Kimberly Jackson
Hyattsville,Maryland
Summary
Dedicated and detail-oriented medical billing professional with extensive experience in revenue cycle management. Proven track record of ensuring accurate claims processing, timely payments, and compliance with industry regulations. Committed to accuracy, compliance, and efficient revenue management.
Overview
23
23
years of professional experience
Work History
Account Representative
Not-for-Profit Hospital Corporation (NFPHC)
09.2007 - Current
- Contribute to the efficient revenue cycle management within a healthcare setting including analyzing and documenting client business requirements, communicating these requirements to the team, and ensuring accurate billing and collections processes
- Revenue Cycle Analysis: Analyze and document client business requirements related to billing and collections
- By understanding the unique needs of our organization, I contribute to effective revenue cycle management
- Collaboration and Problem-Solving: Collaborate with peer team members to address complex system issues
- Whether it’s resolving claim edits or managing small to medium projects, I bring a problem-solving mindset to the table
- Relationship Building: Establish and maintain open communication with third-party payer representatives
- Build strong relationships by working towards resolving claims issues efficiently
- Documentation and Compliance: Maintain detailed documentation of individual account activity, including correspondence and phone conversations
- Additionally, review and validate coverage changes to avoid denials
- Recommendations and Compliance: Review unpaid balances and provide justifiable recommendations for further handling
- Maintain up-to-date knowledge of compliance rules, state and federal regulations, and contractual terms
Social Service Representative
DHS Income Maintenance Administration
09.2006 - 08.2007
- Maintained detailed documentation of individual account activity, including correspondence via phone, demonstrating a commitment to accuracy, compliance, and client-focused service
- Eligibility Determination: Interviewed new and existing DC residents both in person and over the phone
- Accurately and independently determined eligibility for public assistance programs such as TANF, SNAP, and Medical Assistance
- System Proficiency: Navigated eligibility systems efficiently to process cases, prevent errors, and implement program-specific policies
- Whether it’s TANF, SNAP, or Medical Assistance, ensure timely and accurate case processing
- Client Communication: Communicated clearly with clients, providing information, resolving issues, and offering appropriate directions
- Positive Collaboration: Maintained positive relationships with colleagues and external customers, promoting effective communication and collaboration
Patient Account Coordinator
MEDLINK HOSPITAL AND NURSING HOME
01.2002 - 09.2006
- Billed and coordinated all Hospital Inpatient and outpatient claims including physician billing, Medicaid and commercial insurance carriers
- Reviewed claims for accuracy and followed-up on accounts to ensure maximum reimbursement
- Determined diminutive and substantial balance write-offs and payment posting of remittance notices
- Follow-up with physicians to ensure appropriate patient charges have been completely identified
- Evaluates the age of the receivable and perform AR tasks to reduce the outstanding AR and complete the collection effort
Education
No Degree - Communication Courses
Howard University Saturday College
Washington, DC12-2000
Skills
- Project Management
- Data Collection & Analysis
- Diplomatic
- Positive Attitude
- Strong Communication
- Process Improvement
- Organization & Planning
- Adapt to Changing Priorities
- Leadership
- Cross-Functional Teams
- Problem-Solving & Analysis
- Account reconciliation
Timeline
Account Representative
Not-for-Profit Hospital Corporation (NFPHC)
09.2007 - Current
Social Service Representative
DHS Income Maintenance Administration
09.2006 - 08.2007
Patient Account Coordinator
MEDLINK HOSPITAL AND NURSING HOME
01.2002 - 09.2006
No Degree - Communication Courses
Howard University Saturday College
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