Jacinta Harris

Motivated, public health undergraduate, medical office experienced, team leader

Nashville, TN 37218

adxpjc@r.postjobfree.com

+1-615-***-****

Seeking a career a progressive organization where I can utilize my public health education, leadership skills, knowledge, and experience in a challenging role that allows for advancement and growth. Authorized to work in the US for any employer

Work Experience

Underpayment Analyst

HCA Healthcare - Nashville, TN

June 2022 to Present

• Analyzes hospital claims to identify contractual underpayments or billing errors

• Resolves underpaid claims billed to commercial, Medicare, Medicaid,Medicare, and third-party administrators

• Contacts insurance companies via phone in correspondence and initiates request for underpayments and reprocessing claims

• Performs appropriate follow up with payors,submitting reconsiderations via electronically and paper submission

• Identifies and communicates contract issues and language discrepancies to leadership as appropriate

• Compiles spreadsheet identifying company trends and communicates trends to supervisor for further action with database management

• Practices and adheres to the facilities code of conduct, HIPAA and PHI guidelines

• Works assigned queues in timely matter, meeting departmental productivity metric guidelines Patient Finance Representative Team Lead

PhyMed Healthcare Group - Nashville, TN

June 2015 to September 2021

• Performed all work duties remotely; providing team support,IT support and continuous training

• Provided excellent customer service for one- call resolution in high call volume environment

• Manager in training for 3+ years in team lead position with out-of-state traveling

• Follows HIPAA and PHI guidelines

• Processed patient payments for outstanding anesthesia balances

• Verified medical insurance eligibility for completion of insurance HCFA claim billing

• Review and corrected claims with insurance contractual adjustments

• Distribute suspended payments to appropriate accounts for balance corrections and end of month closing.

• Processed and approved all departmental patient refunds

• Provided anesthesia estimates utilizing ICD-10 procedural codes to clinics and patients for upcoming procedures via phone and email

• Review and applied appropriate discounts adjustment codes to patient accounts in lieu of facility, surgeon, and financial hardships

• Processed incoming third-party EMR/receipt request for ROI via email, phone, and fax

• Developed cosmetic prepayment spreadsheet and protocol for patient follow-up

• Generate weekly reports for automated dialing system for ringback and retention campaigns

• Generate daily patient statements for mailing system

• Submit bad debt accounts to external collections via EDI, database management

• Helped build effective script for in/outbound calls, system automated call campaigns and billing statements

• RCM Planning board member- Established work procedures and processes that support company and departmental standards, procedures, and strategic directives

• Partnered with manager and Human Resources with screening, interviewing, scheduling, and hiring candidates

• Identified training possibilities in new hires and ongoing employees and implemented training processes for multiple departments

• Managed talent through coordinating and facilitating training and identifying development needs

• Provides statistical and performance feedback and coaching, and administered performance reviews for skill improvement in monthly team one-on-one meetings

• Works collaboratively with internal resources and external collection departments resolving a/r accounts

• Trained and oversaw daily operations of 10+ employees

• Created, drafted, and maintained departmental procedures within training manual

• Serves as point-of-contact for manager requested escalated calls-of all issues related to multiple teams

• Handles all incoming company email correspondence

• Trained new anesthesia facilities via Zoom

• Corrected and approved employee timecards for biweekly payroll CHS/Patient Relations Representative III

CHS/PPSI - Franklin, TN

November 2012 to June 2015

• Provides excellent customer service skills and report with patient, insurance companies, clinics, and third party administrators

•Answers patient inquiries regarding accounts and responds to voicemails within 24 hours

•Documents all communication regarding accounts in Athena database

•Creates Remedy ticket corresponding with each patient account as clinic/AR back-up

• Loaded insurance information for timely billing

•Scans all returned mail into system (i.e.death certificate, ROI, insurance card copy)

•Processes, posts, and balances credit card payments within policy

•Researches unapplied payments for completion of internal transfer to correct account

•Working knowledge of insurance billing, including worker's compensation, commercial, and Medicare / Medicaid

•Verifies insurance coverage as communicated by the patient prior to insurance billing

•Establishes and monitors contracted payment arrangements

•Communicates with supporting departments to resolve account discrepancies

•Maintain confidentiality and adhere to the HIPAA guidelines/regulations

•Accurately updates patient demographic information

•Demonstrated ability to be flexible, work collaboratively among internal and external departments, to identify and resolve department challenges(2014 security breech) Health Information Technician

Baptist Hospital/St.Thomas Health - Nashville, TN

January 2008 to January 2011

Birth Certificate Registrar/ EMR Scanner

Responsible for preparing and scanning patient records for electronic scanning/filing Worked independently with ability to make logical decisions and maintain HIPAA standards. Provides communication to physicians, MD advisors, nursing staff, ROI, and other supporting staff to obtain optimal documentation to meet scanning, billing standards, and birth certificate registrar.

• Responsible for accurate update of charts, coordinating with daily schedules and deadlines

• Accurately sorts, distributes, files, and retrieves medical records

• Corrects procedure and document codes to electronic files through quality control and validation

• Handles all patient charts with confidentiality following HIPAA and two patient identifiers

• Collaborates with supporting departments to solve account number and medical record number problems and facilitates corrections.

• Analyze patient information for data entry via medical record, direct patient contact, and labor/delivery staff and physicians

• Retrieved and compiled weekly DRG reports to be submitted to departmental director timely

• Followed State of TN vital records procedures for transmission

• Provided addition documentation to patients for state programs(Medicare/Medicaid, SSI) and insurance verification

Education

Bachelor's degree in Public Health

Tennessee State University - Nashville, TN

January 2017 to December 2019

Associates Applied Science

Nashville State - Nashville, TN

2010 to 2012

Associates in Occupational Therapy

High Tech Institute/Anthem - Nashville, TN

2001 to 2003

Skills

• Strong problem solving skills;Great time-management skills w/strong ability to multi-task, Superior organization skills.45+ wpm, excellent 10-key.Proficient data entry skills.Well-developed customer service skills, Knowledge of office equipment (copier/fax) Strong attention to details COMPUTER SKILLS: Microsoft Office, Excel, PowerPoint, Outlook, Passport, Athena, handles deadline projects

(10+ years)

• Anatomy Knowledge

• Physiology Knowledge

• Medical Office Experience

• Medical Terminology

• Medical Billing

• EMR Systems

• Insurance Verification

• HIPAA

• Workers' Compensation

• ICD-10

• Medical Records

• Employee Orientation

• CPT Coding

• Clerical Experience

• ICD-9,ICD-10

• Phone Etiquette

• Quality Assurance

• Cerner

• Recruiting

• Epic

• Microsoft Powerpoint

• Customer service

• Account reconciliation

• Data management

• Microsoft Outlook

• Microsoft Excel

• Microsoft Office

• Documentation review

• DRG

• Accounting

• Typing

• Analysis skills

• Communication skills

• Revenue cycle management

• Software troubleshooting

• Public health

• Computer skills

Certifications and Licenses

Covid-19 Contact Tracing- Johns Hopkins

May 2020 to Present

Learning natural history of coivd-19 and public health intervention through contact tracing.

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