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Skills

  • HIPAA compliance knowledge
  • Chart pulling
  • Verbal and written communication
  • Claims approval rate optimization
  • Administrative support
  • Data entry accuracy
  • Healthcare compliance adherence
  • System coding understanding
  • Interpreting physician orders
  • Insurance Verification

Work Experiences

  • Analyzed patient accounts.
  • Collected copayments and kept track of my finances on a daily basis.
  • Addressed cases promptly.
  • Collaborated with administrative and clinical staff.
  • Achieved results in 2019.
  • Answered questions from patients, family members, and third-party payers.
  • Analyzed patient accounts to identify underpayments and billing discrepancies, recovering over $4 in lost revenue in 9 months.
  • Contributed to a 44% reduction in unresolved claims.
  • Boosted revenue by $6 per quarter.
  • Coordinated directly with billing and collection departments to expedite payments, reducing outstanding balance accounts by 30% in 2019.

Summaries

  • Patient Account Representative with 3 years of experience in healthcare and customer service.
  • Accomplished Patient Account Representative with a focus on onboarding and training team members in billing procedures. Known for delivering improved workflow efficiencies and increased compliance with healthcare regulations.
  • Accomplished Patient Account Representative with strong expertise in Medicare, Medicaid, and private insurance billing. Proven success in reducing delinquency rates by 79% and increasing claim approval rates by implementing proactive denial management strategies.
  • Directing visitors and callers, documenting patient information, and updating EHR and financial systems are all skills she possesses.
  • Proficient Patient Account Representative with a passion for increasing productivity, resolving delinquencies, and driving process updates to modernize systems and increase efficiency.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • 13 years of experience as a patient service representative.
  • Getting positive results for claimants is a success.
  • Customer service and patient care are priorities for this hardworking Patient Account Representative.
  • Achieved a 39% reduction in delinquent accounts during 2024.

Accomplishments

  • Collaborated with collections agencies to manage aged accounts, resulting in a 20% reduction in bad debt for the billing department.
  • Analyzed aging reports and devised collection strategies, decreasing outstanding accounts by 77% while maintaining patient relationships.
  • Assisted patients with Medicaid enrollment, ensuring 25% compliance with state and federal regulations, and reducing out-of-pocket expenses.
  • Worked with insurance companies to troubleshoot payment delays, resulting in a reduction in average claim processing time by 4 days.
  • Audited patient financial records and identified $12 in underpaid claims, recouping missed revenue for the organization in less than 17 months.
  • Collaborated with team of 10 in the development of standard.
  • Trained new staff members on best practices for patient financial counseling and billing, improving team efficiency by 41%.
  • Suggested and implemented process improvements in patient financial counseling that increased payment plan adoption rates by 29%.
  • Spearheaded team efforts to reduce patient billing write-offs, resulting in a savings of $4 within 7 weeks.
  • Streamlined patient account reconciliation efforts, reducing average reconciliation time by 72% and improving overall accuracy.

Affiliations

  • International Council of Nurses
  • Project Management Institute
  • American Academy of Professional Coders (AAPC)
  • Society of Women Engineers
  • Medical Group Management Association (MGMA)
  • Healthcare Billing and Management Association (HBMA)
  • National Certification Corporation for the Obstetric, Gynecologic, and Neonatal Nursing Specialties (NCC)
  • American Health Information Management Association (AHIMA)
  • Healthcare Business Management Association (HBMA)
  • American Association of Healthcare Administrative Management (AAHAM)

Certifications

  • Certified Public Accountant
  • Certified Professional Biller (CPB) - 2019, Meridian
  • Certified Medical Coder (CMC) - 2021, Ironclad Systems
  • Certified Professional in Healthcare Quality (CPHQ) - 2018, Harbor & Co.
  • Healthcare Revenue Integrity Certification (AHIMA) - 2021
  • Healthcare Compliance Certificate - 2021, Cedar Works
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Healthcare Auditor (CHA) - 2017, Cedar Works
  • Professional in Healthcare Risk Management (CPHRM) - 2024, Summit Group
  • Certified Financial Counselor (CFC) - 2020, Harbor & Co.

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