patient account specialist resume example with 11+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - - : - -

I am result-focused and proactive with strengths in communication and collaboration. I am motivated to apply my education and years of experience to enhance customer service operations. I am eager to learn new skills and advance my knowledge with hands-on experience. I am proficient in the use of multiple applications during one call or session.

  • Efficient in Customer Service
  • Physicians' orders
  • Applications
  • Insurance collaboration
  • Excellent judgment
12/2017 to Current
Patient Account Specialist Bioventus Lowell, MA,
  • Resolved a high volume of inbound calls from patients, families and external payers concerning billing issues, insurance claims and patient payments.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Created letters, invoices and other documents and navigated between multiple screens and systems to provide answers and support.
  • Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
  • Minimized loss by negotiating payment terms directly with clients
  • Interfaced with customers to bring accounts current with suitable repayment plans.
  • Oversaw disputes resolution and reconciliation for multiple client accounts.
  • Generated detailed reports outlining billing, flagged items and other important data daily and resolved issues in accurate and efficient manner.
02/2017 to 08/2017
Health Service Representative Cvs Health Fort Mill, SC,
  • Provided exceptional answering service for Government housing, Texas Parkland hospital systems, doctors and lawyers for the state of Texas, Louisiana, Denver and Virginia
  • Intake disabled persons, child abuse, elder abuse, welfare fraud and death reports for the state of Minnesota, Wisconsin, California, Texas
  • Serviced clients for Veteran Affairs for the state of Indianapolis
  • Provided exceptional services to mental health clients for the state of South Carolina and North Carolina
  • Scheduled/cancelled appointments for military employees across the United of States
  • Intake reports of complaints and/or concerns from residents of the state of Texas for Texas Commission on Environmental Quality (TCEQ)
  • Intake reports for (NOAA) National Oceanic and Atmospheric Administration for the West coast division, Hawaii division, Pacific coast and Atlantic coast
08/2012 to 12/2016
Medical Billing Specialist University Medical Center- LSUE City, STATE,
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Determined prior authorizations for medication and outpatient procedures.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Submitted refund requests for claims paid in error.
  • Completed appeals and filed and submitted claims.
10/2009 to 08/2012
Radiology File Clerk University Medical Center-LSUE City, STATE,
  • Collected patient history data from electronic records and patient interviews to assess previous and current concerns.
  • Handled a high volume of inbound calls from patients, providers and lawyers
  • Organized supplies and restocked work areas for maximum efficiency.
  • Helped patients feel comfortable before, during and after procedures by employing calming techniques, answering questions and offering physical support.
  • Evaluated results obtained by procedures and produced reports outlining findings.
  • Conducted image-guided procedures to provide information to physicians through test result imaging and documentation.
  • Interpreted medical imaging from MRIs, X-rays, CT scans and ultrasounds to diagnose health conditions in coordination with ordering physicians.
  • Maintained patient confidentiality and privacy at all times according to policies and regulations to help patients feel secure and comfortable with all interactions.
  • Collaborated with radiology professionals and professionals in various medical fields to communicate on patient care.
  • Documented interpretations from radiological exams based on images provided by radiological technologists.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
Education and Training
Expected in 12/2010 to to
Bachelor of Science: Behavioral Sciences
University of Louisiana At Lafayette - Lafayette, LA,
Expected in 05/2004 to to
High School Diploma:
Carencro High - Lafayette, LA,

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Resume Overview

School Attended

  • University of Louisiana At Lafayette
  • Carencro High

Job Titles Held:

  • Patient Account Specialist
  • Health Service Representative
  • Medical Billing Specialist
  • Radiology File Clerk


  • Bachelor of Science
  • High School Diploma

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