Open to opportunities

Jessica souza

@jessicasouza

Message

I manage medical claims, denials, appeals, and accounts receivable follow-up.

United States

Message

What I'm looking for

I'm seeking a medical collections or billing role with opportunities to excel and grow, where I can apply claims, denial, appeals, accounts receivable, customer service, and HIPAA-compliant records experience.

I'm currently a Denial Management Specialist at Vital Connect, reviewing accounts for claims processing, appeals, reconsiderations, and denied claims. I use MedHost, ACE, Cerner, Sorian, AMD, clearinghouses, provider portals, and Excel reporting to manage 30-, 60-, and 90-day follow-up.

Previously, I worked in medical collections, behavioral health collections, and hospital billing at Phillips, Chicago Behavioral Hospital, and MiraMed Global Services. I bring strong customer service, written and verbal communication, problem-solving, and confidentiality practices aligned with HIPAA guidelines.

I also have 20 years of registered dental assistant experience, including direct patient care, office management, laboratory responsibilities, and confidential records management.

Experience

Work history, roles, and key accomplishments

Current

Denial Management Specialist

Current

Vital Connect

Jun 2024 - Present (2 years 3 months)

Reviews accounts for claims processing, working with appeals, reconsiderations, and denied claims. Utilizes Medhost, ACE, Cerner, Sorian, and AMD systems to review accounts and Excel to pull reports for 30, 60, and 90 days follow-up.

ACE Reporting Cerner AMD Excel Claims Processing Appeals HIPAA

Medical Collector

Phillips

Sep 2022 - Jun 2024 (1 year 9 months)

Worked as a medical collector, handling accounts and ensuring accurate communication and confidentiality per HIPAA guidelines.

Medical Billing Collections HIPAA

Collection Specialist

Chicago Behavioral Hospital

Oct 2022 - Aug 2023 (10 months)

Worked as a collection specialist, managing accounts and maintaining strict confidentiality according to HIPAA regulations.

Collections Medical Billing HIPAA

Accounts Receivable Specialist

Miramed Global Services

Oct 2021 - Oct 2022 (1 year)

Handled accounts receivable and medical hospital billing, ensuring accurate processing and follow-up on claims.

Accounts Receivable Medical Billing Claims Processing

Registered Dental Assistant

Self Employed

Jan 2002 - Dec 2021 (19 years 11 months)

Provided direct patient care chair-side, routine laboratory responsibilities, office management, and maintained confidential records. Experienced with cosmetic, endodontics, periodontics, and oral surgery.

Eagle Patient Care Office Management Confidentiality

Education

Degrees, certifications, and relevant coursework

Community Care College

Diploma, Medical Billing and Coding

2020 - 2021

Completed a Medical Billing and Coding Diploma, covering ICD-10 and CPT coding standards, medical terminology, anatomy, and healthcare software applications.