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Third Party AR Biller Resume Example

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THIRD PARTY AR BILLER
Professional Summary

An innovative and enthusiastic Patient Access representative with expertise working closely with effective, talented teams. Organized Patient Service Representative with 20+ years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.

Skills
  • Outstanding Leadership qualities
  • Exceptional customer service
  • Staff Management
  • Quality Assurance
  • Healthcare Management
  • Customer Feedback
  • Healthcare Collections
  • Customer Needs
  • Key Performance Indicators
  • Statistical Data Management
Work History
07/2019 - CurrentThird Party AR Biller | Company Name - City, State
  • Responsible for updating commercial insurance coverage on hospital accounts.
  • Managed large volume of medical claims on daily basis.
  • Reviewing high dollar accounts for accuracy prior to billing.
  • Working claim edits, Verification of government refunds due to overpayment.
  • Responsible for completing assigned work queues daily and meeting productivity.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Adhered to established standards to safeguard all patients' health information.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Enforced operational compliance with state and federal laws and JCAHO standards.
  • Completed over 200 accounts per day increasing revenue by over $600K per day
  • Recognized by management for providing exceptional customer service.
  • Supervised and evaluated team daily productivity
  • Forwarded client-related quality and service issues to appropriate manager for resolution.
02/2017 - 07/2019Revenue Management Analyst | Company Name - City, State
  • Reviewed claim edits and identified issues by updating accordingly for accurate billing.
  • Perform monthly quality assurance on registrars.
  • Created spreadsheets and maintained data in excel using pivot tables.
  • Validated and reconciled charges on patient accounts.
  • Contacted insurance companies to verify eligibility.
  • Identified and resolved payment issues between patients and providers and processed refunds.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Created curricula, instructions, documents and written tests for various types of training courses.
  • Managed internal operational standards and productivity targets for Revenue Cycle .
  • Effectively supervised staff of 45 personnel by implementing company policies, protocols, work rules and disciplinary action.
  • Offered every customer seamless experience with knowledgeable service and support.
  • Supervisory experience directing other's work.
  • Experience with Parallon billing portal
05/2014 - 02/2017Operations Supervisor | Company Name - City, State
  • Responsible for planning, organizing, directing and evaluating daily operations of Clinical Operations department.
  • Interviewed prospective employees
  • Processed payroll for 300+ employees biweekly.
  • Coordinated departmental functions as well as ordered all medical/office supplies for adult care services and ancillary departments.
  • Maintained employee files for credentialing and attendance
  • Organized and facilitated meetings with staff and upper management
  • Enforced regulatory and company policy compliance to improve workplace and employee safety and readiness.
  • Created and implemented strategies for improving operational efficiency and accuracy.
  • Reviewed and assessed ongoing operations, developing initiatives for continuous process improvement.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Conducted performance reviews each quarter, offering praise and recommendations for improvement.
  • Reduced incremental overtime by $300k throughout all departments by implementing new policies.
  • Built upon established practice standards to improve operational performance and reduce labor costs.
  • Handled all client calls with relative ease by using effective listening and open-ended questioning skills.
11/2004 - 07/2014Lead Health Unit Secretary | Company Name - City, State
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Answered multiline phone for nursing unit, scheduling follow-up appointments and handling patient inquiries.
  • Supported providers on hospital unit through coordinating all administrative operations.
  • Trained and mentored new personnel hired to fulfill unit secretary role.
  • Completed skilled administrative work to support all office staff and operational requirements.
  • Managed financial documentations such as expense reports and invoices.
  • Collaborated with assistants and medical doctors to prepare and set up rooms with adequate supplies and equipment.
  • Kept detailed records of office inventories and placed $1K orders for more supplies.
  • Managed medical unit administrative needs to provide patient satisfaction.
  • Handled all client calls with relative ease by using effective listening and open-ended questioning skills.
Education
Expected in 02/2021Walden University, City, StateBachelor of Science: Human Services

GPA: 4.0

  • Minored in Psychology
  • Dean's List Fall 2019 and current
12/2015Grantham University, City, StateAssociate of Applied Science: Medical Billing And Coding

GPA: 3.8

  • Graduated magna cum laude
  • Dean's List during entire enrollment
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Resume Overview

School Attended

  • Walden University
  • Grantham University

Job Titles Held:

  • Third Party AR Biller
  • Revenue Management Analyst
  • Operations Supervisor
  • Lead Health Unit Secretary

Degrees

  • Bachelor of Science : Human Services
    Associate of Applied Science : Medical Billing And Coding

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