Mental Health Insurance
Resume:
Jovannique Townsend
*** *. ****** ******, ***. 10, Winston-Salem, North Carolina 27101 H: 910-***-**** ************@*****.***
Professional Summary
Meticulous and detailed oriented quality focused professional billing specialist. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of pratice managment software applications.
Skills
●ICD-10, CPT, HCPCS & Medical Terminology
●Medical Insurance
●Excellent Interpersonal Skills
● Excellent Phone Skills
●Various Practice Management Software
●Claim Entry & Payment Posting
●Records Organization & Management
●Insurance & Patient Aging
●HIPAA Compliance
●Online Claim Submission & ERA
Work History
Investigative/Assessment CPS Senior Social Worker III, 11/2017 to Current
Forsyth County Department of Social Services – Winston-Salem, NC
●Complete initial and ongoing assessment/evaluation of the child's safety; the family's strengths and needs to determine what appropriate safety response methods are appropriate to prevent future risk of harm.
●Initiate court intervention to ensure the child's safety including creating Exhibits and filing petitions, if the child's safety is severely jeopardized.
●Promptly completing documentation in a timely manner based on federal; state and county requirements.
●Collaborate and consult with team members; community agencies; and service providers to make certain the holistic and family-centered approach is consistently being used throughout the life of the case and prevent future Child Protective Services involvement.
●Continuously attend at least 24 hours of ongoing professional development training each fiscal year to learn the most recent and up-to-date evidenced-practice methods to provide families with the highest level of quality care.
In-Home Services Senior Social Worker III, 07/2017 to 11/2017
Forsyth County Department of Social Services – Winston-Salem, NC
●Provide long-term Case Management services to ensure the child's safety risk is decreased by creating an In-Home Service Agreement in collaboration with the parent or caretakers that includes goals and activities related to their identified individual needs.
●Locate and provide resources for each family member, including the child to reduce the excessiveness; severe and intense situations that have led to abuse; neglect and placed the child's safety at risk.
●Advocate for the family and child at all times to ensure they receive the necessary services and resources to enhance their future lives.
●Continuous ongoing assessments of the child's safety and risk levels throughout the life of the case.
●Communicate and work closely with the Child Protective Services Investigation/Assessment Unit to obtain or provide information concerning new reports received by the families when the In-Home Services Unit is already involved.
●Complete 30 and 90 day Child and Family Team meetings with the family and their natural supports to determine what goals and activities are assisting or hindering the family's progress.
●Complete updated Family Risk Reassessments and Family Assessment of Strength and Needs as needed, to monitor any potential risk factors that could pose a potential safety threat to the child.
Foster Care Social Worker, Social Worker III, 12/2016 to 07/2017
Guilford County Department of Health and Human Services – Greensboro, NC
●Interview; assess and counsel foster children, 0-18 years of age, and their families. Provide daily case management.
●Work daily with the foster children and their family members when reunification is the primary focus of their Plan of Care or prepare the foster children and their families for an alternative plan of permanency.
●Prepare and file weekly court reports in preparation for court hearings.
●Testify in court hearings weekly on behalf of the children and families on assigned caseloads.
●Provide crisis intervention.
●Document all activities in service records.
●Communicate and collaborate with other agencies to provide quality services to the foster children and their families.
Medical Billing Specialist, 09/2009 to 12/2015
Community Helps Network., LLC – Raeford, NC
●Improved and increased revenue for the agency over 50 %.
●Experienced billing for Family Medicine, Mental Health Agency’s and other Healthcare specialties.
● Ensure claims are entered and submitted with 48 hours of receipt.
●Accurately apply payments to patient accounts.
● Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
● Insure accuracy of insurance claims. Verify correct ICD-10, HCPCS and CPT codes for a variety of specialties.
●Set up new patient accounts.
● Assign ICD-10 to physicians and mental health providers diagnosis and insure correct level of service and various other CPT and HCPCS codes.
●Set-up practice management software for submission of electronic claims (837P) to the agency clearinghouse. Work with clearinghouse to resolve file compatibility issues.
●In depth knowledge and use of Form CMS-1500 and Form CMS-1450 (UB-04) when deemed appropriate.
●Retrieve Electronic Remittance Advice (ERA's).
● Send secondary claims upon processing of primary insurance.
●Monthly processing of Patient statements. Answer and resolve patient billing inquires.
●Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.
●Maintain knowledge and Insure office practices are in compliance with HIPAA, local, state and federal regulations.
●Specialized in billing Medicaid, Medicare Part A and B (Palmetto GBA Jurisdiction M), TRICARE and BCBS.
●Supported the agency's Chief Executive Officer's with daily operational functions to include providing weekly reports regarding financial revenue, as well as attending monthly scheduled meetings to review the monthly financial revenue and identify agency deficiencies to prevent financial loss.
Additional Information
●MEMBERSHIP/ AWARDS, Phi Alpha National Social Work Honor Society October 2008
●Computer Proficiency: MS Word; MS Excel; PowerPoint; MS Outlook; Adobe PDF; Adobe Export PDF; Access; Google Docs; the Internet and other various office tools.
●Excellent Typing and Data Entry Skills.
Education
Bachelor of Social Work: May 2009
Methodist University - Fayetteville, NC
President\'s List Spring 2009 Dean\'s List Fall 2006
Technology Summary
●MS Office (Word, Excel, Outlook, and Powerpoint)
●Adode Acrobat
●Provider Connect
●OnTarget, LLC
●OnceLogix
●ShareNote
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