Charmaine Henry
West Palm Beach,Florida
Summary
Motivated Patient Account Representative offering 10+ years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills. Proficient Patient Account Specialist driven to improve productivity, resolve delinquencies and drive process updates to modernize systems and maximize effectiveness. Bringing 10+ years of experience in patient account billing.
Overview
16
16
years of professional experience
Work History
Patient Account Specialist
Baptist Health South Florida - Corporate Offices
02.2020 - 08.2024
- Electronically submitted bills according to compliance guidelines.
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Ensured compliance with all applicable laws, regulations, policies governing medical billing practices, and patient privacy by staying current on industry changes.
- Contributed to departmental goals for lowering A/R days by prioritizing accounts based on aging reports, taking appropriate action steps to expedite collections or adjustments as needed.
- Proactively identified potential issues in patient accounts, communicating with other departments as necessary to resolve discrepancies that could impact billing accuracy or timely reimbursements from insurance carriers.
- Increased revenue recovery rates by identifying trends in denied claims, researching root causes, implementing corrective measures to prevent future occurrences accordingly.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
Patient Account Representative
Conifer Healthcare Solutions
08.2014 - 07.2019
- Electronically submitted bills according to compliance guidelines.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Utilized computer programs to create invoices, letters and other documents.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
- Researched billing errors and discrepancies to initiate corrective action.
- Initiated repossession process or service disconnection upon failure of other collection methods.
Patient Account Representative Medicaid
Tenet Healthcare Corporation
06.2008 - 08.2014
- Electronically submitted bills according to compliance guidelines.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
- Utilized computer programs to create invoices, letters and other documents.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Processed debtor payments and updated accounts to reflect new balance.
Education
Diploma - Billing& Coding
Florida Career College
West Palm Beach, FL06.2007
Skills
HIPAA understanding
Team Collaboration
HIPAA Compliance
Medical Billing Expertise
Follow-up skills
Insurance Billing
Data entry proficiency
Medical terminology knowledge
Teamwork and Collaboration
Customer Service
Problem-Solving
Time Management
Excellent Communication
Reliability
Microsoft Office
Billing and Invoicing
Goal Setting
Account Reconciliation
Records Research
Written Communication
Bill payment
Mail Sorting
Affiliations
- Caribbean American for Community Involvement.
Languages
English
Full Professional
Additional Information
Application(s): OnDemand, Avadyne, Outlook,Ace,Epremis,Cerner.
Timeline
Patient Account Specialist
Baptist Health South Florida - Corporate Offices
02.2020 - 08.2024
Patient Account Representative
Conifer Healthcare Solutions
08.2014 - 07.2019
Patient Account Representative Medicaid
Tenet Healthcare Corporation
06.2008 - 08.2014
Diploma - Billing& Coding
Florida Career College
Similar Profiles
AnnMarie MegnauthAnnMarie Megnauth
Senior QA Compliance Auditor at Baptist Health South Florida - Corporate OfficesSenior QA Compliance Auditor at Baptist Health South Florida - Corporate Offices
Elias FigueroaElias Figueroa
Building Operations Supervisor at Baptist Health South Florida - Corporate OfficesBuilding Operations Supervisor at Baptist Health South Florida - Corporate Offices
Edgardo CupazEdgardo Cupaz
Associate at Baptist Health South Florida - Corporate OfficesAssociate at Baptist Health South Florida - Corporate Offices