YOLANDA MONIQUE JACKSON4822 SPRING LAKE DRIVE APT. E

CHARLOTTE, NORTH CAROLINA 28212PHONE: (984) 528-0463

EMAIL: BUSINESSMINDED704@GMAIL.COM

CAREER GOALA Medical Administrator with a great company where strong communication, coordination, and administrative abilities will be fully utilized for improving the work performance and efficiency of the company.

QUALIFICATIONS SUMMARY

Excellent customer service skills Managerial skills Verifying insurance and worker’s compensation authorizations Obtaining medical referrals Posting payments (AR) Check-In/Check-Out Review and verify claims Sufficient in medical billing Sufficient in medical collection claims Sufficient in medical terminology Sufficient in re-filing claims ICD-9 Coding/ICD-10 Coding • CPT-4 Coding • Regulations • Outpatient Facility

Coding

RELEVANT SKILLS

Hard working and determined Skilled in MS Word, Excel, Outlook and PowerPoint Excellent verbal and written skills Agreeable and ambitious Cooperative and efficient

MEDICAL PROGRAMS

Patient Plus

Misys Centricity Patient Lytec System

Professional Experience08/2015-presentAmerisourceBergen, Fort Mill, SCBenefit Verification Specialist

Key Accomplishments

Works with public and private payers handle benefit insurance inquiries at assigned facility Interfaces appropriately with insurance administrators, physician’s offices, patients and internal personnel.

Develops and maintains close interface with all components of the benefits process Ensures that related information is obtained, documented, tracked and available for

review. Makes suggestions and recommendations to Supervisor in an effort to continually

improve customer service operations. Complies with all appropriate policies, procedures, safety rules and regulations. Performs related duties as assigned.

10/2013-8/2015Premier Source, Fort Mill, SCReimbursement Counselor

Key Accomplishments

Benefit Verification of medical insurance Follow up on unpaid claims as well as old claims Daily quota that I meet. Collector for bills over 60 days past due. Verifying Eligibility for Insurance, entering patient demographics into Lytec System Benefits investigation Prior authorization Appeal submission

06/2012-10/2013Elizabeth Baptist Learning Center, Monroe, NC Lead Infant Teacher

Key Accomplishments

Supervised the kids and treated with self-esteem and respect. Assisted children become attentive of their roles as essential members of a group. Responsible for the planned arrangement, manifestation, furnishings and learning

environment in the child care classrooms. Helped in the planning and preparing of the child care surroundings, setting up attention

centers, and prepared required materials and supplies. Assisted Director in suitable ways as directed. Helped in the planning, supervising, and put the program into practice for child care

appropriate to the policy and values of the center.

10/2009-02/2010 ACS Commercial Solutions Inc., Cary, NCCustomer Care Assistant

Key Accomplishment

Responded to inbound service calls in a fast-paced, high-volume call center. Built a rapport with customers and proposed different products and services based on

their account history to help minimize their monthly bill. Provided superior customer service and work quality while demonstrating attention to

detail, flexibility and innovation in resolving problems. Possess effective communications skills, and work well with others at all levels

11/2004 - 4/2009Accent Urgent Care, Cary, NCPatient Account Specialist

Key Accomplishments

Code records by following prescribed coding standards such as ICD-9 and CPT Review physician notes and obtain necessary clarifications where necessary Ensure signatures on all medical records Assign appropriate medical codes to all diagnosis and services Prepare appropriate claim documents

• Follow up with insurance companies and ensure that all claims come to fruition

Highly skilled in translating codes into insurance company’ preferred coding systems

Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements

In depth knowledge of preparing appropriate claim documents Proficient in assigning appropriate medical codes to diagnosis and services

EDUCATIONSanford-Brown Institute 12/2003-12/2004 Pittsburgh, PAMedical Office Administration-Certificate

Lewisburg Area High School 08/1993-06/1997 Lewisburg, PABusiness-High School Diploma