Accounting/ Customer Service/ Medical
Resume:
Denise Jones
Accounting/Medical Specialist
Eagle River, AK 99577
********@*****.***
Dear Hiring Manager:
It is with great interest that I am applying for the position currently open. I have attached my resume to provide a summary of my qualifications and background for your review. Through my education and work experience, I am prepared to support this position with the utmost respect, passion, loyalty, dedication, leadership and strong work ethic. I am a high-energy, enthusiastic and dependable professional who excels in challenging and competitive environments. Throughout my career, I have maintained the highest performance standards within a diverse range of administrative and various functions as reflected on the attached resume. Further qualifications I offer include the following:
• Successful record of accomplishment supporting the efforts and goals of those in leadership roles for various businesses and events.
• Strong background in all aspects of office management, from scheduling to overseeing budget, IT, accounting, marketing and sales functions, customer service via chat, phone and in person.
• Demonstrated capacity to develop and maintain comprehensive processes that improve the efficiency of day-to-day operations, relieving those in leadership roles of administrative type functions.
• The ability to effectively manage multiple time sensitive, highly confidential information.
• Exceptional follow through and follow-up to better maintain customer relationships. With excellent organizational and communication skills and the ability to work well in both team- oriented and self-directed environments, I am positioned to exceed your expectations. I have a solid history of producing efficient results in fast-paced environments, which require strong multi-tasking skills. I have proven myself to be coachable and trainable. I would welcome an opportunity to meet with you to discuss my qualifications and candidacy in further detail.
Thank you for taking the time to review my qualifications. Sincerely,
Denise Jones
Willing to relocate to: Nashville, TN - Chattanooga, TN - Huntsville, AL Authorized to work in the US for any employer
Work Experience
Cash Application Specialist
The Adecco Group
January 2022 to Present
Review, research, analyze and reconcile detailed billings,with credit card and bank deposits. Obtain and enter remit data into the Oracle Cloud as needed. Communication with collectors to ensure proper and accurate payment. Documentation Review, data collection Escalate payments which cannot be applied or create On Account. Upload daily lockbox e-files from bank websites to the appropriate network folders for automated payment application or rejection. Escalate issues as required. Adhere to policies and procedures.
Work daily on Oracle Cloud,EBS, Outlook, MS Office Suite and pivot tables Authorizations and Benefits Specialist
ACENT - Anchorage, AK
April 2018 to July 2020
Surgical and Coding Specialist- SCENT - Anchorage, AK April 2018- July 2020
Knowledge of HCPCS, CPT and ICD-10 coding and billing requirements, research, denials and orchestrated peer-to-peer calls for prior authorization and immediate authorizations. Processed credit card payments and set up payment plans, customer service via phone and chat with patients for pre-op and post- operations instructions, status of authorization and general question,, worked closely with Care Credit payments for cosmetic procedures, maintained confidential information, while multitasking and taking initiative of other office responsibilities *Certification in Medical Terminology and Physical Anatomy, obtained In-office and surgical authorizations for ENT clinic, Maintained a professional manner and diffuse any negative situations Understanding of EOB's, Refunds and EFT
• Sitting for CPC Certifications September 2021
Surgical Scheduler
Far North Surgery - Anchorage, AK
May 2016 to February 2018
Review and verify insurance using provider portal s Check CPT codes and ICD-10 codes and billing for pre- authorization Schedule and maintain surgeries at 3-hospital locations Submit orders to OR scheduling for process Maintain block times Communicate with surgeon on special needs and wants for various surgeries Work with worker's compensation claims Scan records and orders to patient's file Create and maintain Excel spreadsheet of monthly surgeries Call patients 1-2 days prior to surgery Maintain RN scheduling as well Research and review medical terminology, CPT and ICD-10 codes Software Used: Epic, Athena, Centricity, Excel, Word, Lotus Applications A/R & Accounting Technician
Alaska Railroad Corporation - Anchorage, AK
April 2016 to May 2017
A/R, consolidated invoices, work with conductors to manage ticket sales, account for gift shop revenue, process cash, credit cards, and checks, send out weekly invoices to merchants, work with cruise ships for train car reservations, general ledgers, balance A/R, generate reports using Excel for cruise trains, motor coach reports, and penny machines, process gift transactions daily, generate monthly reports to settle at month end. Make deposits, check request for conductor sales, sufficient work in JDE and Excel; generating reports, research payments, invoices, and review batches of consolidated invoices Accounting and Medical Specialis
AK. Heart and Vascular Heart Institute - Anchorage, AK January 2014 to June 2016
Authorization Spec.
