Patient Account Analyst Physician Services Resume Example
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PATIENT ACCOUNT ANALYST PHYSICIAN SERVICES
Professional Summary
Hardworking Patient Account Representative dedicated to customer service and patient care. Outgoing and flexible team player. Talent for developing creative solutions that satisfy all parties.
Motivated Patient Account Representative offering 15 years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills.
Skilled Insurance Analyst-Physician Practice Job Title adept at collaborating with insurance companies and patients to resolve billing issues. Certified in ICD-9 and ICD-10 coding processes. Successful achieving positive results for claimants. Over 15 years working in Billing Medical office environments.
Accomplishments
- Built productive relationships with patients and insurance companies, increasing payment rates.
Skills
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Work History
Patient Account Analyst Physician Services, 12/2015 to Current
Community Health System – Fort Smith , AR
Community Health System – Fort Smith , AR
- Collected patient payments.
- Utilized computer programs to create invoices, letters and other documents.
- Prepared daily deposit information and reports.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Followed up with insurance companies.
- Reconciled statements with patient records.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to patient, family and external payer inquiries.
- Electronically submitted bills according to compliance guidelines.
- Completed timely and efficient administrative functions, including receiving and sorting mail, preparing packages for delivery and scanning documents.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
Medical Insurance Specialist, 12/2011 to 10/2015
Sensis – Los Angeles , CA
Sensis – Los Angeles , CA
- Paid or denied medical claims based upon established claims processing criteria.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Reviewed provider coding information to report services and verify correctness.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Managed large volume of medical claims on daily basis.
- Evaluated accuracy and quality of data entered into agency management system.
- Processed 100-200 invoices each weekly and mailed documentation to clients.
- Maintained confidentiality of patient finances, records and health statuses.
- Communicated effectively with staff, including members of operations, finance and clinical departments.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Increased customer satisfaction by resolving billing issues.
Patient Account Representative III, 03/2003 to 12/2011
Advanced Home Care Inc. – City , STATE
Advanced Home Care Inc. – City , STATE
- Prepared reports detailing billing actions, flags and other key information.
- Reconciled statements with patient records.
- Utilized computer programs to create invoices, letters and other documents.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Posted payments and processed refunds.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to patient, family and external payer inquiries.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Took copayments and compiled daily financial records.
- Assisted patients in filling out check-in and payment paperwork.
- Generated monthly statements to check outstanding balances.
- Balanced deposits and credit card payments each day.
- Educated patients on medicine and at-home healthcare tools.
- Explained plans for treatment and payment options.
- Reviewed and corrected claim errors to facilitate smooth processing.
Office Manager, 11/1993 to 03/2003
CentiMark Corporation – City , STATE
CentiMark Corporation – City , STATE
- Provided complete meeting support, including materials preparation and notes or minute taking.
- Created and finalized contracts for Sales Managers regarding deals with customers.
- Tracked and recorded expenses and reconciled accounts to maintain accurate, current and compliant financial records.
- Established and developed highly efficient and dependable administrative team by delivering ongoing coaching and motivation and fostering career advancement.
- Administered yearly budget of $500,000 to manage office requirements such as service contracts, postage costs and supply replenishment.
- Performed billing, collection and reporting functions for office generating over Millions annually.
- Handled all incoming business and client requests for information.
- Arranged corporate and office conferences for company employees and guests.
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
- Integrated logistic systems into company processes to improve operations and manage work orders and price changes.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs using Mestmed and CPR+.
- Improved office operations by automating client correspondence, record tracking and data communications.
- Compared vendor prices and negotiated for optimal savings.
- Communicated corporate objectives across all divisions through regular correspondence and scheduled status updates.
- Completed bi-weekly payroll for 100 employees.
- Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Kept physical files and digitized records organized for easy updating and retrieval by authorized team members.
- Interacted with customers professionally by phone, email or in-person to provide information and directed to desired staff members.
- Coordinated and maintained impressive office organization to keep facilities efficient, organized and professional.
- Handled new-hire orientation and basic recruiting tasks for best-in-class talent identification.
- Performed billing, collection and reporting functions for office generating over millions annually.
Education
General Courses: Computer And Information Sciences, 09/1984
Forsyth Technical Community College - City
Forsyth Technical Community College - City
High School Graduation 12: Requirement Courses , 05/1984
Wesley Education Center - City
Wesley Education Center - City
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Resume Overview
School Attended
- Forsyth Technical Community College
- Wesley Education Center
Job Titles Held:
- Patient Account Analyst Physician Services
- Medical Insurance Specialist
- Patient Account Representative III
- Office Manager
Degrees
- General Courses : Computer And Information Sciences , 09/1984
High School Graduation 12 : Requirement Courses , 05/1984
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