Third Party Ar Biller Resume Example
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Jessica Claire
- Montgomery Street, San Francisco, CA 94105
- (555) 432-1000
- resumesample@example.com
- Date of Birth:
- India:
- single:
Professional Summary
An innovative and enthusiastic Revenue Cycle associate with expertise in working closely with effective, talented teams. Organized Patient Access 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
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Work History
Third Party AR Biller, 07/2019 to Current
Sonder – Amsterdam, NY,
Sonder – Amsterdam, NY,
- 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.
Revenue Management Analyst, 02/2017 to 07/2019
Dte Energy – Casco, WI,
Dte Energy – Casco, WI,
- 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
Operations Supervisor, 05/2014 to 02/2017
Midtown Medical Center – City, STATE,
Midtown Medical Center – 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.
Lead Health Unit Secretary, 11/2004 to 07/2014
St. Francis Hospital – City, STATE,
St. Francis Hospital – 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
Bachelor of Science: Human Services, Expected in 02/2021
Walden University - Minneapolis, MN
Walden University - Minneapolis, MN
GPA: 4.0
- Minored in Psychology
- Dean's List Fall 2019 and current
Associate of Applied Science: Medical Billing And Coding, Expected in 12/2015
Grantham University - Lenexa, KS
Grantham University - Lenexa, KS
GPA: 3.8
- Graduated magna cum laude
- Dean's List during entire enrollment
References
Available upon request
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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
- Associate of Applied Science
