Jessica Greene
Hendersonville,TN
Summary
Dynamic medical coding and billing professional recognized for strong analytical skills and team collaboration. Demonstrated success in managing complex claims and delivering effective solutions to billing discrepancies, ensuring accuracy and compliance.
Results-driven Medical Coding and Billing Specialist with over six years of experience in coding accuracy and revenue cycle optimization. Known for attention to detail and commitment to compliance, consistently minimizing claim denials and enhancing reimbursement strategies.
Overview
19
19
years of professional experience
Work History
Medical Treatment Specialists
DOL
01.2023 - Current
- Manage calls from provider offices, hospitals, and outpatient facilities to resolve prior authorization concerns and rejected medical bills
- Deliver support for UB-04 and HCFA 1500 form submissions
- Conduct reviews on CPT codes and ICD 10 codes from providers claims and authorizations
- Developed and implemented process improvements to enhance operational efficiency and providers medical claim processing experience.
- Conducted data analysis to identify trends and inform strategic decisions.
- Managed vendor relationships, ensuring timely delivery of materials and services.
Medical Coding and Billing Specialist
IHS
01.2017 - 01.2023
- Managed coding accuracy for diverse medical procedures and diagnoses, ensuring compliance with industry standards.
- Conducted comprehensive audits of billing processes to identify discrepancies and enhance revenue cycle efficiency.
- Collaborated with healthcare providers to resolve claim denials and optimize reimbursement strategies.
- Trained and mentored junior staff on coding guidelines and best practices to improve overall team performance.
- Worked on medical billing and coding with all Insurances to include: Medicaid, Medicare, Commercial for professional claims, outpatient, inpatient, and dental servies.
Medical Billing Specialist
Citadel
04.2015 - 01.2017
- Processed and submitted complex medical claims using clearinghouse and paper claims for all insurance.
- Ensured accuracy of patient data and coding to minimize claim denials.
- Followed insurance specific guidelines on completing the claims to include modifiers to prevent any rejected or denied claims.
- Collaborated with healthcare providers to resolve billing discrepancies effectively.
- Trained junior staff on best practices in medical billing procedures and compliance.
- Monitored claim denial trends, developing strategies to minimize future occurrences and improve revenue cycle outcomes.
- Contacted insurance on claim status and claim denials.
Hospital Corpsman Second Class
United Sates Navy Reserves
12.2006 - 01.2017
- Delivered patient care and support in high-pressure environments.
- Administered medications and treatments under medical supervision.
- Assisted in emergency medical procedures during training exercises.
- Coordinated logistics for medical supply distribution across units.
- Supervised a clinic of 20 junior sailors to ensure patient care and mobilization readiness.
Education
CPC Medical Coder - Medical Coder
AAPC
07.2021
Bachelor of Science - Business Administration
American Military University
Charlestown, WV01.2020
Associate of Science -
Thomas Edison State University
Trenton, NJ12.2016
Diagnostic Radiographer Technologist - Radiology
United States Navy
Portsmouth, VA06.2016
Hospital Corpsman - Medical
United States Navy
Chicago, IL06.2007
Skills
- Coding Systems: ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II
- Specialty Knowledge: Evaluation and Management (E/M) coding, Physical Therapy, Ambulance, DRG, Radiology, Cardiology coding
- Documentation Review: Medical terminology, Anatomy & Physiology, Pharmacology
- Compliance: HIPAA compliance, Ethical coding standards
- Software & Technology: Electronic Health Records (EHR) systems, Encoder software, Profee, and Optum, MS Office (especially Excel)
- Medical Billing: Insurance claim submission, Denial management, Understanding UB-04 and CMS-1500 forms
- Data Integrity: Accuracy, Attention to detail, Auditing/Quality Assurance
- Revenue Cycle Management: Analyzing patient charts for maximum legitimate reimbursement
- Time Management: Meeting productivity standards
Timeline
Medical Treatment Specialists
DOL
01.2023 - Current
Medical Coding and Billing Specialist
IHS
01.2017 - 01.2023
Medical Billing Specialist
Citadel
04.2015 - 01.2017
Hospital Corpsman Second Class
United Sates Navy Reserves
12.2006 - 01.2017
CPC Medical Coder - Medical Coder
AAPC
Bachelor of Science - Business Administration
American Military University
Associate of Science -
Thomas Edison State University
Diagnostic Radiographer Technologist - Radiology
United States Navy
Hospital Corpsman - Medical
United States Navy