review patient records using medical coding procedures, examine the claims and verify insurance eligibility, record any medical charges and other payments or adjustments, responsible for detecting any coding errors or performing any modifications needed, assist patients in obtaining and understanding medical benefits, responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration form, use knowledge of payer requirements and medical coding to request authorization in order to determine if services are reimbursable, understand service provided while demonstrating accuracy and timeliness within authorization standards, collaborate with multiple providers and payers to effectively and efficiently obtain proper authorization for difference service levels, adapt to the rapidly changing needs of the patient, payers, work-flow, team, department, and the organization, completes documentation on time and accurately using current technology Medical Coder/ Billing Coordinator
AK. Spine Institute - Anchorage, AK
2012 to 2014
review patient records using medical coding procedures, examine the claims and verify insurance eligibility, record any medical charges and other payments or adjustments, customer service, responsible for detecting any coding errors or performing any modifications needed, assist patients in obtaining and understanding medical benefits, responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration form, use knowledge of payer requirements and medical coding to request authorization in order to determine if services are reimbursable, understand service provided while demonstrating accuracy and timeliness within authorization standards, collaborate with multiple providers and payers to effectively and efficiently obtain proper authorization for difference service levels, adapt to the rapidly changing needs of the patient, payers, work-flow, team, department, and the organization, completes documentation on time and accurately using current technology
Executive Assistant
Shell Oil and Production
2010 to 2011
prepare and edit correspondence, communications, presentations and other documents, file and retrieve documents and reference materials, conduct research, assemble and analyze data to prepare reports and documents, design and maintain databases, manage and maintain executives schedules, appointments and travel arrangements, arrange and coordinate, meetings and events, record, transcribe and distribute minutes of meetings, monitor, respond to and distribute incoming communications, answer and manage incoming calls receive and interact with incoming visitors, liaise with internal staff at all levels interact with external clients, co-ordinate project-based work review operating practices and implement improvements where necessary supervise, coach and train lower level staff. Education
Freshmen in Psychology
Southern New Hampshire University
Present
Freshman in Accounting
University of Phoenix
2006 to 2008
Associate in Computer Programming
Chattanooga State
2006 to 2008
Senior in General Studies
Thornridge High School
August 1991 to June 1995
Skills
• ACCOUNTING (10+ years)
• BENEFITS (4 years)
• CODING (4 years)
• MEDICAL CODING (4 years)
• ACCOUNTS PAYABLE (10+ years)
• ACCOUNTS RECEIVABLE (10+ years)
• Medical Records (4 years)
• BILLING (10+ years)
• Consolidation invoices (10+ years)
• Jd Edwardsp (2 years)
• Scheduling (4 years)
• Medical Terminology (4 years)
• Medical Records (4 years)
• Medical Billing (4 years)
• Meditech (4 years)
• Telecommute (4 years)
• Bookkeeping
• General Ledger
• Quickbooks
• Payroll
• Excel
• Outlook
• Microsoft Excel
• credit
• Great Plains
• AS400
• Budgeting
• Receptionist
• Medication Administration (7 years)
• Medical Terminology (7 years)
• CPT Coding (6 years)
• Medical Imaging Experience (6 years)
• Medical Billing (6 years)
• Athenahealth (2 years)
• ICD-10 (6 years)
• Travel Arrangements (10+ years)
• Insurance Verification
• Account Reconciliation
• ICD-9
• Anatomy Knowledge
• Workers' Compensation
• Epic
• JD Edwards
• EMR Systems
• General Ledger Reconciliation
• Journal Entries
• Office Management
• Live chat (6 years)
• 10 key calculator
• Revenue cycle management
• Typing
• Microsoft Office
• HRIS
• Analysis skills
• SAP
• Bank Reconciliation
• Microsoft Access (5 years)
• Medicare (4 years)
• Oracle
• Acute care
• EDI
• Financial Report Writing
• Benefits Administration
• Transcription
• AdvancedMD (4 years)
• Google Suite
• OOP
Additional Information
Skills: Surgery scheduling, Veterans Administration, CPT coding, ICD-10 research, Preauthorizations, Benefits and Eligibility, surgery, Workers Compensation, Medicaid Travel and authorizations, Medicare research, Accounts Payable (10+ years), Accounts Receivable (10+ years), Payroll (6 years), Collections (6 years), Accounting (10+ years), Medical Billing (2 years), Medical Records
(4 years),FMLA, Insurance Verification (4 years), Benefits Administration (4 years), Customer Service (10+ years), Executive Support (4 years), Administrative Assistant (10+ years): Medical Coding, Registration, Payroll, Data Entry, Collections, Administrative, Executive Secretarial, Office Management, Collections and Scheduling, eligibility and benefits, Veterans. authorization using Tri- west and VA choice, JD Edward Software; Microsoft Suite, Quick-books, Tyger, SAP, Excel, PowerPoint, and many in-house programs and more.
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