Mykheal Jones

I am leader that is always willing to go over and beyond seeking a position at a company with growth opportunities.

Houston, TX 77082

ad3z3u@r.postjobfree.com

+1-346-***-****

Seeking a position with a company that is willing to employ a self-sufficient hard and loyal worker with an opportunity for advancement

Authorized to work in the US for any employer

Work Experience

Office Manager

Ibro Chops - Houston, TX

May 2021 to Present

Intake orders for scheduling. Manage the accounts and receivable. Input strategies to structure a long term relationship with clients and potential customers. Create employee work schedule, including processing and distributing payroll.

Benefits Specialist

Empyrean Benefit Solutions - Houston, TX

October 2020 to December 2020

Enroll and educate employees providing current vs future benefit options. Work from home (Temporary Assignment)

Patient Financial Rep

Med Recovery Systems - Houston, TX

May 2018 to November 2018

• Organize the collection follow-up effort on outstanding receivables. Analyze system-generated reports to determine the appropriate emphasis needed and action required (prioritize). Review account information prior to making phone contact.

• Reviews all information to ensure account accuracy. Prorates billing cycle when necessary, corrects demographic information, financial classification as needed.

• Reviews remittance advice when necessary for no pays or short pays to verify proper reimbursement and to make adjustments as necessary.

• Identifies coding and billing errors from the EOB and works to correct errors in a timely manner.

• Prioritizes work load to incorporate aged AR of 90+ days and high dollar AR as needed.

• Pursue payment from guarantor for outstanding patient liabilities.

• Document action taken and result in the patient accounting system account notes.

• Respond to inbound mail from insurance companies and patients.

• Appeals claims that are improperly adjudicated so they are promptly corrected and paid. Patient Services Liason

Medcycle

July 2017 to October 2017

Contracted

- Responsible for recalling bad debt accounts from collection agency

- Made necessary discount adjustments to patient accounts that were on payment plans

- Rebill insurance claims that were never filed or received due to eligibility issues

- Update and load patient demographics including insurance verification

- Resolve patient account issues by assisting them with payment plan options

- Transfer distributed credits on patients account between TCH hospital and Physician accounts - Applied missing payments

Sr Support Specialist

UT Health - Houston, TX

October 2014 to October 2016

- Scheduling of patient appointments

- Obtaining and updating Patient demographic information

- Training staff - Insurance verification, referrals, billing, and AR follow up

- Responsible for fulfillment of Medical Records requests, in accordance with HIPAA

- Responsible for daily charge entry; responsible for retrieving medical records from the Psych Units

- General office duties include answering and transferring calls; educate patients regarding benefits - Assistance with department budgets utilizing Excel Sr Physician Rep

McKesson Corp

August 2010 to August 2014

- Collection on accounts 30 days and older

- Insurance verification/correct claim errors on the front end that prevents clean claim filing

- Updating patient demographics

- Suggest resolution to client's ongoing trends and issues- Analytical and problem solving of accounts Physician Capital Group

PCG

March 2008 to December 2009

- Manage front end claims operations department

- Oversee employees in completing projects and assignments

- Manage daily insurance verification and precertification schedule

- Train New PCG employees and New Client staff

- Edit claims being rejected by EDI and PCG's clearinghouse

- Manage the quality and quantity of charges being entered by the team

- Create Team Goals along with Incentives

- Participate in the building of PCG's collections and billing software

- Update the providers charge capture in MD Coder showing current status of charges

- Perform Employee Evaluations

- Made final decisions on employee Compensation

- Implementation of new ideas with the IT department increasing the accuracy and quantity of accounts - Work closely with the Client Liaison coming up with resolutions to issues related to the practice revenue/ procedures

Physician Billing Specialist

Baylor College of Medicine

October 1999 to March 2008

- Intake charge documents from the clinics and hospitals

- Setup CPVC (Cardiovascular Transplant Cases) and Mental Health cases

- Receive, sort, and batch charge documents independently

- Charge Entry

- Responsible for resolving transaction level edits

- Patient Registration

- Charge Corrections

- Research missing info from documents that are pending charge entry

- Print E-Bills (electronic billing) from shared billing server

- Charge capturing

- Train and Educate employees

- Independently obtain and enter timely, accurate registration data including, but not limited to, interface data from multiple systems

