Experience

Jones Stephens
• Shipping Coordinator


U.S. Department of Veterans Affairs

• United States
• Government Administration
• 700 & Above Employee

• Medical Reimbursement Technician

  • Oct 2018 - Present

  Responsible for the verification of Veterans' insurance coverage for inpatient and outpatient services;- Verifies benefits, policy number, pre-certification requirements, Insurance contact information, and effective dates of coverage;- Responsible for all reimbursable billing activities including consideration of professional services and facility services, sharing agreements, Medicare, and pharmacy billing;- Ensures that all billable cases are identified and that bills are generated;- Obtains information required for tort cases, workman's compensation, OWCP, and personal injury cases;- Validates claims for billing purposes ensuring eligibility and referring questionable coding for review;- Responsible for billing, including humanitarian, tort feasor, workman's compensation and no-fault auto accidents;- Applies payments to the appropriate bill or refunds to the applicable party;.- Performs follow-up on explanation of benefits received from third-party carriers to maximize revenue and reviews payments to ensure consistency with insurance policy terms. Show less

• Medical Reimbursement Specialist

  • Sep 2018 - Present

• Medical Reimbursement Specialist

  • Sep 2018 - Present

• Medical reimbursement technician

  • Sep 2018 - Present



Health America

• United States
• Software Development

• Provider Relations Representative

  • Jan 2000 - Jul 2009

  contract analyst, referrals, provider credentialing, trainer contract analyst, referrals, provider credentialing, trainer



United States Air Force

• United States
• Defense and Space Manufacturing
• 700 & Above Employee

• Law Enforcement Specialist

  • Jan 1988 - Jun 1992

  detect and deter and provide protection on Military Installation detect and deter and provide protection on Military Installation