Jackaline E. Hayes, MBA

Atlanta, GA

adrege@r.postjobfree.com 404-***-****

CAREER OBJECTIVE

I am seeking a full-time position which will enable me to utilize my skills in Cash Applications, Business Management, or Customer Service in remote and/or onsite capacity in order to benefit the Organization and to the customers that we serve. I have 31 years of healthcare experience, in which 28 of those years are in Cash Applications. My innate team leadership skills, verbal abilities, along with my written communication have served to make me an efficient team player who is focused on being a creative problem solver, hard worker, and willingness to learn, which has allowed me to be able to multi-task to meet deadlines.

PROFESSIONAL STRENGTHS

Decision Making

Customer interaction

Training Management

Leadership Skills

Account Resolution

Strong Work Ethics

EDUCATION-TRAINING-DEVELOPMENT

Columbia Southern University Orange Beach, AL

Master of Business Administration/Healthcare Management January 2019

Bachelor of Science in Organization Leadership/Healthcare Management January 2015

PROFESSIONAL EXPERIENCE

Healthplan Services (Temporary) Atlanta, GA

Reconciliation Financial Analyst (Remote) Feb 2022 – Present

– Duties include but are not limited to:

Reconcile enrollment and/or financial data and increase value to customers

Perform in-depth discrepancy analysis

Reconcile data from multiple data sources

Locate and define new opportunities for controls and process improvement

Perform first level analysis of data and produce graphical/data sheet summaries of results as

needed

Document procedures, processes and workflows when required

Results oriented – driven to meet deadlines while still maintaining high-quality standards

Provide ad-hoc analysis as required

Ability to communicate with internal and external resources to deliver analysis details

Other financial and/or enrollment reconciliation/research tasks as required by management

Piedmont Internal Medicine Atlanta, GA

Patient Account/Revenue Applications Management Sept 2015 – Jan 2022

– Duties include but are not limited to:

Daily responsible for electronic bank deposits transmitted with downloading and importing all 835 remit files, pulling bank reports, processing payments from ACH, lockbox and Electronic Remittance Advice, along with completing accurate daily reports

Process, balance, and reconcile data cash application functions manually from the explanation of benefits, along with charge entry, zero pays, credit cards, capitation payments, and contractual adjustments in accounts receivable, post professional charges

Process physician’s incentive and capitation accounts by monthly posting and balancing

Approve refund requests and process overpayments for credit balances of patient and insurance accounts

Ability to communicate with internal and external resources to resolve customer outstanding balances issues

Conduct training for various job duties, help support the team

Problem solving for issues by correcting payment errors and claim edits for proper billing

Receive inbound and make outbound calls to patients and companies insurance

Prepare the department appointment reports for patient scheduling, run PB claims and statement

Monitor and work independently in work queues along with undistributed payments for self-pay and insurance accounts

Perform in-depth discrepancy on conflict-resolution

Research and review resolutions of outstanding balances, recoup, and patient disputes, verify patient’s insurance

Sort incoming mail, scan, balance end of day account receivable and correspondence

TVWC – Volunteer Services Forest Park, GA

Finance Assistant/Trustee Board Member Jan 2012 - Present

– Duties include but are not limited to:

Reconcile daily, monthly and yearly transactions, manage records and receipts, pull financial reports

Responsible for accurately counting monies, data entry processing of monies collected,

write out checks for staffs

Help make decisions on minimizing cost, plan and set up fundraisers

Piedmont Healthcare Atlanta, GA

Team Lead/Payment Applications Aug 1999 – Aug 2015

– Duties include but are not limited to:

Daily responsible for electronic bank deposits transmitted with downloading and importing all 835 remit files, pulling bank reports, processing payments from ACH, lockbox and Electronic Remittance Advice, along with completing accurate daily reports

Interviewed future employees, monthly rounding with staff, trained new hires

Networked with colleagues at all levels (staff, managers, directors)

Trained and mentored the team to ensure continued growth with the corporation

Prepared audit report of employee’s assignments by gathering and researching errors, discrepancy, overpayment, and credit balances

Assisted with end of financial monthly closing in accounts receivable

Processed, balanced, reconciled data cash applications functions manually from the EOB’s, along with zero pays, credit cards, and contractual adjustments

Processed and presented monthly general ledger by posting and balancing physician’s accounts of incentive and capitation payments

Reconciled financial general ledger for management, finance, and accounting department

Prepared lockbox/electronic deposits spreadsheets, while distributing daily work to employees

Ability to communicate with internal and external resources to resolve customer outstanding balances issues

Contacted healthcare insurance companies and banks concerning missing checks

Assisted in billing healthcare commercial insurance claims on special projects

Attended training classes for Epic Cadence and Ambulatory Module, NextGen Ambulatory

SYSTEMS & APPLICATIONS

Software: Citrix Remote, Cisco Remote, Epic Resolute (PB/HB), Cadence training (Epic), NexGen (EPM), Sales Force, Cerner 6.0, Centricity/IDX, Legacy Data Access, Image Control System (ICS), Misys. Micro-Med, Cycare

Programs: Windows 95-98, XP, Microsoft Office-Word, Excel, Access, NB, TOPLAB, SHEBA, BRR 3.1GroupWise, MS Outlook, AS400

Finance Applications: Get Next, Patientco, CardPointe, First Data, Your Pay, US Pay Merchant Processing, Care Credit, Gateway, Easy Print, Pay Span Health, and Paper Stream Capture Scanner

Business Applications: Clearinghouse-Waystar, Navicure, Emedon, Image Now, Legacy Data Access, and Care-Medic 3rd-Mill-I Suites, EDI Data Reconciliation Portal, FFM Pre-Audit Data

Web Portals: GA Medicaid, Centers for Medicare and Medicaid (CMS)

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