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  • Patient Account Analyst-EPIC HB Resolute Trainer
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Patient Account Analyst-EPIC HB Resolute Trainer Resume Example

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PATIENT ACCOUNT ANALYST-EPIC HB RESOLUTE TRAINER
Professional Summary

Highly efficient Medical Biller with extensive experience in Medicaid and Commerical Insurance. Excellent multi-tasker and demonstrated team player with a positive attitude. Seeking a position in_______________.

Licenses

Certified Revenue Cycle Representative (CRCR)

Certified EPIC HB Resolute

Program Proficiencies

Microsoft Word & Excel 2010

Microsoft Outlook & Lync

Citrix

IDX

EPIC

NEBO Ecare

PCPrint

Medicare Easy Print

WPS/CMS (Medicare)

McKesson Performance Analytics

Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Medical Manager Software
  • Managed care contract knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • HHM and Medisoft billing systems
  • Medical billing software
  • HIPAA compliance
  • Interpreting instruction
  • Strong work ethic
  • Technical expertise
  • Deadline-driven
  • Good written communication
  • Exercises good judgment
  • Strong planning skills
Professional Experience
Avalon Health Care GroupFederal Way , WAPatient Account Analyst-EPIC HB Resolute Trainer11/2002 to Current

Originate and run reports through various programs.

Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.

Investigate and resolve issues within claims filed.

Completed appeals and filed and submitted claims.

Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.

Import & export electronic claims.

Provide administrative support, as needed.

Administrator of several insurance websites.

OSF Saint Anthony HospitalCity , STATEBusiness Office Service Clerk II10/1994 to 11/2002

Billed Commercial Insurance.

Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.

Received/placed calls with insurance regarding patients hospital claims. Received/placed calls with patients regarding their hospital claims and payment arrangements.

Posted charges, payments and adjustments.

Meticulously tracked and resolved underpayments.

Performed quality control of the data entry system to verify that claims and payments were posted correctly.

Efficiently performed insurance verification and pre-certification and pre-authorization functions for outpatient claims correspondence.

Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.

OSF Saint Anthony HospitalCity , STATEMedicaid Biller01/1990 to 10/1994

Readied bills for outside vendor billing.

Prepared bills on required specialty forms. Including, but not limited to, preparing and attaching all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.

Received/Placed calls to patients.

Maintained all internal correspondence during billing processes.

Thoroughly investigated past due invoices and minimized number of unpaid accounts.

Strictly followed all federal and state guidelines for release of information.

Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Monitored shared email in-boxes and ensured inquiries were addressed.



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Resume Overview

Job Titles Held:

  • Patient Account Analyst-EPIC HB Resolute Trainer
  • Business Office Service Clerk II
  • Medicaid Biller

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