Letha Jackson Email & Phone Number

Houston, Texas Area

● Interim IT Support for an office of over 100 employees ● Assigned and maintained access to all websites for employees and clients● Conducted employee and client training on web based applications ● Ensured office adhered to HIPAA standards ● Assembled and activated new and replacement computers● Installed printer drivers and software for network and personal printers

Run daily edit reportsCorrect edit reportsAssist a staff of 18 collectors with any issues on IDX, HCHD Epic, Claim Logic systems, insurance verification and collecting on denials of EOB’s for Commercial insurance, Medicaid, and Medicare.Service contracts for University of Texas Physicians Resolve barriers inhibiting staff productivityIdentify and verify trends and issues to increase A/R collectionsLead team meetings to address current issues and barriers Review work files and workflow to determine employee effectivenessCouncil employees on disciplinary issues as neededMonitor employees time and attendance and maintain the current PTO schedulePerform monthly employee audits

Insurance follow-up with carriersIdentify issues and denials and correct any claim discrepancies per payer guidelinesInsurance VerificationUp-date Patient demographicsFiled claims to insurance companies, primary and secondaryFiled appeals on denied claims Linked authorizations and referrals to the appointment visits

Heights

• Collecting co-pays, coinsurance• Verify Insurance with all carriers• Front-desk-Patient check in and out• Complete Edit reports• Sign off on batches• Run the Missing Charge Report

Interim IT Support for an office of over 100 employees Assigned and maintained access to all websites for employees and clientsConducted employee and client training on web based applications Ensured office adhered to HIPAA standards Assembled and activated new and replacement computersInstalled printer drivers and software for network and personal printers

Auditing accounts for proper payments according to Government guidelines Medicare MedicaidMedicaid HMO’sAppeal Medicaid claim denials through TEX-Med net systemsVerify and Pre-certification of HMO’s products. Account Representative, Diagnostic Clinic of Houston September 2002 – January 2003 Auditing accounts for maximum reimbursements per contracts HMO’sCommercial Payers MedicareMedicaidInterface with carriers for any discrepancies with payments or CPT-coding issuesPosting payments to patient accountsIdentify and appeal claim denials with carriersCharge entryUp-date patient demographics

Managed daily operations within the office Auditing accounts for proper follow-upReviewing, analyzing and resolving credit balancesReview correspondences from patients or payersUp-date patient registration Assist with patient callsInsurance verification Acquire and provide Pre-certification with insurance carriersAcquire and provide Prior authorizations to insurance carriers

Auditing Medicaid/Medicare/Commercial accountsPosting of insurance and patient paymentsA/R Follow-up on filed claimsIdentify and appeal claim denials with carriersLocate and evaluate audit trails Prepare and monitor Financial status reportsVerify patient eligibility and benefitsUp-dating patient demographics, Charge entry from various in-patient and out-patient clinicsDetermined the appropriate ICD-9/CPT-4 codes for charges placed on patient accounts Billed manual and electronic claims

A/R follow-upMedicareMedicaidCommercial InsuranceIdentify and appeal claim denials with carriersPosting of insurance and patient payments Up-date demographicsVerify patient eligibility and benefits