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Skills

  • Administrative support
  • Financial forecasting for revenue cycles
  • Method patient expertise
  • Coding expertise
  • Credit balancing
  • Quality control
  • Accounts Receivable (AR) Management
  • Manual processing
  • Excellent judgment
  • Denial management and reprocessing

Work Experiences

  • Consistently met monthly collection goals.
  • Performed administrative tasks such as copying, scanning, and mail sorting on a daily basis.
  • Created detailed reports that included billing, flagged items, and other pertinent information.
  • Informed patients about their treatment-related payment and insurance options.
  • Contributed to a 28% improvement in net collections ratio.
  • Balanced month-end reports.
  • Analyzed patient financial activity.
  • Aligned processes with framework.
  • Contacted patients to collect any outstanding payments once insurance was billed.
  • Answered customer questions in a friendly and knowledgeable manner to maintain high levels of satisfaction.

Summaries

  • Patient Account Representative with 4 years of customer service and healthcare support experience.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • 5 years of experience as a systematic patient account analyst in process improvement.
  • Patient Account Representative with a strong focus on patient care and customer service.
  • Proficient in promoting metric by leveraging client relations and workflow optimization knowledge.
  • Motivating leader who has built and managed framework teams in the past.
  • Scrum Master certified
  • Committed to accuracy in mathematics and patient education.
  • Customer Service student seeking hands-on experience through an internship in client relations.
  • Patient Account Analyst with a strong understanding of medical insurance policies.

Accomplishments

  • Strengthened relationships with insurance providers, which reduced the average claim denial processing time by several months.
  • Streamlined communication with patients regarding their account balances, reducing patient complaints by 25%.
  • Played a key role in the development of policies that resulted in a 61% improvement in insurance payment follow-through.
  • Boosted collections performance by securing 8 in outstanding payments through targeted patient outreach.
  • Speared a new denial prevention initiative that decreased payer denials by 21% in three years.
  • Identified discrepancies in standard records, reducing abandoned claims by 21% over 18 months.
  • Ensured timely follow-up on 6 insurance claims per week, increasing reimbursement rates by 48%.
  • Enhanced workflow efficiency by automating stakeholder engagement, cutting account reconciliation time by 18 months per day.
  • Improved cash flow for patient accounts by developing an updated billing cycle that reduced outstanding balances by 27%.
  • Established and maintained comprehensive denial-management strategies, reducing appeals processing time by 17%.

Affiliations

  • Active participant in Healthcare Financial Management Association (HFMA), engaging in webinars related to patient account management and billing oversight.
  • Volunteered with local health financial literacy programs to educate patients on billing practices and insurance coverage.
  • Volunteer billing coordinator for procedure providing pro-bono services to underinsured patients.
  • Affiliated with the Society of Healthcare Auditors and Fraud Examiners (SHAFE), contributing to efforts in payment discrepancy investigations and fraud prevention.
  • Completed 7-hour continuing education modules with National Association of Healthcare Access Management (NAHAM), focusing on medical reimbursement strategies.
  • Contributed to the Patient Advocate Foundation (PAF) to assist patients in resolving billing disputes and advocating for reasonable payment adjustments.
  • Graduated from a procedure Medical Billing and Insurance Claims Program, specializing in CPT and ICD-10 coding practices.
  • Associated with the American Health Information Management Association (AHIMA), regularly attending conferences on health information technology improvements.
  • Affiliated with the National Alliance of Medical Auditing Specialists (NAMAS) for professional development in root cause analysis and error resolution.
  • Member of the American Association of Professional Coders (AAPC), maintaining up-to-date certification in metric.

Certifications

  • Microsoft Excel Specialist Certification Beacon Labs
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Patient Account Technician (CPAT) - Meridian
  • Project Management Professional (PMP)
  • Accounts Receivable Management Certification - Summit Group
  • Cisco Certified Network Associate (CCNA)
  • Certified Revenue Cycle Representative (CRCR) - Meridian
  • Salesforce
  • Certified Professional Biller (CPB) – Brightline
  • SHRM Certified Professional (SHRM-CP)

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