Charge Resolution Team Associate with over five years experience working in the healthcare industry and applying medical billing and collection knowledge base, ultimately helping and enhancing the patient care experience while also affording me the opportunity to grow and develop my career path. Over seven years experience in accounts payables and receivables, analyzing billing and collection variances providing excellent customer service with chief level executives and clients on corporate, educational, and hospital accounts in billing and collections. Willing to learn all new initiatives and obtain the aptitude to do what it takes to get the job done.
Maestro Care (Epic) - Analysis, reading accounts, processing accounts
Revenue Management and Coding Super User
Creating Job Aids for Charge Resolution Team and Associated Entities
Training associate team members in MaestroCare
Patient Account Associate June 2010 to CurrentCompany Name - City, State
Revenue Management & Coding Super User for Charge Resolution team.
Intensive research to co-develop and continue redefining the Charge Correction process in MaestroCare
Created Job Aids currently used by numerous departments including Outsourced positions throughout the Duke PRMO.
Provide superior level Customer Service to internal customers regarding patient account discrepancies and overall Q/A of the charge correction process.
Professional Charge Corrections Daily worked charge correction requests from various sources in an effort to exceed daily productivity quotas.
Initiate and develop relationships with customers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction.
Operate general office equipment.
Generates letters, works on spreadsheets; enters and sorts data.
Work independently and utilize the ability to make decisions relative to individual work activities.
Accountable for individual work activities, work assignments are defined by revenue manager.
Implemented process improvement for charge corrections.
Census Enumerator May 2010 to June 2010Company Name - City, State
Census 2010 Enumerator Planned work by reviewing assignment area to determine organization of neighborhoods and locate households for conducting interviews.
Conducted interviews with residents in assigned areas by following stringent guidelines and confidentiality laws.
Explained the purpose of the census interview, answered residents' questions, elicited information following a script, and recorded census data on forms.
Maintained records of hours worked, units produced, miles driven, quality control results, and expenses incurred in the performance of duties.
Met daily with supervisor to review and submit work, and receive additional instructions.
Customer Service Representative December 2009 to May 2010Company Name - City, State
Contact patients by phone Update patients demographic and insurance information in patient financial database Review patient accounts and any actions taken by patient or third party payers Facilitate collections and reconciliations of all daily collections.
Manage high call volumes to verify patient insurance, and implement payment plan initiatives for all patients.
Analyze reporting for billing and collection reconciliation Negotiate reasonable payment plans to act in the best interest of the company's initiative as well as providing representation for the patient at hand.
Recording call results, new patient demographics, and insurance information into the Patient Financial System 4 D Client system.
Accounts Payable Analyst/Specialist/Accounts Receivable Analyst/Specialist January 2003 to June 2009Company Name - State
Billing and Collections Invoicing Automated and Manual for hospital accounts, corporate accounts, and institutional accounts Provided charge entry into the billing systems platinum for windows application.
Utilize customer service skills to work on collections for hospital, corporate, and institutional accounts.
Created draft templates to be implemented across all collection functionalities.
Monthly/Quarterly/Yearly end of period reconciliation reporting tools implemented and sent to chief level executives.
Analyzed variances and produced reports to capture these initiatives.
Assisted Chief Level Executives in contract preparation.
Interpreted all contracts to be added into the sales/billing system.
Facilitated processing for all cash receipts daily/weekly/ and monthly reconciliation.
Assisted in annual audit with outside accountant consultants.
Assisted in State Fundraising registrations and contract registration.
Trained new employees on all billing and collection system and processes.
Implemented cross-training initiatives with all team members in the department.
Education and Training
Computer Tech (IADT): Diploma in PC/LAN
IE1010 Communications CertificateMonmouth Regional High School
4 D, 4-D, accountant, Adobe Acrobat, Billing, billing system, billing systems, cash receipts, Citrix, contracts, contract preparation, Client, customer satisfaction, customer service skills, database, Edge, email, Filing, Financial, forms, Fundraising, general office, insurance, Internet Explorer, Invoicing, LAN, letters, listening, Microsoft Office, office, Microsoft Outlook, Windows, works, Platinum, Problem solving, processes, process improvement, quality, quality control, record keeping, Recording, reporting, Researching, sales, script, spreadsheets, supervisor, Team Player, telephone, phone
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