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patient financial services representative resume example with 8+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

I am a friendly, respectful, loyal and clearly dedicated individual who has an ambition to succeed in any given environment. Although I have extensive experience in the customer-service industry, I love to learn, and am always up to a challenge whatever the situation. I get along well with others, while also working efficiently on my own. I am seeking a position where I can develop and excel while giving my best to an employer.

Skills
  • Medical Terminology (3 years)
  • Lawson (3 years)
  • Epic (3 years)
  • Windows (10+ years)
  • Phlebotomy (Less than 1 year)
  • Multi-Line Phone System (4 years)
  • Scheduling
  • Sales
  • Billing
  • Medical Office Experience
  • EMR Systems
  • Medical Records
  • Insurance Verification
  • Computer Skills
  • Medical Scheduling
  • Patient Care
  • Vital Signs
  • Anatomy Knowledge
  • Clerical Experience
  • HIPAA
  • Medical Billing
  • Certifications and Licenses
  • Recruiting Clients
  • Negotiations Expert
  • Experienced Buyers' Agent
  • Lead Follow up
Experience
12/2018 to 01/2022
Patient Financial Services Representative Drug Information Association Inc Stony Brook, NY,
  • Obtains information to verify patient's insurance coverage and financial status in order to obtain proper reimbursement
  • In cases of acute presentation, obtain identity of patient, insurance information and/or follow-up with patient for information when patient is coherent
  • Obtains and documents information from referring physician's office
  • Contacts insurance carriers to obtain authorizations and referral approvals for services and procedures
  • Verifies benefit information and makes patient referrals for financial counseling as required
  • Communicates financial liability to patient, provides financial counseling by educating patients regarding HUHS/UP billing processes and assists patients in understanding their insurance benefits, utilizing appropriate systems
  • Verifies benefit information and makes patient referrals for financial counseling as required
  • Communicates financial liability to patient, provides financial counseling by educating patients regarding HUHS/UP billing processes and assists patients in understanding their insurance benefits, utilizing appropriate systems
  • Reviews insurance plans for referral and authorization requirements, documenting in the patient care record
  • Works with payors to obtain these as indicated by the patient treatment plan
  • Identifies patients who are eligible for financial assistance, collects and documents patient payments at the front-end and balances cash collection activities daily
  • To provide a range of front-end customer service, financial and support activities to ensure an optimal customer service experience
  • To analyze relative insurance information and determine actions necessary to obtain appropriate payment authorization for services provided
  • To contact third party carriers via telephone or system notification, patients, and/or employers to provide appropriate medical and financial information as necessary to obtain treatment authorization and verification of benefits
  • To ensure that all information required by regulatory agencies and billing entities is properly recorded on all documents and is processed in accordance with HUHS/UP protocols
  • Follow-up, receiving and reviewing correspondence, reviewing third-party and patient billing, register and schedule patients.
  • Located new addresses of delinquent customers through research, contacting credit bureaus or by questioning neighbors.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Accepted and processed customer payments and applied toward account balances.
  • Arranged debt repayment or established schedules for repayment based on customer's financial situation.
  • Contacted insurance companies to check status of claim payments.
04/2017 to 11/2018
Unit Secretary Lhc Group Tiptonville, TN,
  • Doctor Consultations
  • Set Follow-Appointments
  • Retrieve Inpatient/Outpatient Medical Records
  • Answer Switchboard/Multi-Phone Line
  • File Charts
  • Scan Outside Records
  • Processing Patient Data And Records
  • PRN JOB
  • Completed relevant insurance and other claim forms.
  • Routed laboratory or diagnostic results to appropriate staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Transcribed recorded practitioners' diagnoses and recommendations into medical records.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Arranged hospital admissions for patients as required.
07/2014 to 04/2017
Customer Service Representative Tn Resources Naperville, IL,
  • Provide each customer with friendly, quick, and accurate customer service
  • Educate each customer on the benefits of the program
  • Resolve customer's confusion
  • Meet Sales Goals
  • Consulted with customers to resolve service and billing issues.
  • Made outbound calls to obtain account information.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Used proven techniques to de-escalate angry customers during telephone interactions.
  • Set up and activated customer accounts.
11/2013 to 04/2016
Radiology Technician Assistant St. Dominic's Hospital City, STATE,
  • Patient Complete A Thorough Screening Sheet
  • Determine Compatibility
  • Transport Patient Into The MRI Area
  • Patient Identification Verification
  • Answer Phones
  • Verify Insurance
  • File Documents
  • PRN position
  • Post Copayment/Payment to billing ledger
  • Reset examination rooms between appointments by cleaning surfaces and restocking supplies.
  • Fostered relationships with patients to minimize anxiety and distress and enhance cooperation.
  • Positioned patients properly for scans and procedures, calmly giving instructions on when to stay still to optimize scans.
  • Adhered to strict HIPAA guidelines to maintain patient and medical record confidentiality.
  • Completed general administrative tasks to support radiology department.
  • Provided assistance to physicians and other technologists during complex procedures.
  • Verified type of radiology procedure prior to exams using HIPAA guidelines for two identifiers.
Education and Training
Expected in 08/2021 to to
Real Estate License:
Mississippi REALTORS Intitute - Jackson, MS,
GPA:
Expected in 05/2008 to to
High School Diploma:
Wingfield High School - Jackson, MS
GPA:
Expected in to to
: General Studies
Holmes Community College - Goodman, MS
GPA:
Certifications

CPR/First Aid/AED September 2015 to September 2023

Real Estate License - 2021

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Resume Overview

School Attended

  • Mississippi REALTORS Intitute
  • Wingfield High School
  • Holmes Community College

Job Titles Held:

  • Patient Financial Services Representative
  • Unit Secretary
  • Customer Service Representative
  • Radiology Technician Assistant

Degrees

  • Real Estate License
  • High School Diploma
  • Some College (No Degree)

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