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

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

Skills
  • Windows expertise
  • Excellent communication skills
  • Revenue retention
  • Collections expertise
  • Strong lead development skills
  • Account management
  • Issue resolution
  • Employee mentoring
  • Staff development/training
  • Payment collecting
  • Cross-functional collaboration
  • Goal-oriented
  • Documentation and reporting
  • Insurance billing
  • Database management
  • Billing procedures
  • MS Office
  • Customer service
  • Operational improvement
  • Communications
  • Team building
Education and Training
Thomas Jefferson High School San Antonio, TX, Expected in 06/1995 High School Diploma : - GPA :
Experience
Parallon Business Solutions - Pre Bill Denial Analyst
City, STATE, 09/2014 - Current
  • Collected forms, copied insurance cards and ensured authorization to coordinate patient information for billing and insurance processing.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Logged all requests for medical records into spreadsheets.
  • Maintained quality levels above prescribed minimums to support team productivity and efficiency.
  • Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
  • Identified system and account issues to quickly and accurately resolve.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Determined prior authorizations for medication and outpatient procedures.
Christus Santa Rosa - Patient Account Representative Team Lead
City, STATE, 05/2009 - 09/2014
  • Directed and led employees, supervising activities to drive productivity and efficiency.
  • Promoted product quality by closely inspecting items and working with team members to correct deficiencies.
  • Fostered positive employee relationships through effective communication, training and development coaching.
  • Delegated daily tasks to team members to optimize team productivity.
  • Accepted and processed customer payments and applied toward account balances.
  • Gathered information to file appeals for insurance denials and minimized inaccuracies by maintaining accurate records of approvals.
  • Reduced financial discrepancies by accurately resolving billing issues while processing applications and cancellations.
  • Streamlined operational efficiencies by researching problems and delivering speedy issues resolution.
  • 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.
  • Completed appeals and filed and submitted claims.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Meticulously tracked and resolved underpayments.
  • Submitted refund requests for claims paid in error.
Radiology Associates Of San Antonio - Office Medical Biller
City, STATE, 09/2004 - 09/2009
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Organized billing operations, calendars and claims.
  • Flagged return claims and dealt with insufficient payments.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Researched and rectified account discrepancies.
  • Reviewed all claims for accurateness and appropriateness.
  • Completed and submitted appeals.
  • Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Submitted claims to insurance companies.
Capital Group Inc. American Funds Service Company - Shareholder Service Representative
City, STATE, 09/2000 - 09/2004
  • Maintained up-to-date knowledge of store policies regarding payments, returns and exchanges in order to provide speedy and accurate service to each customer.
  • Managed accurate and adequate cash stock and inventory balances.
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • Set up and activated customer accounts to maintain QA satisfaction levels.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Checked transactions and reporting for compliance with regulatory standards and investigated discrepancies.
  • Maintained current understanding of applicable regulations and tax laws to keep funds in compliance with legal standards.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.

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Resume Overview

School Attended

  • Thomas Jefferson High School

Job Titles Held:

  • Pre Bill Denial Analyst
  • Patient Account Representative Team Lead
  • Office Medical Biller
  • Shareholder Service Representative

Degrees

  • High School Diploma

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