Jasmine Marshall
Metairie
Summary
Highly skilled Billing Specialist with background in managing complex billing systems, ensuring accurate invoicing and maintaining financial records. Strengths include deep understanding of accounting procedures, proficiency in billing software, and ability to handle high volume workloads efficiently. Previous roles involved proactively resolving billing issues, improving internal tracking processes, and contributing to successful audits.
Overview
8
8
years of professional experience
Work History
Billing Specialist
Access Respiratory Homecare
04.2022 - Current
- Managing all incoming set up paperwork
- Reviewing paperwork for incompleteness and sending back for corrections
- Marking all set up to bill for Cpap, Bipap, Nebulizers, and Oxygen (non-complex/monthly patient)
- Marking all Cpap/Bipap resupply orders, private pay rentals/sales/supply orders, Oxygen supplies/tank orders, and other miscellaneous orders
- Calculating and posting all marked medical orders daily
- Posting and balancing of payments attached to marked medical orders
- Sending claims weekly
- Work the Incomplete report to correct/fix errors on claims to release
- Work the Ready to Print report as a final check to identify errors that may cause a denial such as modifier missing/incorrect
- Uploading electronic claims to Waystar
- Printing paper claims
- Completing Louisiana Medicaid Crossover forms for secondary claims going to LA medicaid with a Medicare Replacement as primary and printing/attaching the EOB from the primary insurance to the claim
- Answering and assisting with incoming billing calls
- Uploading documents to Breathe after ONO's are completed
- Working medical records requests for all payors
- Assisting with audits by pulling the appropriate documentation needed to send
- Submitted claims to insurance companies.
- Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
- Reconciled codes against services rendered.
- Expedited payments by verifying accuracy and currency of vendor information.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Reviewed legal claims for accuracy and issues.
- Performed additional duties as assigned by management team.
- Performed insurance verification, pre-certification and pre-authorization.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Checked claims coding for accuracy with ICD-10 standards.
- Generated and distributed month-end statements for customers and resolved related concerns.
Prescription Specialist
Access Respiratory Homecare
01.2021 - Current
- Responsible for creating RX for patients
- Fax over all Rx for cpap machine, supplies, vents, cough assist, O2 etc
- Calling Doctor Office to check status of Rx if not received back from doctors office in a timely fashion
- Payer change, verify patients insurance out of pocket and deductible
- Recerts, making sure that every patient has an updated Rx on file along with running monthly reports to ensure that is done correctly
DME Authorization Coordinator
Sleep Solutions
Metairie
01.2021 - 01.2021
- Handled 100-200 inbound and outbound calls per day
- Acted as a Team Lead for verification of benefits
- Handled concerns and inquiries from patients, providers' offices, insurance companies
- Worked with 15 different hospitals in obtaining authorization
- Verified benefits and submitted authorization to insurance companies
- Kept track of documentation and reached out to check the status of authorization
- Scheduled and confirmed patient appointments
- Managed inventory, ordered supplies, shipped out products and performed machine setups
- Provided compliance reports to patients and medical professionals when requested
- Held responsible for intake - checking of faxes and entering new orders in the system daily
- Collected copays and performed other duties as assigned
Authorization Coordinator
Pontchartrain Orthopedics and Sports Medicine
Metairie
03.2018 - 04.2019
- Handled over 100 inbound and outbound calls per day
- Supported 9 physicians with all insurance information
- Assisted front desk with patient check in and out
- Collected benefits and gave patient accurate amounts due
- Processed authorization for all office, outpatient, and inpatient procedure
- Collected all clinical notes needed to complete authorizations
- Processed claims and checked payments when denials come in and processed appeals as needed
- Completed workers compensation 1010 authorizations
- Accurately and effectively explained products and promotion details
- Worked with outside Orthopedic, Radiology, Ambulatory Centers and Hospitals to make sure patients are serviced accurately
Complex Authorization Specialist
Tri-West Healthcare Alliance
Metairie
12.2016 - 03.2018
- Handled 100-200 inbound and outbound calls per day
- Conducted research to ensure accurate documentation of the patient's clinical information
- Reviewed and responded to complex referral requests from VA and civilian providers with appropriate coding and provider selection
- Responded to inquiries from Veterans and providers regarding specific aspects of the VA program
- Provided information and assistance in processing referrals, authorizations, and the location and use of network and certified providers
- Consistently displayed professional and courteous service skills to internal and external customers
- Took measures to comply with HIPAA regulations to protect privacy of Veterans health information
- Documented the transmission of medical referrals to the facility or the network provider
- Assessed faxed or emailed documents to ensure appropriate entry into the medical management system
- Requested medical records, scanned documents into the medical management system, and prepared records for quality of care review
- Identified potential discrepancies in the medical management system to assure quality compliance
Education
Medical Assistant Diploma -
Eastern College of Health Vocations
New Orleans, LAHigh School Diploma -
Sarah T. Reed High School
New Orleans, LASkills
- Claim processing
- Insurance verification
- Accounts receivable
- Medical coding
- Billing software
- Payment collection
- Customer service
- Data entry
- Attention to detail
- Time management
- Effective communication
- Problem solving
- Documentation management
- Audit support
- Denial management
- Billing systems and software
Timeline
Billing Specialist
Access Respiratory Homecare
04.2022 - Current
Prescription Specialist
Access Respiratory Homecare
01.2021 - Current
DME Authorization Coordinator
Sleep Solutions
01.2021 - 01.2021
Authorization Coordinator
Pontchartrain Orthopedics and Sports Medicine
03.2018 - 04.2019
Complex Authorization Specialist
Tri-West Healthcare Alliance
12.2016 - 03.2018
Medical Assistant Diploma -
Eastern College of Health Vocations
High School Diploma -
Sarah T. Reed High School