Medical Manager
Resume:
LASHON RENEE JACKSON
College Park, Georgia 30349
470-***-**** - Cell/Home
Ladies/Gentlemen:
I am writing to explore employment possibilities within your medical organization. The enclosed resume will provide you
with details concerning my education, skills, experience, and accomplishments.
As you will note, I am seeking a career position in the medical field that will utilize the extensive experience that I have
gained as an Accounts Receivable Specialist for Optum Healthcare, Business Office Assistant Manager and Patient
Accounting Representative for Acadia Riverwoods Behavioral Healthcare, Health Insurance Specialist for Northside
Hospital, Government Billing and Collections Representative for Piedmont Hospital, Northside Hospital, and Dekalb
Medical Center; Medicare Specialist for Mariner Healthcare, Insurance Recovery Liaison, Health Insurance Specialist IV,
Financial Counselor and Coordinator, Insurance Biller/Collector, Team Lead Patient Representative, and Government
Patient Representative III for Medicare for INOVA Health System.
Currently, as an Accounts Receivable Specialist for Optum Healthcare in Atlanta, Georgia, I am responsible for accounts
receivable for multiple health systems throughout the United States where I assist business offices in reducing accounts
receivable and increasing cash flow.
Previously, as the Business Office Assistant Manager and Patient Accounting Representative for Arcadia Riverwoods
Behavioral Healthcare in Riverdale, Georgia, I identified payer problem accounts, investigated and corrected errors,
followed up on missing account information, and resolved aging account issues.
My key skills include medical terminology, medical coding knowledge ( ICD-9 and CPT) medical insurance claims
processing, procedures, and documentation and customer service skills.
You will see that I excel in quickly identifying and offering creative solutions to problems; efficiently manage multiple
priorities simultaneously; and perform well in a demanding, stressful medical environment.
Should my qualifications be of interest, I would appreciate the opportunity of a personal interview at your convenience. If
you need additional information at the present time, I will gladly respond on request.
Thank you for your time and consideration. I look forward to your response.
Sincerely,
LaShon Renee Jackson
Enclosure: resume
LASHON RENEE JACKSON PRESENTATION OF QUALIFICATIONS
372 Wildwood Point 470-***-**** - Cell/Home
College Park, Georgia 30349 **************@*****.*** - E-mail
PROFESSIONAL OBJECTIVE
A responsible career position in the Medical Field that will utilize my education, professional
skills, extensive experience, and proven abilities as well as provide advancement potential
based on achievement.
SUMMARY OF QUALIFICATIONS
Experience Accounts Receivable Specialist for Optum Healthcare.
3 years as a Business Office Assistant Manager and Patient Accounting Representative for
Acadia Riverwoods Behavioral Healthcare.
1+ year as a Health Insurance Specialist for Northside Hospital.
4 years as a Government Billing and Collections Representative for Piedmont Hospital,
Northside Hospital, and Dekalb Medical Center.
1 year as a Medicare Specialist for Mariner Healthcare.
4 years with INOVA Health System serving in the positions of Insurance Recovery
Liaison, Health Insurance Specialist IV, Financial Counselor & Coordinator, Insurance
Biller/Collector, Team Lead Patient Representative, and Government Patient Representative
III for Medicare.
1 years as a Medicare Collector for Memorial Medical Health University.
Education AMERICAN ACADEMY OF PROFESSIONAL CODERS (AAPC)
Completed 80 hours of training to be a Certified Professional Coder (CPC) CLAYTON STATE
UNIVERSITY, Morrow, Georgia
Major: Healthcare Management - 2005 to 2007
NORTHERN VIRGINIA COLLEGE, Annandale, Virginia
Studies: Health Information Technology - 1996
SAVANNAH TECHNICAL COLLEGE, Savannah, Georgia
Medical Assistant Course - 1990 to 1992
Certifications CPAT – CCAT
Key Skills Medical Terminology –Medical Coding knowledge-(ICD-9 and CPT)
Medical Insurance Claims Processing and Billing, Insurance Verification,
Reimbursement Analysis, Prepare Clinical Appeals and Customer Service Skills.
Strengths Analytical... Detail oriented... Very thorough in completion of projects...
Excel in quickly identifying and offering creative solutions to problems...
Well organized... Efficiently manage multiple priorities simultaneously...
Perform well in a fast-paced, stressful medical environment... Very patient...
Career/Goal/Achievement driven...Thrive on daily challenges...
Highly motivated, dependable, stable, confident, and committed to the highest
of professional performance standards in any career position in the medical field...
Software STAR, SMS, OAS Gold, Medipac, Medic, FSS, Web Portals, IDX, HDX SSI, Premis and Zirmed
Personal Willing to travel - Willing to relocate.
Continued to next page...
LASHON RENEE JACKSON Resume - Page Two -
PROFESSIONAL EXPERIENCE
October, 2012 Accounts Receivable Specialist
to Present OPTUM INSIGHT INGENIX- UNITED HEALTHCARE, Atlanta, Georgia
Responsible for accounts receivable for multiple health systems throughout the U.S.
Assist business offices in reducing Accounts Receivable and increasing cash flow.
Process billing and collection functions. Post and reconcile insurance and patient
payments.Research and reconcile incorrect payment for improper reimbursement.
