A skilled healthcare Account representative, with a strong background in denials management, medical billing, and accounts receivable analysis. Knowledgeable, analytical, and personable with excellent problem solving skills. Proven to improve workflow efficiencies while maintaining high standards in customer service.
Overview
18
18
years of professional experience
Work History
Account Representative
CLEVELAND CLINIC FOUNDATION
Cleveland, OH
06.2006 - Current
Hospital and Professional Billing Follow-up
Experienced in Epic, SMS, and Epremis/Waystar electronic billing systems
Responsible for collecting over $1 Million in aged accounts receivable yearly.
Created spreadsheets for analyzing payer trends and identifying contract compliance irregularities.
Mentored and trained new employees
Assisted in the creation of standard operating procedures (SOPs) provided guidelines and outlining best practices, specifically designed to provide steps for working denials
Follow up with various insurance carriers to ensure timely processing and reimbursement of claims.
Interact with various hospital departments to ensure compliance with billing requirements.
Insurance verification and cash application.
Resolved patient billing issues by acting as a liaison with customers.
Data entry into Excel of reports for account representatives.
Identify strengths, opportunities, and financial impact of departmental operational activity in regards to workflow, denial management, and productivity.
Analyze departmental resources, services, systems, and programs in conjunction with the supervisor to ensure the timely resolution of patient service issues to foster an environment of total customer responsiveness.
Education
Bachelor of Arts -
Wilberforce University
Wilberforce, OH
05-1994
Skills
Skilled at handling multiple tasks and projects simultaneously
Excellent written and oral communication skills
Effective problem solver and an organized team player
Knowledge of CPT/ ICD 9 coding, and medical billing
Goal-Oriented
Project Management
Computer Skills:
Microsoft Word, Microsoft Windows, Word Perfect, Access, PowerPoint, Excel.