Patient Account Representative Resume Example Texas Children's Hospital

PATIENT ACCOUNT REPRESENTATIVE

Professional Summary

Detail oriented and quality focused professional Patient Account Representative II. Successful track records in handling complicated assignments. Highly experienced and responsible for working directly with insurance companies and patients in reconciling and resolving account disputes. Administer all claim denials and appeals of inappropriate payments and resolution and execute month end reports. Proficient in a variety of practice management software with dedication in maintaining strict patient confidentiality.

Skill Highlights

ICD-9, CPT-10
Medical Terminology
Software used: IDX, EPIC and Med Assets
Excellent Interpersonal Skills
Excellent Phone Skills
Various Practice Management Software
Knowledge of HMOs, Medicare and Medicaid

Claim Entry & Payment posting
Records Organization & Management
Insurance and Patient Aging
HIPAA Compliance
Online Claim Submission & ERA
Excellent knowledge of all MS office programs

Professional Experience

Patient Account Representative, 04/2005 to CurrentTexas Children's Hospital － Houston, Texas

Follow up on Insurance and patient aging. Re-submit insurance claims as necessary with excellent knowledge in timely filing restrictions.
Insure office practices are in compliance with HIPAA regulations.
Retrieve Electronic remittance advice (ERA's)
Insure accuracy of insurance claims
Verify correct ICD-9 and CPT codes for a variety of specialties
Research and resolve incorrect payments, EOB rejections and other issues with outstanding accounts
Ensure claims are entered and submitted with 48 hours of receipt
Inform patients of any delays in claims processing
Performed clerical duties
Executed monthly reports
Queried accounts for insurance specific denials
Training and mentoring of Billing Specialist and PAR I
Handled Revenue Cycle Management for Plastic surgery, General surgery, Orthopedic surgery, Urology, Retrovirology, Nephrology, Congenital Heart surgery, Dermatology, Neurosurgery and Physical Medicine & Rehabilitation.

Education and Training

Associate of Applied Science:Health Information Technology,2014DeVry University － Houston, Texas, USA

Deans List, Fall 2012 - Summer 2013

Student member of AHIMA

Resume Overview

Companies Worked For:

Texas Children's Hospital

School Attended

DeVry University

Job Titles Held:

Patient Account Representative

Degrees

Associate of Applied Science : Health Information Technology , 2014

Patient Account Representative Resume Example

Resume Score: 65%

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