1. Jennifer Archambeau
19825 Stafford, Clinton Township, MI 48035▪ Phone: 586-703-5075 ▪ E-mail: jentifer671@msn.com
WORK EXPERIENCE
Henry Ford Health System – Troy, MI 11/2016 - present
Billing Specialist I
Submit third party claim forms (i.e. UB04 or 1500) through the claims editing software.
Understands the claim editing process and resolving the edits based on appropriate department
procedures regarding claim submission.
Evaluate and investigate appropriate actions to be taken in order to resolve outstanding
receivables, in accordance with department goals. Utilize various resources such as third party
publications, procedure manuals and participating contractualagreements, etc.
Understand and resolves third party rejections using the payer system and the billing system. .
Utilize various resources such as third party publications, procedure manuals and participating
contractual agreements,etc.
Working knowledge of internal and external revenue cycle systems to manage receivables.
Ensure that all appropriate financial adjustments are posted accurately and in accordance with
contracted payment rates,third party billing requirements, and HFHS policies and procedures.
Evaluate and validate correct payments received from third party payers.
Stay current with knowledge of payer and regulatory changes.
Meet established quality and productivity expectations
Identifies, resolves and reports potential issues to leadership
Supports the standards set forth in the HFHS Code of Conducts by adhering to legal and ethical
standards.
Performs other related duties as assigned.
Henry Ford Health System – Troy, MI 2/2015 – 11/2016
Patient Account Representative I
Respond to customer and physician inquiries via mail, phone or email regarding their billing
inquiries.
Research and analyze customer billing inquiries using internal and external systems and
communication on EPIC system.
Work independently with minimal direction and maintain confidentiality
Maintain confidential records and establish relationships with internal and external customers
Responsible for timely responses to all service center inquiries via phone, fax, email, or mail to
assist the customer in understanding their patient responsibility.
Handle unusual and/or complex inquiries, including irate calls
Knowledge of medical terminology as well as ICD-9 and CPT-4 codes, facility and professional
services. Responsible for resolving accounts in assigned worklists or reports.
Submit claims to insurance and/or billing or coding for review and process refund requests
2. Work with insurance companies on eligibility and claims issues
Problem solve patient accounts. Multi-task in fast paced environment
Analyze and work self-pay credits as well as take payments from customers
Super-user for DataArk system – take payments and address patient’s concerns on older claims
Aerotek – Troy, MI 6/2013 – 2/2015
Senior Advisor
Contracted to General Motors on-premises to work in a call center assisting customers with questions
about their vehicles as well as recalls.
Display excellent problem solving skills while addressing customer issues and determining
appropriate solutions.
Coach and provide feedback to co-workers in regards to their recorded calls during quality
coaching. Also provide one-on-one coaching with the new trainees by listening to their calls and
having them listen to my calls.
Assisted team leader in a leadership capacity by assigning cases to new agents, updating the GM
wall on unoccupied cubicles as well as acted as administrative assistant to team leader to perform
basic administrative duties, such as typing.
Close other co-worker’s cases,sometimes as many as 25 cases a day,as well as handle my own
cases and workload.
Built by Heath – Roseville, MI 9/2009-6/2013
Secretary/General Laborer
Created,organized, and managed an efficient system of yearly tax documents to ensure taxes
were filed accurately.
Prepared and mailed customer invoices.
Blue Cross Blue Shield of Michigan – Multiple Locations 5/1997-9-2009
Customer Service Representative II 3/2004-9/2009
Responsibilities included analyzing, resolving and responding to customer telephone inquiries involving
benefit and claim issues; as well as doing simple claim adjustments.
Used problem-solving and analytical skills to research and resolve inquiries
Handled unusual and/or complex inquiries, including irate calls.
Worked in a customer service call center answering a high volume of calls (30-50 calls/daily)
Knowledge of medical terminology as well as ICD-9 and CPT-4 codes, facility and professional
services. I also have experience dealing with HCFA 1500 and UB-04 forms
Dealt with medical billing issues such as rejections on a daily basis and worked to find out why
the claim was rejecting and what was needed to get the claim to pay
Provided benefit information from customer’s insurance plan and would also verify whether or
not a procedure was a covered benefit
Department Secretary 5/1997-2/2004
3. Performed secretarialduties including copying, filing, faxing, and assisting in preparing drafts for reports.
Maintained filing systems including records related to payroll and attendance. Typed memos,
correspondences,and reports paying close attention to detail to ensure accuracy.
Scheduled meetings, ordered supplies, and serviced two departments of approximately 20 people
Planned, organized, and accomplished daily tasks in an efficient and effective manner
Provided backup to various departments and assisted in daily task completion
Composed and edited correspondences utilizing accurate grammaticalconstruction, proofreading,
and spelling skills
Assisted internal/external customers with their concerns and requests including placing orders,
verifying account information and assist with customer complaints & make recommendations
Assisted in updating insurance benefit information verifying that the information for customer
service is correct and resolving complaint by adjusting bill.
Analyzed customer information in terms of coinsurance/deductible/copay to determine if correct.
Ensure appropriate changes were made to resolve customers’ problems
Interact with other departments and provide support to them
Receive visiting customers and provide them with necessary assistance
Maintain strong clientele relationship with customers
Prior Work Experience
Entech Personnel – Troy, MI Secretary to Director/Department Secretary 10/1996-5/1997
B.K. Tool, Inc. – Sterling Heights, MI Office Manager/Employee Relations 2/1994-10/1996
COMPUTER SKILLS
Microsoft Office Suite: Word, Excel, and PowerPoint
EDUCATION
Baker Center for Graduate Studies – Flint, MI 9/2013
Master ofBusiness Administration, Healthcare Management
Baker College – Flint, MI
Bachelor ofBusiness Administration 3/2009
Major: Human Resource Management/Minor: Psychology