Insurance Information Technology
Resume:
JESSIE GWALTNEY
**** ********* ****** ********, ******** 23226
804-***-**** ******.********@*****.***
SUMMARY OF QUALIFICATIONS
Significant knowledge of medical billing policies and procedures; strong insurance coding skills.
Computer proficient; Advanced working knowledge of Microsoft Office, Greenway, Prime Suites, EMR and AllScripts.
Exceedingly organized and accurate.
Quick study, with an ability to easily grasp and put into application new ideas, concepts, methods and technologies.
Significant data entry skills.
EMPLOYMENT
Insurance Coordinator August 2013 – November 2014
Richmond Center for Fertility and Endocrinology
Richmond, Virginia
Responsible for all aspects of the insurance process, including, but not limited to: gathering and documenting patient insurance information.
Verified patient insurance, confirmed benefits eligibility, prepared patient liability estimates, performed pre-authorization, pre-certification, and/or notification.
Determined and documented patient portions due, amounts to be billed, contractual discounts to be taken, or any other authorized discounts that may apply.
Contacted patients and provided updates on benefit verification information, requested additional information, insurance cards, and explained to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service.
Responsible for the scheduling, canceling, and rescheduling of patient appointments.
Contacted insurance carriers to inquire about unpaid/pending claims
Appropriately charged patients for all services received, and collected appropriate payment.
Ensured all procedure and diagnosis codes are correct.
Office Assistant July 2008 – July 2013
West End Obstetrics & Gynecology
Richmond, Virginia
Acquired insurance authorizations for procedures and tests ordered by the attending physician.
Responsible for the scheduling, canceling, and rescheduling of patient appointments.
Checked in patients and properly documented their registration.
Monitored a shared email in-box and ensured inquiries were timely and appropriately addressed.
Provided administrative support to five physicians.
Carefully review medical records for accuracy and completion as required by insurance companies.
Directed patient flow during practice hours, minimizing patient wait time.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Followed HIPAA Privacy and Security Regulations by appropriately handling patient information.
Confirmed patient information, collected copays and verified insurance.
Posted charges, payments and adjustments.
Explained to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, prior to services being rendered.
Jessie Gwaltney
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EDUCATION & TRAINING
DeVry University November 2012 - Present
Associate of Applied Science, Health Information Technology
64 Credit Hours Completed, Anticipated Completion in Summer of 2015
Mountain State University April 2010 – November 2012
18 Credit Hours Completed
Virginia Commonwealth University August 2007 – May 2008
23 Credit Hours Completed
Lynchburg College August 2006 – May 2007
18 Credit Hours Completed
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