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
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Experience
Dean Health | Salem , ILPatient 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.
Key Family Of Companies | Memphis , TNAccount 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.
W.R. Berkley Corporation | Albany , NYBilling 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.
W.R. Berkley Corporation | Alpharetta , GABilling 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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