Jenny Edwards

Professional Experience

Hester Eye Associates

Medical AR Specialist March 2021-April 2023

Review and submit accurate claims to various insurance companies either electronically or by paper

Responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections

Post payments electronically and manually and apply appropriate adjustments as needed

Responsible for all aspects of insurance follow up and collections, including contacting insurance companies regarding outstanding insurance balances, identify what is needed for resubmission, check eligibility, ensure authorization is on file, verify claim status on payer websites or over the phone to ensure all necessary billing information has been satisfied to resolve the account balance

Effectively resolve complex or aged inventory, including payment research, payment recoups

Accurately and thoroughly document the pertinent collection activity performed

Identify root cause issues for denials; categorize denial reasons and coordinate with client and/or with management to ensure process improvements are completed

Answers staff and provider questions related to billing

Classic Vision Care

Medical Biller May 2020-March 2021

Review and research insurance denials received through insurance remittances, payor correspondence, or Clearinghouse rejections in an accurate and timely manner.

Ensure timely communication of denials or payor trends that require the client's knowledge and/or actions.

Ensure updates are made within the system to correct billing errors, along with rebilling corrected claims to each payor.

Identify and report payor trends that may have negative implications timely to both clients and management.

Work collaboratively with other RCM departments (Billing, Posting, Customer Service) to ensure overall account accuracy and issue resolutions are completed.

Advanced Eye of Marietta, Marietta, GA

Billing and Accounts Receivables February 2016 – October 2019

Proficient Officemate & Examwriter software

Filing all medical and vision insurance

Billing and collections

Credentialing

Posting and receiving payments

Visual Fields

Smyrna Eye Group, Smyrna, GA (Multiple Roles) August 2011 – August 2014

Front Office Coordinator

Proficient with compulink computer software

Scheduling appointments

Verifying all vision and medical insurance

Check patients in and out

Back Office Coordinator

Visual Fields

Optos

Tonometry

Dilation

Harry C. Tindall MD, Atlanta, GA November 1988 – February 2011

Medical Admin/Billing Coordinator

Dispensing contacts, insertion and removal

Taking patient history

Dilation

Reading glasses

Checking PD

Filing all medical insurance

Scheduling appointments

Billing and collections

Filing

Posting and receiving payments

Accounts Payable

Eye Associates, Smyrna, GA May 1983 – October 1988

Back Office Coordinator

Auto Refractor

Visual Fields

K’s reading

Tonometry

Dispensing and ordering contact lenses and glasses

Dr. William Stone, Orlando, FL February 1982 – February 1983

Back Office Coordinator

Dispensing contact lenses, insertion and removal

Fitting and dispensing glasses

Taking patient history

Dr. James Barrs, Forest Park, GA December 1977 – October 1981

Front Office Operations

Scheduling appointments

Posting payments

Billing and collections

Coordinating recalls

Education

High School - Jonesboro Senior High School, Jonesboro, GA 1977

Licensed Optician 1986

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