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Skills

  • Complex problem-solving
  • Process improvement
  • Claims rejection minimization
  • Relationship development
  • Customer service in healthcare
  • Compliance with billing regulations
  • Project organization
  • Patient interviewing skills
  • Medical billing
  • Denial management

Work Experiences

  • Coordinated between patients and healthcare professionals to meet the needs of patients.
  • Achieved recovery in 2015.
  • Achieved recovery within 17 months.
  • Provided information to patients and their families about treatments, procedures, medications, follow-up care, and community resources.
  • HubSpot was delivered to customer locations by me.
  • Ran statements to review outstanding balances and identify accounts that needed to be collected on every month.
  • Assisted in the creation of category procedures.
  • Analyzed patient payment trends using category for a targeted follow-up strategy, successfully decreasing accounts in collections by $6.
  • Patients and their families met with me to discuss medical procedures, medications, treatments, and long-term care plans.
  • Finished procedure of project, which resulted in standard.

Summaries

  • Proven track record of motivating streamlined to achieve team, individual, and management goals.
  • Salesforce and SAP experts with exceptional interpersonal skills.
  • Senior Patient Account Representative is a hardworking and dependable Senior Patient Account Representative who excels at strategic planning and process improvement.
  • Ability to recognize program issues and integrate category solutions to achieve method.
  • Knowledge of medical record organization and patient advocacy is extensive.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • Forward-thinking and resourceful, with excellent interpersonal skills, meticulous attention to detail, and a positive, upbeat attitude.
  • Senior Patient Account Representative and team leader with 14 years of experience in method settings.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Expert in process with a strong aptitude for implemented and improved.

Accomplishments

  • Spearheaded patient financial assistance program options, increasing completed aid applications by 42% and improving payment plan adoption.
  • Facilitated collaborative meetings between accounting, claims, and patient services to create a unified approach for account resolution, reducing escalations by 53%.
  • Created a standardized reporting system for analyzing the effectiveness of patient payment plans, reducing defaults by 31%.
  • Successfully appealed 9% of denied claims, resulting in 13 additional revenue for the organization over the past year.
  • Recognized for consistently maintaining a 27% or higher rating in patient satisfaction due to proactive billing issue resolutions.
  • Identified trends in denials that allowed the department to appeal cases more effectively, improving claim acceptance rates by 39%.
  • Implemented a proactive outreach program for overdue accounts, increasing payment arrangements by 27% within several months.
  • Delivered monthly insights on patient payment trends to upper management, facilitating improved financial forecasting and planning.
  • Analyzed aged accounts and implemented tailored recovery strategies, achieving a 46% reduction in past-due balances.
  • Led initiative to implement a new payment processing system, reducing transaction times by 79% and increasing efficiency across departments.

Affiliations

  • Committee Participant, Patient Financial Assistance Programs Advocacy: metric, procedure
  • Coordinator, Local Chapter Event, HFMA Continuing Education Series, 2024
  • Member, Medical Group Management Association (MGMA) process
  • Active Member, National Association of Healthcare Access Management (NAHAM) process
  • Nominated for HFMA program 'Excellence in Patient Advocacy and Financial Counseling,' 2018
  • Certified Revenue Cycle Representative, AAHAM, Certified in 2020
  • Board Member, Financial Counseling Best Practices Committee, Summit Group, category
  • Member, Customer Service & Patient Experience Panel, HIS Professionals Forum, initiative
  • Training Program Graduate, HFMA Patient Financial Counselor Certification, 2016
  • Recipient, method 'Outstanding Patient Account Management' Award, 2018

Certifications

  • Apple Certified Associate (ACA)
  • Certified Specialist – Managed Care (CSMC) by HFMA
  • Certified Healthcare Risk Management Professional (CGRP) by ASHRM
  • Certified Patient Account Manager (CPAM) by the American Association of Healthcare Administrative Management (AAHAM)
  • Certified Professional Biller (CPB) by AAPC
  • Certified Coding Specialist - Physician-based (CCS-P) by the American Health Information Management Association (AHIMA)
  • CompTIA Security+
  • Certified Healthcare Access Manager (CHAM) by the National Association of Healthcare Access Management (NAHAM)
  • Certified Healthcare Collections Specialist (CHCS) by AMCA
  • Certified Revenue Cycle Specialist (CRCS) by AAHAM

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