Jacqueline N. Duncan
Title/Role: Data Entry Clerk
Skills:
Technology
Number of years’ experience
Date technology last used
Basic/Proficient/Expert
Data entry experience
Present
Expert
Experience with Microsoft Excel
5 Years
Present
Expert
High degree of familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)
5 Years
Present
Expert
Experience with web-based tools such as Salesforce, QuickBase, Smartsheet’s, google apps, etc.
7 Years
Present
Expert
Experience with Student Information Systems, in particular Follett Aspen or Pearson/AAL eSIS
3 Years
Present
Expert
Education:
Certificate, American Academy of CPR & First Aid, Inc. BLS CPR (Adult/Children/Infant) 9/16/2022-09/2024
Certificate, Basic Food Handler’s Course 2014
Certificate, Medical Office Professional, Career Technical Institute, Washington, DC 2012
Skills:
• Medical Health Insurance Processing
• CMS-1500 Claims Processing
• HCPCS Coding
• CPT Coding
• Medical Vocabulary and Terminology
• ICD-10 Coding
Employment History: Summary
Children's National Medical Center, Business Operation 2/2015- Present
Silver Spring, MD
Receive denial correspondence from insurance companies via mail or payment posting process indicating that claims are not being paid, may be electronic or paper format; evaluate type of denial using codes and prioritize work based on size of claim and likelihood of payment.
Proactively follow-up on submitted claims to determine payment status through telephone or web using cerner revenue cycle contact in a timely manner.
Research reason for denial and collect more information and documentation: review system records to identify source of denial; contact Clinic Operations staff, Utilization Management department and Health Information Management department to collect necessary information and documents, e.g., referrals, authorizations for appeal.
May recommend adjustments and write-offs to bill within identified parameters; refer to manager as appropriate; with required documents, write timely appeals for payment.
Manage large volume of denials to maximize reimbursement.
Proactively follow-up on submitted claims to determine payment status through telephone or web contact in a timely manner; collect information from carriers about what specific documentation is needed to pay claim; contact internal departments (Health Information Management, Clinic Operations) to information and documentation to carrier to facilitate claim payment; provide documentation via fax, phone or mail to payer, e.g., operative reports.
Track appeals of denied claims to determine status and work with carrier for payment; Resubmit claim if payor does not have record of claim.
Prioritize work to facilitate payment of higher account balances.
May follow-up with parent if insurance has paid parent to receive reimbursement.
May recommend adjustments and write-offs to bill within identified parameters; refers to manager as appropriate; Document actions in system including contact with payors, appeals sent, research findings, write-offs, documentation sent etc.
R. A. Investments Administrative Assistant 6/2013- 4/2015 Clinton, MD
Up load picture in to FASTRACT for banks
Answered phones and take messages for my supervisor
Make Appointments for client to review houses that were for sale or rent
Experience with Microsoft Office Suite (Excel) and Data entry
Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)
Evictions in the DMV areas
Pay roll and write out checks
Pay bills
Open mail and log it in
Filing and all other duty as assigned
Worked in the field
Scanning documents
Reggie Manor Security Company Constitution Hall, 12/2013 -2/2014
Washington, DC
Made sure that the patriots did not enter the stage area.
Check ladies’ purses for weapons, food and drinks
Cleared out Constitution Hall when the event was over
Secure stage door made sure patriots did not entered the hall.
Checked for VIP stage passes
Escorted performers to tour buses or SUV
Insurance Examiner (Externship) 3/2012 – 4/2012 Clinton, MD
Managed calls and scheduled appointments for insurance examiners to visit clients and create policies based on their circumstances
Experience with Microsoft Office Suite (Excel) and Data entry
Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)
Experience with web-based tools such as Smartsheet’s, google apps, etc.
Updated client insurance information and utilized the EMSI EXAM 4 and EMSI ARIA systems
Billed different companies through the EMSI Net website
Data Entry Clerk/Education Program Support Assistant 8/2009 – 6/2012 DCPS Afterschool Program, Washington, DC
Supported OST Teacher Facilitator in enrolling participants
Maintained accurate attendance and sign ins for all youth participants
Experience with Microsoft Office Suite (Excel) and Data entry
Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)
Experience with web-based tools such as QuickBase, Smartsheets, google apps, etc.
Experience with Student Information Systems, in particular Follett Aspen/Pearson/AAL eSIS
Assisted with enrichment and behavior management activities for youth
Monitored student progress and need as appropriate
Helped students prepare for presentations and participated in program monitoring
Data Entry Specialist 8/2006 – 7/2008 DC Department of Health Communicable Disease Division (Temporary Service), Washington, DC
Managed incoming medical cases to ensure data was complete for case review or additional investigation
Experience with Microsoft Office Suite (Excel) and Data entry
Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)
Experience with web-based tools
Experience with Student Information Systems
Tracked and logged medical case files and forwarded cases to appropriate state health agencies
Prepared acute case files for review by executive-level staff
Entered data into the database and adhered to confidentiality regulations
Scanning documents