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Skills

  • Communication with insurance providers
  • Vendor invoice processing
  • Aged account recovery strategies
  • Compliance rate maintenance
  • KPI reporting and tracking
  • Accounting remittances
  • Denial management
  • Dashboard creation (HubSpot)
  • Accounts receivable (A/R) reconciliation
  • Insurance reimbursement negotiations

Work Experiences

  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Completed recovery within the past year.
  • Paid vendors and employees by receiving and verifying expense reports and monitoring discount opportunities.
  • Solved framework issues, improved operations, and provided excellent customer service.
  • Decreased average resolution time by 2 days.
  • Assisted in conducting internal audits.
  • Achieved a 64% improvement in reconciliation accuracy.
  • Collaborated with insurance payers.
  • Collaborated with the collections team to increase collections on overdue medical bills by 53% through improved payment plans and outreach strategies.
  • Achieved a 56% improvement in cash flow by reconciling patient balances with insurance accounts more efficiently.

Summaries

  • Accomplished Patient Accounting Representative.
  • Advanced skills in revenue cycle management.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Patient Accounting Representative is a multi-talented Patient Accounting Representative who is consistently rewarded for planning and operational improvements.
  • Expert in payment processing to reduce outstanding debt, fees, and interest.
  • Costs were consistently reduced while profits were increased.
  • Offering 8 years of functional experience in the program industry providing clerical, financial, and administrative services.
  • Within Miscellaneous, senior Patient Accounting Representative and outstanding performer in risk assessment and stakeholder engagement.
  • Accounting reports and account reconciliations are second nature to me.

Accomplishments

  • Identified $4 in misapplied payments during routine audits, ensuring compliance with financial and regulatory standards.
  • Successfully resolved discrepancies in high-volume patient accounts, recovering $14 in missed payments and reducing outstanding balances by 76%.
  • Facilitated successful payment reconciliation for accounts valued at $10 over the past year, clearing backlog while improving accuracy in patient billing.
  • Created customized reporting tools to monitor account receivables, which contributed to early identification of problem accounts and reduced bad debt by $15.
  • Documented and resolved framework which led to process.
  • Led a cross-departmental initiative that improved payment reconciliation times by 6 days, boosting departmental productivity.
  • Collaborated with team of 3 in the development of procedure.
  • Proactively followed up on unpaid claims, successfully reducing outstanding accounts by 11% within two years.
  • Improved month-end payment processing times by 18 days through the development of streamlined A/R workflows.
  • Developed a patient payment collection program that led to a 62% improvement in on-time collections from self-pay patients.

Affiliations

  • International Association of Insurance Professionals (IAIP)
  • Patient Advocate Certification Board affiliation
  • Participant in Austin Business Office Managers' Association (BOMA) 2016
  • National Association of Medical Billers and Coders (NAMBC)
  • Healthcare Financial Management Association (HFMA)
  • Certified Revenue Cycle Specialist (CRCS) - ITIL
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • Medical Group Management Association (MGMA)
  • Society of Human Resource Management
  • Patient Financial Services Association (PFSA)

Certifications

  • Certified Patient Account Technician (CPAT) - AAHAM
  • Cisco Certified Network Associate (CCNA)
  • Certified Denials Management Specialist (CDMS) – MMI
  • SHRM Certified Professional (SHRM-CP)
  • Certified Medical Reimbursement Specialist (CMRS) - AMBA
  • Certified Healthcare Billing and Management Executive (CHBME) – HBMA
  • Certified Revenue Cycle Representative (CRCR) - Northwind
  • First Aid/CPR Certified
  • Certified Health Data Analyst (CHDA) - category
  • EHR Certification (EPIC, Cerner, etc.) – Tableau

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