Financial Counselor/Analyst Resume Example Pulmonary Critical Care And Sleep Medicine Consultants, Texas Medical Center

FINANCIAL COUNSELOR/ANALYST

Professional Summary

Seasoned Health Care professional with over 9 years of multiple project/task coordination skill experience and proven ability working with minimal supervision in a fast paced environment Results-oriented individual seeking to apply extensive research and data experience to the financial and business aspect of the health care industry Thorough knowledge of Medicare HMO plans and several other major health care insurance markets including insurance claim processing, reimbursement, billing; including knowledge in coding, ICD-9, CPT, and revenue codes Knowledge of revenue cycle processes, medical billing and coding processes, basic accounting principles, quantitative decision making and process analysis Quick Problem solver while dealing with new concepts, systems, and procedures with report analyses and interpretation skills Experience with several EMR systems including Allscripts, NextGen, Misys, EPIC, and Global Health. Advanced knowledge of Microsoft Office products as well as 10 key touch ability.

Skills

Work History

Financial Counselor/Analyst, 08/2012 to Current
Pulmonary Critical Care and Sleep Medicine Consultants, Texas Medical Center

Provide financial counseling and consultation on all patients prior to treatment which included financial obligations, the companyâ€™s billing practices, and establishing payment arrangements for all 9 physicians of the practice.
Responsible for documenting pertinent account information clearly and concisely, tracking patient payment trends, and contacting patients to assist with discrepancies in insurance coverage, rescheduling options, and financial security of services scheduled to be rendered.
Continually promote effective communication amongst the third party billing company to ensure all patientsâ€™ accounts obtained authorization, accurate insurance posting, and timely filing Accountable for acquiring the companyâ€™s fee schedule for all in network payers, including facility and non-facility CPT codes.
Research billing coordinator Took initiative to devise a new system in assuring accurate AR results with the companyâ€™s monthly Bad Debt Report Responsible for obtaining and updating all contracted fee schedules of the practice including Inpatient codes and procedures Successfully managed multiple projects instantaneously including tracking insurance reimbursement for XOLAIR administration and invasive Bronchoscopy procedures.
Point of contact for all International self-pay patients with the International Embassy Department at St.
Lukeâ€™s Episcopal Hospital and Houston Methodist Hospital Investigated and approved all insurance and patient refund requests.

Account Receivables/Administrative Specialist, 03/2010 to 07/2012
Greater Houston Psychiatric Associates – Houston, TX

Ensure all insurance claims are paid in a timely manner via communicating with insurance companies and provider relations Oversee the resolution of claim issues; writing appeals, analyses of timely filing reports, ensuring all office staff report all necessary information Created financial analysis reports, perform account receivables and provided administrative support to the Administrator and physicians for all 4 locations Responsible for tracking and documenting the companyâ€™s Physician Directed Outpatient Program census and patient payment Assisted in leading the companyâ€™s new EPM implementation of Nextgen Responsible for delivering training, providing post go-live support, and continual leadership to ensure all staff members can effectively work with the new technology Developed and designed the companyâ€™s training manual of Nextgen, scheduling templates, and charge reports.

Medical Staff Receptionist, 10/2009 to 12/2009
Bayshore Medical Center – Pasadena, TX

Completed over 800 Physician delineations in a three week period, including entering and organizing all privilege descriptions into CACTUS As receptionist for Medical Staff Office, answered inquiries of general nature by hospital staff, patient, families, and community visitors.
Managed all department calls and relayed appropriate messages in a timely manner and etiquette Developed knowledge and skills needed for documentation in information systems programs Demonstrated communication skills necessary in dealing with the physicians, employees, and administration staff needs.

Skills

administrative support, go-live, AR, billing, communication skills, consultation, counseling, CPT, documentation, filing, financial, financial analysis, information systems, insurance, leadership, Office, network, organizing, receptionist, Research, scheduling

Education

Bachelors of Science: Health Science Business Administration, Texas A&M University Corpus Christi -
Health Science Business Administration

Resume Overview

Companies Worked For:

Pulmonary Critical Care and Sleep Medicine Consultants, Texas Medical Center
Greater Houston Psychiatric Associates
Bayshore Medical Center

School Attended

Texas A&M University Corpus Christi

Job Titles Held:

Financial Counselor/Analyst
Account Receivables/Administrative Specialist
Medical Staff Receptionist

Degrees

Bachelors of Science : Health Science Business Administration ,

Financial Counselor/Analyst Resume Example

Resume Score: 90%

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