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Patient Financial Specialist Resume Example

Resume Score: 80%

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JJ
PATIENT FINANCIAL SPECIALIST
Summary

Hardworking healthcare professional knowledgeable about insurance standards, patient finances and available resources. Adept at developing solutions that meet diverse needs.Highly efficient in preparing, compiling and processing paperwork and preparing weekly and monthly reports within tight deadlines. Strong interpersonal, decision-making, communication, analytical, and mathematical skills with great attention to detail. Bilingual individual with demonstrated leadership and strong staff oversight and development skills.Offering 4 years of healthcare experience and the desire to make a positive impact on patient satisfaction and hospital success.

Skills
  • Health insurance coordination
  • Budgeting
  • Process improvement
  • Analytical reasoning
  • Proofreading skills
  • Pre-Employment Screening
  • Benefits and Compensation
  • Patient registrations
  • Financial Management
  • Problem resolution
  • Fluent in Spanish
  • Recruitment
  • MS Office
  • Financial research
  • Account resolution
  • Financial records and reporting
  • Complaint resolution
  • Generally accepted accounting principles
  • Critical thinking
  • Invoicing and billing
Experience
Company Name | City, StatePatient Financial Specialist07/2019 - Current
  • Updated accounts with latest patient, payment and insurance information.
  • Followed up with patients and families to obtain additional information.
  • Discussed financial and insurance options with patients.
  • Screened patients with financial needs to determine assistance choices.
  • Reviewed account data and activity to devise financial estimation reports and adjustments.
  • Used IPAS to perform accurate financial analysis and audits to mitigate financial risks.
  • Managed and responded to all correspondence and inquiries from customers and vendors.
  • Monitored, verified and approved invoices and reviewed balances using financial software to assess balance sheet for variances.
  • Tracked financial progress by creating quarterly and yearly balance sheets.
  • Assessed data and information to verify entry, calculation and billing code accuracy.
  • Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
  • Stayed on top of applicable federal and state requirements to minimize legal and financial risks.
  • Proactively identified all accounting errors by developing cross-referencing databases.
  • Entered figures using 10-key calculator to compute data quickly.
  • Strengthened financial management processes to bring errors to near-zero in reporting, payroll administration and general bookkeeping.
  • Generated invoices upon receipt of billing information and tracked collection progress.
  • Verified financial documents for the company to accurately analyze financial data.
  • Assessed needs generating options and implemented solutions in line with clients' requirements.
  • Achieved accounts receivable targets and contributed to company's profitability in securing revenues by verifying and posting accurate receipts.
  • Reported audit results to management and compiled information for occupancy reports, guest lists, and cash drawer summaries.
  • Used tools such as Excel, Workbooks, and Access to submit reports to corporate office as appropriate.
  • Worked in close collaboration with cross-functional teams to initiate cash collection efforts and accounts reconciliation.
  • Processed daily invoices and payments to keep accounting records current.
  • Processed patient payments and scanned identification and insurance cards.
Company Name | City, StatePatient Access Representative06/2018 - 06/2019
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Received patient deductibles, co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Resolved patient financial problems with guidance from documented guidelines and procedures.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
  • Assisted patients in filling out check-in and payment paperwork.
  • Generated monthly statements to check outstanding balances.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Took copayments and compiled daily financial records.
  • Handled important paperwork such as advanced directives, powers of attorney, and advanced beneficiary notices.
  • Educated patients on their medical rights and care options during and after care at the facility.
  • Attended on-going training and professional development courses to become aware of new developments in healthcare.
  • Helped patients obtain the necessary services to meet their healthcare needs.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
Company Name | City, StateUncertified Pharmacy Technician04/2016 - 06/2018
  • Promoted health and well-being of patients by administering flu immunizations.
  • Calculated dosage, filled prescriptions and prepared prescription labels.
  • Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
  • Stocked, labeled and inventoried medication to keep accurate records.
  • Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
  • Implemented vaccine awareness campaign that increased immunization-based revenue and enhanced community health education.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Set up and modified patient profiles to include current information such as medications and insurance details.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Reviewed activities regularly to identify opportunities for improvement.
Education and Training
North Miami Senior High School | City, State05/2013
Miami Dade College | City, StateAssociate of Arts in Biology05/2019
Florida International University | City, StateBachelor of Science in Biology
Miami Dade College | City, StateCertificate in Human Ressources Specialist05/2020
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

School Attended

  • North Miami Senior High School
  • Miami Dade College
  • Florida International University

Job Titles Held:

  • Patient Financial Specialist
  • Patient Access Representative
  • Uncertified Pharmacy Technician

Degrees


  • Associate of Arts in Biology
    Bachelor of Science in Biology
    Certificate in Human Ressources Specialist

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