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patient financial services representative resume example with 2+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records, claims, processing and medical billing.

Skills
  • Claims Processing
  • Medical Transcription
  • Multitasking and Organization
  • Billing and Collection Procedures
  • Verbal and Written Communication
  • HIPAA Compliance Certification
  • Medical Terminology
  • Information Confidentiality
  • Insurance Company Knowledgeable
  • Microsoft Office
  • Database Search and Data Entry Skills
  • Commercial and Private Insurance
  • Customer Service
  • Billing and Invoicing
  • Itemized Statement Preparation
  • Billing Data Verification
  • Statement Distribution
Experience
04/2023 to Current Patient Financial Services Representative Drug Information Association Inc | Colton, CA,
  • Recorded information about status of collection efforts.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Answered customer questions regarding account discrepancies or problems.
  • Accepted and processed customer payments and applied toward account balances.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Received payments and posted amounts to customer accounts.
  • Performed administrative functions for assigned accounts, recorded address changes and purged records.
12/2021 to Current Medical Billing Assistant Independent Living Services | Conway, AR,
  • Contacted insurance providers to verify insurance information and obtain billing authorization
  • Leveraged EMR software to post payments received for medical services
  • Applied HIPAA privacy and security regulations while handling patient information
  • Answered customer questions to maintain high satisfaction levels
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology
  • Submitted claims to insurance companies
  • Organized information for past-due accounts and transferred to collection agency
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices
  • Managed all payments processing, invoicing and collections tasks
  • Checked claims coding for accuracy with ICD-10 standards
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts
  • Performed insurance verification, pre-certification and pre-authorization
  • Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations
  • Coordinated communications between patients, billing personnel and insurance carriers
  • Assessed billing statements for correct diagnostic codes and identified problems with coding
  • Processed invoice payments and recorded information in account database
  • Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
08/2018 to 04/2019 Patient Access Representative Rwj Barnabas | Cedar Knolls, NJ,
  • Verified demographics and insurance information to register patients in computer system
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans
  • Documented patient counters in hospital system and initiated follow-up actions
  • Optimized provider time and treatment room utilization with appropriate appointment scheduling
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care
  • Communicated financial obligations to patients and collected fees at time of service
  • Organized timely and accurate referrals to help patients obtain health care services and access available resources
  • Applied HIPAA privacy and security regulations while handling patient information
  • Explained various admission forms and policies, acquiring signatures for consent
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
  • Processed patient responsibility estimate determined by insurance at pre-registration
  • Organized and maintained records by updating and obtaining both personal and financial information from patients
  • Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule
  • Verified patients' insurance and payment methods during admissions or check-in processes
  • Obtained necessary signatures for privacy laws and consent for treatment
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information
  • Obtained informed consent and payment documentation from patients and filed in system.
01/2018 to 07/2018 Patient Service Representative Silver Cross Hospital | New Lenox, Illinois,
  • Explained policies, procedures and services to patients
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care
  • Registered patients by verifying records to update computer system and patient charts
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services
  • Answered patient questions and fielded complaints to resolve issues
  • Supported hospital and clinic operations using customer service skills and detailed system knowledge
  • Coordinated with patients and healthcare professionals to meet patient needs
  • Obtained informed consent and payment documentation from patients and filed in system
  • Counselled patients on potential financial liabilities and payment requirements
  • Utilized technology and specialized software to maximize productivity
  • Instructed patients on policies and required actions for different types of appointments and procedures
  • Verified patients' insurance and payment methods during admissions or check-in processes
  • Scanned completed forms, identification and insurance cards, maintaining patient documents folder
  • Provided helpful assistance by anticipating and responding to needs of patients and family members
  • Received patient inquiries or complaints and directed to appropriate medical staff members
  • Ran credit card batches and balanced deposits on daily basis
  • Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
  • Obtained insurance verification and authorization to submit financial clearance of patient accounts.
Education and Training
Expected in 09/2020 to to Certification: Medical Assisting | TIdewater Medial, Hampton, VA GPA:
Expected in 03/2017 to to Certification : Medical Administrative Assistant | New Horizons Regional Institute, Hampton, VA GPA:
Expected in 05/2012 to to High School Diploma | Auburn High School, Rockford, IL GPA:
Expected in to to Certification | Medical Billing And Coding Lansing Community College, Lansing, MI GPA:
Certifications
  • Medical Billing and Coding - 2023

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Resume Overview

School Attended

  • TIdewater Medial
  • New Horizons Regional Institute
  • Auburn High School
  • Lansing Community College

Job Titles Held:

  • Patient Financial Services Representative
  • Medical Billing Assistant
  • Patient Access Representative
  • Patient Service Representative

Degrees

  • Certification: Medical Assisting
  • Certification : Medical Administrative Assistant
  • High School Diploma
  • Certification

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