Jacqueline Yarbrough
****************@*****.***
Antioch, TN 731-***-****
Summary:
Jacqueline has extensive year of experience as AR Analyst and Eligibility Specialist.
ACH and wireless posting.
Experienced in maintaining knowledge of all billing and benefit changes for third party insurance carriers.
Respond to staff or patient questions regarding billing procedures Managing or supervising the entire department or
subsections of the A/R department.
Calculates contractual discounts owed and adjusts accordingly in property management system.
Communicates directly with guest/clients of the hotels to collect payment for direct-billed balances; keeps accurate
records of collections activities.
Performs daily audit of department’s financial transactions to ensure accuracy and compliance.
Maintain a good working knowledge of the EMR system to assist in training and troubleshooting.
Candidate is local from Antioch, TN 37013 and ready to join ASAP.
Proficient in MS Office, Word, Excel, Oracle Cerner, Accounting, SAP Concur, Waystar and Kronos.
Skills:
Data Entry
ACH and Wireless
Posting
MS Word
Technical Support
Answering Calls
Accurately
EMR Systems
Insurance Billing
Medical Billing
Invoicing
Insurance Verification
Conflict Management
HIPAA
Medical Office Suite
Computer literacy
Microsoft Outlook
Medical Scheduling
Billing
Administrative
Experience
Medical Coding
Clerical experience
Documentation
Review
Time management
Microsoft 365
AR/AP
Ring central
Microsoft Teams
Education:
Remington College
Medical Administrative Assistant, Medical Administrative/Executive Assistant and Medical SecretaryMedical
Administrative Assistant, 2020
Anthem Career College-NashvilleAnthem Career College-Nashville
Associate of Science (AS), Medical Insurance Specialist/Medical BillerAssociate of Science (AS), Medical Insurance
Specialist/Medical Biller, 2014
Penn Foster College
Pharmacy Technician, 2011
Professional Experience:
IES/Charlie Health
Jan 2025 – May 2025
Patient Financial Collector
Payment Poster
Special Projects
Collections
Statements
Paid to patient letters
Moving insurance accounts to self pay to patients
Verifications
Moving Money
NextGen
Availity
SalesForce
Spreadsheets
Accredo/Cigna
Sep 2023 – Jan 2025
Patient Access Representative
Managing patient accounts.
50 + Inbound calls a day.
Answering questions about the patients coverage.
Renewals, Copay assistance, Foundation applications.
Adding new insurance.
Transferring calls to ship clearance.
Consent calls for the patients copay.
Making sure when patients have a high copay and assisting with copay help.
Emailing, answering phones, WebEx meeting room for each team.
Oral medication, claims, billing, insurance verification and giving end dates for, insurance, copay cards and
foundation enrollment.
Deloitte, TN (Remote) Feb 2023 – Jul 2023
Accounts Receivable Analyst (Contract)
Manage assignments of paying medical bills limit in depth that include organizing and researching regulations as
pertain to veterans eligibility.
Demonstrate competency in basic understanding of Medicaid, policies, forms and DHS policy.
Case management and maintenance, updating and completing conversion, eligibility, renewals and case changes.
Provided exceptional customer service through clear and concise communication, addressing client inquiries and
concerns promptly.
Implemented customized payment plans for clients facing financial challenges, improving overall collection
efficiency.
Conduct Medicaid verifications, resources, income and expense.
Job duties includes Data Entry, Verification and Billing Updating cases using multiple database systems to assess and
determine Medicaid eligibility coverage for healthcare.
Symentria Recovery, TN (Remote) Sep 2022 - Mar 2023
AR Analyst & Data Entry Specialist (Contract)
Prepare and complete multiple Excel spreadsheets.
Submit electronic claims daily.
Responsible for entering the data in Microsoft Excel.
Prepare and submit secondary claims.
Credit collection and collecting payments.
Review and identify patient registration errors; work with front desk to minimize patient registration errors
Maintain knowledge of all billing and benefit changes for third party insurance carriers.
Work with clinic staff to ensure timely and accurate capture of charges for all services performed within the clinics
Responded to customer needs through competent customer service and prompt problem-solving.
Maintain an in-depth understanding of billing policies and procedures along with current patient treatment
protocols and the effects on reimbursement under payor contracts and Medicare, Medicaid and Medi-Cal.
Respond to staff or patient questions regarding billing procedures Managing or supervising the entire department or
subsections of the A/R department.
Work with physician and/or clinic staff to ensure that correct diagnosis/procedures are reported to third party
insurance carriers.
Monitor claims for incorrect coding, missing information, authorization/control numbers.
Loews Hotels, Nashville, TN Jan 2022 - Jul 2022
AR Analyst (Contract)
Compiles final invoice for wholesale, tenant, rental, membership, corporate, and VIP accounts and ensures timely
delivery to third party partners.
Uses hotel sales, financial, and property management systems to reconcile charges posted to third party accounts.
Research and resolves missing or discrepant charges to ensure highest levels of billing accuracy.
Calculates contractual discounts owed and adjusts accordingly in property management system.
Collaborates with other Billing Services and hotel team members to resolve guest billing disputes.
Communicates directly with guest/clients of the hotels to collect payment for direct-billed balances; keeps accurate
records of collections activities.
Effectively collected from high-risk customers while maintaining excellent customer service.
Applies payments in hotel’s property management system as specified on remittances daily as they are received.
Calculating and determining the accuracy of financial data.
Reconciled with finance unit at month end close using Cerner (Oracle).
Prepares and maintains reports of aged receivables and collections progress to be shared regularly with hotel team.
Month-end account reconciliation and journal entries using Excel.
Performs daily audit of department’s financial transactions to ensure accuracy and compliance.
Accountable for achievement of metrics and targets associated with the position.
TennCare Member Services (Remote) Oct 2020 - Jan 2022
Eligibility Specialist (Contract)
Determine patient insurance eligibility and communicate results effectively.
Manage multiple insurance portals efficiently.
Monitor the appointment reports for missing or incomplete data.
Review and identify patient registration errors and work with front desk to minimize registration errors.
Maintain knowledge of billing and benefit changes for third party insurance carriers.
Timely obtain all insurance authorizations required and communicate results effectively.
Communicate insurance company process changes with other back-office staff.
Maintain a good working knowledge of the EMR system to assist in training and troubleshooting.
Acadia Healthcare, Franklin, TN Nov 2019 - Oct 2020
Revenue Cycle Team Lead (Contract)
Responsible for the accurate and timely resolution of the Practice Management System.
Thoroughly researches credit balances to determine if an overpayment occurred and initiates the refund process
accordingly outlining the reason for the refund and including explanation of benefits (EOBs), if needed.
Handles payer refund requests including validating the refund following review of the account history and
submission of a refund request to Accounts Payable.
Meets or exceeds established performance targets (productivity and quality) established by their supervisor.
Partners with the Reimbursement Specialists, as needed, to research accounts and validate self-pay and insurance
refunds.
Maintains a working knowledge of CPT-4 and ICD-10 coding principles, government, managed care and commercial
payers, payment posting, ERA processing, claim adjustment reason codes, contractual adjustment, copays,
coinsurance and deductibles.
Demonstrates the ability to be an effective team player. Upholds “best practices” in day to day processes and
workflow standardization to drive maximum efficiencies across the team.
Blue Cross Blue Shield, Brentwood, TN Oct 2018 - Dec 2019
Member Service Representative
Inbound call center, answering phone, handling insurance questions, data entry, taking personal information.
Adding billing information credit card, debit cards and banking information.
Sonic Drive in
Assistant Manager
Over 20 plus employees