HealthCare Admin
Resume:
Jenelle Allen
Jenelle Allen *********@***.*** / **************@*****.***
Miramar, Fl. 33023
954-***-**** Cell 954-***-****
OBJECTIVE: To advance in a career with-in the Financial Management division of the Healthcare
Industry
EXPERIENCE:
06/2014 – Present PEDIATRIX Medical Group Sunrise FL
Provider Enrollment Associate
02/2014 – 05/2014 DCRX Infusion Ft Lauderdale FL
Reimbursement Billing Specialist Customer Account Specialist
Billing Collections Customer Representative
Temporary Assignments All Medical Staffing
10/2013-12/2013 UPM / Florida Woman Care Collections Claims Billing Manager
Contract Position Physicians Management Billing OBGYN billing specialist
09/2013 - 9/2013 PEDITARIX MEDICAL GROUP Temp SUNRISE FL
Insurance verification AR Data input, Disability case specialist Basic medical office
Temporary Assignment
06/2013-08/2013 AVMED HEALTH PLANS Temp MIAMI, FL
Provider Service Rep. / Credentialing Specialist
Answer calls from providers in reference to claims status. Handle Provider Request for enrollment
Credentialing Specialist Process claims for release process over payment request to providers handle
reconciliation for over paid claim with contracted providers credential providers who wish to participate
educate providers on Medicare product.
Chamberlin Edmonds Inc. Miami FL
06/2011 -04/2013
HCR / Health Care Administrator at JMH Health Systems & Broward Health
Medically screen unfunded patients for eligibility for state and federal benefits. Assist Providers with
Credentialing packets with government and privet payers Take and complete disability and Medicaid
applications. Bill hospital for accounts converted from bad debt to revenue. Process charity and financial
applications for patients who qualify for services Issues medical cads submit all disability claims. Assist
patients in applying for available benefits
Walgreen’s Respiratory & Infusion Services Pompano FL
06/2010-01/2011
Medicaid/ Medicare Reimbursement Specialist / DME Credentialing Specialist
Vitas Palliative Care Inc. Ft Lauderdale FL.
03/2010-06/2010
Reimbursement Specialist / Credentialing Office Manager Temp Assignment
Vohra Health Services PA Miami Beach, FL
07/2009 - 01/2010
Medicaid Posting & Collections Specialist /Credentialing Manager /Reimbursement Specialist
Set up the practice in seventeen states In Charge of all credentialing for each new provider. Responsible
for all providers and facilities contract and participation set up the practice with the providers, to provide
service for Medicaid patients. Train New Physicians on Compliance and procedures for Medicaid and
Medicare reimbursements. Weekly Updates and training classes on payable and no-payable services.
Train all employees on the policy and procedures pertaining to Medicaid. Introduced Dr’s to Facility
Directors. Maintain all license and Compliance information. Credential Dr.’s and Physician’s Assistant as
well as Nurses for Medicaid Reimbursement, for every state we provide service. Assist Patients with
applications for Medicaid services. Code services, Post charges, file claims, and collect on all Medicaid
Accounts. Manage the Medicaid Department
07/08 - 04/2009 Dr. Simone Weiss LLC Hollywood, FL
Billing Office Manager MA
File all daily charges Post payments and work collections. Handle all reimbursement for commercial and
government Insurance Handle All Credentialing packets for government and commercial insurance.
Check- in Checkout, Pull Charts, Note patient charts. Code surgeries. Answer all calls for billing, assist
customer inquiries. Verify benefits. Make payment arrangements. Collect and post Insurance payments.
Collect all patient balance. File all claims to insurance. In charge of the billing for the practice.
01/06 - 07/08 The Emory Clinic Atlanta GA
Reimbursement Specialist /Collections Medicaid Rep
Transplant Spec. Billing & Case Mgmt.
Patient Account Rep III
Third Party Rep for UHC. Called for claim status. Post payments to IDX file and re-file all claims to
Insurance for processing. Follow-up with payer for correct payment, handle all high balance claims. Post
EOB’s correctly bill patients, collect payments. Train new employees on how to use system. Process all
DME order requests. File all transplant claims. Confirm the Payer received packages. Account
reconciliation. Post payments from Insurance. Assist Nurse's with case management. Charge Corrections.
Collect payments. Answer calls from different sections on case request. Set case up in IDX for special
billing. Work Medicaid accounts for retro eligibility. Assist with Spanish calls in Customer service.
Healthworx LLC Hollywood, Fl.
10/2005 - 01/2006
Medicare Collector / Medical Biller Temporary A/R Project. Answer calls from patients. Medicare Specialist.
Call Medicare to question claim status, resubmit, request reviews, and prepare appeals. Patient accounts specialist.
Post Payments, Bill claims, and Code surgeries for billing. Place calls to Insurance about claims.
Femwell Group Health Hollywood, Fl.
5/1999 - 4/2005
Office Manager Billing Manager OBGYN Office
Post all daily charges. Call insurance to collect on Claims. Post Payments from insurance and Patients.
Bill all claims. Bill Surgeries. Code the charges, Special Reconciliation; collect on all Medicaid &
Medicare accounts. Assist with retro applications for Medicaid and community care. Collect Commercial
and private payers. Obtain Referrals and Authorization. Prepare accounts for third party Collection. Make
appointments. Surgery Coordinator. Manage the billing/ and collections staff.
EDUCATION:
Broward College AA
MA, LPN, CPAR
Health care admin
Griffin Tech / Sheridan Tech
Medical Admin Medical Billing / Coding (CPC)
ADDITIONAL INFORMATION:
I have over fifteen years of experience in the Medical financial field. My skills include, Medical Office
Management, Medical Practice Management, Provider maintenance specialist, Provider enrollment
coordinator, Customer Service Manager, Customer Service call center Representative, Revenue Recovery,
Hospital Administration, Medical Collections, Billing Specialist and Surgery Coordination. I have been
able to utilize my skills in the reimbursement, medical billing & coding, and collections field for the last
seventeen years. I am State Certified Medicaid and Medicare Specialist. I have over twelve years in
provider relations and credentialing experience. I have worked with such software as Great Plains, As400,
Medi Soft, MOS, NextGen, Athena, Brightree, CPR+, Medical Manager, DATA OCEANS,EMR, I-
suite, Integex, Pat com, IDX, AVAYA, Lytec, Intergy, Coral, Citrix, Real world Accounting, Data Trac,
Mozart Power Chart CERNER and Emdeon Office. My software skills include Micro soft word, outlook,
power point, excel, quick books, Peachtree, ADP for payroll and, Quicken I also have a great deal of
experience in Insurance Verification Either Online or over the phone. I am a team player and a fast
leaner.
Contact this candidate