Position Desired: n/a Location Desired: New York Area of Expertise: Administration-Management
Compensation Desired: Hourly Travel Desired: Some Travel
Jenelle Francois 5301 Snyder Avenue Brooklyn, New York 11203 (646)919-3902 Jentodd0828@gmail.com
Summary Experienced in Provider Relations, Medical Billing, Team leadership, Public Relations and Coordinator. Dynamic self-starter with (13) Thirteen Years in the Health Care and Administrative Industry. A record of achievement working independently or as part of a team, Extremely organized creative thinker who is solution oriented. Demonstrated track record of establishing and developing revenue-rich relationships.
Excellent written and verbal and corporate communication Achieve successful relationships with Providers, Corporate Departments and immediate staff Conduct Meetings, seminars,Training and Coordination of events Knowledge of Medical Billing terminology,clerical management, Team management
PROFESSIONAL EXPERIENCE Transcare Ambulance Services | Brooklyn, NY 3/2004 - 08/25/2015 Provider Relations Specialist/ Medical Billing/Coordinator/ Team Leader. Submit CMS1500 claim forms Timely manner,experience using electronic billing system. Knowledge of Medicaid, Medicaid Managed Care, Medicare, HMO, Veterans, No-Fault, workers-comp,FDNY-Workers Comp and Civilian claims and Follow-up Billing. Provide Insight on how to successfully Follow-up with Insurance managed care on outstanding Claims.
Create timely projects and reports with Provider Relations Teams/ Reps/Management.Successfully resolve provider issues relating to contracts, create ways to change recurring problems and develop ways to continue to succeed and build lasting relationships with Providers.
Develop weekly/monthly meeting,billing oversight,resolve conflict, set up improvement training, and adjust schedule and create projects and reports and provider stronger Team management.
Successfully coordinate events,monitor/host/budget/prepare program of event, ensure Timeline Etc.
Excellence in communications, strong attention to detail and the ability to multitask in a face -paced environment.
Knowledge of Microsoft excel/powerpoint/ Microsoft/windows office programs
Review All Ambulance call Report ( A.C.R)
Use Billing methods that are compliant with all rules and regulations set forth by company compliance program Verify correct HCPS code and level of service and assign applicable ICD-9 illness codes Interpret all Medical Necessary information, or procedures, Etc
Jenelle Francois (P2)
Seaport Orthopedics | Staten Island, NY February 2002- January 2004 Follow-up Specialist Diligently filed and followed up on third party claims Prepared billing correspondence and maintained database to organize billing information. Handled no-fault claims Managed and records client and carrier communications in workflow system to ensure timely follow up and review by client team. Responsible for gathering and formatting client renewal information and exposure document. Recorded quotes, declinations, indications, extensions and cancellations and escalates concerns to direct manager or client team Checked and confirmed policy language Received and recorded policies, and endorsements and sends to clients Built and maintained relationships with client teams to provide timely and proactive customer service to client team and peers. Stayed current and understood and complies with all Marsh compliance, professional and transparency standards
Medical Billing and Administrative Certificate Program KingsBorough College - New York, New York
Volunteer /Additional Experiences:
ST. Catherine of Genoa Catholic Academy Currently serving as a member of P.T.A/S.PA: coordinate Events for S.PA/P.T.A Planning/budget/organise events Etc