Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Terry Jones

Matthews

Summary

Experienced Medical Insurance Specialist with expertise in managing complex insurance claims and policy interpretation. Demonstrated ability to enhance claims submission accuracy, resulting in reduced denials and faster payment processing. Strong knowledge of medical coding, billing procedures, and regulatory compliance. Effective communicator with healthcare providers, insurers, and patients, fostering positive relationships. Knowledgeable about referral and authorization for procedure services requirements for hospitals and professional systems.

Overview

5
5
years of professional experience

Work History

Insurance Specialist

Meduit
Charlotte
09.2023 - 08.2025
  • Reviewed patient accounts for accuracy and completeness before processing claims.
  • Analyzed insurance claims to ensure compliance with regulations and company policies.
  • Collaborated with healthcare providers to resolve billing discrepancies and inquiries.
  • Maintained detailed documentation of claims processing activities for auditing purposes.
  • Reviewed insurance policies to ensure compliance with existing regulations.
  • Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations.

EBO Specialist

Meduit
Charlotte
03.2020 - 09.2023
  • Managed patient accounts to ensure accurate billing and collections processes.
  • Collaborated with healthcare providers to resolve billing discrepancies effectively.
  • Analyzed financial data to identify trends in revenue cycle performance.
  • Communicated with patients regarding account inquiries and payment options clearly.
  • Utilized electronic health record systems for efficient data entry and management tasks.
  • Coordinated with insurance companies to verify coverage and expedite claims processing.

Education

Medical Billing And Coding Part 1 And 2

Fayetteville Technical College
Fayetteville, NC
05-2022

Associate of Arts - Cosmetology

Isothermal Community College
Spindale, NC
04-1988

Skills

  • Claims processing
  • Regulatory compliance
  • Documentation management
  • Billing analysis
  • EHR systems
  • Revenue cycle
  • Attention to detail
  • Problem solving
  • Effective communication
  • Insurance verification
  • Data confidentiality
  • Billing dispute resolution
  • Team collaboration
  • Documentation skills
  • Deductible expense identification
  • Customer relationship management

References

References available upon request.

Timeline

Insurance Specialist

Meduit
09.2023 - 08.2025

EBO Specialist

Meduit
03.2020 - 09.2023

Medical Billing And Coding Part 1 And 2

Fayetteville Technical College

Associate of Arts - Cosmetology

Isothermal Community College

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