Jacqueline (Jackie) Case
Bloomington
Summary
Demonstrated expertise in HIPAA compliance and insurance verification, coupled with exceptional skills in critical thinking and customer service. Proven track record of enhancing revenue collection and operational efficiency through strategic process improvements and effective team collaboration.
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in billing, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results.
Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of insurance guidelines, coupled with client-focused approach.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Lifelong Access
01.2024 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Collected payments and applied to patient accounts.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Posted payments and collections on regular basis.
- Worked in Aprima Software on a daily basis.
Payment Management Analyst
NextGen Healthcare
08.2022 - 02.2024
- Improved operational efficiency by streamlining processes and implementing best practices in management analysis.
- Developed comprehensive reports, providing valuable insights into business performance and aiding in strategic planning efforts.
- Performed detailed financial analyses to support budgeting decisions and resource allocation efforts within the company.
- Optimized project management practices by conducting comprehensive assessments of project plans and timelines, ensuring timely completion of deliverables without compromising quality standards or exceeding budgets.
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased productivity.
- Worked a AR Variance report daily for seven clients
- Overseen a payment posting crew on a daily basis
- Searched payer sites and clearing houses for missing Explanation of Benefits
- Used Teams, Outlook, Excel, Efaxing, Smartsheet on a daily basis
Auto Dealership Accounting Clerk
Shields Auto Center
08.2020 - 08.2022
- Billed out all car deals, sent all deals to the banks, processed dealer trades
- Posted deals in Autosoft on a daily basis
- Processed all license and title work, processed all state taxes.
- Reduced financial discrepancies with thorough reconciliation of accounts receivable and payable transactions.
- Improved cash flow management with diligent monitoring of outstanding invoices and proactive follow-up on overdue payments.
- Maintained organized filing system for all financial documents, streamlining record keeping procedures for easy access during audits or reviews.
- Enhanced the accuracy of financial reports by diligently maintaining up-to-date records and documentation.
- Managed and responded to correspondence and inquiries from customers and vendors.
- Prepared detailed bank reconciliations to ensure proper handling of funds and detect any discrepancies in a timely manner.
- Assisted in increasing dealership revenue through timely preparation of invoices and billing statements.
Payment Analyst
Gibson Area Hospital and Health Services
03.2012 - 08.2020
- Posted all Commercial, Medicare, and Medicaid insurance payments electronically or by hand.
- Used Nextgen software and CPSI on a daily basis
- Improved payment processing efficiency by streamlining workflows and implementing automated systems.
- Enhanced customer satisfaction with prompt and accurate payment processing, addressing inquiries professionally.
- Proactively identified potential bottlenecks within the payment process, implementing corrective actions before they impacted overall performance or deadlines.
- Developed strong relationships with vendors to negotiate favorable payment terms, benefiting the company''s cash flow.
- Contributed to cost-saving efforts by identifying areas for process improvements within the payment lifecycle, recommending actionable solutions.
- Continuously monitored outstanding balances for overdue accounts, taking swift action to resolve delinquencies and maintain strong vendor relationships.
- Handled day-to-day accounting processes to drive financial accuracy.
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Bill payment
- Accounts payable
- Files and records management
- Quality-oriented team player
- Insurance billing
- Data entry
- Medical billing
- Insurance claims
- Claims review
- Billing and collection procedures
- Insurance claims processing
- Critical thinking
- Customer service
- Electronic claims
- Teamwork and collaboration
- CMS-1500 billing forms
- Accounts receivable
- Medical claims submission
- Commercial and private insurance
- Multitasking and organization
- Proficiency in Nextgen HealthCare, Aprima, CPSI
Certification
Medical Billing Specialist
Timeline
Medical Billing Specialist
Lifelong Access
01.2024 - Current
Payment Management Analyst
NextGen Healthcare
08.2022 - 02.2024
Auto Dealership Accounting Clerk
Shields Auto Center
08.2020 - 08.2022
Payment Analyst
Gibson Area Hospital and Health Services
03.2012 - 08.2020
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