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Jodie Carr

Expertise In: Mental Health

Name : Jodie Carr
Experience : 3
Specialty : Mental Health
Location : Methuen,MA
Description :

Jodie Carr has extensive experience in the field of medical billing and coding. Jodie wishes to obtain a Medical Billing/Accounts Receivable position.

Skills:

  • Jodie has fair knowledge about HIPAA compliance regulations
  • Knowledge about COB, deductible/co-insurance co-pay, and out of pocket/lifetime maximums

Experience:

  • Patient Accounts Specialist
  • Preparing medical billing statements for third parties and patients
  • Follow up on claims for timely payment
  • Communication with various insurance companies to ensure proper payment 
  • Resubmission and resolution of unpaid and denied claims
  • Post and reconcile payments to patient ledgers
  • Balance daily batches
  • Maintain strict confidentiality; adhere to all HIPAA compliance regulations

Medical Biller/Account Specialist

  • Generate monthly patient billing via paper and electronic submission
  • Posting payments, balancing receivables according to explanation of benefits
  • Follow-up of denials of unpaid third party and individual claims
  • Resolving issues relating to unpaid accounts
  • Resubmission of corrected claims for proper payment
  • Prior authorization and appeals ensuring payment 
  • Compliance with HIPPA guidelines and maintain patient confidentiality

Claims Benefit Specialist

  • Accurate processing and completion of medical claims according to specific plans (PPO, HMO Managed Care, Medicare, MA Health, Commercial and Self funded.) to ensure providers and insured receive proper payment in a timely manner
  • Apply plan concepts to include: COB, deductible/co-insurance co-pay, out of pocket/lifetime maximums
  • Process to complete claims with eligibility discrepancies as well with coding discrepancies
  • Adhere to quality improvement initiatives
  • Full compliance with HIPPA and patient confidentiality regulations