Enrollment Specialist Medical Billing
Resume:
Jayline Langston
***************@*****.***
Arlington, TX 76010
Professional Summary
Precise, efficient medical billing professional with over 8 years of experience in inpatient, outpatient, and physician medical billing. Specialize in filing accurate claims, adjusting rejected claims, and understanding insurance contracts, appeals, and EOBs. Additional expertise in quality control, reimbursements, and implementing improved processes to enhance accuracy of business, billing, and medical records departments.
SKILLS
Billing,Coding, Charting, CPT and HCPCS Coding, Insurance Contracts,Appeals, EOBs, Confidential Records Maintenance, Accounts/Claims Reconciliation, Quality Control, Knowledge of HMOs, Medicare, and Medicaid
Experience
Tower Watson One Exchange- Enrollment Specialist
June 2015 - April 2018
Duties:
Explaining different policies and regulations to clients
Obtaining required documents to determine if clients are eligible for program
Gather all information that’s needed from client for a successful enrollment
Complete client full applications (Medical, Dental, Vision)
Centauri Health Solutions-Senior Operation Specialist
May 2018- June 2021
Duties:
Provide excellent service to each customer
Answer incoming calls regarding all existing accounts
Help members apply for SSI/SSD benefits
Appeal cases if claimant has been denied
EDUCATION and CERTIFICATIONS
The College of Health Care Professions, Fort Worth, TX
Medical Coding and Billing Specialist
American Heart Association
BLS for Healthcare Providers (CPR) Certification
National Association of Healthcare Professionals
Nationally Registered Coding Specialist
Cedar Valley Community College
Certification in Financial Literacy
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