Patient Financial Counselor II Resume Example U Of M Fairview Medical Center

PATIENT FINANCIAL COUNSELOR II

Professional Summary

Health care support with 14 years of experience in Administrative, Supervising, Managing, Training, Clerical, and Customer Service. Areas of expertise include management development, business process improvement, coaching and mentoring, communication, analytical, research, computer, interpersonal, and critical thinking.

Skill Highlights

Administrative support
Employee training and development

Attention to detail

Creative Problem Solving

Working with Federal rules and regulations

Account Management

Insurance processing

Active Learning
Epic Consultant/trainer
CMM (Medicare/Medicaid)proficiency
HIPAA compliance
Patient care advocacy
Core Accomplishments
Executive & General Management
Leadership of/contributions to strategic planning and long-term business development, and improvements in organizational performance, infrastructure, productivity, yield, and more.
Customer Service
Improving customer service and customer service satisfaction scores. Introduction of automated customer service technologies and tools. Handle customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency
Administration & Office Management
Design/implementation of streamlined work procedures and processes, introduction of automated tools, programs, and systems to enhance efficiency. Personnel training and development experience and the success of those employees.
Health Care
Positive impact on quality of care and quality of patient outcomes, expansion of health care services, programs, and outreach to meet patient needs.
Business Skill and Knowledge
A working knowledge of the business-end of healthcare administration and being able to apply the knowledge and managing the various areas of operation relative to organizational performance.

Professional Experience

Patient Financial Counselor II
January 2011 to September 2014U of M Fairview Medical Center - Minneapolis, MN

Initiate and coordinate pre-certification and prior authorization for patients with their insurance carrier to provide financial counseling to patients, and to work closely with the business office to ensure timely claim and account follow up to provide financial counseling to patients, and to work closely with the business office to ensure timely claim and account follow up Make and answer telephone calls from patients and insurance companies regarding the pre-certification process.
Process additional information requests and coordinate with the insurance biller on requests for letters of medical necessity from and to insurance companies Establish payment arrangements with the patient and document appropriately in the practice management system linking patients to available funding sources such as Medicaid and Medicare, or determining whether they are eligible for charity care or financial hardship treatment Completing financial clearance within patient access Various state/federal and local programs are carefully explained to patients for which they may qualify, and the ramifications of not following through with the financial assessments.

January 2011U of M Fairview Medical Center - Minneapolis, MN

Provided efficient customer service to clients.
Interviewing patients to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels Completing pre-registration/registration Insurance verification, benefits, certification Referral management Co-pay collections Medical necessity check Completing financial clearance within patient access Assisted in all areas of administrative work including data entry, receptionist duties, file organization, research and development.

Lead Patient Access Service Rep Financial Counselor II
November 2007

Epic Consultant/Trainer
October 2004 to October 2007Allina Hospital and Clinics - Twin Cities, MN

Build, test, and maintain the ADT/Prelude training environment Create and carry-out train the trainer components on the ADT/Prelude application Review and troubleshoot operations and policies in the ADT/Prelude environment Communicate with project teams and work with on/off site staff Train subject matter experts on ADT/Prelude training Develop training policy and procedures documents Master the application and its work flow Assess and advocate for training resource availability Lead the Go-Live and implementation of Epic ADT/Prelude for a mass amount of clinics hospitals and staff members.

Education and Training

BA : Business ManagementMinneapolis Community and Technical CollegeBusiness Management

Associates Degree : Business Management/ Accounting, 2013Business Management/ Accounting

Skills

Account Management, administrative, Administrative support, Go-Live, Attention to detail, benefits, business development, CMM, Consultant, counseling, Creative Problem Solving, clients, Customer Service, data entry, Employee training, financial, General Management, Insurance, Leadership, letters, managing, access, office, Office Management, organizational, Patient care, Personnel training, policies, processes, quality, receptionist, research, strategic planning, telephone, trainer, troubleshoot

Resume Overview

Companies Worked For:

U of M Fairview Medical Center
Allina Hospital and Clinics

School Attended

Minneapolis Community and Technical College

Job Titles Held:

Patient Financial Counselor II
Lead Patient Access Service Rep Financial Counselor II
Epic Consultant/Trainer

Degrees

BA : Business Management
Associates Degree : Business Management/ Accounting , 2013

Patient Financial Counselor II Resume Example

Resume Score: 90%

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