Salone Jackson Email & Phone Number

Southfield, MI, US

Farmingtion MI

• Identify and resolve claim edits through revenue cycle understanding of billing guidelines and payer requirements. Maintain daily productivity goals.
• Proactively resolve root cause claim rejection errors and resubmit claims based on payer requirements.
• Initiate contact and respond to inquiries from various external sources.
• Comply with all government and third-party payers regulatory mandated requirements.
• Answer questions and assist patients regarding billing issues as needed.

Southfield Michigan

Claims Quality Assurance AnalystProvided controls over the quality of work processed in the Claims Division Identified areas where supplemental training was required for individual or departmental functions  Identified incorrect billing practices from providers and educated the providers Revised materials and conducted training to improve claims.

Southfield, Michigan

 Participated in development, prototyping, testing claims, unit testing and system testing of new claims system.  Conducted ongoing training sessions for existing and new employees. Created procedures for the Claims Department, which included claim entry and processing, resolutions and adjustments.

Southfield, Michigan

 Test Planningo Examined business detail requirements, system functional designs and technical designs to create test conditions.o Input test conditions into the HP Application Lifecycle Management (HP ALM) tool and tied them to the business detail requirements.o Collaborated with the subject matter expert (SME) in the corresponding areas to discuss.

 Managed special claims projects. Processed confidential claims. Produced monthly, quarterly and yearly reports.

Greater Detroit Area

Medicaid Marketing Representative.