Jena Payne
Lancaster
Summary
Experienced healthcare billing professional with background in medical coding, insurance claims processing, and patient account management. Known for exceptional accuracy, attention to detail, and ability to navigate complex billing systems. Focused on team collaboration and achieving optimal results, adaptable to changing needs, and reliable in delivering high-quality work. Skilled in CPT, ICD-10, and HCPCS coding, with strong understanding of HIPAA regulations and insurance policies.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Insurance Biller
The Eye and Laser Center
08.2023 - Current
- Communicates with insurance providers to resolve denied claims and resubmit
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Liaised between patients, insurance companies and the billing office
- Collect payments and apply them to the patient accounts
- Audit and correct billing and posting documents for accuracy
- Submit medical records to insurance companies for payment
- Obtain authorizations for medical procedures such as Cataract Surgeries, Eyelid Surgeries and Injections
- Post payments from Insurances and ensure that they paid correctly
- Verify benefits for upcoming appointments, obtain an estimate for the appointment and then notify the patient
Medical Insurance Biller
Carolina Heart Specialists
01.2022 - 08.2023
- Communicates with insurance providers to resolve denied claims and resubmit
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Liaised between patients, insurance companies and the billing office
- Collect payments and apply them to the patient accounts
- Audit and correct billing and posting documents for accuracy
- Submit medical records to insurance companies for payment
- Work closely with the coders in the event the claim was denied due to diagnosis issues
- Complete the AR Report
- I am currently scheduled to take my CPB exam on August 04, 2023
Medical Insurance Biller
The Eye and Laser Center
06.2021 - 12.2021
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Liaised between patients, insurance companies and the billing office
- Collected payments and apply them to the patient accounts
- Audited and corrected billing and posting documents for accuracy
- Submitted medical records to insurance companies for payment
- Communicated with insurance providers to resolve denied claims
- Obtaining preauthorization for surgical procedures
CALL CENTER MANAGER
The Eye and Laser Center
12.2017 - 06.2021
- Led daily team meetings to review performance, set targets and motivate staff
- Conducted performance reviews for staff members to reduce resolution times and improve patient satisfaction
- Developed quality employees within the call center to take over leadership positions
- Provided real-time coaching, guidance and feedback to employees to achieve goals
- Recruited, trained and onboarded new employees, maintaining exceptional service standards
Education
High School Diploma -
Lancaster High School
05.2010
Skills
- Medical billing software proficiency
- HIPAA compliance awareness
- Denial resolution techniques
- Call center customer service
- ICD-10 knowledge
- Payment posting
- Insurance appeals handling
- Billing and collection procedures
- Continuous learning attitude
- Staff training
Certification
- Certified Professional Biller (CPB) - AAPC (formerly American Academy of Professional Coders).
Timeline
Medical Insurance Biller
The Eye and Laser Center
08.2023 - Current
Medical Insurance Biller
Carolina Heart Specialists
01.2022 - 08.2023
Medical Insurance Biller
The Eye and Laser Center
06.2021 - 12.2021
CALL CENTER MANAGER
The Eye and Laser Center
12.2017 - 06.2021
High School Diploma -
Lancaster High School
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