Patient Account Representative Resume Example
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.
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- 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.
Deans List, Fall 2012 - Summer 2013
Student member of AHIMA
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Resume Overview
School Attended
- DeVry University
Job Titles Held:
- Patient Account Representative
Degrees
- Associate of Applied Science : Health Information Technology , 2014
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