Summary
Overview
Work History
Education
Skills
Timeline
Generic

David Pirko

Oceanside,CA

Summary

Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.

Overview

9
9
years of professional experience

Work History

Patient Access Representative

Scripps Encinitas Surgery Center
08.2021 - Current

Verifying eligibility for benefits for specific services rendered. Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations. Working denials, Appeals and Patient Correspondence. Understanding All Payer Portals. Reviewing Managed Care Matrix for contracted providers. Running Account Receivable Reports and working the Highest Dollar amount. Reviewing pre-certification on procedure code and Per-Operative orders for treatment for a Clean Claim to be processed paid.

Patient Access Representative

Synergistics Systems
02.2019 - 08.2021

Medical Billing and Collections Specialist

Physical Rehabilitation Network
10.2015 - 02.2019

Payment Posting Specialist

Physical Rehabilitation Network
10.2015 - 02.2019

Patient Account Representative

Critical Care Speciality Billing
02.2015 - 07.2016

Patient Care Coordinator

Genesis Healthcare Partners
12.2014 - 02.2015

Education

Bachelor of Science - Health Administration

University of Phoenix
San Diego, CA
05.2017

Skills

  • Multitasking and Organization
  • Problem-Solving
  • HIPAA Compliance
  • Insurance Verification
  • Eligibility Determination

Timeline

Patient Access Representative

Scripps Encinitas Surgery Center
08.2021 - Current

Patient Access Representative

Synergistics Systems
02.2019 - 08.2021

Medical Billing and Collections Specialist

Physical Rehabilitation Network
10.2015 - 02.2019

Payment Posting Specialist

Physical Rehabilitation Network
10.2015 - 02.2019

Patient Account Representative

Critical Care Speciality Billing
02.2015 - 07.2016

Patient Care Coordinator

Genesis Healthcare Partners
12.2014 - 02.2015

Bachelor of Science - Health Administration

University of Phoenix
David Pirko