Jayla Brown
Multiplan-Claritev
Hampton,GA
16
years of professional experience
Knowledgeable [Desired Position] with robust background in medical billing and coding. Proven track record of accurately processing and managing patient billing information, resulting in improved revenue cycles. Demonstrated proficiency in claim submissions and resolution, leveraging strong attention to detail and organizational skills.
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Work History
Medical Billing Specialist
2 Years 5 Months- Reviewed and validated medical claims for payment, ensuring accuracy and adherence to industry standards.
- Achieved timely processing of medical claims, minimizing delays in reimbursements. Improved billing accuracy, resulting in reduced claim denials and expedited payments. Enhanced patient satisfaction by addressing billing concerns promptly and effectively.
- Facilitated successful enrollment of candidates by providing comprehensive support and resources. Achieved high satisfaction rates by effectively addressing student inquiries and concerns during enrollment. Improved enrollment efficiency through proactive communication and tailored guidance for applicants.
- Managed comprehensive record-keeping of contact accounts and order details to ensure accuracy.
- Engaged in comprehensive training on liability and eligibility insurance to enhance knowledge and compliance.
- Achieved high levels of accuracy in data entry, resulting in improved project outcomes. Streamlined data management processes, leading to increased productivity across teams. Contributed to successful project completion by ensuring timely and precise data handling.
- Assisted with outpatient and inpatient coding using ICD-10 guidelines. Supported accurate documentation and coding practices. Collaborated with healthcare teams to ensure compliance with coding standards.
- Managed claims billing and reimbursement operations to facilitate timely payments and maintain financial integrity.
- Achieved compliance with HIPAA regulations through effective policy implementation. Increased staff awareness of HIPAA requirements through comprehensive training programs. Strengthened organizational data security by promoting adherence to privacy protocols.
- Conducted comprehensive analysis of recorded data to identify trends and insights.
- Oversaw the management of medical records to enhance accessibility and data integrity. Directed efforts to streamline documentation processes for improved operational efficiency. Implemented best practices for record-keeping to uphold regulatory compliance.
- Applied knowledge of medical terminology and anatomy to enhance healthcare operations.
- Conducted thorough insurance verification to facilitate seamless patient care and financial transactions.
- Assisted in onboarding new clinical staff by providing training and support. Facilitated orientation sessions for clinical personnel to ensure smooth integration into teams. Helped new hires acclimate to clinical procedures and protocols.
- Assisted in conducting cybersecurity training sessions for team members. Supported colleagues in understanding cybersecurity protocols and best practices. Facilitated knowledge sharing on cybersecurity measures among staff.
- Processed medical claims accurately and efficiently to ensure timely reimbursements.
- Analyzed billing discrepancies, coordinating with healthcare providers for resolution.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
Medical Claims Specialist
2 Years- Reviewed and processed medical claims to ensure compliance with policies and regulations.
- Resolved discrepancies by coordinating with healthcare providers and internal teams.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
- Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Submitted electronic/paper claims documentation for timely filing.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Achieved timely reimbursements for clients through keen understanding of insurance company protocols.
Sales Associate
3 Years- Delivered persuasive sales presentations by executing well-prepared scripts that effectively showcased products and services.
- Conducted telephonic outreach to businesses and individuals to enhance sales of goods and services.
- Assisted customers in grasping product features and service offerings, including pricing information. Responded to questions and provided support to improve customer satisfaction.
- Collected customer information, including name, address, and payment method, to facilitate order processing.
- Recorded names, addresses, purchases, and responses of engaged prospects.
- Oversaw maintenance of records for contact accounts and orders.
- Provided assistance through live chat interactions. Supported customers with real-time problem solving. Guided users to resolve inquiries efficiently.
- Provided email support to assist users with inquiries and issues. Responded to customer emails to facilitate prompt resolutions. Delivered timely assistance through effective email communication.
- Facilitated customer support operations by addressing inquiries and resolving issues.
- Facilitated effective communication and collaboration in a remote work environment.
- Provided outstanding customer service by leveraging effective communication and problem-solving skills.
- Delivered exceptional customer service through effective communication and problem-solving skills.
Rater
5 Years- Collaborated with team members to optimize vehicle configurations for better maneuverability and velocity. Remote position Monitored vehicle performance metrics to ensure adherence to safety standards. Provided feedback on track conditions to enhance race preparation and execution. Collaborated with team members to refine vehicle setups for improved handling and speed.
- Data Entry
- Remote position
- Monitored vehicle performance metrics to ensure adherence to safety standards.
- Provided feedback on track conditions to enhance race preparation and execution.
- Collaborated with team members to refine vehicle setups for improved handling and speed.
- Executed race-day strategies by monitoring competitor movements and adapting tactics in real-time.
Customer Service Clerk
5 Years- Audited cash drawers at shift commencement to verify accuracy of funds and ensure sufficient change availability.
- Established competitive pricing structures for products and services, ensuring precise billing through cash registers and optical price scanners.
- Addressed customer inquiries and delivered accurate information regarding procedures and policies.
- Executed calculations of total payments received within specified timeframes.
- Managed processing of merchandise returns and exchanges to streamline inventory management.
- Managed personnel supervision and facilitated skill development through targeted training initiatives.
- Managed distribution of trading stamps and oversaw the redemption process for food stamps and coupons. Coordinated trading stamp issuance and led initiatives for effective food stamp and coupon redemption.
- Facilitated efficient processing of customer transactions to enhance service delivery.
- Processed customer transactions efficiently using point-of-sale systems.
Education
Bachelor of Science - Cybersecurity
Post-Secondary Adult Vocational Certificate Program - Medical Coder/Biller
- Certified Coding Associate (CCA) credential, December 2017
- Proficient in assigning ICD-10 CM and PCS and CPT
- Knowledgeable in Medical Terminology and Anatomy and Physiology
- Master claims billing and reimbursement
- Insurance Verification
Career and Technical Workforce Program - Health Information Technology
- Expert in health information management systems and information and computer science
- Experienced in quality improvement and health workflow process analysis and redesign
High School Diploma
Skills
Document preparation for electronic health records
Client relations management
Proficient in CRM software
Credential authorization oversight
Patient enrollment management
Client relationship management
Customer service representative
Claims evaluation specialist
Electronic payment processing
Healthcare front desk management
Health information management
Contract administration
Transaction management
Health insurance knowledge
Zendesk proficiency
Salesforce proficiency
Skilled in Microsoft Office
Data analysis proficiency
Performance metric analysis
Healthcare environment fundamentals
Health information management
Chargeback management
Insurance eligibility verification
Foundational knowledge in information and computer science
Terminology in Health Care and Public Settings
Efficient appointment management
HIPAA regulations adherence
Efficient payment reconciliation
Claims processing
Insurance eligibility assessment
Claims denial management
CPT expertise
Insurance eligibility verification
Insurance verification
Claim submission
Payment posting
Timeline
Medical Billing Specialist
Multiplan-Claritev
02.2024 - CurrentRead More
Medical Claims Specialist
Elevance Health
10.2022 - 10.2024Read More
Sales Associate
Nexrep
12.2019 - 12.2022Read More
Rater
Appen
01.2017 - 01.2022Read More
Customer Service Clerk
Hitchcock Foodway
01.2011 - 01.2016Read More
Southern New Hampshire University
Bachelor of Science from Cybersecurity
Read More
North Florida College
Post-Secondary Adult Vocational Certificate Program from Medical Coder/Biller
Read More
North Florida College
Career and Technical Workforce Program from Health Information Technology
Read More
Melody Christian Academy
High School Diploma
Read More