Jacqueline Fuller

acw9cp@r.postjobfree.com

615-***-****

Education:

Tennessee Technology Center Nashville, TN

Health Information Billing Specialist

Summary of Skills/Qualifications:

Medical/Medicaid Insurance Claims for long term care

UB92s claims forms

Knowledge of all HIPPA regulation laws

Kronos, People Soft, and Dorado Verification

Gateway EDI

Trans-world Systems

eClinical works

AHIN

Caretracker

Professional Experience:

CHS- Nashville, TN 2014- Current

Billing Specialist

Daily key punching when needed to sure accuracy of billing for all services

Documentation and Coding on Route Slip and EMR

Review of postings before claim submission

Enter payments and assure correct allocations

Send electronic and paper claims daily

Send claims to all private insurance, third party, workers comp, and government payers

Follow batch claims via Gateway and work all denials until payment is received

Green Hills Health & Rehab Nashville, TN 2008-2015

Scheduler/ AP Date Entry

Billing co-insurance for Medicare/Medicaid of TN

Third Party reimbursement and Hospice carriers

Verify patients benefits prior to admission

Spend Downs General Ledgers

Daily scheduling and facility ordering through DSSI

Select Specialty- Nashville, TN 2006-2008

Patient Care Representative

Monitored Telemetry while evaluating charts

Identified payer source and verified insurance eligibility

Handled financial status and assigned correct pay type

Assisted patients with completion of paperwork when necessary

Verified insurance eligibility and obtained authorization for dates of service

First Health SVCs- Nashville, TN 1998-2005

Receptionist

Answered multi switchboard

Clerical Duties

Provided information and quality service to all visitors

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