Detail-oriented Patient Account Analyst with 9 years of experience. Adept at close monitoring of account balances and knowledgeable about medical billing. Successful at collecting payments quickly and writing accurate reports. I'm also a Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues. Which I would like to take these skills and all my knowledge and training I have learned in Esthetics school and put them to use for you .
Client Relations AS400, Meditech, Rev Springs , Med Host
Credit and Collections, Dar, Hms, FAcs and other
CRM Systems systems
Creative Problem Solving Contract auditing
Customer Service CRM Systems
Quick learner very dependable outgoing hard
Worker
Authorized to work in the US for any employer
Patient Account Analyst
Summit Behavioral Healthcare - Franklin, TN
EMR
Excel
Insurance Verification
Medical Records
Microsoft Office
Icd-10
Managed Care
Auditing
SKILLS
Account Management, Dependable, Telephone
Administrative, Documentation, Phone
Analyst, Fax, Transmission
AS400, Filing, Website
Auditing, Filling
Benefits, Insurance
Billing, Managing
Billing system, Meditech
Contracts, Excel
CPT, Microsoft Office
Creative Problem Solving, Works
Credit, Php
CRM, Problem solving
Client Relations, Processes
Excellent customer, Coding
Service, Quick learner
Customer Service, Scheduling
Data Entry, Summit
Product knowledge
Social skills
Pigments and resins
Business management
Beauty tool sanitization
Critical thinking
Reliable and trustworthy
Time management
Leadership
MS Office
Flexible
Relationship building
Work ethic
Active listening
Multitasking
Experience
Patient Account Analyst , 01/2019 - 04/2021 Hackensack University Medical Center – Neptune, NJ,
Submitted electronic bills following facility and legal compliance standards.
Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
Reviewed credit balancing reports and requested refunds or transfers.
Reviewed flagged items daily and resolved issues in accurate and efficient manner.
Generated detailed reports outlining billing, flagged items and other important data.
Processed refunds, disbursements and payments.
Created letters, invoices and other documents with diverse computer programs such as appeals
Submitted fees and claims to insurance companies manually or digitally.
Reviewed accounts before submitting to patients or collection agencies.
Answered customer questions in friendly and knowledgeable manner to maintain high satisfaction levels.
Reached out to responsible companies and individuals to collect on outstanding debts.
Identified and corrected payment problems involving patients or third-party payers.
Resolved inquiries from patients, families and external payers.
Patient Service Coordinator, 10/2017 - 04/2019 Us Oncology, Inc. – Phoenix, AZ,
Claims processing Filling Ubo4 and 1500 claim form identify and recover underpayments/overpayments from healthcare insurance companies.
Resolve all order discrepancies interfacing with the appropriate Fresenius Rx departments to ensure resolution.
Update Pharmacy Management System patient/customer records with all appropriate and necessary documentation.
Initiate communication with customers/patients by phone to set up new or existing prescription orders Educate patients regarding Fresenius Rx services and procedures to appropriately set expectations and ensure a positive patient experience Make suggestions to enhance processes.
Insurance Specialist III, 01/2016 - 10/2017 Fresenius Medical Care – Noblesville, IN,
Works reports related to outstanding claims
Complete any documentation necessary for timely billing or rebilling of patient claims
Processes and files claims for secondary billing, attaching all required
documentation to ensure claims are reimbursable by applicable payers
Timely follow-up on assigned claims that have been rejected denied, or under paid
Check for payments in lock box us bank or payers website to see if check is
a bulk check or individual
Reviewing the payer contracts to make sure we are being paid at the correct rate, and or setting up single case agreements
with payers to get claims paid
Identifying coding or billing errors and fixing them in a timely
manner
Filling Ubo4 and 1500 claim form via billing system way star
reviewing remits adjusting payments Review era/robs and remittances
identify and recover underpayments/overpayments from healthcare insurance companies.
Communicating with 100's of people daily setting up payment plans that
meets business standards while accommodating the patients need to afford
payment on their accounts
Medical collections
Insurance review
Resolving problems on account balances of 15,000+
Re-filing accounts with new insurance information
Handle all calls with Courtesy and professionalism Proficiently
utilizing systems: AS400, Meditech, Rev Springs, Dar, Hms and FACS and other systems
Claims processing Filling Ubo4 and 1500 claim form, reviewing remits
adjusting payments
Review era/robs and remittances
identify and recover underpayments/overpayments from healthcare insurance companies.
Insurance Representative, 04/2012 - 11/2014 CVS Caremark – City, STATE,
Insurance management
Commercial and Medicare
Taking inbound calls from members and physicians
Managing members prescription benefits
Skills Used: Providing members with their information regrading their
account and /or Claims
Processing insurance claims on ub04 and 1500's
Reviewing era/eobs and remittances to make sure there has not been an overpay
Adjustments and other claims related.
Customer Service Representative, 03/2009 - 03/2012 Au Bon Pain – City, STATE,
Assessed customer needs and upsold products and services to maximize sales.
Educated customers on special pricing opportunities and company offerings.
Trained new team members in cash register operation, stock procedures and customer service.
Counted and balanced cashier drawers.
Adhered to all regulatory standards regarding safe and sanitary food prep.
Made all meals in accordance with company standards and requirements.
Followed proper food handling methods and maintained correct temperature of food products resulting in consistently high scores on health inspections.
Kept stations stocked and ready for use to maximize productivity.
Interacted with waitstaff regarding special orders for customers, including those with food allergies and gluten intolerance.
Precooked certain items during slow periods to reduce wait times at lunch and dinner rush.
Prep food: salads sandwiches & wraps brew coffee keep supplies on line and in lobby stocked Making custom ordered sandwiches while Providing excellent customer service to the guest and everyone around me.
Education and Training
High School Diploma: Service, Expected in 2013 - Cedar creek school house - Nashville, TN GPA:
Licensed Esthetician : Master Esthetician, Expected in - Global Beauty And Barber Institute - Goodlettsville, TN, GPA:
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