9/2013 PEDITARIX MEDICAL GROUP Temp SUNRISE FL

Insurance verification AR Data input, Disability case specialist Basic medical office

Temporary Assignment

06/2013-08/2013 AVMED HEALTH PLANS Temp MIAMI, FL

Provider Service Rep. / Credentialing Specialist

Answer calls from providers in reference to claims status. Handle Provider Request for enrollment

Credentialing Specialist Process claims for release process over payment request to providers handle

reconciliation for over paid claim with contracted providers credential providers who wish to participate

educate providers on Medicare product.

Chamberlin Edmonds Inc. Miami FL

06/2011 -04/2013

HCR / Health Care Administrator at JMH Health Systems & Broward Health

Medically screen unfunded patients for eligibility for state and federal benefits. Assist Providers with

Credentialing packets with government and privet payers Take and complete disability and Medicaid

applications. Bill hospital for accounts converted from bad debt to revenue. Process charity and financial

applications for patients who qualify for services Issues medical cads submit all disability claims. Assist

patients in applying for available benefits

Walgreen’s Respiratory & Infusion Services Pompano FL

06/2010-01/2011

Medicaid/ Medicare Reimbursement Specialist / DME Credentialing Specialist

Vitas Palliative Care Inc. Ft Lauderdale FL.

03/2010-06/2010

Reimbursement Specialist / Credentialing Office Manager Temp Assignment

Vohra Health Services PA Miami Beach, FL

07/2009 - 01/2010

Medicaid Posting & Collections Specialist /Credentialing Manager /Reimbursement Specialist

Set up the practice in seventeen states In Charge of all credentialing for each new provider. Responsible

for all providers and facilities contract and participation set up the practice with the providers, to provide

service for Medicaid patients. Train New Physicians on Compliance and procedures for Medicaid and

Medicare reimbursements. Weekly Updates and training classes on payable and no-payable services.

Train all employees on the policy and procedures pertaining to Medicaid. Introduced Dr’s to Facility

Directors. Maintain all license and Compliance information. Credential Dr.’s and Physician’s Assistant as

well as Nurses for Medicaid Reimbursement, for every state we provide service. Assist Patients with

applications for Medicaid services. Code services, Post charges, file claims, and collect on all Medicaid

Accounts. Manage the Medicaid Department

07/08 - 04/2009 Dr. Simone Weiss LLC Hollywood, FL

Billing Office Manager MA

File all daily charges Post payments and work collections. Handle all reimbursement for commercial and

government Insurance Handle All Credentialing packets for government and commercial insurance.

Check- in Checkout, Pull Charts, Note patient charts. Code surgeries. Answer all calls for billing, assist

customer inquiries. Verify benefits. Make payment arrangements. Collect and post Insurance payments.

Collect all patient balance. File all claims to insurance. In charge of the billing for the practice.

01/06 - 07/08 The Emory Clinic Atlanta GA

Reimbursement Specialist /Collections Medicaid Rep

Transplant Spec. Billing & Case Mgmt.

Patient Account Rep III

Third Party Rep for UHC. Called for claim status. Post payments to IDX file and re-file all claims to

Insurance for processing. Follow-up with payer for correct payment, handle all high balance claims. Post

EOB’s correctly bill patients, collect payments. Train new employees on how to use system. Process all

DME order requests. File all transplant claims. Confirm the Payer received packages. Account

reconciliation. Post payments from Insurance. Assist Nurse's with case management. Charge Corrections.

Collect payments. Answer calls from different sections on case request. Set case up in IDX for special

billing. Work Medicaid accounts for retro eligibility. Assist with Spanish calls in Customer service.

Healthworx LLC Hollywood, Fl.

10/2005 - 01/2006

Medicare Collector / Medical Biller Temporary A/R Project. Answer calls from patients. Medicare Specialist.

Call Medicare to question claim status, resubmit, request reviews, and prepare appeals. Patient accounts specialist.

Post Payments, Bill claims, and Code surgeries for billing. Place calls to Insurance about claims.

Femwell Group Health Hollywood, Fl.

5/1999 - 4/2005

Office Manager Billing Manager OBGYN Office

Post all daily charges. Call insurance to collect on Claims. Post Payments from insurance and Patients.

Bill all claims. Bill Surgeries. Code the charges, Special Reconciliation; collect on all Medicaid &

Medicare accounts. Assist with retro applications for Medicaid and community care. Collect Commercial

and private payers. Obtain Referrals and Authorization. Prepare accounts for third party Collection. Make

appointments. Surgery Coordinator. Manage the billing/ and collections staff.

EDUCATION:

Broward College AA

MA, LPN, CPAR

Health care admin

Griffin Tech / Sheridan Tech

Medical Admin Medical Billing / Coding (CPC)

ADDITIONAL INFORMATION:

I have over fifteen years of experience in the Medical financial field. My skills include, Medical Office

Management, Medical Practice Management, Provider maintenance specialist, Provider enrollment

coordinator, Customer Service Manager, Customer Service call center Representative, Revenue Recovery,

Hospital Administration, Medical Collections, Billing Specialist and Surgery Coordination. I have been

able to utilize my skills in the reimbursement, medical billing & coding, and collections field for the last

seventeen years. I am State Certified Medicaid and Medicare Specialist. I have over twelve years in

provider relations and credentialing experience. I have worked with such software as Great Plains, As400,

Medi Soft, MOS, NextGen, Athena, Brightree, CPR+, Medical Manager, DATA OCEANS,EMR, I-

suite, Integex, Pat com, IDX, AVAYA, Lytec, Intergy, Coral, Citrix, Real world Accounting, Data Trac,

Mozart Power Chart CERNER and Emdeon Office. My software skills include Micro soft word, outlook,

power point, excel, quick books, Peachtree, ADP for payroll and, Quicken I also have a great deal of

experience in Insurance Verification Either Online or over the phone. I am a team player and a fast

leaner.

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