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
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
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
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
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