Natasha R. Jackson
Perry Hall
Summary
Highly motivated and dedicated insurance verification specialist with over twenty years of experience. Exceptional customer service skills and strong communication abilities to effectively interact with clients and meet their needs in a professional and timely manner. Thrives in fast-paced, team-oriented work environments and seamlessly adapts to high-volume demands. Possesses extensive knowledge of major insurances, including Medicare, Medicaid, CareFirst BCBS, Aetna, Cigna, and United Healthcare.
Overview
17
17
years of professional experience
Work History
Pre-Authorization Coordinator & Eligibility Specialist
PMB (Physicians Medical Billing)
04.2022 - Current
- Documented patient health insurance and benefit information, such as referral requirements, deductible, copay & coinsurance
- Documented pre-authorization requirements and procedure codes (CPT) for patient testing
- Contacted insurance company for pre-auth requirements, other sources used: insurance pre-auth web portal tools and insurance company websites
- Submitted all clinical documentation to the health insurance company for pre-authorization via phone call, Insurance portal and fax
- Obtained pre-authorization for various testing’s such as Nerve conduction studies / EDX/EMG / EEG / ECHOCARDIOGRAMS & VASCULAR)
- Submitted pre-authorization for workers compensation patients
- Updated inaccurate insurance entered into the system such as Medicare secondary payer and COB (Coordination of Benefits) issues
- Communicated demographic and insurance errors with front end office staff via phone and email
- Respond to urgent emails and phone call from front end staff regarding schedule and testing changes
- Obtained pre-authorization for DME (Durable Medical Equipment) for providers located in the state of Maryland and Florida)
- Communicated effectively with billing dept on billing issues and insurance errors
Seasonal Tax – Preparer
Self - Employment
02.2008 - Current
- Reviewed client financial records
- Preparation of individual income tax return forms
- Recorded financial transactions in tax preparation software
- Advised clients on personal financial matters and basic tax laws
- Reviewed and studied tax law handbook
Patient Accounts Specialist
MedStar Health
05.2017 - 10.2021
- Utilized Microsoft excels spreadsheet to document patient account information for insurance authorization purposes
- Documented patient diagnosis and procedure codes in a computerized system (Invision)
- Documented patient health insurance and verifies active insurance coverage in HDX system
- Updated patient demographics in a computerized system (Invision)
- Responsible for working 50 or more accounts daily to meet department QA standards
- Updated client specific data entry system with authorization information
- Verbally communicated with management on issues that may impact patient care
- Updated patient accounts with insurance, scheduling, and demographic info
- Responsible for obtaining insurance authorizations through via online portal and verbal communication with the insurance company and doctor offices
- Completed patient pre-registration (inpatient/outpatient) for Montgomery Medical Ctr
- Worked in a timely fashion to ensure patient healthcare benefits were properly verified to ensure the scheduled surgery date of service
- Verified authorization requirements for Medicare outpatient surgical procedures; such as pain management injections
- Systems worked: SMS/Invision, Power-Chart, Medconnect, One Content, Citrix, and IDX Insurance verification system
Patient Accounts Specialist
Aerotek Staffing Agency (MedStar Health - Temp)
10.2016 - 05.2017
- Utilized standards, guidelines, and written procedures for performing registration functions.
- Completed patient pre-registration (inpatient/outpatient) for Montgomery Medical Ctr.
- Utilized Microsoft excels spreadsheet to document patient account numbers and insurance authorization numbers.
- Documented patient diagnosis and procedure codes in a computerized system (Invision).
- Documented patient health insurance and verified active insurance coverage in HDX system.
- Updated patient demographics in a computerized system (Invision).
- Responsible for working 60 or more accounts daily to meet department QA standards.
- Responsible for completing daily inpatient Medicare LTR spreadsheet for 9 Medstar Hospitals.
Insurance Verification Coordinator
Advanced Radiology
07.2012 - 07.2015
- Completed verification of benefits for various health insurance companies
- Obtained pre-authorization for medical services when necessary
- Achieved accurate data entry skills, while utilizing a computerized healthcare System
- Utilized telephonic voice response systems and health insurance websites to obtain information on patient's eligibility status
- Contacted patients to obtain complete and accurate health insurance information; discussed eligibility outcome, payment methods, collection of co-pay and any cash due at the time of service
- Secured precise and thorough documentation with the completion of all essential paperwork in a timely manner under the established guidelines
- Specialized in auto accident medical pre-authorizations
- Familiar with EOB forms (explanation of benefits)
- Followed all HIPAA, compliance, privacy, and confidentiality regulations
Education
Associate of Arts (AA) - Business Accounting
STRAYER UNIVERSITY
White Marsh, MD01.2012
Skills
- Phenomenal attention to detail ability
- Magnificent problem solver
- Exceptional time management skills
- Excellent organization skills
- Demonstrated skill in data entry
- Professional demeanor
- Skilled in Microsoft office products
- Effective telephone manner
- Critical thinking
- Medical terminology proficiency
Timeline
Pre-Authorization Coordinator & Eligibility Specialist
PMB (Physicians Medical Billing)
04.2022 - Current
Patient Accounts Specialist
MedStar Health
05.2017 - 10.2021
Patient Accounts Specialist
Aerotek Staffing Agency (MedStar Health - Temp)
10.2016 - 05.2017
Insurance Verification Coordinator
Advanced Radiology
07.2012 - 07.2015
Seasonal Tax – Preparer
Self - Employment
02.2008 - Current
Associate of Arts (AA) - Business Accounting
STRAYER UNIVERSITY
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