Jacqueline N. Duncan

Title/Role: Data Entry Clerk

Skills:

Technology

Number of years’ experience

Date technology last used

Basic/Proficient/Expert

Data entry experience

* *****

Present

Expert

Experience with Microsoft Excel

5 Years

Present

Expert

High degree of familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)

5 Years

Present

Expert

Experience with web-based tools such as Salesforce, QuickBase, Smartsheet’s, google apps, etc.

7 Years

Present

Expert

Experience with Student Information Systems, in particular Follett Aspen or Pearson/AAL eSIS

3 Years

Present

Expert

Education:

Certificate, American Academy of CPR & First Aid, Inc. BLS CPR (Adult/Children/Infant) 9/16/2022-09/2024

Certificate, Basic Food Handler’s Course 2014

Certificate, Medical Office Professional, Career Technical Institute, Washington, DC 2012

Skills:

• Medical Health Insurance Processing

• CMS-1500 Claims Processing

• HCPCS Coding

• CPT Coding

• Medical Vocabulary and Terminology

• ICD-10 Coding

Employment History: Summary

Children's National Medical Center, Business Operation 2/2015- Present

Silver Spring, MD

Receive denial correspondence from insurance companies via mail or payment posting process indicating that claims are not being paid, may be electronic or paper format; evaluate type of denial using codes and prioritize work based on size of claim and likelihood of payment.

Proactively follow-up on submitted claims to determine payment status through telephone or web using cerner revenue cycle contact in a timely manner.

Research reason for denial and collect more information and documentation: review system records to identify source of denial; contact Clinic Operations staff, Utilization Management department and Health Information Management department to collect necessary information and documents, e.g., referrals, authorizations for appeal.

May recommend adjustments and write-offs to bill within identified parameters; refer to manager as appropriate; with required documents, write timely appeals for payment.

Manage large volume of denials to maximize reimbursement.

Proactively follow-up on submitted claims to determine payment status through telephone or web contact in a timely manner; collect information from carriers about what specific documentation is needed to pay claim; contact internal departments (Health Information Management, Clinic Operations) to information and documentation to carrier to facilitate claim payment; provide documentation via fax, phone or mail to payer, e.g., operative reports.

Track appeals of denied claims to determine status and work with carrier for payment; Resubmit claim if payor does not have record of claim.

Prioritize work to facilitate payment of higher account balances.

May follow-up with parent if insurance has paid parent to receive reimbursement.

May recommend adjustments and write-offs to bill within identified parameters; refers to manager as appropriate; Document actions in system including contact with payors, appeals sent, research findings, write-offs, documentation sent etc.

R. A. Investments Administrative Assistant 6/2013- 4/2015 Clinton, MD

Up load picture in to FASTRACT for banks

Answered phones and take messages for my supervisor

Make Appointments for client to review houses that were for sale or rent

Experience with Microsoft Office Suite (Excel) and Data entry

Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)

Evictions in the DMV areas

Pay roll and write out checks

Pay bills

Open mail and log it in

Filing and all other duty as assigned

Worked in the field

Scanning documents

Reggie Manor Security Company Constitution Hall, 12/2013 -2/2014

Washington, DC

Made sure that the patriots did not enter the stage area.

Check ladies’ purses for weapons, food and drinks

Cleared out Constitution Hall when the event was over

Secure stage door made sure patriots did not entered the hall.

Checked for VIP stage passes

Escorted performers to tour buses or SUV

Insurance Examiner (Externship) 3/2012 – 4/2012 Clinton, MD

Managed calls and scheduled appointments for insurance examiners to visit clients and create policies based on their circumstances

Experience with Microsoft Office Suite (Excel) and Data entry

Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)

Experience with web-based tools such as Smartsheet’s, google apps, etc.

Updated client insurance information and utilized the EMSI EXAM 4 and EMSI ARIA systems

Billed different companies through the EMSI Net website

Data Entry Clerk/Education Program Support Assistant 8/2009 – 6/2012 DCPS Afterschool Program, Washington, DC

Supported OST Teacher Facilitator in enrolling participants

Maintained accurate attendance and sign ins for all youth participants

Experience with Microsoft Office Suite (Excel) and Data entry

Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)

Experience with web-based tools such as QuickBase, Smartsheets, google apps, etc.

Experience with Student Information Systems, in particular Follett Aspen/Pearson/AAL eSIS

Assisted with enrichment and behavior management activities for youth

Monitored student progress and need as appropriate

Helped students prepare for presentations and participated in program monitoring

Data Entry Specialist 8/2006 – 7/2008 DC Department of Health Communicable Disease Division (Temporary Service), Washington, DC

Managed incoming medical cases to ensure data was complete for case review or additional investigation

Experience with Microsoft Office Suite (Excel) and Data entry

Extensive familiarity with standard windows web browsers (Chrome, Firefox, Internet Explorer)

Experience with web-based tools

Experience with Student Information Systems

Tracked and logged medical case files and forwarded cases to appropriate state health agencies

Prepared acute case files for review by executive-level staff

Entered data into the database and adhered to confidentiality regulations

Scanning documents

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