Medical Billing Manager

Nicole Jackson

*** ***** ***** ******, * hiladelphia, PA 1 9139

Home: 215-***-**** : N **********@*****.***

Professional Summary

Patient-focused Account Manager skilled at medical billing, coding and office management. Reliable multi-tasker with

outpatient and inpatient medical office experience.

Systems Experience

MedCom Soft

Authorize.NET

EHS

EPIC

Bank of America

IDX & SMS

RCO

CT Vision

Ceridian

Navinet

NextGen

Microsoft Word, Outlook, Excel, Powerpoint

Skill Highlights

Maintains strict confidentiality

Knowledge of HMOs, Medicare and Medi-Cal

Medical Manager Software

Managed care contract knowledge

Electronic Medical Record (EMR) software

Medical billing software

Strong planning skills

Patient-focused care

Strong work ethic

Team player with positive attitude

Deadline-driven

Good written communication

Professional Experience

Account Payment Processing Manager

April 2009 to June 2013

James F. McGuckin Inc. - Philadelphia, PA

Applied insurance and private pay payments to billing charges

Processed credit card payments

Entered demographics into the EMR

Performed chart audits

Trained employees with posting payments

Managed four payment processors

Adjusted accounts

Reconciled receivables with billings daily

Distributed medical records

Created medical record invoices

Credentialed physicians for insurance contracting

Payment Processing Supervisor

January 2007 to March 2008

Take Care Health Systems - Philadelphia, PA

Supervised staff of six-ten payment posters, trained new employees.

Created and maintained efficient filing system, appealed problem claims.

Made cash, credit card, and check deposits from patients and insurance companies, made balance adjustments.

Month end reconciliation, achieving monthly goals

Clinic Operations Leader

July 2008 to October 2008

Cancer Treatment Centers of America - Philadelphia, PA

Maintained and supervised daily flow of office procedures

Reconciled travel expenditures' with weekly budget accounts

Approved time sheets for office staff

Addressed patients with special issues or concerns

Patient Support Specialist

September 2006 to January 2007

Holy Redeemer OB GYN - Philadelphia, PA

Checked patients in/out, updated demographics, answered multi- telephone system.

Collected payments, verified insurance, filed charts.

Accounts Receivable Lead II

March 2002 to September 2006

Tenet Health Systems - Philadelphia, PA

Made 60-80 phone calls for claim resolution, responsible for various monthly goals.

Corresponded with a variety of insurance companies for resolution on problem claims, assisted collectors with

issue resolution.

Submitted appeals to insurance companies, auto, and workers compensation.

Billing Representative

January 2001 to March 2002

University of Pennsylvania Hospital - Philadelphia, PA

Thoroughly reviewed rejected claims and errors, corrected coding discrepancies.

Posted bankruptcy adjustments, submitted workers compensation and auto claims.

Satisfied attorney request, updated demographics, billed self-pay accounts, re-billed insurance companies upon

making necessary corrections.

Receptionist

December 1999 to January 2001

Mt Airy Family Practice - Philadelphia, PA

Answered telephones, schedule appointments, checked patients in and out for their appointments.

Opened and closed office, collected payments.

Education and Training

Bachelor of Science : Human Services, 2016

Chestnut Hill College - Philadelphia, PA

A.A.S: Liberal Arts/Behavior Health, 2010

Community College of Philadelphia - Philadelphia, PA

Diploma : Medical Billing and Office Management, 1999

Thompson Institute - Philadelphia, PA

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