Carlos Estrada
Revenue Cycle Billing Specialist
Mint Hill,North Carolina
Summary
Motivated Patient Account Representative offering 16 years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills. Detail-oriented, with extensive knowledge of billing systems, medical terminology and insurance practices. Skilled in active listening and analytical problem-solving. Enhance customer experiences by employing service-oriented behaviors, understanding customer desires, and provide customized solutions to build loyalty.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Payment Service Specialist
Tryon Medical Partners
08.2023 - 03.2024
- Improved customer satisfaction by addressing and resolving service-related issues promptly and professionally.
- Streamlined service processes for quicker response times, enhancing overall customer experience.
- Collaborated with team members to develop new strategies for improving service quality and efficiency.
- Conducted regular training sessions for staff, ensuring consistent delivery of exceptional services to customers.
- Handled escalated customer concerns with professionalism, resulting in improved relationships and repeat business.
- Implemented new procedures to reduce wait times and increase customer satisfaction rates in busy service environments.
- Fostered positive work environment and encouraging teamwork to achieve desired results.
Patient Account Representative
Westmed Medical Group
02.2018 - 01.2022
- Responded to patient, family and external payer inquiries.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Reconciled statements with patient records.
- Prepared reports detailing billing actions, flags and other key information.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Contacted patients after insurance was calculated to obtain payments.
- Worked with customer to create debt repayment plan based on current financial condition.
- Entered client details and notes into system for interdepartmental access and review.
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
- Advised customers of alternative actions and strategies for debt repayment and attempted to avoid adversarial communications.
- Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Streamlined billing processes for increased efficiency in managing patient accounts.
Reimbursement Counselor
Amerisource Bergen -Lash Group
06.2006 - 09.2017
- Researched patient benefits to assist with insurance questions.
- Referred customers to organizations that may provide financial assistance.
- Advised managers and employees on state and federal employment regulations, collective agreements and classification programs.
- Investigated medical history, coding and insurance coverage to determine reimbursement eligibility.
- Resubmitted claims with new and amended information to insurance companies for processing.
- Assisted 100 customers per day with medical billing inquiries.
Education
Bachelor of Arts - Psychology
University of North Carolina At Charlotte
Charlotte, NC06.2006
Skills
- Medical Billing
- Patient Contact
- Payment Solicitation
- Account Monitoring
- AR Aging Reports
- Account Resolutions
- Problem Identification
- Payment Scheduling
- Managing Delinquent Accounts
- Credit and Collections
- Persuasive Negotiations
- Electronic and Paper Filing
- Updating Customer Accounts
- Reviewing Patient Information
- Patient Account Reviews
- Debt Repayment Negotiation
- Filing Appeals
- Patient Reimbursements
- Letter of Appeal Writing
- Pleasant Telephone Demeanor
- Training and Teaching
- Denial Appeals Process
- Client Retention Strategies
- Call Management
- Product Knowledge
- Claims Review
Languages
Spanish
Native or Bilingual
Timeline
Revenue Cycle Payment Service Specialist
Tryon Medical Partners
08.2023 - 03.2024
Patient Account Representative
Westmed Medical Group
02.2018 - 01.2022
Reimbursement Counselor
Amerisource Bergen -Lash Group
06.2006 - 09.2017
Bachelor of Arts - Psychology
University of North Carolina At Charlotte
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