Patient Financial Counselor Resume Example
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PATIENT FINANCIAL COUNSELOR
Professional Summary
Knowledgeable Patient Financial Counselor with expertise in completing registrations, screening patient financial backgrounds and developing repayment plans that work with individual requirements. Offering 25 years of healthcare experience and the desire to make a positive impact on patient satisfaction and hospital success.
Accomplishments
- Documented and resolved commercial insurance issue which led to in-network payments and higher reimbursement from BCBS.
- Collaborated with team in the development of EPIC training and go live for clinics and hospital.
- Collaborated with team in the development of Rural Health status for clinics.
Skills
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Work History
06/2013 to CurrentPatient Financial CounselorGastrointestinal Associates, Sc | Rib Mountain , WI
- Updated accounts with latest patient, payment and insurance information.
- Discussed financial and insurance options with patients.
- Negotiated settlements and payment plans.
- Screened patients with financial needs to determine assistance choices.
- Followed up with patients and families to obtain additional information.
- Coordinated program referrals for community-based resources.
- Documented case notes daily and coordinated follow-up for seamless case management.
- Provided ongoing counseling to help patients deal with conditions, finances and processes.
- Increased customer satisfaction by resolving insurance contracting issues.
- Delivered exceptional level of service to each customer by listening to concerns and answering questions.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Proficient in EPIC by helping coordinate front desk in scheduling appointments and working work queues.
- Took copayments and compiled daily financial records.
- Reviewed and corrected claim errors to facilitate smooth processing.
- Generated monthly statements to check outstanding balances.
- Explained plans for treatment and payment options.
- Balanced deposits and credit card payments each day.
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
- Developed team communications and information for meetings.
- Identified issues, analyzed information and provided solutions to problems.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Trained department employees in proper billing and accounting procedures.
- Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
- Documented and resolved commercial insurance issue which led to in-network payments and higher reimbursement.
- Collaborated with team in the development of Rural Health status for clinics.
- Collaborated with team in the development of EPIC training and go live for clinics and hospital.
06/2012 to 03/2014CNADacco | Lakeland , FL
- Assisted patients with mobility needs, including moving to and from beds, organizing wheelchairs and preparing assistive devices.
- Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals.
- Complied with all company-specific guidelines and performed hands-on nursing care to patients under RN supervision.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Helped patients effectively manage routine bathing, grooming and other hygiene needs.
- Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
12/2010 to 01/2012Reimbursement SpecialistEnvision Healthcare | Plantation , FL
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Coordinated with insurance providers to verify customer's policy benefits in relation to DME claims.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Monitored and documented accounts receivable trends, including account-specific profitability.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Trained department employees in proper billing and accounting procedures.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Performed targeted collections on past due accounts aged over 90 days.
- Worked effectively with medical payers such as commercial insurances to obtain timely and accurate payments
- Increased reimbursement for commercial insurance payer united healthcare by 40% in three months earning a Team Lead position.
Education
Expected in 12/2023Bachelor of Science | PsychologyNotre Dame College, City, State
Expected in 12/2022Bachelor of Arts | Healthcare AdministrationNotre Dame College, City, State
05/2005Associate of Arts | General StudiesHeartland Community College, City, State
- Dean's List
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Resume Overview
School Attended
- Notre Dame College
- Heartland Community College
Job Titles Held:
- Patient Financial Counselor
- CNA
- Reimbursement Specialist
Degrees
- Expected in 12/2023 Bachelor of Science | Psychology
Expected in 12/2022 Bachelor of Arts | Healthcare Administration
05/2005 Associate of Arts | General Studies
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