Arial Moore
Baton Rouge,Louisiana
Summary
Accomplished Patient Service Supervisor with a proven track record at Premier Health Consultants, enhancing patient satisfaction and streamlining billing processes. Expert in Epic Systems and adept at fostering team growth, I significantly improved efficiency and compliance. Skilled in problem-solving and employee supervision, my leadership ensures high-quality healthcare administration.
Overview
6
6
years of professional experience
Work History
Patient Service Supervisor
Premier Health Consultants
02.2023 - Current
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
- Inputted accurate patient insurance, billing and payment information in Epic/Experity.
- Administered billing functions to maintain profitability and meet compliance, quality and productivity standards.
- Facilitated communication between patients, healthcare providers, and insurance companies to resolve billing issues.
- Maintained compliance with industry regulations through accurate documentation, consistent policy enforcement, and ongoing staff education.
- Responded to and resolved customer questions and concerns.
- Ensured smooth operations during peak hours by effectively managing resources and staff allocation.
- Increased efficiency within the department by evaluating workflows and recommending improvements based on best practices.
- Managed patient complaints professionally, addressing concerns promptly to ensure satisfaction.
- Implemented new procedures to improve accuracy in billing management and reduce errors.
- Trained new employees and delegated daily tasks and responsibilities.
Senior Medical Billing Specialist
Premier Health Consultants
10.2021 - 02.2023
- Managed a team of billing specialists, ensuring accurate and timely submission of claims.
- Oversaw daily operations for efficient workflow and productivity within the medical billing department.
- Effectively managed multiple priorities simultaneously while adhering to strict deadlines within a fast-paced environment.
- Improved revenue cycle by managing and overseeing the entire medical billing process.
- Collaborated with cross-functional teams, optimizing the overall medical billing process.
- Implemented effective training programs for new hires to ensure consistent quality and performance standards.
- Provided excellent customer service to patients, resolving disputes or discrepancies regarding their bills.
- Streamlined billing procedures for increased efficiency and reduced errors.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
Medical Billing Specialist
Premier Health Consultants
04.2019 - 10.2021
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Collected payments and applied to patient accounts.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Liaised between patients, insurance companies, and billing office.
Patient Access Representative
Lake After Hours
11.2018 - 04.2019
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
Education
Medical Assistant Certification - Medical Assisting
Medical Training College
Baton Rouge, LA10.2015
High School Diploma -
Port Allen High
Port Allen, LA05.2012
Skills
- Effective problem solving
- Patient confidentiality
- Team Management
- Insurance Verification
- Healthcare regulations
- Effective written and verbal communication
- HIPAA Compliance
- Admissions processes
- Recordkeeping
- Patient data privacy
- Critical Thinking
- New staff training
- Patient Safety
- Decision-Making
- Patient Education
- Training and mentoring
- Employee Supervision
- Problem Identification
- Employee Recruitment and Hiring
- Data Analysis
- Epic Systems
- Records Management
Timeline
Patient Service Supervisor
Premier Health Consultants
02.2023 - Current
Senior Medical Billing Specialist
Premier Health Consultants
10.2021 - 02.2023
Medical Billing Specialist
Premier Health Consultants
04.2019 - 10.2021
Patient Access Representative
Lake After Hours
11.2018 - 04.2019
Medical Assistant Certification - Medical Assisting
Medical Training College
High School Diploma -
Port Allen High
Similar Profiles
Tamika WilsonTamika Wilson
Customer Service Lead at Premier Health ConsultantsCustomer Service Lead at Premier Health Consultants
SUZANNE JAGERSUZANNE JAGER
Customer Service Representative at Premier Health Consultants (Mercy One Urgent Care-Singing Hills)Customer Service Representative at Premier Health Consultants (Mercy One Urgent Care-Singing Hills)
Jeanie ArellanoJeanie Arellano
National Certified Medical Assistant- PRN at Premier Health Consultants LLCNational Certified Medical Assistant- PRN at Premier Health Consultants LLC