refund coordinator resume example with 8+ years of experience
JessicaClaire
, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Professional Summary
Results-driven professional focused on delivering exceptional support for patient needs. Successfully manages concerns and resolves conflicts to maximize customer satisfaction. Offers strong background in customer relations and communication. Vast experience and instruction in health care management and processes including health care IT procedures while adhering to HIPAA standards and working within EPIC systems. Establishing a straightforward course of action for addressing medical billing concerns while keeping patients’ needs and wants forefront.
Skills
Medical Billing
Patient Registration
CPT4
ICD9/10
HCPCS
Microsoft Teams
Demographics Information
Insurance Information Collection
Clinical Data Entry
Financial Needs Determination
Insurance Form Processing
Insurance Verification
Directing Callers
Patient Account Reviews
HIPAA Compliance
Call Transfers
Patient Care and Confidentiality
Outbound Calling
Bilingual in Spanish and English
Clinical Messaging
Word Processing
Work History
10/2022 to CurrentRefund CoordinatorLehigh Valley Hospital & Health | Quakertown, PA,
Auditing claims
Working as a central point partnering with clinical, administrative, and external partners.
Identifies underpayments and determines the root cause.
Tracks underpayments at the claim level and follows up until final resolution is achieved.
Performs comprehensive monthly reports to leadership.
Understands operates and is the subject matter expert in infusion revenue cycle management reporting platforms.
Utilized proactive communication abilities to resolve employment-related disputes.
Acts as a liaison to areas of the organization and external partners to resolve revenue cycle management.
Interfaces with financial navigation and pharmacy team members to exhaust all available assistance to close accounts receivable assisting patients in reducing the financial burden.
09/2019 to CurrentPatient Care SpecialistCare Plus Systems | City, STATE,
Observed patients under care conditions to help identify symptoms, responses to treatments and progress with goals.
Helped patients with self-feeding and assisted feeding, based on individual needs.
Responded to patient requests for supplies and personal comfort items such as extra blankets.
Documented patient information and care activities in electronic health record.
Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Took copayments and compiled daily financial records.
Used EPIC to schedule appointments.
Assisted patients in filling out check-in and payment paperwork.
Managed patient registration process, confirming data accuracy and completeness.
Resolved billing inquiries and disputes in timely fashion.
Entered patient demographic and insurance data into electronic medical record system.
Investigated insurance claims denials and appeals.
Verified insurance eligibility and coverage for patients.
Filed and maintained patient records in accordance with HIPAA regulations.
Developed and implemented customer service policies and procedures.
Handled customer service inquiries in person, via telephone and through email.
Provided exceptional customer service to patients, answering questions and addressing concerns.
Built and maintained positive working relationships with patients and staff.
Delivered support to medical staff in completion of patient paperwork.
Taught patients and families to use at-home medical equipment.
Resolved customer complaints using established follow-up procedures.
Compiled and maintained patient medical records to keep information complete and up-to-date.
Helped address client complaints through timely corrective actions and appropriate referrals.
Answered incoming calls, scheduled appointments and filed medical records.
Trained new staff on filing, phone etiquette and other office duties.
Reviewed 80 patient charts per day.
Verified patient insurance eligibility and entered patient information into system.
Facilitated communication between patients and various departments and staff.
06/2021 to 10/2022Associate Shared Services IDuly Health And Care | City, STATE,
Used EPIC to schedule appointments.
Filed and maintained patient records in accordance with HIPAA regulations.
Built and maintained positive working relationships with patients and staff.
Entered patient demographic and insurance data into electronic medical record system.
Verified insurance eligibility and coverage for patients.
Developed and implemented customer service policies and procedures.
Managed over 80 customer callers per day.
Handled customer service inquiries in person, via telephone and through email.
Managed patient registration process, confirming data accuracy and completeness.
Provided exceptional customer service to patients, answering questions and addressing concerns.
Resolved billing inquiries and disputes in timely fashion.
Engaged with patients to provide critical information.
Resolved customer complaints using established follow-up procedures.
Delivered support to medical staff in completion of patient paperwork.
Responded to inquiries by directing calls to appropriate personnel.
Helped address client complaints through timely corrective actions and appropriate referrals.
Facilitated communication between patients and various departments and staff.
Worked with patients to ascertain issues and make referrals to appropriate specialists.
Organized patient records and database to facilitate information storage and retrieval.
Answered incoming calls, scheduled appointments and filed medical records.
07/2014 to 05/2021Cage TechnicianABBVIE | City, STATE,
Performed complex mechanical alignments and equipment calibration to meet quality standards.
Completed job reports and logs immediately following service calls.
Organized work to meet demanding production goals.
Maintained quality assurance and customer satisfaction objectives.
Quality scores of 100 for 52 weeks consequently.
Mentored junior technicians in maintenance, repair and reporting duties.
Maintained compliance with regulatory standards and safety requirements.
Applied critical thinking and research to address complex issues.
Performed troubleshooting and diagnosis on malfunctioning equipment.
Scheduled maintenance and repair tasks in alignment with production deadlines to reduce bottlenecks.
Observed equipment operation to diagnose and troubleshoot reported issues.
Tested components and systems to evaluate performance and identify concerns.
Drafted preventive maintenance schedule to support equipment longevity.
Inspected equipment to identify areas of wear or causes of malfunctions.
Addressed routine equipment maintenance according to established schedule.
Suggested specialized fixtures, test equipment and procedures for failure analysis.
Worked with diverse types of weather and ground conditions.
Cleaned stains from fabric or garments using spray guns and cleaning fluid.
Liaised with internal departments to optimize productivity and efficiency.
Wrote and revised maintenance procedures.
Education
Expected in 05/2024 to to Associate of Applied Science | Health Information TechnologyJoliet Junior College, Joliet, ILGPA:
Expected in 05/2019 to to Associate of Science | Health AdministrationCollege of Lake County, Grayslake, ILGPA:
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