Medical Customer Service/biller

JANE DELONG

260.925.0379  ·  jdelong1214@outlook.com

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MEDICARE BILLING SPECIALIST

Self-motivated, tenacious, and results-oriented professional with over 17 years experience in all aspects of billing, collections, reconciling  remittance advices from all required insurance providers, Ensured compliance of mandated Medicare specific 72 hour admissions report, verified compliance & released accurate claims, completed late charges timely & accurately.

 

Professional Experience

DeKalb Health

Medicare Billing Specialist, 1997-2014

Ÿ  Resolved Medicare admissions report on a daily basis to maintain compliance with 72 hour standard.

Ÿ  Completed late charge report accurately & efficiently.

Ÿ  Resolved denied claims & line item rejections with various payers.

Ÿ  Accurately billed & released claims to various Medicare insurance providers on a daily basis to promote timely payments.

Ÿ  Reconciled various remittance advices from multiple carriers.

Ÿ  Completed & filed the quarterly Medicare credit balance report with CMS

Key Accomplishments:

Ÿ  99% success rate of obtaining payment for denied claims & rejections

Ÿ  Exceeded company expectation related to dollar amount written off due to past file limit

Ÿ  Developed solution for after-hours payment convenience by suggesting a night deposit safe in an annex building.

Anthem Commercial Biller, 1997

      Released accurate claims & followed up with insurance providers for prompt payment.

Patient Payment Collector, 1996

      Managed outstanding accounts including setting up payment plans and providing options for financial assistance. Provided concise clear and accurate account documentation. Followed up on financial documentation & proof of income in order to approve financial assistance. Resolved customer issues while dealing with sensitive situations.

Head Cashier, 1991-1996

      Posted all incoming account payments. Approved all refund requests on credit balances & processed the appropriate refunds. Entered concise accurate account notes for all refunds processed. Maintained a high level of customer service satisfaction within the department.

Patient Access,  August 1990 - 1991

       Registered patients and provided directions to the right department when needed.

Switchboard, October 1989 - July 1990

        Answered   all incoming calls and put them through to proper department or person, or answered caller’s questions when appropriate for me      

 

Education

College Experience at Ivy Tech Fort Wayne, IN

Medicare Part A/B Coding guidelines 12 CEU units

Dun & Bradstreet Business Education CEU credit

Part A certificate for ambulance billing compliance

Ivy Tech Career Development Certificate for Business Management

Currently attending South University in Allied Health Sciences

  • ID#: 88086
  • Location: Auburn, IN , 46706

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