Payment Poster Reimbursement Specialist
Resume:
Jessica Beverly
**** ********** **. ************, ** 37128
adwtuy@r.postjobfree.com
Objective
To obtain employment at a healthcare company to utilize my abilities; to lead a team, and provide solutions
Skills & Abilities
Leadership, Communication, Risk Management, Practice Analytics, System Administration, Task Management, and Team Management
Experience
Journey Pure LLC 12/15/19 – Current
Lead Payment Poster
Oversees the normal functions of Journey Pure payment processing
Allocate and correct all variances and unallocated accounts
Research missing payments, zero pays and recoupments
Responsible for balancing daily collections to bank deposits
Distribute daily work for payment department
Audit payments posted for accuracy
Manually post $245,000.00 per day
The Pain Management Group 01/2018 – 12/02/2020
Project Manager/Payment Poster
Attended Provider Expos to assure all updates were kept up to date with our facilities as well as networking
Work closely with providers on clinical guideline updates; send out monthly newsletter
Oversees contractual requirements and documentation
Meet with a Provider Relations Rep from each payor every quarter if possible
Organize projects into manageable work assignments for team members and determine and effective approach to completing the work
The Pain Management Group 01/2017– 01/2018
Billing Lead/Payment Poster
Supervised day to day functions for the Medical Billing Team which consists of auditing the posting of denials and coding on accounts worked
Implemented and adhere to policies, procedure and systems for proper coding and quality assurance
Worked front end rejections; ran daily reports; System Administration
Monitor tasks to improve billing practices and increase revenue
Assisted Director in daily operation of the Billing Department
Supervised 3 billers and helped improved collections by 80% in 1year
Posted electronic payments daily for 23 providers at 7 locations
Attend weekly manager meetings to give updates on project and billing issues
The Pain Management Group 02/2015 – 01/2017
AR/ Refund Coordinator
Conducted AR follow up on Amerigroup claims and reversed paper audit within 6 months after being on audit for 2years
Worked all refunds for 7 locations: both patient and payor refunds. Recoupment audits
Monitored payer refund request to ensure correct payments were issued and refunds were valid
Review and work denial daily, average 75 accounts per day
Promoted to Billing Lead along with taking on payment posting position
Premier Radiology 02/2013 – 02/2015
Reimbursement Specialist
Worked with insurance and billing team to determine the method of payment for patients
Reviewed contracts and uploaded the fee schedules into Billing System
Managed Billing financial records; medical records
Attended meetings at payor locations to discuss issues regarding reimbursement issues
Education
Ross Medical Education Center – Lansing, MI – Medical Assistant Certification
August 2004
3.8 GPA
Communication
I was given the opportunity to implement a new training manual for Premier Radiology new employees in their central billing office. I sat with each department to take notes on their job and create a power point that the company still uses today for training new employees. I was Extern Supervisor for all billing and coding students from Brightwood College and Fortis Institute.
Leadership
A leader is someone who helps themselves and others to do the right thing. What makes me a great leader is a great listener, flexible, and someone that understands, not everything goes as planned, communication, courage, and patience. Holding yourself accountable as well as others; along with having integrity and being tough but fair.
References
Reference Name
Kimberly Amento
Dr. Matthew Lewis
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