Jaleesa Henderson
Philadelphia
Summary
Aspiring to advance my career in Medical Billing that allows me to enhance my knowledge, strengthen my skills, and contribute to efficient healthcare operations at a higher level.
Overview
12
12
years of professional experience
Work History
Reimbursement Analyst I
Envision Physician Services
01.2023 - Current
- Managed Regulatory Payer Enrollments (Medicare , Medicaid, Railroad Medicare, and BCBS) for EDI, ERA, and EFT, ensuring compliance with payer requirements and seamless onboarding
- Researched and resolved EDI claim submission issues between payers and clearinghouses, identifying root causes and implementing corrective actions to maintain uninterrupted claim flow.
- Collaborated with internal teams and external stakeholders to streamline enrollment processes, improve payer connectivity, and support revenue cycle efficiency.
- Developed strategic recommendations for optimizing revenue cycle processes and improving cash flow. - i.e. ERA Enrollments and EFT Enrollments for provider groups
- Collaborated with cross-functional teams to resolve discrepancies in billing and payment processes.
- Improved reimbursement processes by analyzing and resolving payment discrepancies.
- Managed high volume billing issues effectively while maintaining strict deadlines for submission of claims EFT/ERA enrollment processes
- Built strong relationships with payer representatives, facilitating efficient communication channels for improved collaboration on claim resolution matters.
- Collaborated payers to ensure accurate billing information for prompt reimbursements regarding healthcare providers
- Mentored junior analysts on best practices for data analysis and reimbursement procedures.
Reimbursement Specialist
Envison Physician Services
09.2021 - 01.2023
- Analyzed reimbursement claims to ensure compliance with regulations and policies.
- Collaborated with healthcare providers to resolve billing discrepancies and improve claim accuracy.
- Developed training materials for staff on reimbursement protocols and system usage.
Technical Coordinator
Envision Physician Services
12.2017 - 09.2021
- Reviewed greensheets received from the Accounts Receivable Dept for accuracy and completeness; document research findings and update greensheets accordingly
- QA overseas posters for errors made in posting payments
- Maintained a log of QA findings where overseas posters can track their errors and communicate corrections that are made
- Monitor incoming queries from overseas posters.
- Provide timely, clear responses with supporting documentation.
- Contact insurance companies directly to obtain offset/recoupment details not found in the system
- Ensure overseas posters close the current cycle by the 7th business day.
- Send reminders before the deadline.
- Track compliance and report delays.
- Identify payors not yet set up for EFT/ERA.
- Submit formal requests to payors for enrollment.
- Confirm setup completion and update internal records.
Cash Payment Posting Rep (Level 1 - Level4)
Envision Physician Services
01.2015 - 12.2017
- Accurately posted insurance payments, patient payments, workers comp payments, and MVA payments (EFT, EOB, ERA, lockbox) to patient accounts in accordance with payer contracts.
- Identified and corrected posting errors, underpayments, and duplicate payments in a timely manner.
- Applied adjustments, write-offs, and contractual allowances based on payer fee schedules.
- Researched and resolved unidentified payments, credit balances, and unapplied funds.
- Supported month-end and quarter-end financial close processes for our healthcare providers
- Researched refund request letters received from various payers; follow-up with the payers on whether they have or will recoup their payment(s) that is posted on a patient’s account
- Identify payors not yet set up for EFT/ERA.
- Submit formal requests to payors for enrollment.
- Confirm setup completion and update internal records.
Suspend Representative
Reimbursement Technologies
09.2013 - 01.2015
- -Identify the payer for EFT checks or paper checks and release them to the ERA file or paper remit in the system accurately
- -If a tape or remit cannot be found for an EFT or paper check, log the check in the Data Center, so overseas personnel can follow up
- -Download remits on the insurance website or call the insurance requesting the remit to be faxed
- -work negative suspend reports
Education
Bachelors of Arts Degree - Mathematics
Bloomsburg University of Pennsylvania
Bloomsburg, PA12.2012
Skills
- Healthcare reimbursement
- Microsoft Excel proficiency
- Medicaid expertise
- Payment posting
- Medicare
- Time management
- Teamwork and collaboration
- Problem-solving aptitude
- Multitasking Abilities
- Cash flow management
- Goal setting
- Analytical thinking
- Self motivation
- Adaptability and flexibility
- Effective communication
Timeline
Reimbursement Analyst I
Envision Physician Services
01.2023 - Current
Reimbursement Specialist
Envison Physician Services
09.2021 - 01.2023
Technical Coordinator
Envision Physician Services
12.2017 - 09.2021
Cash Payment Posting Rep (Level 1 - Level4)
Envision Physician Services
01.2015 - 12.2017
Suspend Representative
Reimbursement Technologies
09.2013 - 01.2015
Bachelors of Arts Degree - Mathematics
Bloomsburg University of Pennsylvania