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Skills

  • Budgets
  • Customer service
  • Insurance provider relationship management
  • Method equipment
  • Coordination of patient care through proper insurance verification
  • Billing dispute resolution
  • Financial accuracy in service billings
  • Data analysis for billing discrepancies
  • Healthcare administrative support
  • Denial claim resolution

Work Experiences

  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved recovery in 2015.
  • Completed resolution within the past year.
  • Collected $18 in overdue revenue.
  • Built lasting relationships with third-party insurance providers.
  • Collected copayments and kept track of my finances on a daily basis.
  • Audited patient account files.
  • Was in charge of compiling and reviewing medical records.
  • Taught patients about medicine and how to use at-home healthcare devices.
  • Averted writing off overdue revenue.

Summaries

  • Committed to streamlining billing processes.
  • Adept at negotiating payment plans.
  • Achieved accuracy rate exceeding 82%.
  • Within Miscellaneous, senior Patient Business Services Representative and outstanding performer in strategic planning and process improvement.
  • Patient Service Representative with extensive knowledge of standard.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the category business.
  • Collaborated across departments.
  • Patient Service Representative with 7 years of healthcare experience.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Complete patient education is a success.

Accomplishments

  • Collaborated with the IT department to streamline payment collection systems, lowering processing time by 85%.
  • Prepared detailed patient account summaries that provided accurate, up-to-date financial overviews, increasing transparency by 64%.
  • Handled 11 patient inquiries monthly, achieving 60% resolution without escalating to a supervisor.
  • Analyzed patient payment data and successfully identified 4% of overpayments, resulting in timely refunds to patients.
  • Reduced average days in account receivables from 17 to 10 by optimizing billing submission processes.
  • Led the migration from legacy patient billing systems to SAP, increasing accounts processing speed by 57%.
  • Collaborated with team of 2 in the development of system.
  • Trained staff in healthcare documentation accuracy, reducing billing errors by 79% across 5 clinic locations.
  • Trained 14 new team members on Tableau, contributing to a 35% decrease in onboarding times.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Affiliations

  • American Healthcare Documentation Professionals Group (AHDPG)
  • Society of Women Engineers
  • American Hospital Association (AHA)
  • American Society for Healthcare Risk Management (ASHRM)
  • National Association of Social Workers
  • Medical Group Management Association (MGMA)
  • The Joint Commission (TJC) - Healthcare Quality and Certification Network
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • Rotary International
  • American Association of Medical Assistants (AAMA)

Certifications

  • NextGen Certified Professional (NGCP) - Northwind
  • CompTIA Network+
  • Certified Patient Service Specialist (CPSS) - Lakeside Partners
  • ServSafe
  • Certified Electronic Health Records Specialist (CEHRS)
  • Certified in Medical Auditing (CPMA) - Vantage
  • AHIMA Certified Healthcare Data Analyst (CHDA)
  • Certified Patient Account Representative (CPAR) - Harbor & Co.
  • Google Certified Professional Cloud Architect
  • Medical Billing and Coding Certification, Ironclad Systems

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