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Customer Service, database management, auditing,Business Office

Location:
Arlington, VA
Posted:
March 05, 2024

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Resume:

Jackelinne Kimble

**** * ****** ****** *********, VA 22206 § 202-***-**** § ad34gm@r.postjobfree.com

March 5, 2024

To Whom It May Concern:

In response to your recent advertisement for an open position, I would like to submit my resume for your consideration. I believe that my skills lend themselves well for this opening. Including but not limited to:

10+ years’ experience in Healthcare business office

Knowledge of Business office and reimbursement functions

Knowledge of coding including 837, UB92, CPT, HCPCS and CPT

Excellent customer service skills

Ability to problem solve

Excellent customer service skills

Ability to work independently and in a team environment

Ability to maintain a high volume of processing without compromising quality and accuracy

Ability to participate in an environment that promotes staff development, productivity, satisfaction and efficiency

I feel my experience would be of considerable value in identifying and implementing the initiatives necessary to meet the needs of your company.

Enclosed is my resume further detailing my work experience. I am available at your convenience and I can be reached at

202-***-****. Your attention in this matter is greatly appreciated

Sincerely,

Jackelinne Kimble

Jackelinne Kimble

2443 S Oxford Street Arlington, VA 22206 § 202-***-**** § ad34gm@r.postjobfree.com

Experience

American Society of Clinical Oncology Alexandria, VA 9/21 - Present

Operations Database and donation audit Analyst

Process all incoming gifts, including collaborating with other team members to determine appropriate gift designations, allocations, and special handling requirements

Provides exceptional donor support through timely and accurate acknowledgements, membership updates, and follow-up on all donor inquiries

Responsible for producing and maintaining daily reports

Maintain relationship with third-party donation pass-through entity and processing donations through manual entries or imports as necessary

Provide team support where needed

Healthqare Associates Arlington, VA 4/17 – 6/21

Assistant Medical Office Manager and Senior Patient Services Coordinator

Ensure timely and accurate billing for all and new recurring patients

Review patient insurance to reduce billing errors and claims accuracy

Assist in implementing processes and upkeep being of systems to support organization goals

Respond to patients/customers inquiries and concerns regarding treatment and payment options

Manage collection accounts, petty cash and office and office supplies when needed

Daily reimbursement activities for claims submitted to third party payers.

Understanding of coding and billing requirements including ICD10, UB04, HCPCS and CPT (Current Procedural Terminology).

Assist other team members with other daily operations

Submit reports and work with corporate office, medical Director, sales and marketing on new projects

OSIRIS THERAPEUTICS Columbia, MD 1/15 – 4/17

Hotline Operations Supervisor & Reimbursement Specialist

Supervise daily operations to ensure daily workflow and allocation of resources to meet demand for services

Provide training, coaching, mentor, and on the spot answers to daily questions regarding insurance

Being directly responsible for process improvement on all Operations Health Policies and Sales

Responsible for; the hiring and development of the reimbursement and associate team

Provide assistance and support to lead Director when needed

Responsible for process improvement and metrics, and ensure quality process

Train all aspects of insurance verification, prior authorization, patient assistance, and claims processes

PAREXEL International Corporation Centerville, VA 4/13 – 1/15

Medical Reimbursement Auditor

Assisted Manager with analytical analysis of program data, prepared reports, and conducted quality assessment

Monitored live calls/ recorded calls conducted by staff as required by departmental Guidelines

Consulted with CMS regarding LCD for proper coding and billing

Reviewed data entry, medical coding program correspondence which was created by staff.

Responded to escalated customer calls from program team, as needed

Obtained prior authorizations and claim appeals, as needed

Maintained an outstanding relationship with Physicians, physician’s staff and 3rd party payors

State Farm Insurance Falls Church, VA 2007 – 2013

Insurance Sales Producer

Tracked and monitored existing and new client data, prepare daily and weekly reports and letters.

Responded to pricing inquiries, providing accurate and timely information and quotes.

Worked closely with Insurance Agent to ensure accuracy and highest levels of service.

Provided Clients with excellent customer service regarding all types of insurance

Perform administrative and clerical duties as needed.

Education

University of Phoenix - Major: Certificate in Business/Administration

Skills

Software: Microsoft Office including Excel, Word and Outlook, SalesForce, SalesNET ArchE, and other Medical Software

References: Furnished upon request



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