To obtain a position that will allow me to utilize my skills, and attain personal and professional growth
Proficient in Microsoft Outlook, Word, Excel, Powerpoint
Excellent customer service skills
Effective troubleshooting and problem solving skills
Fluently bilingual in Spanish
Knowledgeable of all federal state laws and mandates, and HIPAA
Knowledgeable in healthcare/medical terminology
Company Name | City, StatePatient Accounting SupervisoryNaN NaN - NaN NaN
Supervised 6 patient accounts specialists completing efficient daily collections and assist patient concerns regarding their accounts, apply patient and insurance payment to accounts, call insurance companies inquiring of any pending claims for payments.
Monitored weekly calls to track support issues and improve operating procedures. Assessed team members performance, delivering one-on-one coaching to promote better service. Hired, trained and mentored new team members to promote productivity, accuracy and friendly customer service.
Assisted patients with escalated issues, investigated sensitive complaints and delivered prompt resolution to customer satisfaction.
Supervised 2 mail room clerks receive all district mail from Federal post office, sort and distribution throughout district, to collect all mail from district to distribute to other areas within the district and to deliver to federal post office.
Locate and monitored accounts creating reports and automated systems to ensure correct balances were being billed to patients. Monitored credit balances, reviewed and approved patient refunds. Reviewed and reconciled discrepancies in accounts and financial documentation. Contributed Financial information to strategic plans and reviews and implanted production, productivity, quality, for year end exceptions. Supported annual audits by providing information and answers to auditors.
Work legal accounts by reviewing itemize statements before forwarding hem to Attorney. Reviewed and Forwarded any Attorney bill reduction requests to Management for review and forwarding them back to Attorney.
Posted adjustment/reversal of adjustments any payment transfers for my staff.
Direct oversight to vendors such as RSI (call center), Simplee (Patient payment partial and statement vendor), Rash Curtis (bad debt), Financial Credit Network (bad debt) and Health Advocates (charity assistances programs).
Supervised the Charity Program (Financial Assistances) to ensure the program was up to date with State, Federal and district guidelines. I supervised the processing of applications, correct adjustment of accounts and correct refunds to patients.
Company Name | City, StateCustomer Service RepresentativeNaN NaN - NaN NaN
Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Set up and activated customer accounts to maintain QA satisfaction levels.
Escalated customer concerns, store issues and inventory requirements to supervisors.
Upheld privacy and security requirements established by HIPPA regulatory agencies.
Fielded customer complaints and queries, fast-tracking them for problem resolution.
Reviewed and Processed Financial Assistance applications.
Assisted Supervisor with reports to ensure correct payments and adjustments were applied correctly and the correct balance were being billed to the patient.
I verified insurance eligibility and updated patient accounts to be to insurance.
Company Name | City, StatePatient Accounting Biller,NaN NaN - NaN NaN
Worked with accounts department to prepare final invoices for settlements with insurance company.
Created detailed financial models and applied analytical tools to facilitate variance analysis.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Checked claims coding for accuracy with ICD-10 standards.
Added modifiers, coded narrative diagnosis and verified diagnoses.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Reviewed all claims for accurateness and appropriateness.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
Reviewed medical records to meet insurance company requirements.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Submitted claims to insurance companies.
Reviewed received payments for accuracy and applied to intended patient accounts.
Performed insurance verification, pre-certification and pre-authorization.
Completed and submitted appeals.
Education and Training
Golden West High School | City, StateHigh School Diploma05/1999
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Golden West High School
Job Titles Held:
Patient Accounting Supervisory
Customer Service Representative
Patient Accounting Biller,
High School Diploma
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