Jessica Hemmen
Clemmons
Summary
I am a dedicated professional with a strong background in provider credentialing and insurance processes. Known for analytical problem-solving and effective time management, committed to enhancing operational efficiency in healthcare settings.
Overview
6
6
years of professional experience
Work History
Credentialing Coordinator
Trinity Health
06.2016 - 06.2022
- Managed provider credentialing processes to ensure compliance with regulatory standards.
- Reviewed and verified documentation for accuracy and completeness in provider applications.
- Trained new staff on credentialing procedures and best practices for data management.
- Coordinated insurance verification processes to ensure compliance with regulatory standards.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Coordinated with other trainers to share best practices, resources, and strategies for effective Epic software instruction.
- Facilitated patient check-in and registration processes, ensuring accuracy in data collection.
- Managed electronic health records system to maintain up-to-date patient information and streamline workflows.
- Collaborated with clinical staff to verify insurance eligibility and resolve billing discrepancies promptly.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Followed up on missed appointments with patients to reschedule and promote continuity of care.
- Scheduled daily appointments using computerized calendars.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Managed time efficiently in order to complete all tasks within deadlines.
- Skilled at working independently and collaboratively in a team environment.
- Streamlined processes by integrating advanced Microsoft functionalities, resulting in improved workflow efficiency.
Education
Obtaining A Medical Billing & Coding Certificate - Medical Billing & Coding
Fayetteville Technical Community College
Fayetteville, NC07-2026
High School Diploma -
Mason City High School
Mason City, IA05-2016
Skills
- Effective written and verbal communication
- Compliance with HIPAA standards
- Accurate data entry
- Expertise in [Microsoft] {EPIC} (CPT) {ICD-10 systems}
- File system administration
- Insurance processes
- Provider credentialing
- Collaborative teamwork
- Analytical problem-solving
- Effective time management
- Consistently dependable
Languages
English
Full Professional
Timeline
Credentialing Coordinator
Trinity Health
06.2016 - 06.2022
Obtaining A Medical Billing & Coding Certificate - Medical Billing & Coding
Fayetteville Technical Community College
High School Diploma -
Mason City High School