Livecareer-Resume
Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

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 .

Skills
  • Training and development
  • File/records maintenance Microsoft Office
  • Account Management Proficiently utilizing systems:
  • 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.
Patient Account Manager, 07/2014 - 01/2016
Arthur J Gallagher & Co. Glastonbury, CT,
  • 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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Resume Overview

School Attended

  • Cedar creek school house
  • Global Beauty And Barber Institute

Job Titles Held:

  • Patient Account Analyst
  • Patient Service Coordinator
  • Insurance Specialist III
  • Patient Account Manager
  • Insurance Representative
  • Customer Service Representative

Degrees

  • High School Diploma
  • Licensed Esthetician

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