- , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
- Home: (555) 432-1000
- Cell:
- resumesample@example.com
Helpful Patient Service Representative with 10+ years of experience. Adept at collecting patient information, maintaining efficient office and coordinating with medical professionals. Extensive knowledge of insurance authorizations and commitment to patient happiness.
- Administrative and Office Support
- Database Search and Data Entry Skills
- Patient Confidentiality and Data Security
- Quality Standards and Protocols
- Organized and Efficient
- Comfort with Technology and Databases
- 50 WPM Typing Speed
- Clerical and Filing Support
- Medical Services Administration
- Multi-Line Telephone Systems
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- Records Management
- Collections Management
- Technical Troubleshooting
- Claims Handling and Coverage Verification
- Payment Calculation
- Spanish Fluency
- Insurance Authorizations
- Benefits Explanation
- Bilingual Spanish and English
- Patient Registration
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Access Service Representative II, 04/2008 to Current
Moffitt Cancer Center – Tampa, FL,
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Resolved patient financial and authorization/referral problems with guidance from documented guidelines and procedures.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Received patient deductibles, co-pay amounts and self pay estimates and discussed options to satisfy remainder of patient financial obligations.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Took copayments and compiled daily financial records.
- Reviewed and corrected claim errors to facilitate smooth processing.
- Balanced deposits and credit card payments each day.
- Generated monthly statements to check outstanding balances.
- Explained plans for treatment and payment options.
- Initiated Inpatient, Outpatient, Observation authorizations.
- Worked flexible hours; night, weekend, and holiday shifts
Medicare Billing Specialist, 10/2001 to 10/2006
Austin Heart PA – City, STATE,
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Liaised between patients, insurance companies and billing office.
- Adhered to established standards to safeguard all patients' health information.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Reviewed services rendered and completed to reconcile codes.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Posted payments and collections on regular basis.
- Researched and followed up on denied insurance claims.
- Verified proper ICD-9 coding on claims.
- Reviewed outgoing bills for eligibility and accurateness.
- Completed client requests and advised supervisors of special needs.
- Trained new employees on multiple medical billing programs and data entry software.
- Transferred balances to correct payers.
Certificate: Medical Coding And Billing, Expected in 05/2020
Austin Community College - Austin, TX
GPA:
High School Diploma: , Expected in 04/1996
Plainview High School - Plainview, TX
GPA:
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