Accounts Receivables

Jane Allison Stark

**** * **** **

Omaha, NE ****0

402-***-**** cell or text

*******@*****.***

Summary of Qualifications:

Twenty years experience in all aspects of medical billing management, revenue cycle & collections Seven years experience training medical billing and collections staff Proficient in ICD-10 coding, CPT-4 coding, ASA coding, and medical terminology Seven years experience as founder/owner Starkhouse Collectables & Antiques Estate Sales Six years experience veterinary front office scheduling, charting, billing, simple lab, sales Education:

Certificate Creighton Institute for COBOL/MVS/JCL programming (1998) Bachelor of Arts degree in Social Science /Behavioral Science College of St Mary (1984) Certified Auctioneer World Wide College of Auctioneering Mason City, IA (1977) Employment:

11/21 to the present: Animal Spay-Neuter Clinic

Veterinary Front Office

Surgery check in & appointment scheduling

Answer busy multi-line phones

Surgery post-op owner education/dismissals

Sale/dispense veterinary medical supplies & medication approved by veterinarian Set up simple labs

Maintain pet charts, document phone calls and advice from veterinarian Write rabies certificates and duplicate proof of spay/neuter certificates Provide veterinary charts to other providers per request via email/fax/text Limited assistance with pre-anesthesia restraint upon veterinarian request Other duties as requested

03/21 to 10/21 Children’s Home Health CBO

Insurance Follow-up Specialist

Insurance follow up specialist for Iowa Medicaid & Tricare home health claims Investigate denial status for whole claims & line items via payer websites and phone calls to payers Create claim appeals including medical documentation and rationale based on payer requirements Reach out to families if benefits were no longer in effect or patient information needed to be updated Post large remittance advice BCBS NE, UHC, Tricare, etc explanation of benefits to assist posting department. Post denials for whole claims and line items based on WPS denial codes Send letters to families for the return or payment of missing medical rental equipment. Forward these accounts to collections if necessary.

1/20 to 10/21 Physician’s Laboratory Services

Insurance Follow-up Specialist

Insurance follow-up specialist for clinical laboratory for place of service 81 commercial payers, Medicare, Medicaid, & Worker’s Compensation

Identify & report coding and diagnosis error trends to upper management Report client error issues based on signed provider contracts Skip trace demographics and insurance information via payer websites and phone calls Refile claims to valid insurance and/or send statements to patients if no valid insurance could be determined Answer patient and client calls, accept payments, set payment arrangements, trouble shoot patient questions, refile claims/create reconsiderations or appeals as necessary. Special projects related to CPT/ICD-10 denials, usually insurance provider specific as assigned Train and assist new staff within the department

10/2019 to 1/2020 Signature Performance

Insurance Follow-up Specialist via contract

Insurance follow-up for Avera Health Care hospital claims (Southern California) Assist in training new staff on the project

3/19 to 9/19 Colon and Rectal Surgery/Colonoscopy Center Billing Specialist

Insurance follow-up for all payers including commercial, Medicare, Medicaid, VA, Tricare, DME Field patient phone calls regarding insurance questions and balance due Process credit card transactions for both companies upon patient request Negotiate payment arrangements for patients with large, self pay or past due balances Assist hospitals and other medical offices with demographic & insurance information for mutual patients Collect and verify daily front desk co-pay, credit card and cash for end of day reconciliation Investigate credit balances related to insurance overpayments or incorrect adjustments Other duties and special projects as assigned

3/18 to 1/19 ENT Specialists, PC

Billing Specialist/Surgical Prior Authorization Specialist Charge capture & data entry for both clinic and surgical charges for two of the group’s physicians Payment posting of insurance & personal payments

Answer incoming calls for the billing department, shared duty Correct failed claims from the clearing house

Verify insurance coverage, correct or update patient registration and refile claims as necessary Act as back up to the pre-certification specialist for CT scans & surgeries, and patient inquiries regarding pre- payment of said procedures. Take credit card payments via phone for these procedures and for payment on accounts

Assist front desk & scheduling staff balance due and collection account information 4/2016 to the present Starkhouse Collectables & Antiques Co-founder/Owner/Operator

Responsible for all day to day operations of our estate sale business Creator of all marketing, website maintenance, and advertising Maintain a current list of industry experts for in person consultation and via the web to ensure pricing is correct for our part of the country and also for best change at quick sale of merchandise. Maintain all business/tax records

Process, research, price, display and sell whole home, consignment, and close out merchandise for multiple clients

Merchandise appraisal and private shopping upon request for an agreed upon percentage Travel to auctions, private sales, and by invitation to pick for clients or for our own purchase for re-sale 9/16 to 2/18 Medsynergies/CHI CBO

Claims production Analyst CHI Des Moines/Centerville, IA Team Responsible for daily claims validation and financial posting for all professional fees billing Run statements and claims rejection reports

Process electronic and paper claims for these markets Send special handling paper claims back to the clinic as necessary Separate work comp and Wellmark claims for management review Process daily revenue cycle reports & create source of truth documents for transparency Calculate and add claims data to the track and trend report Close batches and run month end reports for the market Work client reject reports, make corrections, resubmit electronic claims based on timely filing guidelines. Investigate as necessary regarding incorrect demographics, insurance information, coding, etc. Skip trace and verify insurance info via payer websites/phone calls Special projects related to claims failure as necessary 10/15 to 9/16 Medsynergies/Optum 360

Accounts Receiveables Associate CHI BCBS/UHC Team

Investigate missing money through payer websites and internal medical management software; forward trends and large scale provider issues to upper management Audit accounts with unpaid, underpaid line items. Forward to coding review team if necessary Perform insurance reconsiderations or appeals for underpaid claims Handle correspondence related to specific claims issues, correct and refile as necessary for proper reimbursement

Investigate provider credentialing/EDI issues or commercial payers. Forward information to the EDI team immediately.

7/15 to 8/16 Transitions Estate Sales

Sales Team Member

1/15 to 7/15 Medefis, Inc

A/P Billing Specialist

9/12-5/15 Manahan Eye Associates

Billing Specialist

9/10 to 9/12 Richard H. Legge MD, PC

Billing Specialist

8/10 to 9/10 TDB Communications Contract for VAMC

General Billing Clerk II

2/10-6/10 Planned Parenthood Council Bluffs

Center Manager

3/08-2/10 Jensen Clinic, PC

Medical Business Manager

12/04 t02/08 Animal Spay-Neuter Clinic

Front Office/Reception/Sales

10/98 to 12/06 Home Interiors & Gifts

Accessory Specialist/Recruiter/Trainer

1/01 to 12/01 Advantage Receivables Solutions

Reimbursement Specialist/Learning Facilitator

7/98 to 11/99 Physician’s Mutual Insurance Company Applications Programmer

4/97 to 12/97 UNMC PFO

Claims Section Supervisor

12/93 to 12/97 Medaccounts Corportation

Office Manager

1991 to 1993 Cancer Care Network

Billing Manager/National Accounts Trainer

1986 to 1991 Clarkson Hospital

Communications Operator

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