Jeanette McDow has over 15 years of experience in medical billing and insurance claims processing. She currently works as an Insurance Billing Specialist for Senior Care Centers, where she is responsible for billing claims, following up on insurance claims, and overseeing the revenue cycle process for 50 facilities. Previously, she held roles as a Billing Coordinator at UT Southwestern Medical Center and a Medical Claims Analyst.

1. Jeanette McDow
1119 Park VistaDr. #503 Arlington,Texas 76012 Cell:(713) 301-0823 Email: nettiemcdow@gmail.com
Education
Strayer University Currently Enrolled
Associates Degree in Applied Sciences
Academy of Healthcare Professions Sept 2001-June 2002
Certificateof Completion Obtained for Medical Billingand Coding
Experience
Senior Care Centers Dallas, Texas
Insurance Billing Specialist of Revenue Cycling July 2014-present
 Create, edit, process and bill claim from AHT for long term care
 Follow up on all insurance claims for 50 facilities
 Resolves all electronic claims rejection and EOB denials
 Performed all aspects of outstanding A/Rincluding appeals
 Oversees the implementation of revenue cycling process.
 Primary point of contact for the facilities regarding account balances and follow-up
 Post all payments for Ins., Medicaid as required, move co-pays,ded., and adjustments per the EOB’s
 Analyze and resolved revenue cycle issues associated with all professional accounts
receivable while insuring annual cash flow and appropriate collection ratios .
 Meets and exceeded all goals and operation objectives, while making corrective improvements
where needed.
 Provides business insight regarding all aspects of the revenue cycle to the Hospital Administrator.
 Ensuring excellence in the delivery of the revenue cycle with focus on improved operational efficiencies,
patient satisfaction and cash flow collection procedures.
 Responsible for the daily operation of all insurance staff members
 Primary point of contact for the hospitalwith all staff and employed cons ultants on revenue cycle issues
 Orients new staff
 Establishes procedures and protocols to ensure patient complaints are resolved.
 Participates in the performance improvement process.
 Other managerial duties and special projects as assigned.
UT Southwestern Medical Center Dallas Texas:
BillingCoordinator February 2013-June 2014
 Post moderate to complex charges for physician services:reviewencounters
 Ensure correct data entry of codes; ensure charges are entered/processed in accordancewith the
required targets.
 Perform Bath reconciliation of all charges entered
 Work and correct moderate to complex edits related to charges entry as assigned
 Identifies and reports error trends in edit reports
 Review accuracy of billingdocumentation in accordancewith the departmental policies.
 May post chargecorrection and perform reconciliations.
 Mentors less experience staff and my assistbillingmanager with trainingof new employees.
 Perform other related duties.
Medical Claims Analyst April 2010-Feburary2013
 Review and process insuranceclaims through the billingsystem (EPIC), includingMedicaid and Medicare,
third party payers
 Resolve electronic claims rejectionsand EOB’s denial in a timely manner
 Review and resolved correspondence from all organizations
 Responsiblefor contactingpatient and /or third party payers to resolved outstandingbalances

2. Jeanette McDow
1119 Park VistaDr. #503 Arlington,Texas 76012 Cell:(713) 301-0823 Email: nettiemcdow@gmail.com
 Identifies problems and inconsistencies by usingmanagement reports; summarizes findings and make
recommendations to resolvebillingissues.
 Achieve and/or exceed daily collection accountproductivity goals
 Function as liaison between clinical department and third party payers
 Perform other duties as assigned
 Super-user: Trainingnew employees on epic and in workques and workflows
Eligibility Services (ESI) Dallas, Texas:
Medicare/Managed Care Collector June 2009- April 2010
 Medical Billingfor Medicareand MedicareHMO’s and all managed care
 Performed all aspects of outstandingA/R follow-up includingappeals
 Responsiblefor setting payment arrangements with patients who have outstandingbalances
 Ensure all charges areposted on patient’s accounts
 Ensure insurancecompanies arebilled in a timely fashion
 Prepare and process any necessary adjustments/codingchanges on accounts through the system based
upon follow-up procedures
 Upon receipt of insurancepayment, bill secondary insuranceand/or patient
 Contact patients to obtain insuranceinformation needed to process claims such asCOBinformation,
accidentdetails,preexistingquestionnaire,etc
 Prepare adjustments such as refunds, contractual differences and write-offs for approval and processing
Corner Stone Healthcare Group Dallas, Texas Sept 2008- Feb 2009
Medicare/Medicaid Collector
 Medical Billingand Collectionsfor Medicare,Medicaid,VA, Commercial Insurances,PrivatePay,and
contractaccounts
 Obtained Verification of patient demographics and billinginformation
 Strong workingknowledge of ICD-9, HCPC, CPT codingand charge master
 Data Entry of all correspondenceand applyingcharges and/or corrections in thesystem
 Appeal Submission and performed all aspects of outstandingA/R follow-up
 Responsiblefor performing resolution-oriented billingand follow-up to achieve cash recovery and A/R
goals.Performed task required to ensure the timely accuratesubmission and followup of insurance
claims.
 Updated and reviewed high dollar logon a weekly basis,to insurereimbursement was received in a timely
manner
MedStar EMS Fort Worth, Texas: Sept 2002-Sept 2008
Patient Account Representative
 Medical Billingand Collectionsfor Medicare,Medicaid,VA, Commercial Insurances,PrivatePay,and
contractaccounts
 Obtained Verification of patient demographics and billinginformation
 Strong workingknowledge of ICD-9, HCPC, CPT codingand charge master
 Performed all aspects of outstandingA/R follow-up includingappeals
 Responsiblefor performing resolution-oriented billingand follow-up to achieve cash recovery and A/R
goals.Performed task required to ensure the timely accuratesubmission and followup of insurance
claims.
 Documented billingactivity in thepatient accountingsystems
 Updated and reviewed high dollar logon a weekly basis,to insurereimbursement was received in a timely
manner
 Efficient knowledge of TMHP, Net-Billingsystem for EMS
 Liaison for patient, payer, and/or facility inquiries

3. Jeanette McDow
1119 Park VistaDr. #503 Arlington,Texas 76012 Cell:(713) 301-0823 Email: nettiemcdow@gmail.com