Jessica Durant, Mba Email & Phone Number

Charlotte, Nc, Us

Create month end financial reports and communicate findings to leadership Maintain and revalidate Continuing Care Services entities through PECOSProvide and communicate weekly cash report trends for the Continuing Care division to the AVP and VPMonitors and reports benchmarking data through SharePointReconciled bank statement through CAMS project to validate cash postings

Charlotte Metro

• Completes enrollment and re-enrollment applications for payers, attaching required documentation and securing appropriate signatures and dates before submitting.• Created and maintained SharePoint site for easier access to facility license, permits, BOP documentation for Home Health, Skilled Nursing, Hospice and Home medical equipment facilities. • Communicate provider payer and rates updates to the team monthly• Created a document to track license and COI renewal dates based on yearly or seasonal renewals

Charlotte, North Carolina Area

• Submit weekly claims and process payments for 150 clients monthly; brings in up to $450K per month through client claims; Collected all time high of .5M dollars as of March 2019. • Provide follow up regarding claim and/or appeal status to insurance companies on accounts aged 30 days or more,completing 20 claims per week. • Developed escalation strategy with Excel spreadsheets to resolve unreconciled claims on a quarterly basis in order to solve non-payments and short payments. • Identify and analyze government payor trends for the Department of VA or TRICARE as well as potential payment issues.• Report findings regarding claim follow ups and creates appropriate correspondence, including appeal generation and accounts aged 30 days or more, completing 50-100 quarterly.• Utilize technology platforms to submit claims including MS Suite, Waystar, Home Care Home Base, Mac OSX.• Participate in cross-training to gain knowledge on the Medicare and NC Medicaid claims submission process.

Charlotte, North Carolina Area

• Verified up to 270 medical and pharmacy benefits monthly for Medicare, Medicaid, and private commercial payors for an intravenous biologic drug named Remicade & Simponi.• Utilized Patient Plus software to organize information and ensure workflow efficiency.• Demonstrated proficiency in CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes/cycle process.• Developed expertise in the areas of claims tracking, appeals, and prior authorization standards.• Provided instruction for up to 45 employees during a course covering the topics of obtaining benefit verification and prior authorizations from insurance companies.

Charlotte, North Carolina Area

•Transcribed data from source documents according to established procedures and rules.•Verified data entered with source documents, checks for compliance with composition codes and style rules. Corrects all typographical errors and missing or repeated data.•Troubleshoots production problems and takes action when necessary.•Investigated data that was unclear to produce a quality background check.•Assisted in training new employees when requested on assigned projects.

•Provided administrative support and office management •Managed database for prospective/incoming students •Gained reputation for hard work, reliability & initiative

•Created a patient questionnaire as part of a patient care research project •Assisted with marketing initiative to increase patient enrollment; patient population increased by 200 patients within 3 months.•Assisted with database management during community-based Health Fair for low income families

Bachelor Of Science, Business Administration; Healthcare Management

Activities and Societies: Sigma Gamma Rho Sorority Inc.

Master Of Business Administration (M.B.A.), Health/Health Care Administration/Management