Jzare Jackson
Colorado Springs, CO
Summary
Results-oriented and knowledgeable Revenue Cycle Specialist with extensive experience in billing, insurance verification, and pre-certifications. Understanding of revenue cycle processes, insurance contracts, payer guidelines. Proven ability to optimize reimbursement, minimize denials, and enhance operational efficiency. Motivated to expand my expertise in healthcare management, with a strong ambition to stay current with industry trends. Committed to professional growth and excited to take on new challenges in the ever evolving field of revenue cycle management.
Overview
2
2
years of professional experience
Work History
Revenue Cycle Specialist
Audubon Surgery Center
Colorado Springs, CO
08.2024 - Current
- Manage revenue cycle processes,including billing claims submission, and follow-up to ensure timely and accurate reimbursement.
- Verify insurance coverage and obtain necessary pre-authorizations, reducing claim denials by 15% over a 6 months period, while practicing case cost analysts
- Reconcile patient accounts, addressing billing discrepancies and ensuring proper codes for accurate claim processing and payment
- Collaborated with insurance and providers to resolve claim issues, reviewed insurance contracts to improve correct claims filing
- Ensuring medicare guidelines are being followed while auditing procedure cases sent from providers offices
Office Cordinator
Colorado Springs Cardiology
Colorado Springs, CO
08.2023 - 08.2024
- Oversaw daily office operations, ensuring smooth workflow and seamless coordination between departments, with focus on enhancing the patient experience and operational efficiency.
- Utilized knowledge of insurance polices, billing procedures, and claims processing to verify patient insurance information and resolve discrepancies, improving claim accuracy and reducing rework.
- Managed insurance verification, pre-certification, and authorization processes, ensuring timely approvals for medical procedures and reducing authorization-related delays by 20%
- Acted as a liaison between patients, healthcare providers, and insurance companies, handling inquiries related to coverage, claims and billing and ensuring compliance with insurance requirements.
Billing Specialist
Lasting Impressions Dental Care
Colorado Springs, CO
09.2022 - 08.2023
- Processed and submitted insurance claims, ensuring accuracy in coding and adherence to payer-specific guidelines for prompt reimbursement.
- Managed the payment posting process be reconciling payments from insurance companies and patients, applying correct payment amounts to the appropriate accounts, and identifying discrepancies.
- Analyzed Explanation of Benefits to ensure correct payment, applying adjustments and correcting errors in the claim payments when necessary.
- Reviewed insurance contracts to ensure proper contract terms where applied to the claims, maximizing reimbursement and minimizing payment errors
- Performed cost analysis on medical procedures, identifying cost trends and reimbursement trends, ensuring proper pricing structures were applied billing
Education
High School Diploma -
Rampart High School
Colorado Springs, COSkills
- ICD-10, CPT and HCPCS
- Insurance Verification and Authorization
- Claims Submission & Follow-Up
- Payment Posting & Reconciliation
- Denial Management
- EHR and Billing Software
- Customer Service & Communication
- Time Management
- Detail Oriented
- Microsoft Suites
- Compliance Knowledge
- Data Entry Accuracy
Timeline
Revenue Cycle Specialist
Audubon Surgery Center
08.2024 - Current
Office Cordinator
Colorado Springs Cardiology
08.2023 - 08.2024
Billing Specialist
Lasting Impressions Dental Care
09.2022 - 08.2023
High School Diploma -
Rampart High School