Medical Billing Manager

Jameel Robinson

**** ***** ***** ****** ***#* Jackson, MS 39206

Home 601-***-**** Alt. 601-***-**** Email: ********.******@*****.***

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PROFILE

Certified ACA, HIPPA, and FDCPA.

Demonstrated ability to handle difficult situations by using critical thinking and problem solving skills.

Commended for accuracy, data consistency, and record maintenance .

Proficient in AS400, MS Office, Word, and Excel

RELEVANT EXPERIENCE

April 2010- Present

Chickasaw Nation Industries (CNI)

Case Analyst/Collection/ Ridgeland, MS

Responsible for providing claims for payment updates to attorneys, beneficiaries, and other insurance companies.

Review and respond to requests for waivers and for reconsiderations.

Responsible for identifying mistaken Medicare primary payments and initiate recovery process within REMAS.

Issue conditional payment listings. Supports the MSPRC by determining Medicare’s responsibility for claims involving other parties, such as

Worker’s Compensation, the Working Aged, Auto/Liability/No Fault, Disability, End Stage Renal Disease (ESRD), Black Lung, and Veteran

Administrations (VA).

Responsible for ensuring payments and adjustments of claims have occurred in accordance with MSP laws, and will initiate recovery of

mistaken payments in accordance with the laws established for each category.

Maintain knowledge of liability and no-fault laws to determine the appropriate level of Medicare reimbursement, whether primary or secondary .

September 2009 – January, 2010

Assurance Collections, LLC

Manager/Client Development/ Flowood, MS

Responsible for recruiting to reorganize billing office and establish new job responsibilities to improve work flow and create opportunities for

cross training and career development/ Marketing and Networking for new business development. Created and designed all marketing

advertisement. (Traveled 40%).

Responsible for formulating strategic program plans, which assess policy/program feasibility and include realistic short-and long-term goals and

objectives. Provides for the effective selection, on-site training, development, orientation and performance management of staff.

August 2007 – September 2009

PharMerica

Account Manager/Ridgeland, MS

Direct patient access personnel in maintaining confidential information necessary to protect the medical center, patients, and physicians in

Accordance with the regulations set forth by the Health Information Portability and Accountability Act (HIPAA).

System Designer for Long-Term Care Homes.

Responsible for taking and resolving customer service calls.

Monitoring delinquent accounts.

Interact with doctors and Directors of Nursing, Medicare, and Medicaid agencies. Maintenance of monthly budget.

Account auditor and processor for Medical Billing Coordinator, Specialized in Physician billing and coding. Manage over 30 employees.

Manage, and adjudicate medical accounts over the Southeast Region. Interact and bill for all major Health and Rx insurance companies. Cross

trained in Admissions, Billing, 3RD Party insurance, and Collections. Reviewed patient’s Medical EOB’s, records and charts. Trained to package

and dispense of medications Overseer of Med-Control and delivery of medication.

Jan 2006 – June 2007

Healthcare Financial Services

Patient Account Coordinator/Flowood, MS

Managed accounts payable and receivable, resolved probate accounts in bankruptcy. Trained as Medical Billing Coordinator. Specialized in

physician billing and coding. Refer past due accounts to Legal department. Follow up with physicians and director of nursing monthly. Filed

electronic claims to insurance companies. Controlled maintenance of various accounting ledgers and monthly reserves.

Collected on past due accounts. Post payments to accounts. Developed monthly collections report. Process credits and refunds for Pharmacy,

GMs, and physicians.

December 2004 –December 2006

Universal Collections System

Collections Manager/Jackson, MS

Managed a team of 6. Collected for COMCAST CABLE. Auditor for budget planning and account ledgers. Medical Billing Manger. Specialized

in physician billing and coding. Medical consulting. System Designer and Computer Programmer.

Adjudicated accounts concerning garnishments and judgments on bad debt.

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