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Patient Account Representative II Resume Example

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PATIENT ACCOUNT REPRESENTATIVE II
Summary

Dedicated Patient Account Representative bringing 13 years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.

Skills
  • Microsoft Word
  • Excel
  • Knowledgeable in EMR, GE Centricity, and Nextgen software programs
  • 10-key by touch
  • Analytical skills
  • Excellent written and oral communication
  • Medical Billing
  • Coding
  • Team collaboration
  • Typing 70 WPM
  • Quality-oriented team player
  • Training and development
Experience
Company Name | City, StatePatient Account Representative II03/2015 - Current
  • Submit electronic bills following facility and legal compliance standards.
  • Process refunds, disbursements and payments.
  • Collaborate with all relevant parties to resolve billing issues, insurance claims and patient payments.
  • Review flagged items daily and resolve issues in accurate and efficient manner.
  • Generate detailed reports outlining billing, flagged items and other important data.
  • Access patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Run credit card batches and balance deposits on daily basis.
  • Answer patient questions and field complaints.
  • Check claims for errors, correct issues and mail out promptly.
  • Complete month end closing and reporting.
  • Vital member of the onboarding team for new clinics and employees.
  • Part of the team that does cache upgrades for Centricity Business software.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Identified new techniques to improve workflows and addressed with each member of the team.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
Company Name | City, StateAccount Representative02/2014 - 03/2015
  • Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
  • Created letters, invoices and other documents with diverse computer programs such as Microsoft Word.
  • Applied organizational policies and complied with regulations for patient privacy.
  • Resolved inquiries from patients, families and external payers.
  • Reached out to patients once insurance was billed in order to obtain payments due.
  • Checked daily doctor schedules and verified insurance.
Company Name | City, StateBilling Specialist01/2010 - 02/2014
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
  • Resolved variances in accounts and reconciled histories with bank statements.
  • Calculated figures such as discounts, percentage allocations and credits.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Reconciled codes against services rendered.
  • Collected, posted and managed patient account payments.
Company Name | City, StateBilling Specialist05/2008 - 10/2009
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
  • Collected, posted and managed patient account payments.
  • Submitted claims to insurance companies.
  • Prepared monthly and year-end closing statements, financial documents and invoices.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Education and Training
Ashford University | CityBachelor of Arts in Social and Criminal Justice01/2019
  • Summa cum laude graduate
  • Major in Social and Criminal Justice
  • Golden Key International Honour Society Member
  • 3.99 GPA
  • Dean's List Honoree 2017, 2018, 2019
IntelliTech Medical Institute | CityCertificate in Medical Billing And Coding in Medical Insurance Billing04/2004
  • Dean's List Honoree throughout the eleven month program.
  • 3.80 GPA
Additional Information
  • Successfully lowered the AR for my alpha split in three months.
  • Effectively moved the behavioral health billing from one computer system to another.
  • Consistently keep all tasks current.
  • Consistently exceeded monthly company goals.
  • Presented the company in community medical fairs to bring awareness to skin care.
  • Executed a successful build for a new practice management system to be used company wide.
  • Took over as the billing specialist and removed the company from a Medicare audit by correcting previous errors.
  • Directed and implemented the installation of improved work methods and procedures to achieve agency objectives.
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Resume Overview

School Attended

  • Ashford University
  • IntelliTech Medical Institute

Job Titles Held:

  • Patient Account Representative II
  • Account Representative
  • Billing Specialist

Degrees

  • Bachelor of Arts in Social and Criminal Justice
    Certificate in Medical Billing And Coding in Medical Insurance Billing

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