CYNTHIA D. JONES
Medical Billing Specialist with over 10 years of experience in billing for Doctors’ Offices, Hospitals, and Nursing Home setting. Well versed in diagnosis codes and CPT Codes such as ICD-9 and ICD-10. Knowledgeable of HIPPA Privacy Laws.
Summary of Qualifications
Knowledgeable in computer skills such as Microsoft Office Suite
Good Written/Verbal Skills
Teambuilding/Event Planning Notary Public
Speaking at Nonprofit Public Engagements
Billing Manager, Alabama Foot Institute, Birmingham, AL
February 2017 thru Present
Billed and coded numerous procedures for podiatrist
Complete insurance follow-up with insurance companies
Schedule appointment with clients
Resubmit rejected claims to insurance companies for review
Claims Analyst, Greenway Health (AMT Staffing) Birmingham, AL
September 2015 thru February 2016
Reviewed and analyzed client accounts receivable functions.
Prepared and analyzed trends & opportunities regarding client revenue management.
Other duties included insurance follow up, third party billing, bookkeeping and collections.
Medicaid Biller, Lifeguard Ambulance (Account Temps) Birmingham, AL
November 2014 thru January 2015
Billed for ambulance trips to and from destination.
Made phone calls to insurance companies for verification.
Followed up on payments received and posted payment to accounts receivable.
Knowledge of ZIR-MED, RESCUE-NET, AL MEDICAID PORTAL, TN MEDICAID, & SOUTHEAST TRANS
MSPRC-MEDICARE/Secondary Payer Case Analyst, Cahaba GBA (Aerotek Agency) Birmingham, AL
May 2013 thru November 2014
Recouped overpayments made by Blue Cross Blue Shield.
Reviewed claim criteria & made decisions on the next step in the recovery process.
Knowledge of ReMAS, CIRTRIX, IMAGIO, RSC, HIGHGLAS, LMS, CWF (SESSION) Systems, diagnosis codes/CPT codes.
Account Receivable Specialist II, Golden Living Center Birmingham, AL
July 2007 thru April 2012
Billed for room & board for nursing homes patient's and responsible for co-insurance billing
Employee of the month July 2011
Knowledgeable of Mainframes, AS400, E-MO-MED, MS Word & Excel
Posted pending payments, denials, rejections & appeals
Called Hospice for Election Letters and posted payments
Charge Entry Clerk, UAB Medical West (Spherion Agency) Bessemer, AL
November 2006 thru July 2007
Keyed Interps, Pulmonary Functions Test Studies and performed insurance follow up
Billed and coded numerous procedures for various doctors
Medical Billing/Coding Course
University of Alabama @ Tuscaloosa, AL-Certificate Program
REFERENCES AVAILABLE UPON REQUEST