Ashley DeMicco
Prescott Valley,AZ
Summary
Dynamic Patient Account Representative with extensive experience at Medical Office Services, excelling in claims processing and insurance billing. Proven ability to resolve complex issues while maintaining HIPAA compliance and delivering exceptional customer service. Skilled in medical coding and conflict mediation, ensuring accurate financial records and enhancing patient satisfaction.
Overview
1
1
year of professional experience
Work History
Patient Account Representative
Medical Office Services
Riverside, CA
06.2015 - 10.2016
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Processed payments from patients and maintained accurate records of all transactions.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Worked closely with insurance companies to obtain authorization for services rendered.
- Provided customer service to patients regarding billing inquiries and account information.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Performed monthly reconciliations of patient accounts to ensure accuracy of financial data.
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Conducted follow-up calls with patients to ensure that accounts were up to date and properly documented.
- Responded promptly to customer inquiries via telephone or email in a professional manner.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Created new patient files according to established procedures and protocols.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Wrote appeal letters to insurance companies for denial of claims.
- Contacted insurance companies to check status of claim payments.
- Performed administrative functions for assigned accounts, recorded address changes and purged records.
- Answered customer questions regarding account discrepancies or problems.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Received payments and posted amounts to customer accounts.
Education
Bachelor of Science -
Northern Arizona University
Flagstaff, AZ06-2026
Medical Records - Healthcare
Yavapai College
Prescott, AZ05-2024
Skills
- Medical coding
- Healthcare compliance
- Electronic health records
- Claims processing
- Patient financial services
- Customer service
- HIPAA compliance
- Conflict mediation
- Insurance billing
References
References available upon request.
Timeline
Patient Account Representative
Medical Office Services
06.2015 - 10.2016
Bachelor of Science -
Northern Arizona University
Medical Records - Healthcare
Yavapai College
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