Patient Finance Specialist Resume Example Jackson Memorial Hospital/Ryder Trauma Center

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
Jackson Memorial Hospital/Ryder Trauma Center – Miami, Florida

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
Baptist Health Systems

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
Leonor Anthony, ARTIST – Miami, Florida

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 - San Juan, PR

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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Patient Finance Specialist Resume Example

Resume Score: 70%