I am a hardworking team player with much knowledge in my current field as Patient Account Representative/Billing Specialist and Collector. I am loyal , very dependable and eager to learn new skills to expand my knowledge for continued growth to master all aspects of my position. I thrive to be an asset wherever I may go and I am in search of my new employer to utilize my current skills and will prove to be an asset.
Skills * Centricity/Athena Health * Escribe/EHR * Spectrum Voip and Snap Mobile Web * Health iPass * MPV Contract Management * MedSrat * OutLook 365 * CPT-4/ICD-10 | * Healthmark/Medical Records * Microsoft Word * Microsoft Teams * Adobe Acrobat * Availity * RealMed * Navinet *Commercial Insurance Plans |
- I possess excellent verbal/written skills with both patient's and insurance carriers.
- Review accounts for delinquencies and other ongoing issues to update properly with accurate details.
- Receive and process patient payments, and update accounts.
- Collaborate with all relevant parties to resolve billing issues, insurance claims and patient payments.
- Generate detailed reports outlining billing, flagged items and other important data.
- Contact patients once insurance claims have processed to obtain payments due.
- Review flagged items daily and resolved issues in accurate and efficient manner.
- Communicate with patients to bring accounts current with suitable payment plans before writing-off balance or sending to collections.
- Oversee claim disputes by filing Appeals, Corrected Claims, Reconsideration Requests and/or TDI Complaints to resolve claim payments in full by insurance carrier.
- Complete A/R and Collector Review in timely manner.
- Work closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Investigate billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Routinely contacted account holders with balances over 90 days past due to resolve delinquencies.
- Process refunds, disbursements and payments.
- Compare statements against patient files and EOB's.
- Resolve inquiries from patients, families and external payers.
- Create letters, invoices and other documents with diverse computer programs such as Centricity, Orthopedic EHR Software and Healthcare Contract Management.
- Respond to Insurance request letters in timely fashion to get claims paid in full.
- Verify patient benefits, preauthorizations and PCP referrals.
- Team player and great customer service skills.
- Review remittance advice for accuracy of claim payment and make necessary action to get claim processed correctly,
- Works well under pressure and able to multitask.
- Assists with front office staff, appointment schedulers and surgery coordinators.
- I welcome change and always eager to learn more.
- Helped customers open and close accounts, apply for loans and make sound financial decisions.
- Provided broad base of financial and credit services with the goal of acquiring 100% of the customers' business.
- Managed customer portfolios.
- Serviced relationships and cross-sold all products and services.
- Utilized profile analysis tool to identify cross-sell opportunities and made outbound sales calls to increase products per customer ratio.
- Developed and maintained relationships with Wells Fargo partners to maximize sales opportunities and achieved required sales standards.
- Built rapport with customers and prospects by taking the initiative to make certain all their financial needs were met.
- Dedicated up to 30 to 45% of time completing service related tasks.
- Before I was promoted to Personal Banker, I was Customer Sales & Service Representative in Midland, TX and my duties involved solving problems and provided results for existing Wells Fargo customers and brought more business in.
- Provided excellent customer service.
- Provided bankers and tellers with updated regulations, guidelines, disclosures and policies.
- Achieved daily sales goals and maintained accounts.
- Performed general office tasks including running and organizing mail.
- Promoted to Personal Banker/Transferred to Yuma AZ in 2006.
- I started out as Front Desk/Registration Clerk performing general office duties for fast-paced multi-specialty spine care clinic: provided excellent customer service and quality patient care, ran the front office by completing general medical office tasks and patient concerns in a timely fashion: heavy phones, office scheduler, insurance verifications, billing, correspondence, data entry, cashier, filing claims, ICD-9 and CPT-4 Coding and Workers' Compensation approvals, prepared medical charts, filed medical records, provided office support to team members and providers.
- I was promoted to Precertification Analyst/Patient Accounts Specialist in January 2000. Responsibilities included: Trained new employees for the position of Surgery Coordinator and Front Office Registration Clerk, crossed-trained with other team members allowing me to assist in all areas of the the work place, assisted busy chiropractor with Biolase and E-Stim procedures, obtained preauthorization and approval for Worker's Compensation claims, referrals to other providers in the area, kept adjusters, nurse case managers and patients updated on Work Comp cases, scheduled In-Patient and Out-Patient procedures, pinpointed errors on denied claims and generated appeal letters to resolve payment of claim and complied to all guidelines and regulations requirements and covered front office as needed.
Other Employment:
* Valdosta Medical Clinic (Data Entry Specialist)
* Dodd & Dennis P.C. (Legal Secretary)
* Kanayo E Ubesie, M.D. (Insurance Biller/Coder)
* Reeves County Memorial Hospital (Medical Records Clerk/Medical Transcriptionist)
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School Attended
- Sul Ross State University
Job Titles Held:
- Patient Account Representative/Billing Specialist
- Personal Banker
- Precertification Specialist/Patient Account Representative
Degrees
- Some College (No Degree)
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