Medical Billing Specialist

JENNIFER YANONIS

OBJECTIVES

Seeking a Medical Professional position with a Company which will require me to utilize my skills, abilities and experience in the Medical field to ensure the Company’s success.

PROFESSIONAL EXPERIENCE

Intermedix/Tsystems RevCycle/Marina Medical Billing Services, Inc.

Collector/AR Follow–Up Representative 5/2005 – 3/27/15

Collections for ER physician claims; HCFAs; up to $2k; some anesthesia; UB04 form

Supported hospitals such as Legacy Hospital Network

Commercial claims; HMO, PPO, out-of-state Managed Care (WA and OR)

Handled aged accounts over 120 days and contracted claims within 30 days

Handled denials for timely filing, insurance edits/clean claims, medical necessity, modifiers, up and down coding, underpayments/refunds

Coordinated original appeals; pulled necessary documentation and details; patient records, chart notes, physician documentation

Called insurance companies to identify and track claims status

Touched a minimum of 150 accounts per day

Reached a monetary collections goal of $2.4 million; exceed at $2.7 million per month

Insurance Coding Audits

Complete AR Collection batches

Assistant Client Manager/Team Lead

Monitor the Nteract Dr. deficiency processes

Monitor/Assign/Audit AR aging for 16 employees

Monitor the chart census logs & the chart reconciliation logs for the month reporting

Monitor the daily charge posting of charges into our system

Monitor Emdeon (our ECS Clearing house for claims)

Monitor the daily exception reports

Produce the Insurance coding schedule for employees

Complete random monthly insurance tracking reports

Monitor our contracted re-imbursements

Complete AR Month-end check off lists for our reporting department

Complete monthly chart audit logs

Complete any type of special report projects as requested by the client

Responsible for; training/re-training of Employees old/new in all positions

Approved Employee time cards for payroll

Monitor chart flow processes in Laserfische

Complete weekly Monday reports for the client

Monitor chart flow in NextGen and ACS systems

I am familiar with the following systems: Cytrix (EPIC super user), Med/FM 7.0, Relay Health, ACS, Emdeon, NextGen, Microsoft Word, Excel daily.

Achievements:

Started the company as a file clerk within 3 months was promoted to Insurance Coder, within 6 months

Promoted to Insurance follow -up representative (remained for steady 4 years) and then was promoted to ACS-Team Lead for the duration of my current employment (5 years)

Received Certificate of Appreciation on 6/12/09-commending me for continually applying my experience and utilizing it to train others with demonstrating goodwill and good teamwork.

Received Certificate of Appreciation on 10/16/09-commending me for my dedication, high production levels, great investigative ability, applying protocols & procedures as well, work ethic, team loyalty, trustworthiness, and going above and beyond by helping other client’s needs.

Received Certificate of Appreciation on 12/11/09- commending me for my comprehension of the bigger picture, detecting & reporting trends, ability to learn with ease, taking charge of NACS with ease, and good adaptation to learning advanced skills.

Received Certificate of Appreciation on 3/12/10- commending me for taking charge of my data sets (clients) in all facets, being highly proactive, grasping the workflow, understanding the purposes of tasks, reporting payer patterns, and reporting interdepartmental trends.

Received Employee of the month for February 2013- for my contributions towards exceptional customer service, productivity improvement and cost savings.

Received the Outstanding Performance Award on 11/15/2013 and was delegated top Team Lead from my peers in recognition of my hard work and dedication to Tsystem, with great work ethic and contribution; specifically instrumental in maintaining NACS and being prepared with reconciliation for an onsite client audit. Also, acknowledged for taking on SAN client and maintaining a consistent charge flow and taking on any challenge that I was presented with and the willingness to always help others.

EDUCATION

Concorde Career College, Garden Grove, CA

5/2005 Medical Billing, ICD-9 & CPT Coding Certified

Perfect attendance award for 18 full months, High Honors for a 4.0 GPA, Top of my class award for tutoring and being a class mentor

Los Alamitos High School

Class of 1995

High School Graduate

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