Patient Account Representative resume example with 14 years of experience

Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

Medical Billing Specialist with 13+ years, providing administrative and patient support in a medical office setting. Advanced knowledge of private insurance processes and codes. Ready to tackle new challenges with excellent communication and relationship-building skills. Seeking to obtain a position where my skills can be utilized and enhanced, thus contributing to the success of my employer.

Professional Experience
06/2022 to Current Patient Account Representative Lakewood Health System | Staples, MN,
  • Reached out to patients once insurance was billed in order to obtain payments due.
  • Resolved inquiries from patients, families and external payers.
  • Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
  • Reviewed flagged items daily and resolved issues.
  • Processed refunds, disbursements and payments.
  • Submitted electronic bills following facility and legal compliance standards.
  • Posted payments manually on the system.
  • Accepted and processed customer payments and applied toward account balances.
  • Encouraged customers to pay due amounts on credit accounts, claims or overdrawn checks.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
  • Located new addresses of delinquent customers through research, contacting credit bureaus or by questioning neighbors.
02/2009 to 03/2021 Account Manager Axon | Amsterdam, NY,

Was in charge of managing a Podiatrist doctor's account (also billed for his two Physical Therapist), as well as maintaining and supervising all activities on their accounts.

  • Generated monthly billing adjustments and entered details into billing system to resolve discrepancies.
  • Requested and submitted all medical documentation requested from insurance companie
  • Followed up on unpaid claims within standard billing cycle time frame and reported the status of the delinquent accounts.
  • Prepared and submitted clean claims to various insurance companies.
  • Oversaw management of clinical documentation, billing reimbursement, resident rights and customer service.
  • Scheduled and performed quarterly meetings with the doctors referencing their account status.
  • Handed all pre-negotiations, proposals and appeals to insurance companies, insuring that the appropriate monies are being applied to all procedures.
  • Knowledgeable on CPT codes, ICD-9, ICD-10 codes and modifiers.
  • Answering all patient's or insurance telephone inquiries pertaining to assigned accounts.
  • Updating billing software with rate changes.
  • Supervised all patient's medical and insurance data as well as daily office visits and treatments.
  • Rendered follow-up protocol with insurance companies electronically and by paper, also billed patient's for owed medical service balances.
  • Input charges and posted payments for office visits, and treatments.
  • Implemented all collection procedures and contracts to receive past balances from patients.
  • Prepared daily observations and tallies of incoming payments and created monthly reports such as AR reports.


In charge of assisting on a orthopedic doctor's account (also billed for his Physician Assistant) as well as maintaining all activities.

  • Answered billing related questions from patients, doctors, and insurance companies.
  • Expertly assigned charges and payments for medical procedures.
  • Reviewed medical records to meet insurance company requirements.
  • Prepared and submitted clean claims to various insurance companies either electronically or by paper in a timely manner.
  • Posted insurance/and patient payments.
  • Assist with overseeing patient accounts on a timely basis.
  • Assessed medical codes on patient records for accuracy.
  • Keep track of money owed by patients, and update records with new payments and patient's information.
  • Produce and/or request any reports needed by the doctor.
  • Communicated with clients via email, phone, online presentations, screen-share and in-person meetings.
  • Completed necessary appeals and correct claims as needed under strict guidelines.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Handled billing for full complement of practice providers.
01/2008 to 02/2009 Clerical Associate Adventist Health And Rideout | Marysville, CA,

Position Details available upon request.

Computer Skills
  • MS Office (Word, Excel, Outlook, Powerpoint, Onenote Access)
  • Climacs Billing System
  • Epic Billing System
  • Spreadsheets (Excel, Google Sheets, Open Office)
  • Email (mail merge, filters, folders, rules)
  • All Scripts Billing System
Full Professional
Full Professional
Education and Training
Expected in 01/2007 High School Equivalency | South Bronx School , Bronx, NY, GPA:
Expected in | Medical Billing And Coding Certification New York Institute of Career And Development , New York , GPA:

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Resume Overview

School Attended

  • South Bronx School
  • New York Institute of Career And Development

Job Titles Held:

  • Patient Account Representative
  • Account Manager
  • Clerical Associate


  • High School Equivalency

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