Charlotte Jackson
Loganville, GA 30052
acsnhg@r.postjobfree.com
QUALIFICATIONS
Dedicated Medical Biller/Coder with more than 15+ years of physician and hospital billing, coding, collection, customer service experience and over 3 years front office receptionist experience. Very detailed-oriented, flexible, quick leaner that adapts easily to new situations and enjoys a challenge. Self-motivated professional with a commitment to providing quality billing services. Strong organizational and communications skills and able to multi-task.
Skills SOFTWARE
• Customer Service GA Work Ready Certified
• CPAR Certified STARR/HBOC/EPIC
• Medical Terminology NueMD
• HIPPA Training SSI/Epremis/Emdeon
• CPT/ICD9 Medical Manger/MediTech
• UB 04/1500 claim form EFR/All Scripts/Health logic
• Window Vista/XP/Intranet/Internet RWS/CCSM
• MS WordExcel 2000 FSS/HPF/I suite/VRS
WORK HISTORY
08/14 – Present Medicare Biller
Wellstar Health System
Medicare Biller
Medicare Auditor
Appeals
Follow up
Redetermination
Denial
Coder (as needed)
(Wellstar) Promotion to Senior Billing REP 02/15
04/12 - 08/14 Medicare Billing I Clerk
Northside Hospital, Atlanta, GA 30304
Medicare Billing
Medicare Auditor
Coder (part-time)
Collections/Follow up & Resolution
Appeals
Denial
Reimbursement/Remits
Redeterminations
11/08 – 04/12 Medicare Team Leader, Hospital/Physician Medicare Biller
Phoebe Putney Memorial Hospital, Albany, GA 31701
Medicare Billing
Medicare Auditor
Medicare Credit Balance Report
Collection/Follow up & Resolution
Appeals
Denial
Reimbursement/Remits
Redeterminations
09/05 – 05/08 Team Leader, Medicare Biller/Collector
Conyers Family Practice, Conyers, Ga 30013
Oversee department of 10 medical billers
Develop employees and provided effective performance management including corrective action plan.
Assist with recruiting, selecting and orienting new employees.
Medicare Billing/Collection
Medicare Auditor
Stayed abreast of current regulatory requirements.
Identified training needs and assist in conducting training for new staff as well as ongoing/updated training for current staff.
Reviewed all appeals, denial and rejects from Medicare. Effectively made corrections as needed.
01/00 – 09/05 Team Leader, Medicare/Medicaid Billing Specialist
InHealth Billing Services, Atlanta, GA 30374
Oversee department of 15 medical billers
Develop employees and provided effective performance management including corrective action plan.
Assist with recruiting, selecting and orienting new employees
Medicare Billing/Collection
Stayed abreast of current regulatory requirements.
Identified training needs and assist in conducting training for new staff as well as ongoing/updated training for current staff.
Reviewed all appeals, denial and rejects from Medicare. Effectively made corrections as needed.
10/98 – 01/00 Customer Verification Representative
Apria Healthcare, Norcross, GA 30071
QAC (Medicare Biller)
Obtained and verify insurance eligibility for services provided
Perform prior authorizations as require by payor
Collected clinical information such as lab values, diagnosis codes, etc.
Determined patient’s financial responsibilities.
Configured coordination of benefits information on every referral.
Ensure assignment of benefits is obtained and on file for Medicare claims.
Handle inbound calls from patients, physician offices, hospitals, and/or insurance companies
Resolve claim rejections for eligibility, coverage and other issues.
10/92 - 07/98 Examiner/Quality Assurances
Ithaca of Camilla, Camilla, GA 31730
Examine ladies under garments for retailers
Leads and participates n various task forces as requested
EDUCATION/ PROFESSIONAL DEVELOPMENT
Small Business Admin, Associate. ITT of Tampa. Florida
Medical Assistant, Certification. Georgia Medical Institute
Medical Claims Processing, Certification. Absolute Bill Consult, La Habra, Ca
Health Info Management – Bachelor – Ashford University
REFERENCES AVAILABLE UPON REQUEST