Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
References
Timeline
Generic

Jennifer Sawaska

Hobart

Summary

Dynamic Medical Biller and Coder with expertise in ICD-10 and a proven track record at Marcotte Medical Group. Skilled in resolving billing discrepancies and ensuring regulatory compliance, excelling in customer service and meticulous attention to detail, consistently maximizing reimbursement and enhancing patient satisfaction.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Medical Biller and Coder

Marcotte Medical Group
Dyer
05.2021 - Current
  • Processed patient billing claims using advanced medical coding systems efficiently.
  • Reviewed and verified insurance information for accuracy and completeness.
  • Collaborated with healthcare providers to resolve billing discrepancies and inquiries promptly.
  • Maintained current knowledge of coding guidelines and regulations.
  • Generated detailed reports on billing activities and outstanding claims.
  • Educated patients on insurance coverage and billing procedures effectively.
  • Assisted in training new staff on billing software and coding practices.
  • Ensured timely filing of all claims within established guidelines.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Kept abreast of updates and changes in coding guidelines and reporting requirements.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Resolved coding discrepancies and denials to maximize reimbursement.

Medical Biller and Patient Advocate

Northwest Cancer Centers
Crown Point
02.2018 - 04.2021
  • Ensured compliance with insurance regulations and coding guidelines.
  • Managed accounts receivable to track unpaid claims and payments.
  • Coordinated with insurance companies to verify patient coverage details.
  • Maintained detailed documentation of billing processes and patient interactions.
  • Submitted electronic claims to various insurance carriers.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
  • Secured authorizations for chemotherapy regimens to ensure timely treatment access.
  • Facilitated enrollment of chemotherapy patients in financial relief programs for oral medications and injections.
  • Collaborated with hospice delegates to coordinate patient care and support services.

Education

Medical Administrative Assistant - Medical Billing And Coding

Everest College
Merrillville, IN
02-2012

High School Diploma -

Bloom Trail High School
Chicago Heights, IL
07-1995

Skills

  • Medical coding and billing
  • Claims processing and verification
  • Regulatory compliance
  • Accounts receivable management
  • Microsoft Word proficiency
  • Attention to detail
  • Authorization and pre-certification
  • Customer service excellence
  • Data entry accuracy
  • Problem resolution strategies
  • Time management skills
  • ICD-10 expertise
  • CMS-1500 form completion
  • Denial management techniques
  • Workers' compensation billing expertise
  • Medicare and Medicaid billing proficiency
  • Commercial insurance billing

Accomplishments

  • Deans List
  • Perfect Attendance

Certification

  • Certification in Medical administrative Assistant

Languages

English
Professional

References

References available upon request.

Timeline

Medical Biller and Coder

Marcotte Medical Group
05.2021 - Current

Medical Biller and Patient Advocate

Northwest Cancer Centers
02.2018 - 04.2021

Medical Administrative Assistant - Medical Billing And Coding

Everest College

High School Diploma -

Bloom Trail High School

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Jennifer Sawaska