JACKIE LOVETT

adxxe4@r.postjobfree.com

**** ***** ***** ****

Louisville, Ky 40229

502-***-****

EDUCATION:

Certified ICD9 Medical Coder, Jefferson Technical College, Louisville KY, June 2006- March 2016

Computer Fundamentals, Central Texas College, Killeen TX, 1990 - 1991

TECHN TECHNICAL SKILLS: Waystar, Availity, Medic, Medical Manager, Pace, NetAceess, Epremis, Star, Ace, Meditech, Word, Excel, Connexus, IHN, Medic Health Management, Alpha Collector, NetGen, Freds Reporting

OJECTI EXPERIENCE:

08

1/22- Present Uber, Louisville/Indiana Driver, pickup and drop-off customers, restaurant and store orders.

12/20-12-21 KForce Temp Agency, Brightspring Health Services, Onsite/Remote, Louisville, KY AR Analyst Collector, analyzed claims for Medicaid and Self-pay; followed up on all outstanding balances; provided any additional research for claims designated on the critical accounts list, input comments prior to monthly Critical Account conference call; rebilled claims for any outstanding AR that is collectible with Medicaid Health PAS- online and Waystar; provided detail comments in AlphaCollector to ensure claims are able to be processed in an-accurate and timely manner; maintained open communication; processed cash transfer timely; followed up on insurance claim denials, exceptions and or exclusions (such as claims never billed); read and interpreted insurance explanation of benefits and responded to inquiries from insurance companies, patients BOM’s and provider’s facilities.

4/20-8/20 Account Temps, Altruis, Remote, Louisville KY

Follow up Rep: followed up on Humana, Anthem, Medicaid, Indiana Medicaid and Commercial in a timely manner; reviewed and rebill non-paid secondary claims and submitted write offs requests if necessary; responded to patient inquires; processed credit card payments and maintained a positive dialogue and collaborative with team.

11/19-3/20 Account Temps, Signature Healthcare, Louisville KY

Follow up Rep: followed up on Anthem, Medicaid, Indiana Medicaid and Commercial Nursing home therapy claims in a timely manner; reviewed and rebill non-paid secondary claims and submitted write offs requests if necessary.

10/18-10/19 Dr Andrew Jones PHD PSC, Behavioral Remote, Louisville KY

Billing/Follow up Rep/Credentialing: billed Medicare, Anthem Psychology claims through Waystar; followed up, corrected and rebilled Medicare and Anthem claims; credentialed Indiana Medicaid.

6/12-5/18 Conifer Health Solution, Louisville KY

Patient Accounting Rep: processed Medicare, Medicaid and Commercial hospital billing for University of Louisville and Jewish hospitals; reviewed and processed error claims; processed RTP’s from Medicare online; billed claims electronically and paper claims as needed; requested claim reviews from HIM for coding edits; processed claim in a timely manner; submitted write offs claims denied for medical necessities; billed late charges; billed secondary claims; met and excessed productivity; maintained requirements for quality assurance.

12/03- 1/11 University of Louisville, Louisville KY

Billing Coordinator/ Financial Service Rep: retrieved on-line and off-line utilization for claim status and insurance verification; processed medical coding; posted charge entry; post payments; posted and processed rejections; filed secondary claims; processed credit balances; scanned explanation of benefits (EOB’s); performed follow up; processed correspondence; requested necessary information; processed tickler file; retrieve explanation of benefits; file claims electronically; filed paper claims; processed aged reports monthly; determined the need for adjustments; properly made adjustments with appropriated CPT and ICD9 codes; set up payment arrangements; maintained documentation while working each account; provided customer service in a professional manner with patients, insurance carriers, physician offices, hospital staff and any other calls received or made orally as well as written responses; processed refunds; updated demographic and insurance information; familiar with HIPAA's guidelines, timely filing guidelines per carrier, Medicare, Passport and Medicaid, Anthem, United Healthcare, Champus, Humana, Aetna and more; trained new employees; able to thoroughly work daily accounts from beginning to end; familiar with medical computer network resources such as Meditech, IMS, PAN, MD Valet, KPC application, Medicare, Passport and various insurance carriers; process weekly front desk payments; referred to reference material and attended medical billing and coding seminars regularly for updates; provided financial assessment on patients to determine if patient qualifies Sliding Fee Program and Kentucky Physician Care assistance.

11/99 - 9/01 Cardiovascular Associates, Louisville KY

Collector II: performed duties as a billing collector; worked accounts thoroughly from the initial entry of charges, filed insurance, documented and posted adjustments needed on each account worked; familiar of many different carriers requirements, appeals and filing limit; researched delinquent accounts prior to sending to collections; made patient payment arrangements; ran charge and receipt summaries daily; processed incoming mail; assisted supervisor in training new employees when needed; worked special projects and reports when needed; worked overtime when needed; cross-trained in charge entry department; attended seminars; provided medical billing customer service to patients orally and personally; followed up with insurance companies.

01/97 - 9/97 MD Financial Services/Alliant, Louisville, KY

Billing Associates: performed billing services for approximately 40 doctors, responsibilities included researching and refiling denials from Medicare, Medicaid, Worker Compensation, Auto and Commercial insurance carriers; requested necessary information from doctor 's offices daily; filed electronic and paper claims; billed private pay statements monthly; followed up on insurance claims, reviewed pre-collection accounts and aging reports monthly; provided customer service and written communication; determined the need for adjustments and refunds; updated patients accounts and insurance carriers information; maintained organized files; reviewed updated reference material; pulled EOB’s and ran back - up tapes on weekends as needed; refiled claims with the appropriate CPT and ICD9 codes. Contacted insurance companies concerning over-paid claims; issued refund checks; placed delinquent accounts in the appropriate collection module and generated collection letters; referred all collection status patients to doctor’s offices; updated credit status as needed.

4/95 -12/96 Caretenders, Louisville, KY

Account Receivable Specialist: responsible for DME billing, filed claims with Medicare, Medicaid, insurance companies and private pay statements in a timely and accurate manner; insured complete reimbursements were received; solved problems on denials and posted adjustments to resubmit claims; added and corrected demographic information; provided customer service, orally and written; requested refunds on over paid accounts; followed up with insurance companies; reviewed Aged Accounts Receivable Reports; sorted and mail secondary claims 20 hours per week at home.

9/93 - 3/95 Adminastar of Kentucky/Medicare, Louisville, KY

Reviewer II: responsible for timely and accurate processing of Medicare MSP adjustments and electronic claims; reviewed multiple on-line systems for data update; generated special development letters for beneficiaries; maintained and tabulated monthly workload reports; contacted providers to investigate information; processed Credit Balance Report and special projects as assigned.

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