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Patient Account Representative Resume Example

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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 CurrentCompany Name － City, State
  • 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 － City, State, USA

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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