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Patient Finance Specialist Resume Example

Resume Score: 70%

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PATIENT FINANCE SPECIALIST
Professional Summary
Highly motivated, results driven professional with broad experience in financial services as a Patient Access Specialist. Strong business partner possessing excellent leadership, teamwork, analytical, negotiation, communication and interpersonal skills. Thrives on building relationships with customers. Bring to the industry a strong belief in ethics and pristine integrity. Multicultural and diversified background. wordily traveled experience, passion for the arts and individuals applied in creating personal and social connections with customers.
Skills
  • Budgeting proficiency
  • Strong presentation skills
  • Project management authority
  • Effective staff coach
  • Strategic planning capability
  • Planning and development
  • Analytical thinker


§EMR (Electronic Medical Records)

§Medical Terminology

§International Patient Services

§Front Desk – Check In – Check Out

§ICD-9 Diagnostic/Procedures

§Medicare-Medicaid

§Scheduling - Registration

§Admissions

§Insurance pre-cert/auth.

§Surgical Coordination

§Word, Outlook, Excel & Power Point

§Customer Service

§Call Center


Accomplished leader
  • Savvy negotiator
  • Knowledge of Medicaid statutes and regulations
  • Quality improvement competency
  • Medicaid Management Information Systems
  • Independent judgment and decision making
  • Promotes positive behavior
    • http://www.linkedin.com/pub/amnery-lopez-soler/83/722/6a6/
    Work History
    Patient Finance Specialist, 01/2012 to 05/2013
    Company Name – City, State
    • Efficient and complete collection of demographic and financial information.
    • Effective billing and collection of revenue from all patients requiring outpatient and inpatient services.
    • Intake of medical history medical information for registration.
    • Oversaw 65 registrars to assure accuracy.
    • Independent judgment, courtesy and tact in communicating with internal customers.
    • Accounts receivable from all sources of reimbursement for services rendered to patients.
    • Minimized potential bad debt write-offs and collections in order to maintain a constant cash flow and ensure a low aging accounts receivable.
    • Knowledge of commercial health insurance policies, verification, authorizations.
    • Vast understanding of Medicare/Medicaid health and billing protocol/laws.
    • Insurance coding to ensure proper assignment to specific teams of physicians and assure reimbursement.
    • Worked with Utilization Management to assure medical necessity information for proper reimbursement was accurate.
    • Worked closely with paramedics, police offi.
    • Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
    • Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.
    • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
    • Interpreted and communicated new or revised policies to staff.
    • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
    • Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
    • Routinely collaborated with department managers to correct problems and improve services.
    • Assisted in resolving and satisfying client requests and internal operational issues.
    • Introduced, negotiated and implemented new projects to expand scope of engagement.
    • Investigated and reported issues relating to patient care or conditions that might hinder patient well-being.
    • Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
    • Identified process improvements in the day-to-day functioning of the department.
    • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
    Patient Finance Representative/Floater, 01/2009 to 01/2012
    Company Name
    • Assisted in different departments within different locations of the institution as a Floater Patient Finance Representative.
    • Employee Health, Breast Center, Non-Invasive Vascular Lab, International Patient Services, Diabetes Center, Sleep Diagnostic Center.
    • UHZ Sports Medicine.
    • Performed administrative duties.
    • Collected and reported data and topics such as patient's encounters and inter-institutional problems.
    • Explained policies, procedures and services to patients.
    • Registration, medical history/reason for visit, intake, appointment scheduling, check in and out of patients using ICD 9 Codes, surgical coordination.
    • Investigated each patient's ability to pay, and interviewed patients to identify problems associated with care.
    • Collected co-pay-deductible payments.
    • Served as a liaison between patient, clinical staff and physicians.
    • Obtained Pineapple Award for Excellence Customer Service.
    • Retail Business Operations, Management, Real Estate and Customer Service.
    • Routinely collaborated with department managers to correct problems and improve services.
    01/1998 to 01/2009
    • Hallmark Store, Three Sisters Women's Apparel, The Fashion Place.
    • Management Supervisory expertise, Marketing, Sales, Business Development, Strategic Planning.
    • Prudential Realty, Terra Luxury Real Estate Services.
    • Freelance work performed for Maria Celeste Arraras.
    • Telemundo/NBC Spanish Network News Anchor.
    • Including but not limited to the Spanish-English translation of a book about her news career, story research, briefing preparation, delivering final draft for editing.
    • Recruited, hired, trained and coached on average of number new employees per year.
    • Developed and achieved financial and growth goals.
    • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
    • Reviewed customer survey information to prioritize areas of improvement.
    • Established standards for selection, promotion and termination of staff.
    • Assigned employee areas, scheduled staff breaks and authorized overtime.
    • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
    Media Strategist/Publicist/ Business Planner/ Pr, 05/2013 to Current
    Company Name – City, State
    • Managed and directed fiscal operations, including planning budgets, authorizing expenditures, accounting, establishing service rates and coordinating financial reporting.
    • Media exposure and publishing of articles.
    • Project managing.
    • Business planning.
    • Sales
    • Exhibit and event planning.
    • Marketing and Public Relations.
    Education
    BBA: Business Administration, 1985
    University of the Sacred Heart - City, State
    Accomplishments
    AWARDED PINEAPPLE AWARD BY BAPTIST HEALTH SYSTEMS IN 2011 FOR EXCELLENCE IN CUSTOMER SERVICE.
    Additional Information
    • Volunteer and Community Outreach: Youth Mentoring and Support at Cristo Viene Church. Volunteering and fundraising for charitable organizations as Alonzo Mourning Charities and Children's Home Society. Friends Forever , Humane Society of South Florida.
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    Resume Overview

    School Attended

    • University of the Sacred Heart

    Job Titles Held:

    • Patient Finance Specialist
    • Patient Finance Representative/Floater
    • Media Strategist/Publicist/ Business Planner/ Pr

    Degrees

    • BBA : Business Administration , 1985

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