Kisha Jones
Virginia Hospital Center
Fredericksburg
36
years of professional experience
Experienced Business Office and Patient Accounts professional with 36 years in healthcare revenue cycle operations, insurance claims processing, and patient account management. Expertise in resolving claims, securing reimbursements, and managing accounts efficiently for optimal financial outcomes.
Work History
Patient Account Representative
27 Years- Assisted patients with insurance claims and billing inquiries while providing exceptional customer service.
- Processed and mailed insurance claims, ensuring timely submission for patient reimbursement.
- Managed inbound and outbound calls regarding claim status and account resolution.
- Followed up with insurance payers to secure claim payments and resolve outstanding balances, enhancing cash flow.
- Resolved claim rejections and denials, enabling efficient reprocessing and maximizing reimbursement for patients.
- Maintained accuracy and efficiency in patient account documentation and claim management.
Bill Collector
2 Years- Processed insurance claims and generated reports related to billing activities.
- Monitored and followed up on current and past-due patient accounts.
- Collected payments and negotiated resolutions for outstanding balances.
- Processed insurance forms utilizing Phamis software and CMS-1500 claim forms.
- Assisted with insurance collections and accounts receivable management.
Patient Account Representative
3 Years- Processed insurance claims for PPM, HMO, and managed care accounts.
- Reviewed and interpreted Explanation of Benefits (EOBs).
- Managed returned mail and account updates using Phamis software.
- Assisted patients with insurance and billing-related questions.
- Contacted insurance carriers regarding unpaid claims and account resolution.
- Processed CMS-1500 claim forms and supported insurance receivables management.
Payments Specialist / Bill Collector
3 Years- Processed paid and unpaid insurance claims in compliance with Fair Debt Collection Practices.
- Contacted clients regarding outstanding balances using the Mertila Predictive Dialing System.
- Maintained accurate collection records and account documentation.
- Assisted with payment arrangements and account resolution activities.
Education
High School Diploma
Skills
Insurance Claims Processing
Claims processing
Medical Billing & Collections
Claims follow-up
Denial resolution
Revenue Cycle Operations
Accounts Receivable Management
Payment Collections
HIPAA Compliance
Patient Account Management
Patient Support Services
Patient Relations
Epic system
Timeline
Patient Account Representative
Virginia Hospital Center
01.1999 - 01.2026Read More
Bill Collector
Virginia Medical Associates
01.1996 - 01.1998Read More
Patient Account Representative
Mount Vernon Hospital
01.1993 - 01.1996Read More
Payments Specialist / Bill Collector
American Medical Collection Bureau
01.1990 - 01.1993Read More
TJ Williams
High School Diploma
Read More