January, 2010 Business Office Assistant Manager - Patient Accounting Representative
to Oct., 2012 ACADIA RIVERWOODS BEHAVIORAL HEALTHCARE, Riverdale, Georgia
Identified payer problem accounts, investigated and corrected billing errors, followed up on
missing account information, and resolved aging account. Transmit claims daily to
clearinghouse. Chair weekly A/R meeting with Senior Management. Function as liaison
between one or more point of the revenue cycle, i.e. registration, utilization and medical
records.
August, 2009 Insurance Recovery Liaison
to Dec., 2009 INOVA HEALTH SYSTEM, Fairfax, Virginia
Review accounts for pre-bad debt practices. Follow on account with payers and patient to
determine next plan of action. Review patient financial status to establish payment plans,
follow up on delinquent accounts. Return accounts to follow-up teams that have been
improperly assigned for bad debt.
May, 2008 Health Insurance Specialist
to July, 2009 NORTHSIDE HOSPITAL, Atlanta, Georgia
Performed Medicare billing and collections on patient accounts for Northside Hospitals in
Atlanta and surrounding counties. To ensure proper account status.
May, 2007 Government Billing and Collections Representative
to May, 2008 PIEDMONT HOSPITAL, Atlanta, Georgia
Managed all account activity for Medicare and HMO’s services rendered to patients for all
Piedmont Hospitals in the Atlanta area. Process billing and collection functions. Post and
reconcile insurance and patient payments. Research and reconcile incorrect payment for
improper reimbursement
January, 2007 Government Billing and Collections Representative (temporary position)
to May, 2007 NORTHSIDE HOSPITAL, Atlanta, Georgia
Managed and followed up on patient accounts for all payors of Northside Hospitals.
Process billing and collection functions. Post and reconcile insurance and patient
payments. Research and reconcile incorrect payment for improper reimbursement
May, 2005 Government Billing and Collections Representative
to Jan., 2007 DEKALB MEDICAL CENTER, Decatur, Georgia
Managed and followed up on patient accounts for all payors Dekalb Medical facilties
Process all billing and collection functions; post and reconcile insurance and patient
payments. Research and reconcile incorrect payments for improper reimbursement .
Make corrections to billing edits per medical records.
August, 2004 Medicare Specialist (temporary position)
to May, 2005 MARINER HEALTHCARE, Atlanta, Georgia
Processed Medicare billings for 14 skilled nursing facilities throughout the U.S.
Ensure all claims collected meets government mandated procedures. Communicate with
facilities medical records department and nurse auditor’s to assure the RUG score and daily
census are correct for billing. Responsible for Medicare collections, reimbursement,
adjustments and billing. Worked with Trail blazers and Mutual of Omaha to quickly resolve
any rejects or rtp claims issues.
LASHON RENEE JACKSON Resume-Page-
Three
2000 to 2004 INOVA HEALTH SYSTEM
Health Insurance Specialist IV - Fairfax, Virginia
Performed underpayment reviews for Medicare, HMO’s, and Commercial payers.
Underpayment review rebilling and follow-up on claim not paid to contract rate. Functions
included post insurance payment. Research and reconcile incorrect payment for improper
reimbursement
Financial Counselor/Coordinator - Falls Church, Virginia
Supported individual Operating Unit and Patient Registration Dept. financial goals. Performed
insurance verification online and via telephone inquiry. Obtained referral and authorizations
for services by providing clinical documentation. Performed pre-registration process via phone
for scheduled service to secures copays, coinsurance and deductible.
Insurance Recovery Liaison- Fairfax, Virginia
INOVA HEALTH SYSTEM,
Review accounts for pre-bad debt practices. Follow on accounts with payers and patients to
determine next plan of action. Review patient financial status to establish payment plans,
follow up on delinquent self-pay payments. Review accounts for improper assignment for bad
debt. Return accounts to follow-up teams for additional review.
Team Lead Patient Representative - Springfield, Virginia
Managed and followed up on all line of business on patient accounts for Small Balance
Division. Post and reconcile insurance and patient payments. Research and reconcile incorrect
payment for improper reimbursement. Train new employees, and assist manager with
additional duties as assigned.
Government Patient Representative III for Medicare - Fairfax, Virginia
Managed and followed on patient accounts to ensure proper account status. Specialized in
Medicare, billed Medicare inpatient and outpatient claims and corrected claim in FSS
Responsible for completing Medicare request for additional information letters. Work
Medicare remittance denials and analyze patient accounts and review EOB’S work rejections
and perform proper reimbursement analysis
December, 1998 Medicare Collector
to May, 2000 MEMORIAL MEDICAL HEALTH UNIVERSITY, Savannah, Georgia
Managed and followed up on patient accounts. Specialized in Medicare Billed Medicare
inpatient and outpatient claims and corrected claim in FSS
Responsible for completing Medicare request for additional information letters.
Work Medicare remittance denials and analyze patient accounts and review EOB’S work
rejections and perform proper reimbursement analysis
REFERENCES Available upon requet
LASHON RENEE JACKSON
372 Wildwood Point
College Park, Georgia 30349
470-***-**** - Cell/Home
REFERENCES
Betty Hill
C.F.O.
Acadia Healthcare
Riverdale, Georgia
Shelly Meloncon
Manager
Optum Insight
Suzette Johnson
Supervisor
Optum Insight
Atlanta,Georgia
Shantell Copeland
Accountant
Piedmont Healthcare
Atlanta, Georgia
Shirley Wright
Optum Insight
Team Leader
Atlanta, Georgia
Contact this candidate