CLARISSA WARD
GRAND PRAIRIE,Texas
Summary
Professional with experience in billing and account management. Skilled in handling complex billing issues, ensuring accuracy, and meeting deadlines. Strong focus on team collaboration and adaptability to changing needs. Reliable communicator and problem-solver with proficiency in billing software, customer service, and financial reconciliation. Prepared to deliver results and contribute effectively in fast-paced environment.
Overview
19
19
years of professional experience
Work History
PFS Billing Representative II
UT Southwestern Medical Center
10.2019 - Current
- Reviewed and solved account and billing discrepancies 100% daily.
- Worked effectively with medical payers such as Medicare, Medicaid, insurances to obtain timely and accurate payments.
- Received incoming information and entered into database system.
- Assessed accounts for payment status.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing .
- Worked with multiple departments to check proper billing information.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Patient Account Representative
MD Medical
05.2018 - 10.2019
- Utilized computer programs to create invoices, letters and other documents.
- Prepared reports detailing billing actions, flags and other key information.
- Posted payments and processed refunds.
- Contacted patients after insurance was calculated to obtain payments.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Electronic and paper submitted bills according to compliance guidelines.
Aministrative Collector II
US Anesthesia Partners Of Texas
08.2016 - 05.2018
- Maintained high volume of calls and met demands of busy and productive group.
- Negotiated with account holders to devise repayment plans and minimize collections receivables.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
- Evaluated, researched and resolved discrepancies.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Adminitrative Collector II
Mednax - American Anesthesiology
11.2015 - 08.2016
- Electronically submitted bills according to compliance guidelines.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Researched billing errors and discrepancies to initiate corrective action.
- Contacted insurance after claims were billed to obtain payments.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to patient, family and external payer inquiries.
Patient Financial Counselor
Texas Oncology
08.2015 - 11.2015
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Verified patient insurance eligibility and entered patient information into system.
- Followed document protocols to safeguard confidentiality of patient records.
- Delivered support to medical staff in completion of patient paperwork.
- Offered simple, clear explanations to help clients and families understand clinic policies and procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
Medicare Biller
GAFFEY Healthcare
02.2014 - 08.2015
- Prepared billing statements for patients and verified correct diagnostic coding.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Patient Account Representative Team Lead
Cymetrix
02.2012 - 02.2014
- Processed insurance payments and updated accounts.
- Analyzed accounts for delinquencies and other ongoing issues.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Electronically submitted bills according to compliance guidelines.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Researched billing errors and discrepancies to initiate corrective action.
- Trained new account representatives on department policies and procedures.
Patient Account Representative
Healthtech Solutions Group
10.2011 - 02.2012
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Handled account payments and provided information regarding outstanding balances.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies, and billing office.
Medicare Biller
UT Southwestern Medical Center
08.2008 - 10.2011
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Patient Account Representative
Texas Health Resources-arlington
06.2006 - 08.2008
- Prepared reports detailing billing actions, flags and other key information.
- Contacted patients after insurance was calculated to obtain payments.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Responded to patient, family and external payer inquiries.
- Researched billing errors and discrepancies to initiate corrective action.
Education
High School Diploma -
Roosevelt High School
Certificate - Administrative Assistant
Herzing University
Skills
- Account Management
- EMR Systems
- Information Updates
- Employee training
- Claims management
- Revenue cycle analysis in healthcare
- Accounts Receivable Expertise
- Billing Dispute Resolution
- Payment Collection
- Revenue management
- Experience with billing systems
- Insurance Confirmation
- Benefits Verifications
- Billing Data Verification
- Data entry experience
- Collections
- Microsoft office
- Customer relations skills
Timeline
PFS Billing Representative II
UT Southwestern Medical Center
10.2019 - Current
Patient Account Representative
MD Medical
05.2018 - 10.2019
Aministrative Collector II
US Anesthesia Partners Of Texas
08.2016 - 05.2018
Adminitrative Collector II
Mednax - American Anesthesiology
11.2015 - 08.2016
Patient Financial Counselor
Texas Oncology
08.2015 - 11.2015
Medicare Biller
GAFFEY Healthcare
02.2014 - 08.2015
Patient Account Representative Team Lead
Cymetrix
02.2012 - 02.2014
Patient Account Representative
Healthtech Solutions Group
10.2011 - 02.2012
Medicare Biller
UT Southwestern Medical Center
08.2008 - 10.2011
Patient Account Representative
Texas Health Resources-arlington
06.2006 - 08.2008
Certificate - Administrative Assistant
Herzing University
High School Diploma -
Roosevelt High School
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