Patient Account Representative resume example

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.

BILLING ASSISTANT

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.

Position Details available upon request.