1. Jacqueline M. Walker
913-514-0815
Employment History
01/2015-Present:Netsmart Technologies
Billing Claims Specialist
Prepares and submits clean claims to various insurance companies either electronicallyor by paper.
Posts payments,adjustments, transfer ofresponsibilityand refunds,as necessary
Issues adjusted,corrected,and/or rebilled claims to insurance companies.
Denial and insurance follow-up management
Insurance Appeal Process
Handling patientinquiries.
Answers questions from clerical staffand insurance companies.
Identifies and resolves patientbilling problems.
Prepares,reviews,and sends patientstatements to mailing service.
Reviews accounts and make recommendations to the Senior Claims Billing Specialistregarding non
collectible accounts.
Performs dialing collection actions including contacting insurance company,contacting site,correcting and
resubmitting claims to third party payers.
Prepares and posts dailydeposits received from customer site (P.O. Box) and/or lockbox remittance.
Processes payments and denials from insurance companyeither electronicallyor manually.
Participates in educational activities.
Maintains strictestconfidentiality;adheres to all HIPAA guidelines/regulations
09/2013-Present:Apria Healthcare LLC
Collections Representative
Researches anyoverdue accountbalance that is fully or partiallyunpaid and follows up by mail and/or
phone to insurance carriers or customers on delinquentpayments.
Reviews claims denied for paymentand underpaid claims. Verifies paymentinformation adjustments to
supervisor.
Coordinates collection activities for delinquentaccounts bypreparing information for external collection
agencies or attorneys.
Complies with the Fair Debt Collector Practices Act (FDCPA).
Responds to customer inquiries regarding accountstatus.
Researches customer's accounts thoroughlyand documents appropriately.
Resolves discrepancies and prepares adjustments and refunds as necessary.
Coordinates collection agencycommunication.
Ensures thatall information regarding collection activity of accountis entered accurately into the billing
system.
Brings recurring issues to the attention of the departmentsupervisor.
Initiates payments and resubmits bills as necessary.
Pursues patientfor paymentobligations when insurance defaults as permitted bylaw or contractual
relationships.
Performs other related duties as directed by supervisor.
9/2011-9/2013:Corr Medical Solutions
Billing Office Manager
RequestMedical Records,LOMN, and Prescription for billing
Generate CMN to convert Medicare patientdevice to a purchase

2. Obtaining authorization for service
Prepares and submits clean claims to various insurance companies either electronicallyor by paper.
Answers questions from patients,clerical staffand insurance companies
Identifies and resolves patientbilling complaints.
Prepares,reviews and sends patientstatements
Evaluates patient’s financial status and establishes budgetpaymentplans.
Enter patientencounter information including ICD diagnosis and CPTtreatmentcodes.
Interpret and process (post) Explanation ofBenefits (EOB's).
Research,correct,and re-submitrejected and denied claims.
Scheduling patientappointments,
Coding of diagnoses and procedures,
7/2010-9/2011:Health Inventures
Billing Lead of Nebraska Spine
Responsible for monitoring cases scheduled so as to ensure compliance with the approved procedure listfor
all carriers.
Responsible for overseeing the proper and accurate posting ofpayments and adjustments to patient
accounts
Responsible for processing payments for Accounts Payable items as directed by the Administrator.
Responsible for the managementofthe Accounts Receivable
Responsible for processing and reconciling the month end reports.
Responsible for overseeing the verification of medical benefits for all patients scheduled atthe surgery
center.
Responsible for monitoring cases scheduled so as to ensure compliance with the approved procedure listfor
all carriers.
Responsible for conducting monthlyEOB audits to ensure proper and accurate postings
Responsible for overseeing the coding of procedures performed in the surgerycenter
Responsible for the submission ofall Medicare, Medicaid, Commercial,Workman Comp,and Self-Pay
medical claims and payments
7/2008-6/2010:Gentiva Health Services
Collector
Ensures the coordination ofinvoice activities for designated agencies,locations and assigned regional and
national contracts,leading to the timely reimbursementofreceivables using available resources including
databases,internet,and telephone
Researches and resolves denials received daily,which have not passed payer edits,which maylead to an
appeal of denied services
Determines and initiates action to resolve rejected invoices and prepares corrections and/or payer appeals
using electronic and paper processes.Subsequentlyresolves rejected and/or returned appeals from payer.
Guides/instructs and supports agencies,branch locations,Regional Care Center(s),National Claims Center
(NCC), network providers and regional and national payer personnel encompassing all aspects ofinsurance,
governmentpayers and private pay claims processing.
Utilizes various resources to determine patient’s eligibility,benefits and health plan confirmation
Contacts agencies,branch locations and providers ofservice to retrieve appropriate medical documentation,
billing information and/or PPS Oasis forms to substantiate services provided.
Provides details/itemization ofservices performed to payers and patients ensuring timelyreimbursement.
Adheres to all companypolicies,procedures and regulatoryrequirements
Participates in special projects and performs other duties as assigned
03/2004-7/2008:Custom Computing Corporation
MedicalBilling Specialist
Responsible for Physician Billing ofa Pediatric Clinic
Audit patientbilling statementprior to mailing to assure accuracyof billing
Responsible for the submission ofHospital charge sheets into the system
ICD-9 coding of Physician Billing
Verify patientdemographic for accurate billing
Entering of patient medical insurance for reimbursementofservice rendered
Review/Approval of hardship payment(s) on patientaccount(s)
Review/Appeal EOBs (Explanation of Benefits),to assure accurate reimbursement
Responsible for the contracting of insurance carriers in

3. order for patient(s) to receive a contractual discount
Responsible for the electronic and manual submission ofHICFA forms to patient insurance company
Follow up with patient insurance for unpaid claims
Answer incoming calls and resolve customer inquiries
05/2002-02/2004:Creighton University
Cash Management
Batched daily lock box
Received payments from insurance company(s),
patientor other. Post to appropriate account(s)
Obtained EOB's and attached to claims to be
submitted to secondaryand or tertiary insurance
Forward copy of EOB's to follow up
Refunds for review
Posted payments and denials from HMO, PPO,
Medicare, Medicaid, Commercial,Pers'e and Indemnityclaims
Responsible for balancing dailyauditreports
Answered incoming calls and resolve customer inquiries
Corrected customer accounts bydebiting and or crediting accounts
Education:
2012-Present:Bellevue University, Omaha Ne,Healthcare Management
1999:Key Productivity, Omaha Nebraska,ReceptionistCertificate ofMerit
1993:Omaha South High,Diploma