Jessica Ryan
Brighton
Summary
Expertise in medical billing and insurance claims, with a focus on resolving denied claims to secure maximum reimbursements. Maintains compliance with regulations while enhancing patient satisfaction through effective communication. Demonstrates strong organizational skills to manage multiple tasks within EMR systems.
Overview
27
27
years of professional experience
Work History
Business Service Specialist II
CAMPBELL CLINIC ORTHOPAEDICS
Germantown
02.2022 - Current
- Resolved denied claims to secure maximum reimbursement from insurance company
- Assisted patients with billing concerns and clarified account discrepancies
- Demonstrated effective communication abilities through verbal, written, telephone or electronic means.
- Maintained a high level of organizational skills in order to manage multiple tasks efficiently.
- Executed administrative tasks including filing, data entry, and record maintenance
Medical Insurance Representative
Semmes Murphey Clinic
Memphis
04.2013 - Current
- Utilized problem-solving techniques to resolve complex inquiries from customers regarding their medical insurance policies.
- Ensured compliance with HIPAA regulations when handling confidential information pertaining to clients' health care coverage plans.
- Identified discrepancies in billing statements and resolved issues with providers, ensuring accurate billing for customers.
- Filed claims for reimbursement and followed up with insurance companies to secure timely payments.
Insurance Verification Clerk
Fertility Associates of Memphis
Memphis
01.2008 - 01.2010
- Verified insurance policies and determined benefits to ensure accurate patient coverage at specialty clinic
- Prepared and filed insurance claims efficiently at specialty clinic
- Conducted follow-ups on claim reviews to expedite processing and resolve discrepancies
- Supported other departments by responding to inquiries about insurance policies.
- Managed patient phone calls and scheduled appointments to enhance patient experience and clinic efficiency
- Provided receptionist support at the front desk, greeting patients and managing inquiries
- Performed data entry tasks efficiently with attention to detail and accuracy.
Medical Coder
Campbell Clinic
Germantown
01.2000 - 01.2006
- Coded all Surgical Charges for Large Orthopedic Clinic
- Reviewed coding charges for accuracy, ensuring timely submissions for reimbursement.
- Interpreted clinical documentation from providers for accurate assignment of diagnosis codes.
- Used ICD-10-CM and CPT coding to complete records.
- Operated in high-volume medical coding and collections environment, upholding standards of excellence in coding accuracy.
- Entered patient demographics into the computer system accurately.
- Attended educational seminars on industry regulations and compliance updates to enhance coding practices.
Beauty Advisor
Goldsmiths
Memphis
01.1999 - 01.2000
- Guided customers in selecting cosmetics to meet individual beauty needs
- Oversaw merchandising and display strategies for cosmetic line to enhance product visibility
- Tracked product inventory levels to maintain optimal stock availability
Education
High school diploma -
Ridgeway High School
TNSkills
- Medical Billing
- Claims resolution
- Insurance verification
- Problem solving
- Communication skills
- CPT coding standards
- Medical Records
- Insurance Verification
- Medical Scheduling
- EMR Systems
- Financial Reporting
Timeline
Business Service Specialist II
CAMPBELL CLINIC ORTHOPAEDICS
02.2022 - Current
Medical Insurance Representative
Semmes Murphey Clinic
04.2013 - Current
Insurance Verification Clerk
Fertility Associates of Memphis
01.2008 - 01.2010
Medical Coder
Campbell Clinic
01.2000 - 01.2006
Beauty Advisor
Goldsmiths
01.1999 - 01.2000
High school diploma -
Ridgeway High School