Medical Billing Specialist
Resume:
Seagoville, TX *****
**********@*****.***
LeiTiesha D. Jackson
AR Billing Specialist with 10 years of experience in Managing collection activities for designated portfolios to maximize cash collection, developing positive relationships with customers, and still achieving target DSO results. Performing ongoing credit line evaluation; monitoring payment patterns and order review.
SKILLS & SOFTWARE
Microso Office, TPX, Word, Excel, MediSo, Citrix, EPIC, Ability, Passport, ACE, Availity, Healthlogic, Mahler so ware, Flowcast, Meditech, RevenueProtect, Sage, Quickbook Medical Terminology, HIPPA Training, Medicare/Medicaid Insurance billing Data Analysis, Process Improvement, UNIX Shell Scripting Accounts receivable /payable professional
General ledger accounting aptitude
Strong interpersonal skills
EXPERIENCE
Steward Health Care — Financial Clearance Analyst
August 2019- June 2022
● Assess Risk and Opportunities for functional organizations and Program Management on multiple programs in order to help maximize company margins/profits.
● Compiled data to generate financial statements including cash flow, P&L, and balance sheet for review by management.
● Spearheaded plan to synchronize business processes and increase communications throughout various levels of the organization using CRM so ware, reducing lead time throughout the entire business process.
Optum360 — Sr Accounts Receivable Representative
June 2017- August 2019
● Worked closely with sales managers, sales admins, billing, and tax department to notify them of issues with accounts to keep good customer relations.
● Performed all A/R functions: Created and maintained customer accounts, posted cash and credit memos, processed credit card transactions, and followed up on past due accounts and customer deductions.
● Resolved collections by examining customer payment plans, payment history, and credit line; coordinating contact with the collections department. Ally Clinical Diagnostics — Lead Insurance Verification Specialist November 2014-May 2016
● Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other so ware applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
● Provide patients with accurate, timely, and satisfactory solutions to potential & arising complaints & concerns about their orders, devices, usage, and physician-ordered prescription(s).
● Gathered accurate insurance demographics to ensure the clean billing status of the patient encounters.
MetroStat Laboratory — Billing Specialist
August 2012- October 2014
● Worked denials on claims, and also update patient electronic charts to maintain the most up-to-date information for the patient.
● Reviewed accounts for possible assignments and makes recommendations to the Billing Supervisor, also prepare information for the collection agency.
● Performed daily backups on office computer system Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third-party payers.
Blue Cross Blue Shield — Underwriting Specialist
August 2000 – July 2012
● Processes residential mortgage loans (FHA, VA, Conventional, purchase, refinance) under various programs in a quality consistent with all company policies and procedures as well as meeting all regulatory requirements.
● Adheres to department policies and procedures in order to comply with performance standards to ensure profitable case delivery measures are managed effectively.
● Analyzes applications and risks by determining the acceptability of risk in accordance with company guidelines and standards.
EDUCATION
Vocational Nursing
Dallas Nursing Institute, Dallas, TX
Medical Billing and Coding
Everest College, Dallas, TX
High School Diploma
Terrell High School, Terrell, TX
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