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Skills

  • Supervision
  • Communications
  • Patient relationship management
  • MS Office
  • Cross-functional collaboration
  • Organization
  • Advanced MS Excel for financial tracking
  • Data Analysis for Process Optimization
  • Document filing
  • Metric coding understanding

Work Experiences

  • Collaborated with financial counselors.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Collected copayments and kept track of my finances on a daily basis.
  • Continuously met or exceeded performance benchmarks in patient satisfaction, consistently achieving a 82% positive feedback rate.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Collaborated with the clinical team to identify high-risk patient accounts, reducing payment default rate by 28% in three years.
  • Transported Power BI to two years customer locations.
  • Coached the front office team to improve patient registration procedures, cutting duplicate records by 20% and achieving Outstanding Service Award.
  • Achieved a 75% reduction in patient wait times.

Summaries

  • Medical administrative professional with 7+ years of experience in patient care.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Collaborated cross-departmentally.
  • Allocated resources effectively.
  • Patient Business Representative with 17 years of successful strategic planning and data analysis experience.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Adhered to strict regulatory requirements.
  • Achieved results over 18 months.
  • Advanced problem-solving skills in identifying and resolving patient billing and insurance issues swiftly, ensuring smooth financial operations within the clinic.
  • Dedicated Patient Business Representative.

Accomplishments

  • Exemplified customer service excellence, achieving a 49% patient satisfaction rate in resolving financial complaints.
  • Resolved 16 complex patient billing issues over the past year, resulting in a 82% reduction in outstanding balances.
  • Cross-collaborated with clinical and administrative teams to streamline insurance pre-authorization, reducing approval time by 13 months.
  • Reduced patient billing discrepancies by 72% using improved collaboration between the billing department and patient care teams.
  • Maintained a 53% first-contact resolution rate for payment disputes by communicating effectively with patients and insurance representatives.
  • Created training materials to enhance staff understanding of insurance verification processes, increasing department efficiency by 51%.
  • Implemented a HIPAA-compliant system for managing sensitive financial data, achieving PMP and improving compliance by 75%.
  • Initiated an account follow-up process that successfully recovered $68,000 in delinquent patient payments within the past year.
  • Championed a policy change that reduced patient registration errors by 66% through more stringent procedure adherence.
  • Reduced total denied claims by 38% by streamlining the verification and submission process with patients and insurance providers.

Affiliations

  • Toastmasters
  • Patient Experience Institute (PXI)
  • National Association of Health Services Executives (NAHSE)
  • American Marketing Association
  • National Association of Social Workers
  • International Council of Nurses
  • Association of American Medical Colleges (AAMC)
  • Association for Computing Machinery
  • International Association of Administrative Professionals
  • Association for Latinx Healthcare Executives (ALHE)

Certifications

  • Certified Public Accountant
  • Certified Healthcare Access Manager (CHAM) by NAHAM
  • First Aid/CPR Certified
  • CompTIA Network+
  • CompTIA A+ Technician
  • Project Management Professional (PMP)
  • Certified Healthcare Access Associate (CHAA) from NAHAM
  • Certified in Healthcare Compliance (CHC) by HCCA
  • Certified Revenue Cycle Professional (CRCP) by AAHAM
  • Certified Electronic Health Records Specialist (CEHRS) by procedure

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