patient services rep billing ccma resume example with 10+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Dependable team member with 20 years of medical office and customer service experience. Talented at supporting office operations and physicians by coordinating and safely documenting patient information, assisting in patient appointment and billing medical claims appropriately. Friendly and helpful in patient interactions to improve satisfaction ratings and patient loyalty.
Skills
Extensive training in:
Microsoft Office, MS Word, Excel and Access Internet Explorer, Outlook Express, QuickBooks
CPR and BLS certified
Multi-line phone systems, switchboard and predictive dialer systems Medical Office software including-Mysis, Athena, Centricity, PPM, Powerchart, Availity, Zirmed, Emdeon, CMS, NextGen, Passport and CSnap Collection software programs: Accurint, Zabasearch, Merlin, Lexis Nexis, Experian, Transunion eScan, Equifax Ohio Medicaid billing system-MITS, Indiana Medicaid billing system-Interchange, Florida Medicaid billing system
HIPAA and FDCPA compliance officer
Pacer Case locator for bankruptcy filed accounts
Education and Training
Mifflin High SchoolColumbus, OHExpected in 06/1991 ā āHigh School Diploma: - GPA:
Medical Management InstituteAlpharetta, GA, Expected in 06/2010 ā āMedical Office Management:Medical Office Management And Billing - GPA:
National Healthcare AssociationIndianapolis, iN, Expected in 07/2019 ā āCertified Clinical Medical Assistant:Certified Clinical Medical Assisting Program - GPA:
Experience
St Vincent Ascension Medical Group - Patient Services Rep/Billing/CCMA City, STATE, 03/2015 - Current
Assist with patient check-in and checkout ensuring accurate demographic and insurance information was collected
Answer phones and scheduled appointments, also assist in triage of non-emergent calls, enter messages and forward to appropriate departments
Collect co-payment, deductibles, co-insurances and all other past due balances
Submit claims to insurance companies.
Analyze patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
Review received payments for accuracy and applied to intended patient accounts.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Lead patients to exam rooms, answer general questions and prepare patients for physician by explaining process.
Prepare treatment rooms for patients, including cleaning surfaces and restocking supplies.
Used medical management software to process patient payments and update accounts.
Educate patients about medications, procedures and physician's instructions.
Record vital signs and medical history for patients.
Assist physicians by preparing patients for procedures, including EKGs, phlebotomy, glucose testing and pulmonary function tests.
Communicate with medical transcriptionists regarding patient medical records.
Maintain knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
Anesthesiology Management Services - Billing and Collections Call Center Representative City, STATE, 09/2011 - 02/2015
Answered multi-line call system with consistent 15 second answer speed, resulting in 98% of calls being answered per hour.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Partnered with cash application team and credit manager on timely and accurate posting of remittances.
Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
Minimized loss by negotiating payment terms directly with clients, consistently achieving 97% recovery rate.
Routinely contacted account holders with balances over 90 days past due to resolve delinquencies.
Accepted and processed customer payments and applied toward account balances.
Provided excellent service and attention to customers via web portal or through phone conversations.
Improved customer satisfaction by finding creative solutions to problems.
Documented customer inquiries and feedback, including service delivery suggestions in company database.
Family Medicine Northwest - Medical Administrative Assistant/Medical Billing Associate City, STATE, 07/2010 - 08/2011
Assisted with patient check-in and checkout ensuring accurate demographic and insurance information was collected
Collected patient co-payments and past due balances
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
Conducted patient intake interviews to collect medical information and insurance details.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Reached out to patients to obtain payments and clear outstanding balances.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
Triaged incoming patients by assessing conditions and modified schedules to handle more severe concerns quickly.
Addressed, documented, and responded to incoming correspondences to address patient queries.
Completed registration quickly and cordially for all new patients.
Scheduled patient appointments, accounting for physician availability and optimal patient loads.
Determined prior authorizations for medication and outpatient procedures.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
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Resume Overview
School Attended
Mifflin High School
Medical Management Institute
National Healthcare Association
Job Titles Held:
Patient Services Rep/Billing/CCMA
Billing and Collections Call Center Representative
Medical Administrative Assistant/Medical Billing Associate