Patient Account Representative Resume Example

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Professional Summary

I consider myself to be organized as a Patient Service Representative with 3 years of experience in healthcare and over a decade of working in roles of Customer Service. I have skills at coordinating busy offices and maintaining professionalism in stressful situations.

I am Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach. Proficient in many software applications. I am eager to contribute to team success through hard work, attention to detail and excel.

  • Recovered $11,000 in delinquent payments within 1 day.
  • Improved department productivity by implementing strategic process improvements.
  • Saved facility $7 Million by uncovering key discrepancies and cost saving ideas.
  • Documented and resolved system issues which led better productivity.
Work History
Encompass Health Corp. - Patient Account Representative
Sebring, FL, 07/2019 - 10/2020

Prepared reports detailing billing actions, flags and other key information. Work to resolve complaints and maintains effective communication with clinics, co-workers and other departments as required.

  • Contacted patients after insurance was calculated to obtain payments.
  • Reconciled statements with patient records.
  • Responded to patient, family and external payer inquiries.
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Posted payments and processed refunds.
  • Generated monthly statements to check outstanding balances.
  • Provide quotes and explain insurance terms and regulations to assist understanding of bill.
Adventist Health System - Patient Advocate
Atlanta, TX, 05/2018 - 06/2019

Reviewed and corrected claim errors to facilitate smooth processing.

  • Assisted patients in understanding individual rights and responsibilities in regards to care, coverage and payment.
  • Utilized knowledge of available resources to help patients select appropriate courses and obtain relevant support.
  • Entered details into computer systems and managed database of information.
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Collected and reviewed patient information to assess eligibility for special programs.
  • Worked effectively with staff from all departments to coordinate resolutions.
  • Took copayments and compiled daily financial records.
  • Educated patients on medicine and at-home healthcare tools.
  • Processed Pharmacy Orders though Home Delivery, provided cost and collection. Worked with Provider and Retail Pharmacy to run claims.
Matrix Absence Management - Contact Center Specialist
Houston, TX, 10/2017 - 10/2018

Consistently maintained goals and scores of 100% customer service satisfaction ratings through quality control.

  • Achieved and consistently exceeded revenue quota through product and service promotion during routine calls.
  • Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Educated customers on company systems, form completion, and access to services.
  • Intake forms for all leave of absence for employees within the contract.
  • Completed over 95 outbound calls per shift to deliver Exceeds and quota on prepared survey scripts.
Qurate Retail Group - Fraud Detection Specialist
El Paso, TX, 05/2016 - 10/2017
  • Contacted customers directly to notify of fraudulent activity and minimize impacts.
  • Analyzed large amounts of data to find patterns of fraud and anomalies.
  • Provided exemplary level of customer service to all individuals, including clients and company personnel.
  • Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
  • Collaborated with team members to discuss fraud trends and brainstorm methods to combat this type of crime.
  • Saved $18,000. by implementing cost-saving initiatives that addressed long-standing problems.
  • Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Worked with escalated customers to understand needs and provide excellent service.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Processed Lost and Stolen Credit Cards and identity changing patterns while maintaining 19 CPH
  • Investigated cases of insurance and credit card fraud, which involved upwards of $35,000. per case.
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
  • Conflict Resolution
  • Insurance Knowledge
  • Patient Contact
  • Excellent Judgment
  • HIPAA Understanding
  • Collections experience
  • Medical terminology
  • Verbal and written communication
  • Software-savvy
  • Insurance billing
  • Time management
  • Payment processing
  • Administrative support
  • Insurance verifying
  • Patient greeting
  • Appointment Scheduling
  • Payment collection
  • Medical insurance
Paradise Valley High School Phoenix, AZ, Expected in 05/1984 Diploma : - GPA :
Maricopa Community Colleges - Mesa Community College Mesa, AZ Expected in 1991 : Nutrition Science - GPA :
AZ School Of Dental Assisting Phoenix, AZ, Expected in 2006 Certified : Dental Hygiene - GPA :
  • Certified Dental Assisting, AZ School of Dental Assisting - 14 Weeks
  • Permanent Makeup Application Training - 6months

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Resume Strength

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  • Target Job
  • Typos

Resume Overview

School Attended
  • Paradise Valley High School
  • Maricopa Community Colleges - Mesa Community College
  • AZ School Of Dental Assisting
Job Titles Held:
  • Patient Account Representative
  • Patient Advocate
  • Contact Center Specialist
  • Fraud Detection Specialist
  • Diploma
  • Certified

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