Open To Work
Linda Jordan
Accounts Receivable
Henderson,NV
Work Preference
Summary
Patient Account Representative with proven expertise in billing and revenue cycle management at Conifer Health Solutions. Skilled in HIM software and EMR systems, effectively resolving account discrepancies and improving patient engagement. Strong communicator with a track record of meeting productivity goals while ensuring compliance and maximizing reimbursements.
Overview
9
9
years of professional experience
Work History
Patient Account Representative (Remote)
Conifer Health Solutions
Frisco, Tx
04.2024 - Current
- Utilized ACE, VI Web, OnDemand document imaging, and other portals for authorizations and account resolution.
- Ensured compliance with State and Federal regulations for Managed Care and Third-Party Payors.
- Reviewed payor contracts to guarantee accurate reimbursement of HCPC/CPT and DRG codes.
- Adjusted patient or payor information, documenting account details and resolving issues related to re-coup errors.
- Logged into payer websites to gather data necessary for account resolution over 30-45 working days.
- Opened PE disputes to facilitate further research on accounts for appeals and authorization errors.
- Documented clear notes using activity codes within ACE in the patient accounting system.
- Maintained productivity goals by processing a designated number of accounts while meeting QA standards.
Patient Account Analyst (Remote)
Diffusion Consulting Services & Kenneth Associates
Modesto, CA
02.2017 - Current
- Managed patient financial services, customer service, billing, and follow-up for UB-04, UB-92, and 1500 claim forms.
- Registered and updated patient demographics including name, DOB, address, insurance company, and ID details.
- Contacted insurance companies to verify benefits such as coverage periods, co-pays, and deductibles.
- Projected collection days using DSO system to enhance reimbursement timelines.
- Analyzed reasons for denials or underpayments on Specialty Billing accounts for various transplant services.
- Communicated with clearinghouses for claims transmission including Navicure and Change Healthcare.
- Performed auditing, billing, invoicing, and tracking functions for accurate claim submissions.
- Reviewed write-offs to ensure appropriateness and prevent bad debt accumulation.
Business Office Manager (SNF)
Knott Avenue Care Center
Modesto, California
02.2017 - 06.2017
- Conducted meetings with new admissions and families to clarify financial obligations and required paperwork.
- Audited new admission files for accuracy and completeness.
- Collected reimbursements for skilled, sub-acute vent and non-vent services from Medicare, Medi-Cal, and CalOptima.
- Managed business office functions, including billing, accounts receivable, and payable processes.
- Entered daily census data and compiled reports using PCC system.
- Posted payer changes in PCC to ensure smooth billing operations across all payers.
- Supervised business office staff while assigning duties as directed by Administrator.
- Maintained resident trust accounts through accurate deposits, withdrawals, and adjustments.
Education
Associate - Business Administration
American InterContinental University
Hoffman Estates, IL06.2004
Skills
- HIM software and EMR systems
- Clearinghouse solutions
- Epic and Optum integration
- NextGen EHR and Allscripts
- Billing and revenue cycle management
- Document imaging and EDI
- Health information management tools
- Patient engagement platforms
- Accounting software expertise
- Microsoft Teams and Citrix proficiency
Languages
English
References
References available upon request.
Timeline
Patient Account Representative (Remote)
Conifer Health Solutions
04.2024 - Current
Business Office Manager (SNF)
Knott Avenue Care Center
02.2017 - 06.2017
Patient Account Analyst (Remote)
Diffusion Consulting Services & Kenneth Associates
02.2017 - Current
Associate - Business Administration
American InterContinental University