2608 ALBION STREET• NASHVILLE, TENNESSEE 37208
HOME (615) 942-5209 • CELL (615) 585-1740
E-MAIL JSANDIFER210@GMAIL.COM
J E A N I N E R . S A N D I F E R
OBJECTIVE
Obtain a challenging career in Billing or Accounting where I am able to utilize my
experience in the best possible way for achieving the company’s goals, and also enhance
my professional skills in a dynamic and fast paced work place.
WORK EXPERIENCE
Opko Labs dba Our Lab, Nashville, TN
Billing Coordinator
01/2012-Present
Posting payments, denials, submit appeal letters, coding, charge entry, insurance
verifications for professional medical lab company. Answer inbound phone calls into the
billing department from patients regarding insurance coverage, or billing, answering
physician calls regarding their client billing, processing payroll for HR when needed,
and answering and forwarding calls to the correct departments when needed as the front
desk receptionist, labeling specimen that comes into the lab, forwarding mail to the
appropriate departments, assisting the Billing Manager with running reports for the
billing department.
Provide the Billing Manager with feedback regarding the Billing Department’s QA
reports, Working in the Accounts Payable department when needed as well, making
sure the company’s bills are being submitted for payment in a timely manner.
Xtend Healthcare, Hendersonville, TN
Medical Billing Specialist
05/2010-01/2012
Submitting hospital and physicians claims to insurance companies for billing and
payment. Follow-up required and also process reimbursements due to insurance
companies due to overpayment. Assist team members with escalated claims questions.
Keep track of team’s quality, provide QA scores and feedback. Report to managers
any questions, problems, or suggestions team members have regarding policies and
procedures of client requests.
Ammed Direct,LLC Antioch, TN
DME Customer Satisfaction Representative
January 2007-May 2010
Responsibilities included promoting superior service to existing members by handling
Inbound calls, outbound reorder calls and making outbound calls with resolution to
order
Issues and to welcome new members. Verifying insurance and submitting claims to be
billed.
HCA, Medicare Service Center, Goodlettsville, TN
Medicare Billing Specialist
November 1997 - August 2010
Processed Medicare claims for HCA affiliated hospitals in Texas, California and
Florida.
Processed billing and reimbursements for Medicare. Posted payments.
Access Med Plus Nashville, TN
Quality Analyst & Provider Services Representative
Monitored employee phone calls in call center for quality.
Provided feedback to call center supervisors.
Assisted providers with information questions regarding their credentials, provider
contracts, also when needed, assisted members with questions regarding eligibility,
PCP, assignments or any other questions they may have.
EDUCATION
May 1994 Tennessee State University Nashville, TN
Bachelors of Science Degree in Healthcare Administration
May 1989 Pearl-Cohn High School Nashville, TN
High School Diploma
REFERENCES
Available Upon Request

Jeanineresume2013 (3)

  • 1.
    2608 ALBION STREET•NASHVILLE, TENNESSEE 37208 HOME (615) 942-5209 • CELL (615) 585-1740 E-MAIL JSANDIFER210@GMAIL.COM J E A N I N E R . S A N D I F E R OBJECTIVE Obtain a challenging career in Billing or Accounting where I am able to utilize my experience in the best possible way for achieving the company’s goals, and also enhance my professional skills in a dynamic and fast paced work place. WORK EXPERIENCE Opko Labs dba Our Lab, Nashville, TN Billing Coordinator 01/2012-Present Posting payments, denials, submit appeal letters, coding, charge entry, insurance verifications for professional medical lab company. Answer inbound phone calls into the billing department from patients regarding insurance coverage, or billing, answering physician calls regarding their client billing, processing payroll for HR when needed, and answering and forwarding calls to the correct departments when needed as the front desk receptionist, labeling specimen that comes into the lab, forwarding mail to the appropriate departments, assisting the Billing Manager with running reports for the billing department. Provide the Billing Manager with feedback regarding the Billing Department’s QA reports, Working in the Accounts Payable department when needed as well, making sure the company’s bills are being submitted for payment in a timely manner. Xtend Healthcare, Hendersonville, TN Medical Billing Specialist 05/2010-01/2012 Submitting hospital and physicians claims to insurance companies for billing and payment. Follow-up required and also process reimbursements due to insurance companies due to overpayment. Assist team members with escalated claims questions. Keep track of team’s quality, provide QA scores and feedback. Report to managers any questions, problems, or suggestions team members have regarding policies and procedures of client requests.
  • 2.
    Ammed Direct,LLC Antioch,TN DME Customer Satisfaction Representative January 2007-May 2010 Responsibilities included promoting superior service to existing members by handling Inbound calls, outbound reorder calls and making outbound calls with resolution to order Issues and to welcome new members. Verifying insurance and submitting claims to be billed. HCA, Medicare Service Center, Goodlettsville, TN Medicare Billing Specialist November 1997 - August 2010 Processed Medicare claims for HCA affiliated hospitals in Texas, California and Florida. Processed billing and reimbursements for Medicare. Posted payments. Access Med Plus Nashville, TN Quality Analyst & Provider Services Representative Monitored employee phone calls in call center for quality. Provided feedback to call center supervisors. Assisted providers with information questions regarding their credentials, provider contracts, also when needed, assisted members with questions regarding eligibility, PCP, assignments or any other questions they may have. EDUCATION May 1994 Tennessee State University Nashville, TN Bachelors of Science Degree in Healthcare Administration May 1989 Pearl-Cohn High School Nashville, TN High School Diploma REFERENCES Available Upon Request