Jessie Crafton
Batesville,IN
Summary
Adept at insurance billing and fostering team collaboration, I significantly reduced aged accounts receivable at Margaret Mary Health. My expertise in HIPAA compliance and knack for streamlining processes enhanced revenue recovery and patient satisfaction, showcasing my ability to balance meticulous attention to detail with empathetic customer service.
Experienced with managing patient accounts and resolving billing discrepancies. Utilizes strong analytical skills to ensure accuracy in financial record-keeping and claim processing. Knowledge of effective communication strategies to support patient inquiries and insurance coordination.
Healthcare professional with extensive experience in managing patient accounts and ensuring seamless billing processes. Known for strong focus on team collaboration and achieving results, consistently adapting to changing needs. Skilled in financial record-keeping, claim processing, and patient communication, offering reliability and dedication to excellence.
Overview
19
19
years of professional experience
Work History
Patient Account Representative
Margaret Mary Health
12.2020 - Current
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Electronically submitted bills according to compliance guidelines.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
- Utilized computer programs to create invoices, letters, and other documents.
- Maintained office inventory and organized supplies for efficiency and expected needs.
- Reconciled statements with patient records.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Entered client details and notes into system for interdepartmental access and review.
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
Medical Billing Specialist
AccuDoc Urgent Care Center
11.2015 - 10.2020
- 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.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Liaised between patients, insurance companies, and billing office.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Verified insurance of patients to determine eligibility.
Administrative Assistant, Billing Specialist
Seals Ambulance Service
05.2009 - 12.2015
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Supported executive staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
- Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
- Boosted team productivity by managing communication channels and ensuring timely responses to inquiries.
- Maintained inventory of office supplies and placed orders.
- Facilitated training sessions for new software tools, increasing team productivity and reducing learning curves.
- Assisted coworkers and staff members with special tasks on daily basis.
Medical Billing Specialist
Dr. Ronald K. Andrews
02.2006 - 05.2009
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- 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.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Evaluated patients' financial status and established appropriate payment plans.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Education
High School Diploma -
Greenfield Central High School
Greenfield, IN05-1994
Skills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Data entry proficiency
- Team collaboration
- Payment processing
- Insurance collaboration
- Administrative support
- Regulatory compliance
- Coding expertise
- Insurance company communication
Timeline
Patient Account Representative
Margaret Mary Health
12.2020 - Current
Medical Billing Specialist
AccuDoc Urgent Care Center
11.2015 - 10.2020
Administrative Assistant, Billing Specialist
Seals Ambulance Service
05.2009 - 12.2015
Medical Billing Specialist
Dr. Ronald K. Andrews
02.2006 - 05.2009
High School Diploma -
Greenfield Central High School
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