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patient services coordinator resume example with 7+ 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

Organized Medical Biller boasts 25-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment. Results-oriented Medical Biller with excellent organization, communication and relationship-building skills. Thoroughly versed in medical coding and HIPAA requirements, organized demeanor excels at quickly resolving insurance-related disputes. Successful at resolving disputes and billing inquiries. Brings organized, professional presentation skills, adherence to strict data confidentiality and HIPAA requirements. Detail-oriented approach, cultivated towards performing intricate billing procedures with undeniable level of detail.

Skills
  • Claim review
  • Reimbursements
  • Proficient in Epic, Outlook, EMR, Word, Excel
  • Insurance collections
  • Submission of medical claims
  • Account follow-up
  • Billing codes
  • ICD-10 coding
  • Data entry
  • Medical claims expertise
  • Problem-solving abilities
  • Customer relations
  • Microsoft Office expertise
  • Recording batch totals
  • Adjustment reviews
  • Payment posting
  • Overpayment identification
  • Batch balances and reports
  • GL entries
  • Payment questions
  • A/P and A/R proficiency
  • Quality control
Experience
Professional Billing Specialist, 01/2007 to Current
Behavior Health NetworkSpringfield, MA,
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Reviewed and submitted workers' compensation claims.
  • Added current information to accounts, including demographic, personal and payment details.
  • Applied billing adjustments to resolve discrepancies in account receivable journals.
  • Reviewed and interpreted insurance explanation of benefits statements and applied to patient accounts.
  • Communicated with credit, collections, customer service and operations department members to assist with and remedy billing issues.
  • Researched reimbursement and appeals to quickly and effectively resolve claims.
  • Researched claim denials, identified causes and resolved issues to promote prompt insurance payment.
  • Identified and posted accounts receivable payments to appropriate accounts.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Identified and corrected payment problems involving patients or third-party payers.
  • Corrected, completed and processed claims for payer codes.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Posted charges, payments and adjustments.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed appeals and filed and submitted claims.
  • Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Submitted refund requests for claims paid in error.
  • Collaborated closely with other departments to resolve claims issues.
  • Answered phone calls and emails, responding quickly to questions and inquiries within company-established timeframes.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Confirmed patient demographics, collected copays and verified insurance.
  • Posted charges, payments and write-ups for cardiovascular procedures.
Revenue Cycle Supervisor, 08/1996 to 01/2007
Med3000 Health SolutionsCity, STATE,
  • Processed monthly payments, researched payment discrepancies and prepared monthly reports.
  • Reconciled accounts receivable and prepared income summary reports and cash reports.
  • Processed posting and reconciling payments and addressing aged receivables.
  • Generated monthly statements for accounts receivable operations.
  • Submitted claims to insurance companies.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Collected, posted and managed patient account payments.
Education and Training
High School Diploma: , Expected in 06/1996 to Briggs Center For Vocational Arts - Norwalk, CT,
GPA:

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Resume Overview

School Attended

  • Briggs Center For Vocational Arts

Job Titles Held:

  • Professional Billing Specialist
  • Revenue Cycle Supervisor

Degrees

  • High School Diploma

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