Senior Patient Account Specialist Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Experienced Patient Account Representative specializing in medical billing, coding and recordkeeping. Proactive and results-focused professional with 5-year healthcare background. Hardworking Patient Account Representative dedicated to customer service and patient care. Outgoing and flexible team player. Talent for developing creative solutions that satisfy all parties. Detail-oriented Patient Account Representative with extensive knowledge of billing systems, medical terminology and insurance practices. Skilled at collaborating with insurance companies and patients to resolve billing issues. Certified in ICD-9 and ICD-10 coding processes. Successful achieving positive results for claimants. Over 3 years working in medical office environments. Competent Accounts Receivable Specialist bringing 5 years' experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as a dedicated professional driven to meet team targets and enhance bottom line performance. Reliable Medical Records Clerk with 3 years of experience receiving, routing, filing and delivering wide range of medical documentation. Energetic and focused with strong organizational skills. Focused Patient Account Representative well-versed in medical terminology, coding and compliance procedures. Proficient at answering requests quickly and delivering exceptional results.

  • Medical billing
  • Administrative support
  • Time management
  • Accurate payment posting
  • First Aid/CPR
  • Operational improvement
  • Medical terminology
  • Microsoft-savvy
  • Report generation
  • Cash application
  • Communications
  • MS Office
  • EMR Allscripts
  • File coordination
  • HIPAA understanding
  • Patient care
  • Aging reports analysis
  • Business operations
  • Relationship development
  • Verbal and written communication
  • Collections experience
  • Codes reviewing
  • Problem resolution
  • Organization
  • EMR EClinicals
  • EMR Medflow
Work History
09/2017 to Current
Senior Patient Account Specialist Department Of Defense Battle Creek, MI,
  • Utilized computer programs to create invoices, letters and other documents.
  • Posted payments and processed refunds.
  • Electronically submitted bills according to compliance guidelines.
  • Reconciled statements with patient records.
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Monitored flags and resolved urgent items with accuracy and efficiency.
  • Responded to patient, family and external payer inquiries.
  • Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
  • Performed targeted collections on past due accounts aged over days.60
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Applied more than 1500 payments per week.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Entered orders into EMR system efficiently and without errors.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Reviewed 30+ medical records per day to select appropriate coding sequences.
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
06/2017 to 08/2017
Medical Administrative Specialist Therapy Management Corporation Ocala, FL,
  • Completed and filed financial documentation for accounting purposes.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Maintained current and accurate medical records for over 200 patients.
  • Enhanced office efficiency by handling 50+ callers per day.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Audited customer files to verify medical necessity and satisfaction of coverage criteria.
  • Advocated for patients through conversations with insurance representatives.
  • Organized patient files and streamlined operations to improve efficiency.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Coordinated front office duties, including customer service, patient scheduling and billing.
  • Prepared and maintained accurate digital health records for patients.
  • Called patients to confirm scheduled appointments day in advance.
  • Contacted patients regarding unpaid and underpaid accounts to resolve issues.
  • Completed billing and coding duties to handle submitted claims.
03/2007 to 03/2016
Certified Nursing Assistant Home Care Service Of Columbus City, STATE,
  • Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals.
  • Assisted patients with mobility needs, including moving to and from beds, organizing wheelchairs and preparing assistive devices.
  • Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
  • Transported patients between rooms and appointments or testing locations.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering breathing treatments and evaluating patient needs.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Expected in
No Degree: Medical Billing And Coding
Miller-Motte Technical College - Columbus Georgia,
Expected in 03/2007
Associate of Arts: Medical Assisting
KLA Medical - Columbus Georgia,
Expected in 10/1994
Certificate: Nursing Assistant
Lifesavers of Columbus - Columbus Georgia,
Expected in 09/1989
High School Diploma:
Columbus High School - Columbus Georgia,

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Resume Overview

School Attended
  • Miller-Motte Technical College
  • KLA Medical
  • Lifesavers of Columbus
  • Columbus High School
Job Titles Held:
  • Senior Patient Account Specialist
  • Medical Administrative Specialist
  • Certified Nursing Assistant
  • No Degree
  • Associate of Arts
  • Certificate
  • High School Diploma

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