patient care coordinator resume example with 9+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Meticulous Accounts Receivable RCM Specialist offering 12 plus years of comprehensive experience in administrative duties, finance, and healthcare. Actively working 100% remote and am highly-motivated with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Core competencies include methodical organization and attention to detail. Take-charge professional delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities and deadline oriented. Broad experience includes office management, accounting, accounts receivable, invoicing, dispatching, database management, contract management and administrative duties. Recognized for time-management skills and attention to detail. Forward-thinking and motivated with distinguished talent in multitasking and verbal and written communication.
Skills
Office Administration
Organized and Detail-Oriented
Attention to Detail
New Hire Training
Verbal and Written Communication
Revenue Analysis
Account Posting
Billing and Invoicing
Discrepancy Resolution
Accounts Payable
Error Revision
Explaining Policy and Procedures
Documenting and Recording Information
Microsoft Office/Excel
Planning and Prioritization
Department Leadership
HIPAA Compliance
Documentation and Reporting
Corrective Action Planning
Teamwork and Collaboration
Education and Training
Boston Reed Medical Bakersfield, CA, Expected in 06/2002 ā āCertification:Phlebotomy - GPA:
Sherman E Burroughs High SchoolRidgecrest, Expected in 05/2002 ā āHigh School Diploma: - GPA:
Cerro Coso CollegeRidgecrest, Expected in ā ā:Administrative Assistance And Secretarial Science - GPA:
Cuesta CollegeSan Luis Obispo, CA, Expected in ā ā:Mathematics - GPA:
Experience
Blue Ridge Healthcare System, Inc.. - RCM AR Specialist Valdese, NC, 02/2023 - Current
Analyze and report on billing cycle data to inform management.
Participate in revenue cycle processes, working to maximize profitability and increase revenue.
Investigate billing discrepancies and implement effective solutions to resolve concerns and prevent future problems.
Maintain accounting records by performing routine calculating, posting and verifying duties.
Maintain confidentiality on all financial data.
Send meticulous and accurate bills to collect payment from customers according to company protocol.
Investigate and resolve issues to maintain billing accuracy.
Work with team members and leadership to identify and develop process improvements.
Legacy Health System - Insurance Specialist III Corvallis, OR, 07/2022 - 02/2023
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
Collaborated with carriers to resolve discrepancies in insurance payments.
Documented and tracked customer account details using Prism and Cerner.
Resolved routine and complex issues by performing detailed research.
Posted charges, payments and adjustments.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Reviewed and verified benefits and eligibility with speed and precision.
Applied payments, adjustments and denials into medical manager system.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Completed appeals and filed and submitted claims.
Facilitated orientation and training for new hires to communicate policies and procedures.
Performed full research to check claims and possible solutions to individual issues.
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Ridgecrest Regional Hospital - Patient Care Coordinator City, STATE, 01/2017 - 10/2019
Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.
Communicated with patients to ensure quality of care and develop care plans.
Scheduled evaluations and procedures for patients.
Educated patients and caregivers in the use of at-home healthcare equipment.
Maintained knowledge of community services and resources and referred patients to appropriate organizations.
Helped patients obtain health care services by setting up referrals.
Drummond Medical Group - Office Liaison City, STATE, 10/2005 - 03/2009
Assisted with referrals and prepared medical records for patients.
Collected information, verified insurance and collected co-payments for patients as part of check-in process.
Submitted diagnosis and procedure codes for insurance companies.
Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
Coordinated office schedules for new patients, diagnostic assessments and procedures.
Helped patients complete paperwork and explained processes and procedures.
Handled and processed variety of claims, including Short-Term and Long-Term Disability and Veteran/Military Claims.
Coordinated resolutions for issues and appealed denied authorizations.
Created and implemented administrative processes and procedures to prioritize job tasks and establish personnel responsibilities.
Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Performed insurance verification, pre-certification and pre-authorization.
Checked claims coding for accuracy with ICD-9 standards.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Company Name - Unit Secretary City, State, 08/2004 - 11/2005
Recorded patient data in permanent records while maintaining HIPAA compliance and internal standards to protect individual medical information.
Organized ordered medical tests, sample collection and patient transportation.
Answered telephone calls, responded to requests for information and routed callers to correct personnel or departments.
Coordinated internal and external patient transportation.
Prepared charts for outpatient and inpatient services.
Transcribed physicians' notes and entered data into electronic chart management software.
Assisted with hospital admissions and paperwork.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Company Name - Receptionist/Medical Assistant/Phlebotomist City, State, 05/2002 - 08/2004
Checked patients in and out for appointments and collected co-payments.
Gathered, transcribed and typed medical information into charts.
Called patients to confirm scheduled appointments and obtain additional details.
Answered multi-line phone system and directed callers to requested personnel and departments.
Trained new staff on office procedures, insurance processes and medical terminology.
Cultivated professional conduct operating under triage nursing care guidelines.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Obtained blood samples for medical testing and collected specimens for drug screens, paternity tests and alcohol tests.
Prepared and packaged specimens for courier transport.
Identified patients using proper procedures prior to specimen collection.
Processed client payments and collected appropriate billing information.
Verified collection orders and communicated discrepancies to nurses.
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.