Summary
Overview
Work History
Education
Additionalinformation - Keyqualifications
Timeline
Generic

Jennifer K Neely

Chattanooga,TN

Summary

Detail-oriented medical billing professional with extensive experience in managing the full revenue cycle from patient registration to claim submission and collections. With extensive proficiency in coding accuracy, claim scrubbing and denial mitigation while optimizing reimbursement and maintaining compliance with healthcare regulations.

Overview

30
30
years of professional experience

Work History

Revenue Cycle Team Lead

Tennessee Kidney Center
12.2023 - Current
  • Fully Remote revenue cycle management
  • Proficient with: Epic, Athenahealth & Brightree EHR's
  • Nephrology claim coding & submissions
  • Denial management
  • Payment posting & reconciliation
  • Facility and individual physician referrals & authorizations
  • Extensive Medical record knowledge
  • Management assigned special projects & reports
  • MS word & Excell experience

Drug Reimbursement Specialist

SOUTHEASTERN RETINA ASSOCIATES
08.2018 - 11.2023
  • Ophthalmology HCPC and ICD-10 coding for 20 clinics and 17 physicians
  • Intravenous eye injection approvals
  • Medicare, Medicaid, VA & 3rd party billing
  • Denial and appeals
  • Insurance verification
  • A/R Follow up
  • Payment posting
  • Patient financial assistance

Pediatric Therapy Billing Specialist

Steller therapy services
02.2014 - 01.2018
  • Payment posting
  • Charge entry
  • Insurance verification
  • Referrals
  • Scheduling
  • A/R Follow Up
  • Patient statements
  • Collections
  • Credentialing
  • Denials & appeals
  • Medical Records

Healthcare Billing Specialist

Center for Sleep Disorders
01.2011 - 02.2014
  • Patient intake/check out
  • Answering multi-line switchboard
  • Patient scheduling
  • Insurance verification
  • Collections
  • Referrals
  • Insurance authorizations for sleep studies and DME
  • Charge entry
  • Medical records
  • Surgery scheduling

DME Insurance Specialist

National Seating & Mobility
01.2003 - 12.2010
  • Insurance verification
  • Commercial, Medicare, Medicaid & 3rd party insurance authorizations for DME
  • Commercial, Medicare & Medicaid insurance denials & appeals
  • A/R follow up
  • Patient billing and collections
  • Medical records
  • Payment posting
  • Patient complaints & resolution
  • Administrative assistant to Regional director

Customer Service Representative

BlueCross BlueShield of Tennessee
01.1995 - 09.2002
  • Customer care for incoming call center
  • Case management commitments
  • Referral director
  • E-Health services
  • Customer complaint inquiries
  • Claim processing and appeals

Education

Certificate - Medical billing and Coding

Chattanooga State Community College
Chattanooga, TN
05.2002

High school diploma -

East Ridge High School
Chattanooga, TN
05.1994

Additionalinformation - Keyqualifications

  • Cheerful Personality
  • Self-Starter
  • Attention to detail
  • Demonstrated accuracy
  • Ability to work well with a team or alone
  • Able to handle stressful situations with a calm deposition
  • Able to multi-task
  • Adaptive to change

Timeline

Revenue Cycle Team Lead

Tennessee Kidney Center
12.2023 - Current

Drug Reimbursement Specialist

SOUTHEASTERN RETINA ASSOCIATES
08.2018 - 11.2023

Pediatric Therapy Billing Specialist

Steller therapy services
02.2014 - 01.2018

Healthcare Billing Specialist

Center for Sleep Disorders
01.2011 - 02.2014

DME Insurance Specialist

National Seating & Mobility
01.2003 - 12.2010

Customer Service Representative

BlueCross BlueShield of Tennessee
01.1995 - 09.2002

High school diploma -

East Ridge High School

Certificate - Medical billing and Coding

Chattanooga State Community College
Jennifer K Neely