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Patient Account Specialist resume examples

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Skills

  • Patient-focused care
  • Bilingual in Japanese and German
  • Medicaid statutes and regulations
  • Audit Procedures
  • Team collaboration
  • HIPAA compliance
  • Critical care nursing
  • Accounts receivable management
  • MEDISOFT proficient
  • Payment plan negotiation

Work Experiences

  • Developed a system-wide communication strategy for customer service excellence.
  • Refunds, disbursements, and payments were all handled by me.
  • Checked all documentation and reports for accuracy and compliance.
  • Analyzed possible discount violations, PODs, shortages, returns, and related advertising to methodically resolve active claims.
  • Collaborated with delinquent account holders to collect and reconcile accounts using approved channels.
  • Kept track of compliance, care, and quality issues and escalated them as needed.
  • Recommendation
  • Made a contribution
  • Actively participated on the Utilization Review Committee, where I reviewed policies, provider patterns, and sanction procedures.
  • Advised

Summaries

  • Expert in all aspects of patient care, with a track record of success in clinical quality improvement projects that have improved delivery and quality of care.
  • System-driven Quality Improvement Coordinator with experience evaluating healthcare team members and overall care quality.
  • Proficient in promoting initiative by leveraging cross-functional collaboration and vendor management knowledge.
  • Nursing Manager who is passionate about disease prevention and providing high-quality healthcare.
  • Versatile
  • As a Registered Nurse, I am a highly organized Case Manager with 7 years of experience.
  • Clinical Instructor with a proven track record of developing education programs, curricula that meet accreditation standards, and lessons that incorporate instructional technology.
  • Patient care, education, and counseling are all areas in which she excels.
  • Restocking supplies, updating records, and coordinating referrals are all skills that this cheerful pediatric nurse possesses.
  • Highly skilled at quickly establishing rapport with patients, conducting assessments, and treating patients with clinical knowledge and skills.

Accomplishments

  • Patient Transfer: Safely lifted up to 80 pounds and pushed 300 pounds on wheels.
  • Facilitated cross-departmental meetings to review aging accounts, reducing open accounts over 11 days by 20%.
  • Partnered with Care Coordination team to ensure patients' financial clearance prior to procedures, maintaining a clearance rate of 23%.
  • Implemented new revenue tracking software QuickBooks that improved reporting accuracy and reduced discrepancies by 54%.
  • Patient Care: Ensured quality control through admissions, assessment, treatment and referral for a broad range of patients. Monitored patients' respiration activity, blood pressure and blood glucose levels.
  • Family Support: Provided support to families through education on procedures, regimens, prevention and care.
  • Vitals Testing: Measured an average of 30 patients' weight, height, body temperature, pulse rate and blood pressure daily.
  • Managed the daily billing process for 17 outpatient services and surgical procedures while maintaining 36% compliance with charge reconciliation audits.
  • Monitored and reported on financial clearance metrics monthly, resulting in a 26% increase in efficiency year-over-year.
  • Custodial Duties: Kept linen and utility areas clean, emptied and cleaned urinals and bedpans, removed dirty linens from hampers.

Affiliations

  • Contributor to quarterly revenue cycle management technology forums for enhancing the use of Microsoft Excel in medical billing procedures.
  • Member of the Society for Healthcare Strategy & Market Development (SHSMD) to collaborate on improving patient communication and billing transparency.
  • Attended annual conferences hosted by the Medical Group Management Association (MGMA) to gain insights on emerging trends in medical billing and financial management.
  • Validated certification through Certified Healthcare Financial Professional (CHFP) with HFMA, specializing in patient account management.
  • Certified Medical Billing Specialist (CMBS) from Medical Association of Billers (MAB) with an emphasis on improving patient account collections.
  • Volunteer speaker on patient billing best practices at the annual local hospital symposium, addressing concerns with patient financial liability and healthcare affordability.
  • Attended National Healthcare Collectors Association (NHCA) events to share strategies on improving recovery rates for delinquent patient accounts.
  • Certified in AHIMA’s Clinical Documentation Improvement Practitioner (CDIP), improving the clarity of patient financial records for billing accuracy.
  • Certified Medical Reimbursement Specialist (CMRS) with the American Medical Billing Association (AMBA)
  • Certified in HFMA's Certified Revenue Cycle Representative (CRCR) program, strengthening knowledge in compliance, billing, and collections.

Certifications

  • ServSafe
  • Certified Ambulatory Care Nurse
  • Basic Life Support (BLS)
  • Registered Nurse Practitioner in the State of Washington, License number 14
  • CompTIA A+ Technician
  • Microsoft Certified Systems Engineer (MCSE)
  • Pediatric Life Support (PALS)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • PNCB Certified Acute Care Pediatric Nurse Practitioner
  • Microsoft Office Specialist (MOS)

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