Revenue Cycle Specialist Resume Example
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REVENUE CYCLE SPECIALIST
Professional Summary
Diligent, detail-oriented team member with over 7 years of successful experience in insurance, customer service, and accounting. Recognized consistently for performance excellence and contributions to success in the office. Strengths in resolving problems and improving customer satisfaction while driving overall account efficiency. Enthusiastic and eager to contribute to team success through hard work, attention to detail, and excellent organizational skills. Motivated to learn, grow and excel.
Skills
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Work History
Revenue Cycle Specialist, 09/2019 to Current
Virta Health Corp – Omaha , NE
Virta Health Corp – Omaha , NE
- Answered questions regarding billing, while increasing customer satisfaction by resolving financial and insurance issues.
- Investigated account discrepancies discovered by utilizing an auditing process, additionally resolving discrepancies in insurance payments by collaborating with carriers.
- Utilized reports and other types of analytics to assess company's efficiency and determine better ways to improve bottom line.
- Maintained confidentiality of patient finances, records and health statuses.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt. Followed up on denials, late payments, extensions and other special circumstances.
- Coordinated with contracting department to resolve payer issues.
- Posted payments to accounts and maintained records.
- Monitored accounts for compliance with established payment plans and followed up with those past due.
- Contacted patients with past due accounts to formulate payment plans and discuss restructuring options.
- Performed targeted collections on past due accounts aged over 30, 60, and 90+ days.
Dental Office Manager, 01/2016 to 09/2019
Dental Care Alliance – Bradenton , FL
Dental Care Alliance – Bradenton , FL
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of the team and office.
- Applied strong leadership talents and complex problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.
- Established and developed a highly efficient and dependable team by delivering ongoing coaching and motivation and fostering career advancement.
- Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving, and bi-weekly payroll.
- Reconciled patient accounts to maintain accurate, current and compliant financial records.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Coordinated with other vendors, dental labs, and Specialists regarding patient dental care.
- Oversaw appointment scheduling and itinerary coordination for both patients and team members.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Verified and estimated insurance benefits from multiple carriers to formulate an individualized treatment plan.
- Diligently reviewed treatment plans with patients to educate them on their treatment options as well as their associated financial options.
- Interacted with patients professionally by phone, email and in-person to provide information and address their concerns.
Treatment Coordinator, 08/2015 to 01/2016
Adapt Community Network – Brooklyn , NY
Adapt Community Network – Brooklyn , NY
- Educated patients on dental benefits and coordinated proper payment with insurance companies.
- Reivewed X-Rays and explained treatment choices to patients, including family members and support systems, and helped determine best options.
- Maintained excellent attendance record, consistently arriving to work on time.
- Collaborated with assistants and doctors to prepare and set up rooms with adequate supplies and equipment.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Treatment Coordinator, 05/2012 to 01/2014
Adapt Community Network – Bronx , NY
Adapt Community Network – Bronx , NY
- Designed each child's treatment plan in conjunction with their insurance benefits.Laid out potential payment plans for patients.
- Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Typed patient data into the computer system while following privacy laws and maintaining high level of accuracy.
- Maintained strong knowledge of basic dental terminology to better understand services and procedures.
- Cleaned and sanitized patient rooms following each room.
Education
High School Diploma: 03/2011
Harrison High School - City, State
Harrison High School - City, State
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Resume Overview
School Attended
- Harrison High School
Job Titles Held:
- Revenue Cycle Specialist
- Dental Office Manager
- Treatment Coordinator
Degrees
- High School Diploma : 03/2011
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