- Multi specialty medical billing and collections

- Insurance Verification and Pre-certification

- Update patient demographic information

- Work edit/rejections through WebMD Ecommerce electronic system

-Improve IDX usage by providing payer information accurately into IDX system for electronic claim

-Update rejected claim with proper CPT, ICD9 and modifiers

- Resolve insurance correspondence

- Responsible for daily follow-up on patient accounts

- Audited insurance contracts and patient accounts to ensure that claims were being paid accordingly Education

General Studies in Health Information Management

San Jacinto College - Houston, TX

September 2010 to January 2011

High school diploma

Milby High School - Houston, TX

August 1992 to June 1996

Skills

• Ecommerce

• Microsoft Office

• Epic

• PCS

• Scantrax

• TMHP

• Medical

Terminology

• CPT

• ICD9

• Customer Service

• 10 Key by sight

• 55+ wpm including: Patient Accounts

• Workfile Maintenance (10+ years)

• Collections

• Patient Billing

• General Office Skills (10+ years)

• Management

• Nuesoft

• Centricity Allscripts

• MD Coder

• Scanning

• Scheduling (10+ years)

• EMR Systems (10+ years)

• Hospital Experience

• ICD-10

• Insurance Verification (10+ years)

• Medical Billing (10+ years)

• Medical Collection

• Accounts Receivable

• Data Entry (10+ years)

• HIPAA (10+ years)

• Medical Scheduling (10+ years)

• Experience Administering Injections

• Leadership (10+ years)

• Time management (10+ years)

• English (10+ years)

• Microsoft Excel

• Computer literacy

• 10 key calculator

• Phone Etiquette

• Quality Assurance

• Medical Office Experience

• ICD Coding

• Typing

• Computer hardware

• Databases

• Front desk

• Medical receptionist

• ICD-9

• Medical terminology

• Clerical Experience

• Transcription

• Administrative experience

• Microsoft Word

• Accounting

• Microsoft Powerpoint

• QuickBooks

• Medicare

• E-commerce

• Inside sales

• Basic math

• Sanitation

• Analysis skills

• Computer skills

• Communication skills

• IDX

• Software troubleshooting

• Word processing

• Writing skills

• Customer support (3 years)

• 10 key typing

• Technical support

• Negotiation

• Banking

• Primary care

• Filing

• Managed care

• Medical law

• EMR systems

• Medical office experience

• Medical terminology

• Medical records

• Law office

• Computer skills

• Communication skills

• Office experience

• Epic

• ICD-10

• Typing

• HIPAA

• Clerical experience

• Hospital experience

• Front desk

• Revenue cycle management

• Records management

• Customer service

• Accounts receivable

• Windows

• Google Docs

• Computer hardware

• Analysis skills

• Leadership

• Payroll

• Childcare

• Technical support

• Software troubleshooting

• Negotiation

• Telemarketing

• Workday

• SAP

• E-commerce

• Events management

• Hospitality

• Smartsheet

• Telecommunication

• Root cause analysis

• Schedule management

• Administrative experience

• Data entry

• Microsoft Excel

• Quality assurance

• CRM software

• Application support

• Databases

• Recruiting

• Sales

• Financial services

• ICD-9

• Healthcare management

• Fashion retail

• Retail sales

• Hotel experience

• Classroom management

• Account reconciliation

• Accounting software

• Inside sales

• Accounts payable

• Balance sheet reconciliation

• Active Directory

• Organizational skills

• Computer literacy

• Microsoft Word

• Microsoft Office

• Upselling

• SAP ERP

• iOS

• Mac OS

• Insurance verification

• Medicare

• Medical billing

• Phone etiquette

• Tax experience

• B2B sales

• Data mining

• Teaching

• ERP systems

• Microsoft Access

• Microsoft Outlook

• Medical collection

• Customer relationship management

• Project management

• Business development

• Team management

• Process improvement

• English

• Relationship management

• DocuSign

• Personal assistant experience

• Document management

• eClinicalWorks

• Behavioral health

• Allscripts

• Cleaning

• Medical scheduling

• Caregiving

• Management

• Multi-line phone systems

• Event planning

• Working with people with developmental disabilities

• Working with people with disabilities

• Medication administration

• Resident's rights

• Home & community care

• Writing skills

• Home care

• Basic math

• Aging issues counseling

• Patient service

• Training & development

• Medical administrative support

• EHR systems

Languages

• English - Expert

Certifications and Licenses

CPR Certification

Driver's License

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