Cornelia Jackson Email & Phone Number

Lexington, Kentucky Area

Responsible for ensuring all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement. Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance. Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in "Coding Clinics" and/or other nationally recognized coding guidelines. Ability to recognize, research and correct charging/documentation discrepancies. Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues. Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. Ability to establish and maintain effective working relationships as required by the duties of the position.

Identifies problem accounts with payers; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.Answers inquiries by phone regarding past-due accounts and insurance guidelines; researches incorrect addresses for past-due accounts.Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party; directs accounts to outside collection agencies when necessary.May contact attorneys, employers, physicians, and others necessary to obtain information for resolution of credit and collection matters.Prepares reports to identify and resolve accounts receivable and referral problems.Posts data; verifies and performs mathematical computations; maintains files.Composes and types routine correspondence, memos, letters, etc.Performs other duties as assigned.

Provide customer service to patients registering for various outpatient and inpatient services for pre-admission, prior authorization, insurance verification, and other duties as assigned to promote the overall reduction of Days in A/R such as billing and collection reports.Responsible for determining financial accountability, notifying/collecting of up-front patient financial responsibility, providing information and referrals.Collecting complete and accurate demographic, financial and clinical information, and providing patient instructions and education with excellent customer service.

Verify and follow up on claims that were submitted electronically or by mailEnsure that all claims submitted are processed and paid according to contract Updating and verifying insurance information on the given date of serviceInitiating necessary refilling and corrections to ensure timely resolutionIdentifies and resolves patient billing complaints.Created Job aide Trained new hires Coordinate Volunteer Services Ensure that all assigned claims billed to an insurance carrier reaches resolutionReview all insurance denials, determine the appropriate action and file all rejected claims as assignedEnsure that all claims within assigned A.R. meet timely filing requirementsDetermine proper assignment of balances owed, either patient balance or insurance balanceAssist management in identifying trends in rejection results with various insurance carriersMaintain current knowledge of assigned insurance carrier’s rules and regulations both federal and commercialEnsure that month end goals are met in a timely mannerWork with Supervisor to improve the capture and accuracy of demographic information as well as other information critical to claim processing and reimbursement

Frankfort,Ky

Worked denial claims from insurance carriersUpdating and verifying insurance informationReview for timely and accurate billing to insuranceInvestigate and resolve issues with any billed chargesResearch and investigate monthly reports for data accuracy insuranceResponsible for proper handling of credit card information relating to payments made via phonePrepares and submits clean claims to various insurance companies either electronically or by paper.Worked reports for all major MCO’s Worked recoupment letters from Medicare and MedicaidFilling claims to insurances with CMS 1500 claims

Worked aging reports for Collections Worked denial claims from insurance carriersUpdating and verifying insurance informationFilling claims to insurances with CMS 1500 claimsWorked Medicare and Medicaid ReportsPatient RegistrationsCharge postingWorked recoupment letters from Medicare and Medicaid

Duties include training new employees on various areas assisting guests with their purchases and answering calls assisting in merchandising

Train new employees Duties included being responsible for managing accounts( e.g. providing billing questions, adjusting charges, creating charges) data entry, technical supportLeadership role: Lead caller for escalated calls Assisted on help desk to provide help for other agents with any issues or problemsVerify accuracy and data entry completeness from other agents

Bachelor Of Business Administration (B.B.A.), Healthcare Administration

Associate Of Science (A.S.), Medical Insurance Specialist/Medical Biller

Biology