Jennifer Marie Merritt

Jennifer Marie Merritt wishes to seek ideal position within the esteemed organization where she is able to utilize the 6 years’ experience and organizational abilities for handling the challenging job. She wants to put all of her efforts in delivering promising work and enhancing the productivity to hone in onto the goals of the organization and provide continued excellent care to patients

Skills:

• Medicare Compliance Standards & Government Regulations
• Medical Necessity and Documentation Compliance Auditing; Continuing Education for both Certifications
• Advanced Billing And Coding Skills For Maximized Revenue
• Exceptionally Good At Dealing With Patient Queries And Complaints With The Strong Power To Resolve Problems
• Eye For Detail, Conducting Research, Solving Issues, Strong Organizational And Management Skills
• Excellent Communication, Both Verbal And Written, developing and maintaining interpersonal skills an quick understanding of computer applications and programs Strong Ability To Analyze With Deep Knowledge Medicare, Medical Necessity, Documentation And Commercial Insurance 
• Dependable, Self-Motivated, Quick Learner
• Innovative Approach; Creative Thinking
• Teambuilding & Staff Supervision
• In-Depth Knowledge Of Billing, Coding, Collections, Denials, Appeals, Auditing,
• Successful Track Record Of Handling Complicated Assignments And Requests From  Multiple Members Of Management, With Success
• innovative follow-up methods, with rewarding results

Experience:

• Medical Necessity and Documentation per Medicare standards, compliance auditing, and training resulting in 60% increase in revenue within the first month and a 100% increase in patient care quality standards.
• Ensure claims are entered and submitted within 48 hours of receipt
• Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections and other issues with outstanding accounts.
• Insure accuracy of insurance claims. Verify correct condition codes for maximized reimbursement rates
• Set up new patients for repetitive patient transports follow-up and appeal existing accounts
• Solely responsible for Sending/Receiving all electronic claims going to/from Medicare in 5010 format
• Knowledge in timely filing restrictions, appeals, denials
• Medicare billing for the state of California. Auditing EMT run reports, and claims. Training EMT and billing department for Medicare billing and practices, initial billing, follow-up and appeals, specializing in medical necessity problem solving, and patient complaints, concerns, provided guidance and subject matter expertise to staff
• Maintained all organization and professional ethical standards, retrained staff according to Medicare Guidelines
• Lead and trainer for the EMT’s, current billers, new hires, and inner dept. transfers for Billing, follow-up and appeals for Medicare, Medi-cal, and commercial Ins.
• Billing Supervisor for Palmetto GBA and Texas Trailblazers Medicare accounts
• Ensured compliance with the regulatory guidelines along with additional company- wide customer service expectations that were to be met.
• Retrained current employees on the Medicare Guidelines, medical necessity, and documentation.
• Responsible for Back A/R totals and Medicare A/R submissions and follow-up
• Knowledge in timely filing restrictions, appeals, denials
• Follow up on Insurance and patient aging, re-submit insurance claims as necessary with retraining when needed
• Acted as Trainer for all ambulance billing, collections, insurance follow-up
• Handled all patient complaints with excellent reviews and feedback, responsible for all denials, appeals and patient responsibility sensitive accounts
• Communicated audit results to management through written audit reports.
• Managed post-audit activities and follow-up on any necessary corrective and preventive actions.
• Resolved conflict issues, retraining when needed.

Certifications:

• Certified Ambulance Coder  Certificate # CAC00005001
• Only Ambulance Coding program recognized by Medicare
• Completed with 4.0 grade average
• Medical Billing, Coding, and Claims Examiner
• Graduated at top of class with Honors & Perfect Attendance
• Special recognition for creating Module tests used that year