Patient Assistant Coordinator

Karen Jackson Pg. *

KAREN JACKSON, BBA

***-** ***** ****** *******, NY 11434 Phone: 718-***-**** Email: adu0wo@r.postjobfree.com LinkedIn SUMMARY OF QUALIFICATION

Highly motivated and dedicated healthcare professional with over 15 years of experience in the homecare industry In-depth knowledge and training in the Healthcare field including charts organization, HIPAA regulations, and demonstrated ability to provide solutions while contributing to the efficiency of daily operations. Proficient in Microsoft Office Word, Excel, PowerPoint, Project Management Word 2010, and Typing 40 wpm, Quadra Med MPI Smart Merge, Health port/Smart Log ROI Tracking, Medical Terminology, PHI; ICD-9 and CPT Coding methodologies Release Information, Athens Chart, Assurance (Change Health), Sandata Home Care System, HHA Exchange, Homecare Homebase, Myability and Emedny billing.

CORE COMPETENCIES

Patient Posting Homecare Payroll Customer Service Patient Billing Client Relations Pharmaceutical Prescriptions Patient Hospitality Medical Sales Patient Billing Customer Acquisition Customer Satisfaction Staff Leadership Training Active Listening Communication Emotional Intelligence PROFESSIONAL EXPERIENCES

AMERICARE, INC BROOKLYN, NY

Patient Account Coordinator 6/2020-10/2022

• Submit adjustment requests for unpaid balances after all collection’s efforts have been exhausted, once approved, adjust balances in billing system

• Monitor reports and complete assigned AR report worklists quotas, ensuring charge submission and account receivable follow-up is occurring on a timely basis

• Develops work schedules with the supervisor for aggressive account follow-up and resolution

• Modifies authorization on existing members in an accurate and timely matter for claims to re-billed or appeal through computerized system, HHAX, Myability, Assurance

• Completes activities including but not limited to inbound/outbound calls assigned, fixes and emails

• Obtained information from internal and external sources, process or triages the request via external resources contract portal

• Reviewed all denials for medical documentation to ensure all diagnosis, revenue, and CPT codes are appropriately captured

• Review and follow up on denials related to coding and charge entry processes, if a claim is denied due to incorrect coding, this will be review over and complete research will be undertaken to either re-billed, appeal or billed with the corrected information

• Billing and collections with a strong acumen of commercial, Medicare, MLTC and Medicaid insurance policies and benefits

• Exercises skills in prioritizing assignment in order to complete work in a timely manner when there are changes in workload, assignments, pressures of deadlines, competitive requirement and/or a heavy workload

• Monitors payment patterns and alerts manager to deviations

• Utilizes the AR report to sort, filter, summarize and identify various account receivable trends to solicit payments from insurance companies and patients

• Identify and determine any short or overpayment received by payers and work with operations to resolve any payment issues

• Communicate with insurance companies on payments of claims, follow up on all denials

• Document all follow up activity of open, underpaid and overpaid claims in AR reports in a clear and well manner; Analyze issues to identify trends and recommend changes on how to improve AIDES AT HOME, INC. QUEENS, NY

Assistant Accounting 7/2018-6/2020

Select and assign an efficient, knowledgeable, compliant, and punctual Home health Aide and Patient Assistant in accordance with the terms of the contract following all policies and procedures.

Notify coordinators on aides, workers of changes in HHA/PCA assignment scheduling for billing processing Karen Jackson Pg. 2

Assist with billing and clarification of HHA/PCA timesheets. Verified authorizations from contract of patients and updated on computerized system Sandate/Fiscal, HHA Exchange

Posting of checks from contract on computerized system and follow up with coordinator of new patients.

Document and disseminate, both internally and externally informational data of case including proper and timely utilization of all forms and computer system.

Submitting claims and billing on Myability and Emedny billing software

Follow up and perform verifications, obtain, and send authorizations, referrals, and profiles via fax or online to coordination if authorization has any change.

Assisting the head accountant/supervisor by speaking or emailing contract with questions on billing charges and denials

Checking on contracted portal for availabilities of authorization and if patients are still being service by contract.

Coordinate and adjust services and communicate all transactions on contracted insurance companies on denials and balance of payment for over 80 patients/clients.

Develops and nurture relationships with contract/referring personnel and communicate effectively and written correspondences

Supervises other general staff as required. Performs other duties as may be required. AIDES AT HOME, INC. QUEENS, NY

Assistant Coordinator 6/2007-7/2018

Select and assign an efficient, knowledgeable, complaint’s and punctual Home health Aide and Patient Care Assistant in accordance with the terms of the contract following all policies and procedures

Notify clients, workers, or contracting agencies of changes in HHA/PCA assignments

Assign temporary and emergency replacements as needed and notify all parties of changes in service personnel or service schedules

Interview HHA/PCA’s and explain case history, family dynamics and job duties supplied by contract or Registered Nurses

Maintain up-to-date written and electronic documentation of case (client) activity

Document and disseminate, both internally and externally informational data of case including proper and timely utilization of all forms and computer system

Maintain all information in scheduling system and monitor Santrax/HHA exchange system for lateness and no shows

Follow up and perform verifications, obtain, and send authorizations, referrals, and profiles via fax or online to ensure payment of services

Maintain complete referral and schedule on all active cases and substitute for other Coordinators as needed

Work closely with payroll and billing specialist to ensure schedules are updated and accurate and document service changes as indicated by the CHHA or LTHHCP and notifying Payroll of changes

Coordinate and adjust services and communicate all transactions to Service Coordinators and Billing staff

Develops and nurture relationships with contract/referring personnel and communicate effectively in face-to-face situations, on conference calls and through written correspondences EDUCATION

Bachelor of Business Administration, Patient Information Management Plaza College Queens, NY 2015 Billing and Coding Specialist Certification New York, NY 2012 Associate of Applied Science, Health Information Technology Plaza College Queens, NY 2012

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