Jessica A. Jones

Lewisville,TX

972-***-****

ad1hzk@r.postjobfree.com

EDUCATION:

Collin College 06/14- Present Nursing Pro

Plano,TX

PCI Health Training Center 1/13-Present Billing/Coding 3.8 GPA Richardson, TX Student Council

El Centro 12/10-06/11 Nursing PreRequisites

Dallas, TX

New Beginnings High School Graduate 3.7 GPA

Dallas, TX

PROFESSIONAL EXPERIENCE:

11/13-CURRENT

PracticeAutomations/Gustavo H.Day,MD:

Claim Specialist/Customer service: Dallas,TX

● Customer service,Speaking to patients about current balances,Arranging payment agreements,Calling and reminding patients of current balance.

● Track, analyze, and report on claims

● Review, analyze, and resolve claim issues

● Maintain accurate records on claims

● Identify and implement new claims procedures

● Review and approve new claims

● Identify, evaluate, and resolve claims in accordance with company standards

● Monitor the status of claims and follow up on unresolved claims

● Provide guidance to claims staff regarding claim procedures and policy Medical City:

Coding/Claim Specialist: 01/2011-10/13 Dallas,TX

● Maintain claims-submission details to ensure quick and accurate processing

● Handle incoming claim inquiries and escalated claims

● Track claim progress, and monitor status of denied claims and appeals

● Oversee administrative functions, including expense report processing, travel authorization, and benefits

● Maintain accurate databases for claims submissions and tracking, providing timely reports to management

● Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.

● Ability to read and interpret medical procedures and terminology .

● SKILLS:

● Customer service,Data Entry

● Medical Terminology,CPT,Claim Processing,Medical Insurance claims

● Provider Contracts,Medicaid/Medicare,Quality Standards

● Innovation,Analysis,Documentation,Medical records