Jessica Quigley
Marianna
Summary
Efficient Insurance Billing Specialist known for high productivity and ability to complete tasks swiftly. Possess specialized skills in medical billing software, coding accuracy, and claims processing. Excel in communication, problem-solving, and time management which enhance performance in fast-paced environments.
Authorized to work in the US for any employer.
Overview
17
17
years of professional experience
2007
2007
years of post-secondary education
Work History
Insurance Billing Specialist
CranCo Dental Services
Pittsburgh
02.2022 - Current
- Process insurance claims efficiently for dental services
- Verify patient insurance eligibility and coverage details
- Coordinate with insurance companies for claim resolutions
- Manage accounts receivable and follow up on unpaid claims
- Collaborate with dental staff to ensure billing accuracy
- Utilize billing software to streamline claim submissions
- Submitted appeals to insurance companies when necessary.
- Identified trends in denied claims and worked with staff members to develop corrective action plans.
- Validated policyholder eligibility for coverage of services rendered.
- Interpreted Explanation of Benefits documents from various insurers.
- Developed strategies for minimizing denials and improving collections processes.
- Analyzed provider contracts and fee schedules to determine appropriate reimbursement rates for services provided by healthcare providers.
- Processed payments from insurance companies in accordance with established procedures.
- Maintained detailed records of all transactions involving insurance billing processes.
- Participated in meetings with other departments to discuss ways to improve workflow processes related to insurance billing activities.
- Resolved discrepancies between charges on invoices and those billed to the insurance company.
- Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
- Trained new employees on the proper use of software applications used in the department.
- Reviewed insurance claims for accuracy and completeness, ensuring that all required information was present.
- Collected, posted and managed patient account payments.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Performed insurance verification, pre-certification and pre-authorization.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Maintained accounting ledgers by verifying and posting account transactions.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Update patient records with accurate billing information
Executive Housekeeping Manager
Horizon Hospitality LLC
Waynesburg
06.2016 - 02.2022
- Oversaw daily operations of housekeeping department to ensure cleanliness standards.
- Managed scheduling and staffing for housekeeping team to maintain efficiency.
- Developed training programs for staff on best practices in cleaning techniques.
- Implemented inventory controls for cleaning supplies and equipment usage.
- Coordinated with other departments to support guest services and satisfaction.
- Conducted regular inspections to uphold quality and safety compliance standards.
- Addressed guest inquiries and resolved issues related to housekeeping services.
- Developed and implemented hotel standard operating procedures for the housekeeping department.
- Provided guidance and assistance to staff during peak periods or when needed.
- Ensured compliance with health codes and other legal requirements related to cleanliness standards.
- Ordered supplies, equipment, and chemicals necessary for daily operations.
- Monitored budget spending for the housekeeping department.
- Maintained accurate records of inventory levels, cleaning supplies, and equipment repairs.
- Collaborated with other departments, such as engineering and front desk, to ensure smooth operations.
- Conducted monthly performance reviews with staff members to assess progress towards goals.
- Created schedules for staff to ensure adequate coverage at all times.
- Inspected rooms on a regular basis to verify that they meet quality standards.
- Inspected and evaluated physical condition of establishment to submit recommendations to management regarding painting, repairs and reallocation of space.
- Employed deep-cleaning techniques for areas in need of additional sanitation.
- Prepared and distributed assignment sheets to assigned staff.
- Reported damage or theft of hotel property to management.
- Assessed daily workloads, scheduled, and planned daily assignments and oversaw numerous projects.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Explained goals and expectations required of trainees.
- Coached staff on strategies to enhance performance and improve customer relations.
- Recruited and hired workers, in addition to supervising and monitoring daily performance.
- Resolved conflicts between employees in a timely manner following company policies.
- Investigated customer complaints regarding cleanliness or service issues.
- Conducted daily walk throughs and inspections of guest rooms and public spaces.
- Conferred with staff to resolve performance and personnel problems and discuss company policies.
- Ordered supplies through approved vendors and submitted invoices for payments.
- Established and enforced procedures and work standards, promoting team performance and safety.
- Delegated work to staff, setting priorities and goals.
- Communicated with maintenance team on damages to repair.
- Checked inventory for required supplies and made lists for needed cleaning products.
- Managed team of employees, daily progress reports and overall project planning.
Receptionist
Rainbow Honda
Richeyville
07.2008 - 02.2011
- Greeted customers and managed front desk operations at a busy automotive dealership.
- Scheduled appointments and coordinated service requests for vehicle maintenance.
- Answered phone calls and directed inquiries to appropriate departments promptly.
- Maintained organized filing systems for customer records and service documents.
- Answered phone calls, directing inquiries to appropriate departments.
- Maintained organized reception area, ensuring cleanliness and professionalism.
- Handled incoming mail and deliveries, distributing items to relevant personnel.
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Greeted visitors and provided them with assistance.
- Updated and recorded customer or client information to maintain accounts.
- Performed data entry tasks into various computer systems accurately and promptly.
- Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
- Maintained an organized filing system of confidential client information in accordance with company policy.
- Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
- Assisted in maintaining office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies.
- Assisted with special projects assigned by management when required.
- Prepared monthly financial reports for management review and compliance checks.
- Analyzed credit card transactions and prepared deposits accordingly.
- Assisted with reconciling accounts payable and accounts receivable records.
- Processed customer payments and updated billing records.
- Reconciled daily cash receipts with the general ledger system.
Education
Business Marketing/Accounting
Westmoreland Community College
Waynesburg, PA 09.2008 - 05.2008
Bethlehem Center Senior High School
Fredericktown, PASkills
- Insurance claims processing
- Billing software proficiency
- Accounts receivable management
- Insurance verification
- Claim resolution
- Data entry accuracy
- Policyholder eligibility validation
- Time management
- Attention to detail
- Payment posting
- Claim submission
- HIPAA compliance
- Multitasking capacity
Proficient in Open Dental and Dentrix software
Timeline
Insurance Billing Specialist
CranCo Dental Services
02.2022 - Current
Executive Housekeeping Manager
Horizon Hospitality LLC
06.2016 - 02.2022
Business Marketing/Accounting
Westmoreland Community College
09.2008 - 05.2008
Receptionist
Rainbow Honda
07.2008 - 02.2011
Bethlehem Center Senior High School