Jayline Langston

adv7u7@r.postjobfree.com

Arlington, TX 76010

313-***-****

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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