Janet Oliver
@janetoliver
Detail-oriented medical billing professional with over 25 years of experience.
What I'm looking for
I am a result-driven medical billing and denial management professional with over twenty years of experience in the healthcare industry. My expertise lies in handling complicated disputes, appeals, and settlements, ensuring maximum reimbursement for services rendered. I am proficient in various practice management software applications, which allows me to streamline processes and maintain strict patient confidentiality and HIPAA compliance.
Throughout my career, I have successfully managed billing operations across multiple healthcare settings, demonstrating effective communication and creative problem-solving skills. I have a proven track record of recovering significant amounts in denied claims and have been recognized for my ability to train and lead teams in best practices. My commitment to excellence and attention to detail have consistently resulted in improved billing accuracy and enhanced patient satisfaction.
With strong analytical skills, accuracy, great communication skills. Very knowledgeable on ICD-10, CPT coding, CMS guidelines & EMR systems. Willing to work any shift, weekends as needed and overtime,
Experience
Work history, roles, and key accomplishments
Patient Accounts Rep, Billing
WakeMed Health & Hospitals
Dec 2020 - Present (4 years 8 months)
Accurately and timely billed professional claims according to payor guidelines. Investigated denied, rejected, and underpaid claims to achieve maximum reimbursement for services.
Financial Counselor / Quality Coordinator
Consumer Education Services Inc.
Jun 2018 - Dec 2021 (3 years 6 months)
Analyzed customer accounts to determine financial needs and develop action plans. Demonstrated full-service personal financial counseling in debt management and reduction.
Accounts Receivable / Billing Collection
Accentuate Staffing: Adreima, Tammy Lynn, Biologics
Apr 2015 - Nov 2017 (2 years 7 months)
Investigated outstanding claims for correct payment adjudication per guidelines. Worked aged reports to resolve dated claims and insurance carrier discrepancies.
Agency Manager / Billing Specialist
St Mary’s Home Care
Jan 2010 - Nov 2015 (5 years 10 months)
Managed and trained team members in company policies, procedures, and industry best practices. Supervised billing departments for multiple offices on coding, keying, and claim submissions.
Admin Supervisor / Insurance Billing
Carolina Community Mental Health Center
Oct 2012 - Sep 2014 (1 year 11 months)
Analyzed insurance coverage and benefits prior to services being rendered. Submitted billings weekly and resolved insurance claims rejections and denials accordingly.
Yield Manager / Director of Accounts Receivables
Health Management Systems
Sep 2003 - Sep 2010 (7 years)
Trained over twenty staff members on AR processes, third-party billing, and recovery. Identified billing errors, rejections, and correlated correction procedures.
Insurance Coordinator / Supervisor
Carolina Health Specialist
Sep 1998 - Mar 2000 (1 year 6 months)
Managed insurance coordination and supervised related activities. Ensured smooth processing of insurance claims and patient inquiries.
Claims Associate II-III / Team Quality Coordinator
Blue Cross Blue Shield
Jun 1996 - Mar 1999 (2 years 9 months)
Processed claims and coordinated quality control within the team. Contributed to efficient claims handling and adherence to quality standards.
Education
Degrees, certifications, and relevant coursework
Coastal Carolina University
Bachelor of Arts, Sociology with Minor Education
1992 - 1996
Grade: Honors
Graduated with honors in Sociology with a minor in Education. This program provided a strong foundation in understanding societal structures and educational principles.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
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