Derresha Jones
Chicago,IL
Summary
Professional Summary:
Certified Medical Biller and Coder with over two years of experience in medical billing, coding, and insurance claims processing. Proficient in ICD-10, CPT, and HCPCS coding systems, with a strong understanding of medical terminology, healthcare regulations, and insurance policies. Adept at ensuring accuracy in billing practices, processing claims, and resolving discrepancies to optimize reimbursement. Detail-oriented and highly organized with a proven ability to manage multiple tasks in fast-paced environments. Seeking to leverage expertise in medical billing and coding to contribute to the efficiency and success of a dynamic healthcare team.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Accounts Receivable and Billing Clerk
Prime Care Health Care
01.2023 - Current
- Manage various aspects of Revenue Cycle Management (RCM) including AR follow-up, Denial Management, ERA (Electronic Remittance Advice) management, and Appeals and Grievances.
- Optimized revenue recognition by monitoring aging reports, identifying uncollected amounts, and taking appropriate action to recover outstanding balances.
- Prioritize high-dollar and sensitive cases, especially those where the insurance policy is about to expire.
- Proficient in using Athena Health management software.
- Work with providers to address issues in billed claims and refile claims with corrected information while voiding previous submissions.
- Reduced billing errors by accurately reviewing invoices and promptly addressing discrepancies.
Admissions Officer/Team Leader
BLS International ServicesCHI
10.2021 - 12.2023
- Processed and reviewed visa applications and verified compliance with German government requirements.
- Enhanced team productivity by implementing efficient task delegation and regular performance evaluations.
- Provided exceptional customer service to prospective students, answering inquiries via phone or email promptly and professionally.
- Uploaded all documents to the electronic database and ensured data accuracy.
- Conducted quality checks on colleagues’ documents to ensure completeness and accuracy.
Payment Posting Support
Elgin Family Health
12.2020 - 10.2021
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Processed EOB remittances and calculated payments received.
- Verified patient insurance and entered data into the practice management system.
- Self-motivated, with a strong sense of personal responsibility.
Customer Service Sales Specialist
Let’s Talk Mobile
12.2018 - 01.2021
- Promoted new products and services to existing customers, driving revenue growth and satisfaction.
- Trained new hires on store policies and procedures, ensuring seamless integration into the retail team dynamic.
- Maintained a thorough knowledge of retail products, enabling effective client consultations and support.
- Increased monthly revenue through upselling additional services or retail products during consultations or treatment sessions.
Environmental Service Technician
Northwestern Memorial Hospital
03.2017 - 01.2018
- Ensured timely completion of assigned tasks by prioritizing duties based on urgency and importance.
- Enhanced facility cleanliness by implementing efficient waste disposal and recycling procedures.
- Conducted hazardous waste management studies.
- Collected, sorted, and disposed of garbage and recycling from production work areas.
- Prepared cleaning solutions and equipment in accordance with health and safety standards.
Elderly Caregiver
Health Care Plus
11.2011 - 03.2017
- Offered companionship and kindness to elderly patients.
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Assisted with personal hygiene tasks such as bathing, grooming, dressing, feeding, toileting giving attention to detail.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
Education
Some College (No Degree) -
Triton College
River Grove, ILSkills
- Prior authorization processing
- Attention to detail
- Medical terminology
- Insurance coverage verification
- Customer service
- Organization and time management
- HIPAA compliance
- Payment posting
Certification
- Certified Billing and Coding Specialist (CBCS) - National Healthcareer Association.
Timeline
Accounts Receivable and Billing Clerk
Prime Care Health Care
01.2023 - Current
Admissions Officer/Team Leader
BLS International ServicesCHI
10.2021 - 12.2023
Payment Posting Support
Elgin Family Health
12.2020 - 10.2021
Customer Service Sales Specialist
Let’s Talk Mobile
12.2018 - 01.2021
Environmental Service Technician
Northwestern Memorial Hospital
03.2017 - 01.2018
Elderly Caregiver
Health Care Plus
11.2011 - 03.2017
Some College (No Degree) -
Triton College
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