Medical Records Behavioral Health
Resume:
Jennifer Jimenez
Plantation, FL *****
********@*****.***
Analytical, zestful, and detail-oriented specialist with more than 6 years of office experience. Also possess insight in business formation, debt negotiations, and legal assistance duties. I have acquired excellent communication skills and can assist effectively with a welcoming and professional approach. I am currently seeking a position where I can expand my skills and expertise that will be used in a growth-oriented organization.
Authorized to work in the US for any employer
Work Experience
Behavior Health Specialist
Infinity Behavioral Health Services - Fort Lauderdale, FL October 2019 to Present
• Submitted appeals and worked with medical records team
• Lead for Pre-litigation accounts for REVA-Air ambulance
• Researched and followed up on claims/denials, medical records, and appeals
• Lead for new special patient accounts by calling patients, setting up appointments, litigating accounts, easing financial burdens, setting up payments plans, drafted collection notices
• Worked on several spontaneous projects
Recovery Case Specialist
Performant Corporation - Sunrise, FL
May 2019 to August 2019
• Reviewed account claims and documentation to verify payment liability
• Built cases using knowledge of billing/COB/MSP to determine and validate claims
• Evaluated and responded to defenses, refuted payment liability, determined status and initiated appropriate letter correspondence.
• Answered questions and/or provided information that will bring successful payment or other appropriate account action.
• Reconciled complex claims per contract with Medicare and indexed Treasury cases. Paralegal /negotiator
Cornerstone legal group-fast track - Fort Lauderdale, FL September 2018 to March 2019
• Worked with attorneys to resolve accounts where the collection effort had been exhausted.
• Negotiated client debts to completion by communicating client hardships, reviewed client savings to determine funds necessary to complete settlements and obtained a settlement that would have halted legal action.
• Gathered and submitted required legal documentation for approval and payment of accounts Reimbursement Specialist
Envision Health Corp - Sunrise, FL
September 2016 to March 2018
• Researched and processed all assigned contracted, non-contracted carrier, and self-pay accounts to ensure the proper payment through reports, spreadsheets, special projects, etc.
• Responded to customer service calls and strived for a one-time resolution of accounts received.
• Resubmitted improperly paid/denied claims to carriers for proper payment in a timely manner.
• Identified and corrected any claim processing errors due to data entry, verification, coding and/or posting mistakes. Ensuring that accounts are properly documented.
• Called and checked on claim status, working A/R and insurance carrier reports and insurance denials.
• Handled and organized all aspects of the appeals process for all insurance payers (i.e., through letters, phone calls, and special projects from carriers).
• Posted all charges and payments for accounts and balanced daily activity. Substitue Teacher
Kelly Services, Inc - Orlando, FL
October 2014 to August 2016
* Managed all classroom sizes between kindergarten- high school
* Helped students learn subject matter and skills that will contribute to their development as a mature, able, and responsible men /women in the absence of a regular teacher. Patient Service Representative
First Source - Plantation, FL
August 2010 to October 2012
• Helped patients with member enrollment for Medicaid.
• Performed data conversion, client support, eligibility services, and receivables management
• Supervised medical advantage plans, collection services, claims processing, and customer service issues
Assistant/Secretary
Cusano & Janvion, P.L - Plantation, FL
April 2007 to August 2009
*Answered phones, filled paperwork, copied receipts, and input customer info
*Managed Appointments and assisted in the company's various accounting duties Education
Seeking Bachelor of Science in Business Accounting Florida Atlantic University - Boca Raton, FL
Associates in Criminal Justice
BROWARD COMMUNITY COLLEGE - Davie, FL
Skills
• Medical Billing
• Medical Insurance
• Medicare
• Insurance Verification
• Hipaa
• Spanish
• Sales Experience
• English
• Multilingual
• Customer Service
• Call Center
• Medical Collection
• Applied Behavior Analysis
• Workers' Compensation
• ICD-10
• Paralegal
• Medical records
• Behavioral health
• ICD-9
Languages
• Spanish - Fluent
• English - Fluent
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