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Patient Account Representative resume examples

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Skills

  • Medical insurance
  • Cross-departmental coordination
  • Insurance Verification
  • Time management
  • Data entry
  • Medical billing and coding (CPT, ICD-10, HCPCS)
  • Document filing
  • System coding understanding
  • Patient account management
  • Claims review and resubmission

Work Experiences

  • Achieved results within 2018.
  • Achieved results over a 7 months-month period.
  • Contributed to a 44% reduction in unresolved claims.
  • Communicated proactively with patients, resolving billing issues and achieving satisfaction scores above 67% in 2017.
  • Achieved this in 13 months.
  • Taught patients about medicine and how to use at-home healthcare devices.
  • Went over the doctors' daily care slips.
  • Created reports that detailed billing actions, flags, and other important data.
  • Collaborated with cross-departmental teams to new EHR implementation, which resulted in a 50% increase in streamline accuracy of patient records.
  • Submitted bills electronically in accordance with compliance guidelines.

Summaries

  • 13 years of experience as a patient service representative.
  • Costs were consistently reduced while profits were increased.
  • Spanish is a second language for me.
  • Getting positive results for claimants is a success.
  • Clear understanding of budget management and risk assessment as well as vendor management training.
  • Professional with a 14-year background in healthcare who is proactive and results-oriented.
  • 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.
  • Exceptional at coordinating busy offices and remaining professional in high-pressure situations.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • 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.

Accomplishments

  • Spearheaded team efforts to reduce patient billing write-offs, resulting in a savings of $4 within 7 weeks.
  • Developed customized financial counseling packages for patients without insurance, increasing out-of-pocket collections by 40%.
  • Worked with insurance companies to troubleshoot payment delays, resulting in a reduction in average claim processing time by 4 days.
  • Trained new staff members on best practices for patient financial counseling and billing, improving team efficiency by 41%.
  • Recovered unpaid balances on accounts over 2 days overdue, effectively decreasing aging debt by $16.
  • Streamlined patient account reconciliation efforts, reducing average reconciliation time by 72% and improving overall accuracy.
  • Analyzed aging reports and devised collection strategies, decreasing outstanding accounts by 77% while maintaining patient relationships.
  • Conducted month-end account reconciliations, resolving 8 discrepancies and improving the accuracy of department metrics by 62%.
  • Reduced accounts receivable aging by 79% over 2 months by streamlining follow-up processes and ensuring timely patient communication.
  • Resolved product issue through consumer testing.

Affiliations

  • American Medical Technologists (AMT)
  • Lions Club
  • National Association for Public Health Statistics and Information Systems (NAPHSIS)
  • Healthcare Business Management Association (HBMA)
  • American Association of Healthcare Administrative Management (AAHAM)
  • Medical Office Managers Association
  • Certified Healthcare Financial Professional (CHFP)
  • American Marketing Association
  • Jaycees
  • International Association of Administrative Professionals

Certifications

  • Certified Financial Counselor (CFC) - 2020, Harbor & Co.
  • Certified Medical Coder (CMC) - 2021, Ironclad Systems
  • ServSafe
  • Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) – 2023
  • Cisco Certified Internetwork Expert (CCIE)
  • Cisco Certified Network Associate (CCNA)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Medical Administrative Assistant (CMAA) - 2016, Harbor & Co.
  • Salesforce
  • Google Certified Professional Cloud Architect

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