**** ***** **** ****, *******, NC ***** 984-***-**** adrf11@r.postjobfree.com

Michele H. Jarvis

Summary

Highly motivated, individual seeking a challenging position in a reputed organization where I can learn new skills, expand my medical insurance knowledge, and make a positive contribution to the organization.

Skill Highlights

Microsoft Office, Word, Excel, Access, Microsoft Outlook, Sedcare, Medisoft, Therapist Helper, NC Tracks, Alpha, Provider Direct, AS400, AHT American HealthTech, On target, CPR+, Sales Force, Tax Preparer, North Carolina Notary Public.

Professional Experience

Claims/Accounting Coordinator

August 2018 to Current

Autism Society of North Carolina Raleigh, NC

Retrieve and track authorizations via the MCO or other contracts in accordance with the ISP. Enter and schedule all consumers authorizations in the EHR system.

Work with assigned regional offices to ensure service notes are complete in the EHR system and eligible for billing within the prescribed time limits.

Compile and verify the accuracy of various regional payroll adjustment reports. Troubleshoot time sheet issues that arise in the EHR database. Support the Clinical department as assigned by maintaining the EHR and PHI databases, monitoring reauthorizations and utilization rates via various reports. Schedule client services with caregivers. Prepare end of physical year reports for accounting manager.

Accounts Receivable Specialist

April 2016 to August 2018

Pinnacle Family Services Raleigh, NC

Submit weekly billing for mental health services through NC Tracks, Alpha and Provider Direct., either on HCFA 1500 or UB04.

Verified all authorizations are correct and upload in K-Care for management.

Track services that are nonbailable weekly and notify management as to why service is unable to be billed.

Prepare monthly reports regarding clients and assures all tasks are completed for month end billing.

Researched and resolves discrepancies on any client billing authorization. Works with payers to resolve outstanding claim issues.

Produces distributes and maintains monthly accounts receivable reports for analysis. Produces year-end information for State and Corporate offices.

Patient Benefits Specialist

December 2015 to February 2016 Biologics Cary, NC

Verified patient pharmacy insurance for a specialty drug.

Conducted pharmacy follow-up calls to assure the specialty drug was shipped to the patient

Requested prior authorization when needed to assist patient with medications

Billing Coordinator

December 2014 to October 2015 Century Care Management Cary, NC

Reconciled monthly bank accounts, posted payments to accounts in a timely manner with 85% accuracy.

Monitored and updated resident trust accounts

Submitted weekly Medicaid/Medicare billing

Accounts Receivable Manager

December 2006 to December 2014 Pride In North Carolina Cary, NC

Maintains a list of events that are not billable and/or require adjustments and reviews it with the Finance Officer and/or President Maintains communication with LME's and regional offices regarding all aspects of accounts receivables and collections efforts.

Identifies and follows up on issues that are causing claim denials and lack of payment.

Provides information and guidance to Regional Staff and Billing Clerk regarding denials to help reduce continued denials of the same type.

Assists Finance Officer with reconciling receivables with receipts and enters checks into the information management system.

Disseminated information to Regional Staff regarding write-offs, and adjustments in each region and the reasons for the adjustments.

Identifies a specific problem area (payer, service, program, etc.) and ensures that additional efforts and resources are focused on obtaining payment.

Works in conjunction with the Billing Manager to ensure that all unpaid events are corrected and re-billed in a timely manner.

Completes enrollment requirements for all third-party payers and ensures all provider numbers are kept current.

Serve as agency billing coordinator creates all billing for electronic submission.

Enter services and claims in various billing programs/websites and or processes paper claims and invoices.

Files and maintains all pertinent information in an organized and confidential manner.

Attends all Medicaid/Medicare training/workshops to obtain most current information/procedures.

Office Manager

August 2004 to December 2006 Central Carolina Counseling Center Garner, NC

Billed all insurance claims for payment.

Conducted all new clients' enrollment/benefit applications.

Scheduled client appointments Posted and reconciled all receivables Prepared monthly budget reports Ordered all office supplies Screened all new clients to assure they were matched with the correct therapists.

Attended training to assure that we were up to date on all billing procedures.

Office Assistant

June 2003 to June 2004 Pembroke Psychological Services Raleigh, NC

Provided administrative support to 4 therapists Posted payments to client accounts Screened all new clients to assure they were matched with the appropriate therapists Insurance verification Completed enrollment applications for third-party payers Prepared letters, memos, reports Scheduled appointments for clients Attended staff meetings Followed up on all insurance denials/payment issues.

Human Resource Assistant/Office Assistant

May 1990 to May 2001 State of North Carolina Raleigh, NC

Served as recruitment coordinator Conducted all new hire orientations Benefits coordinator/ Workers Comp coordinator Monitored all-time recording using an electronic time system Prepared report, letters, memos Provided HR training to all staff Advertised all vacant positions and assisted with the hiring process to assure proper HR procedures were used Maintained all HR files Served as backup to the HR administrator.

Education and Training

Business Administration, May 1984 St. Augustine's College Raleigh NC Business Administration

Contact this candidate