Data Entry Insurance
Resume:
Ontario, CA
**.*******@*****.***
JENNIFER M. DURAN
OBJECTIVE
In search of developing and expanding my career. My focus is to join an established and success company that encourages growth and rewards dedication and determination. A company that strives to invest in growth and views employees as valuable assets for future growth.
SKILLS & ABILITIES
Exceptional leadership and goal achieving managerial skills
Detail oriented, focusing on completion and accuracy of complex duties
Outstanding people skills with the ability to handle complicated and adverse situations to ensure best possible outcome.
Accounts Receivables/Cash Handling
Expanded and proficient knowledge of multiple computer platforms; DMH billing, EHRS, Psych Consult, PC – Ace (Medicare)
EXPERIENCE
GATEWAY HOSPITAL
(Lead Patient Accounts Representative)
August 2010-Present
Lead and direct hospital billing department training staff members and implements best possible strategies to ensure efficiency
Responsible for hospital banking, daily data entry, utilization reports, and opening and closing episodes via the DMHIS system
Develop policies and procedures for in house staff to enforce accuracy and meet deadline competency
Monitor and reconcile cash flow including all account receivable duties; monitor agency EFT database
Knowledge of insurance benefit verification process; checking Medi-Cal and Third Party Commercial benefits
Process and adjudicate monthly billing to commercial insurance companies, Medicare, and patient billing to obtain payment
Work in-house and county denial reports to ensure payment is received for claims
GATEWAY HOSPITAL
(Patient Account Billing Representative II)
December 2007-August 2010
Processed billing and all financial duties for hospital
Accountable for screening patients and financially responsible parties
Managed reconciliation error reports, prepared donation letters, and daily census for hospital data purposes.
Successfully balanced monthly utilization reports and all mandatory county reports including and not limited to; daily data entry into in-house systems, posted and verified county payments, and completed monthly patient statements
PACIFIC CLINICS/PASSAGEWAYS
(Revenue Specialist)
July 2006-June 2007
Ensured and completed error correction reports
Opened and closed cases, updated consumers’ personal information
Maintained consumers’ financial folders regarding insurance benefits
Ensured adequate/appropriate revenue and service information reported to county
Performed basic clerical daily responsibilities to aide in career development
Mentored- trained support staff and assist when staff members were absent
PACIFIC CLINICS/AB34
(Reconciliation Clerk/Receptionist)
September 2003 – June 2006
Maintain front office assisting clinical staff as well as mentally ill consumers
Daily data entry into county system and enter prescriptions into PATS system
Prepared department productivity reports for director
EDUCATION
GLADSTONE HIGH SCHOOL
1997 – 2001
EAST LOS ANGELES COLLEGE
2002
DES MOINES UNIVERSITY
Medical Terminology Certificate
2017
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