Wendy M. Jones
High Point
Summary
Patient account representative with extensive experience in medical billing and insurance verification at Team Healthcare. Demonstrated success in resolving complex claims issues and improving patient satisfaction through effective communication. Strong attention to detail and proficiency in ICD-9 coding ensure accuracy and compliance in all processes.
Overview
21
21
years of professional experience
Work History
Patient Account Representative
Team healthcare
Knoxville
02.2025 - Current
- Managed insurance verification for patient accounts promptly.
- Collaborated with internal and external stakeholders to efficiently resolve billing issues and expedite insurance claims and patient payments.
- Analyzed claims denials from third party payers, identifying actionable solutions to enhance reimbursement processes.
- Verified accuracy of medical coding for services rendered, ensuring compliance and reducing potential claim rejections.
- Processed patient billing inquiries efficiently and accurately.
- Worked closely with insurance companies to obtain authorization for services rendered.
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
- Submitted electronic bills following facility and legal compliance standards.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
Novant Health Billing Customer Service
Winston Salem
01.2020 - 01.2021
- Took calls from patients about their medical bills.
- Adding patients' health Insurances.
- Helping patients with their chart username and password logon.
- Helping with coding on their medical claims.
- HIPAA, CODING, BILLING, INTERNET MY CHART ISSUES, mailing out statements, Calling patients back about their message they left and helping them with their billing questions.
CNA (Certified Nurse Assist)
High Point Regional Hospital
High Point
01.2014 - 01.2021
- Supported patients with toileting, bathing, and catheter care, ensuring dignity and hygiene.
- Delivered compassionate assistance to patients across diverse care settings, enhancing their comfort and well-being.
- Assisted nurses in providing direct patient care, contributing to overall patient support and recovery.
CNA (Certified Nurse Assist)
Westchester Harbor Nursing Home
01.2018 - 01.2019
- Monitored and recorded vital signs, temperatures, and blood sugar levels to support patient health management.
- Assisted residents with restroom needs, bathing, and feeding to ensure comfort and dignity.
- Delivered compassionate care to patients daily
Patient Account Representative/Emergency Room Nurse Secretary
Moses Cone Hospital
Greensboro
01.2007 - 01.2013
- Make calls for the ER doctors and page out traumas that come in through EMS or triage
- Ensured patients had necessary resources and support during their ER visit
- Ensured exam rooms were clean and organized to provide a welcoming environment for patients.
- Resolved service issues and responded to calls and complaints to enhance patient experience
- Processed patient claims and addressed billing inquiries to ensure clarity and satisfaction
- File medical claims to insurance companies for payment
- Advised patients and providers on government regulations regarding medical claims and standard policies.
- Pull old EKGs for the doctor or PA
Medicare Claims Processor
Cigna Government Services
High Point
01.2005 - 01.2007
- Resolved inquiries from Medicare members and providers regarding claims and appeals filed with the North Carolina Medicare office, ensuring accurate information and timely support
- Investigated and resolved escalated customer service issues and complaints, enhancing member satisfaction and trust in services
- Advised members and providers on government laws and practices set by the center for Medicare and Medicaid services, promoting compliance and understanding
Benefits Specialist
United Health Care
Greensboro
01.2005 - 07.2005
- Managed complex calls regarding billing and claims issues, achieving accurate resolutions for members.
- Delivered information on healthcare coverage and eligibility to benefit members, facilitating informed decision-making.
- Acted as primary liaison for benefit members, resolving inquiries to enhance member satisfaction.
Education
Certified Nursing Assistant -
Guilford Technical Community College
01-2014
High school -
Northeast Guilford high school
12-1997
Skills
- Medical billing practices
- Insurance claims
- Microsoft Office
- HCPCS coding
- CPT coding
- EOB processing
- Insurance verification process
- Medical billing knowledge
- Patient engagement
- Healthcare operations
- Insurance partnerships
- Attention to detail
- Document analysis
- Medical terminology
- Microsoft Office
- HIPAA compliance
- Problem-solving
- Medical terminology
- Document analysis
- Data entry
Timeline
Patient Account Representative
Team healthcare
02.2025 - Current
Novant Health Billing Customer Service
01.2020 - 01.2021
CNA (Certified Nurse Assist)
Westchester Harbor Nursing Home
01.2018 - 01.2019
CNA (Certified Nurse Assist)
High Point Regional Hospital
01.2014 - 01.2021
Patient Account Representative/Emergency Room Nurse Secretary
Moses Cone Hospital
01.2007 - 01.2013
Medicare Claims Processor
Cigna Government Services
01.2005 - 01.2007
Benefits Specialist
United Health Care
01.2005 - 07.2005
Certified Nursing Assistant -
Guilford Technical Community College
High school -
Northeast Guilford high school