Medical Collections

Jovita Jackson

**** ********* ***.

Los Angeles, CA, 90043

Home: 323-***-****

Cell: 310-***-****

Email:*********@***.***

Objective: Seeking Medical Collections/ Biller Position

Multiple years of experience in Patient Services. Willingness to learn all aspects of a new position in any field of Healthcare Customer Service

QUALIFICATIONS

Experienced Medical Billing/Customer Service background

Knowledgeable use of ICD-9 and CPT codes.

Experienced in auditing patient accounts and A/R Reports

Knowledgeable in analyzing EOB’S and RA’S

Detailed-oriented, works independently

Knowledge of computers; IDX, AS400 software by CPU programs,

Physician’s Software, MCCS, SMS, GPMS, PCX, Patient Mgmt programs and Electronic Claim Submission

Working knowledge of Medicare/ Medi-Cal billing requirements, Fire & Safety Certification

B.L.S. Certification

EMPLOYMENT

July-2010 UCLA Medical Center

Asst. Administrative Analyst

• Insurance verification Obtaining Authorizations

• Verification of Eligibility of Coverage from Commercial, PPO, and HMO Insurance Companies

• Verification of Medicare and Medi--Cal Benefits

• Rotating Weekends in Admission Office-Patient Registration

• Obtaining patient signatures for COA’S

• Notification of inpatient and outpatient admissions to Med Groups

May-2008 – July 2010 Santa Monica Bay Physicians

Medical Collector

• Contacting patients for co-pays and deductibles on accounts,

• Insurance verification Arranging payment

• plans for patients account balances

• Submission of physician claims to insurance companies

August-2007- April 2008 Cedars Sinai Med, Ctr.

Patient Financial Advocate

• Contacting insurance companies for verification of benefits

• Admission of Emergency and Transfer Center patients

• Collection of co-pays and deductibles from patients

• Verifying patients Eligibility and Benefits

• Reporting of patient admissions to Medical-Grps and Insurance payers

• Planned beds for emergency admissions

September-2006 – July 2007 Physicians Support Services

Patient Biller lll

• Contacting Insurance companies for

• Reimbursement of claims

• Arranging payment plans for patients account balance

• Filed Appeals for denied claims

May-2006/ September-2006 Radnet Management

Hmo/PPO Collector

• Responsible for Insurance follow-up for 22 Imaging Facilities

• Assisting patients with billing statements

• Contacting Insurance companies for reimbursement of claims

July-2004 January-2006 Physicians Management

Account Administrator

• Managed 15-20 Ambulatory Surgery Center

• Reviewed AR Reports for resubmission of claims

• Contacted insurance companies for reimbursement of delinquent claims

• Appealed denied claims.

• Negotiating claim payments with third party payers

January 1998- March 2004 Tower Medical Billing

• Supervised staff of seven service representatives for billing and collections.

• Reviewed AR Reports for resubmission and Collections

• Contacted patients regarding payment and or payment plans.

• Contacted insurance companies for reimbursement of delinquent claims and

appealed denied claims.

• Company representative for court appearances when the collection agency filed

suit.

• Assisted Physicians and their patients with pricing of

Diagnostic testing.

• Assisted staff with resolution of billing problems.

• Assisted with implementation and training of IDX computer system.

• Monitoring of fast pace, high volume call center

Training Supervisor

• Conducted regular reinforcement training in proper patient account handling

• and telephone etiquette. Conducted initial and follow up training of all new employees.

• Personal Injury Representative

• Negotiated and resolved all Personal Injury accounts

• Followed up lien status with attorneys

• Customer Service Representative /Collector/Contract Accounts Representative

• Prepared claims for contract accounts, as they required special handling and

billing requirements. Made outgoing calls to insurance companies and patients

regarding payment of claims and or co-payment amounts due.

• Averaged 70 to 80 incoming calls per day on days assigned to only take

incoming calls.

• Determined when to send accounts to the collection agency

References upon Request

Contact this candidate