Jacqueline D. Antonio
Palmdale
Summary
Expert in managing patient accounts, including billing inquiries, claim disputes, and eligibility verification. Proficient in utilizing insurance portals for claims processing and ensuring accurate patient payments. Demonstrated ability to resolve billing issues and appeals effectively, contributing to improved financial outcomes.
Overview
4
4
years of professional experience
Work History
ACCOUNTS RECEIVABLES SPECIALIST
WESTCOAST DME & SUPPLIES
05.2024 - Current
- Verified patient insurance eligibility, ensuring accurate coverage for services rendered.
- Resolved rejected claims through clearinghouse, facilitating timely reimbursements.
- Navigated multiple insurance portals for efficient claim processing, enhancing workflow efficiency.
- Submitted authorization requests to insurance providers
- Collected patient deductibles prior to scheduled medical procedures
- Resubmit claims not on file/Corrected claims.
- Written and verbal disputes
Accounts Receivable
Lakeside Medical Group
Northridge
07.2023 - 05.2024
- Appealed denied and underpaid claims to recover revenue for services rendered.
- Followed up on unpaid claims to ensure timely resolution and payment.
- Prepared insurance and patient refunds to maintain accurate account balances.
- Requested authorization from insurance companies for patient services
- Applying contractual adjustments
Patient Account Representative
KNOWTION HEALTH
TORRANCE
11.2022 - 07.2023
- Managed patient account inquiries and resolved billing issues promptly.
- Managed disputes regarding denied and underpaid claims, utilizing effective verbal and written communication to achieve favorable outcomes.
- Followed up on unpaid and denied hospital claims to expedite resolution and improve cash flow.
- Collaborated with healthcare providers to verify insurance eligibility and coverage.
- Processed patient payments and set up payment plans efficiently.
Education
High School Diploma -
CRENSHAW HIGH SCHOOL
LOS ANGELES06-1982
Skills
- Claims processing
- Verifying eligibility
- Claim follow-up
- Claim resubmission
- Dispute resolution
- Insurance portal utilization
- Customer relationship management
Timeline
ACCOUNTS RECEIVABLES SPECIALIST
WESTCOAST DME & SUPPLIES
05.2024 - Current
Accounts Receivable
Lakeside Medical Group
07.2023 - 05.2024
Patient Account Representative
KNOWTION HEALTH
11.2022 - 07.2023
High School Diploma -
CRENSHAW HIGH SCHOOL