JOCELYN S. MCBRIDE
Sumter
Summary
Detail-oriented medical billing specialist with a proven track record in reducing denied claims by 50%. Expert in managing accounts and collaborating with teams to resolve complex billing issues, ensuring timely reimbursements and enhancing overall operational efficiency.
Overview
10
10
years of professional experience
Work History
AR Follow up-Medical Billing Specialist
PROFESSIONAL MEDICAL SERVICES
03.2022 - Current
- Reduced denied claims by 50% through improved follow up procedures
- Reviewed and followed up on outstanding insurance claims to ensure timely reimbursement.
- Managed accounts to ensure accurate and timely processing of insurance claims.
- Use payer portals and or contact insurance carriers regarding claim status, denials, and underpayments.
- Collaborated with billing, coding, and payment posting teams to efficiently resolve claim issues.
- Uses internal and external resources and systems including Fusion, EPIC, Meditech, SSI to analyze patient accounting information, while taking appropriate action for payment resolution
- Maintained high productivity and quality standards while managing AR accounts.
CLAIMS PROCESSOR
PENN CREDIT
11.2021 - 03.2022
- Examined and processed claims and appeals in compliance with business regulations and internal guidelines to ensure accurate resolution
- Ensured claims met quality and production standards to maintain operational integrity
- Analyzed patient accounting information using internal and external resources, including Fusion, to facilitate timely payment resolution
MEDICAL COLLECTOR II
VIRTUAL BUSINESS OFFICE
08.2017 - 11.2021
- Managed accounts in collector queues, conducting research on insurance details, rebilling claims to insurance carriers, and filing appeals to expedite payment.
- Resolved accounts receivable by reviewing various account types, including hospital and governmental claims, to identify payment and denial issues.
- Leveraged internal and external resources and systems including Sunport, Waystar, Cerner, Cranware, SSI, Florida Medicaid/FLMMIS, Medicare/DDE, Citrix, STAR and OneChart, Meditech, EPIC to analyze patient accounting information, while taking appropriate action for payment resolution
- Interacted with payer resources through web, email, and telephone, completing quality assurance to ensure accuracy in account resolution.
- Participated in the Account Analyst Program to complete special projects and project inventory to identify trends, and provide performance improvement measures and resolution steps
MEDICAL BILLING SPECIALIST
ZOTEC PARTNERS
01.2016 - 01.2017
- Processed claims and resolved customer complaints and adjudication issues to ensure timely reimbursements
- Reviewed claim denials and billing issues identified by insurance companies
- Maintained and updated comprehensive files for insurance companies, diagnostics, procedures, and fees to support efficient billing operations
- Submitted investigations for duplicate claims, missing payments, and billing inquiries
- Assisted patients in processing insurance claims, documenting all activities and communications for each case
Education
HIGH SCHOOL DIPLOMA -
LEE CENTRAL HIGH SCHOOL
Bishopville, SC06-2010
Skills
- Medical Billing/Coding
- Insurance claims
- Claim processing
- Insurance verification
- Claims denial management
- Insurance collections
- Claims processing
- Accounts receivable
- Data Analytics
- Data Analytics
- Problem Solving
- Effective Communication
- Customer Service
- Accounts receivable
Timeline
AR Follow up-Medical Billing Specialist
PROFESSIONAL MEDICAL SERVICES
03.2022 - Current
CLAIMS PROCESSOR
PENN CREDIT
11.2021 - 03.2022
MEDICAL COLLECTOR II
VIRTUAL BUSINESS OFFICE
08.2017 - 11.2021
MEDICAL BILLING SPECIALIST
ZOTEC PARTNERS
01.2016 - 01.2017
HIGH SCHOOL DIPLOMA -
LEE CENTRAL HIGH SCHOOL