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Medical Manager

Location:
Stone Mountain, GA
Posted:
January 31, 2014

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Resume:

Juanita DeVeaux-Jacobs

678-***-****

404-***-****

accfvf@r.postjobfree.com

PROFESSIONAL EXPERIENCE

Stoneview Injury & Wellness Clinic 2001 - Present

Insurance Manager / Collections

• Manages the transmission and ensures the accuracy of all Medicaid, Medicare, Workers

Compensation, Commercial Carriers, third party and self-pay claims in a timely manner.

• Manages the payment posting, credit balance and refund process, ensuring timely resolution.

• Assist in the claims billing and re-billing process as may be required.

• Reviews all claims processing and collection activity to ensure a quality revenue cycle flow.

• Assures that departmental staff have the necessary resources, skills and training to meet

productivity expectations and goals.

• Develops and maintains billing and collection activity reports as directed.

• Works in concert with department management to interpret and analyze billing and collection

activity and trends,

• Communicates and resolves issues, including training, coding and departmental procedures.

• Collaborates with the Medical Services Team on billing initiatives and other issues.

• Adheres to all departmental policies and procedures, including established HIPAA privacy

and security procedures.

• Through these activities, demonstrates an understanding of and commitment to company core

values of respect, knowledge, responsibility, health, compassion and access; practices these

values in relations with internal and external customers.

EDUCATION

Presently in process of completing medical coding class

Master of Science: Criminal Justice, Florida International University, Miami Florida

Bachelor of Science: Criminal Justice, Florida International University, Miami Florida

TECHNICAL SKILLS

Word, PowerPoint, Outlook, Medisoft Billing, Kareo, Patient Now

ADDITIONAL SKILLS

Multi-State Workers Compensation laws; adjusting and auditing of Insurance Carriers with

thorough knowledge of rates, rating plans, and policy forms; Medical Managed Care; PPO'S,

HMO'S; Medicaid, Medicare; Statistical Medical Coding; Integrity in Matters of Confidentiality

ADDITIONAL EXPERIENCE

Workers Compensation, Insurance Paralegal; Workers Compensation Adjuster



Contact this candidate