Andre Ross
ELLENSBURG,WA
Summary
Dynamic Patient Financial Specialist with proven expertise in denial management and insurance proficiency at Kittitas County Public Hospital District 1. Recognized for enhancing insurance payments and through proactive issue resolution appeals and fostering teamwork. Committed to maintaining confidentiality and delivering exceptional service while training new hires to uphold high standards.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Patient Financial Specialist
Kittitas County Public Hospital District 1
02.2011 - Current
- Process patient insurance claims accurately and efficiently to ensure timely reimbursements.
- Expedite claim processing timeframes through proactive troubleshooting of claim denials or rejections, for faster reimbursement for services rendered.
- Conducts regular reviews of patient accounts to identify errors or inconsistencies, leading to a decrease in discrepancies and improved overall accuracy.
- Maintain strict confidentiality of patient data by adhering to HIPAA regulations and company policies regarding information security.
- Help train new hires on department policies, software programs and effective communication strategies to ensure consistent quality service across the team.
- Entered figures using 10-key calculator to compute data quickly.
- Proactively work aging accounts to improve cash flow and prevent timely adjustments when possible
- Identify COB issues with multiple payers on accounts and work to resolve
- Maintain a positive attitude and contribute to a transparent work environment with co workers
- Receive and work Insurance correspondence and update accounts with information provided
- Help other follow up billers when needed and act as back up for secondary claims biller
Patient Financial Counselor
Kittitas Public Hospital District 1
12.2009 - 02.2011
- Registered and verified patient billing information for accuracy and compliance with regulations.
- Maintained a professional work ethic while encouraging a positive working environment with co workers.
- Assisted patients with questions in regards to service locations and provider lists
- Resolved customer complaints using established follow-up procedures.
- Answered phone lines and transferred to appropriate department
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Education
GED -
American School
Chicago, IL02-2005
Skills
- Denial management
- Medicaid and medicare proficiency
- Issue research
- Organization skills
- Teamwork
- Multitasking
- Reliability
- Active listening and works well with others
- Proactive and Self-motivated
- Task prioritization
- Adaptability
Timeline
Patient Financial Specialist
Kittitas County Public Hospital District 1
02.2011 - Current
Patient Financial Counselor
Kittitas Public Hospital District 1
12.2009 - 02.2011
GED -
American School