Epic
Essence Baker
Mesa,AZ
Summary
Seeking Accounts Analyst role with 9 years of experience in healthcare finance and patient account management. Skilled in accounts receivable, insurance verifications, and ensuring billing accuracy and compliance. Proficient in analyzing insurance benefits and facilitating financial pre-service processes to optimize revenue cycle performance.
Overview
10
10
years of professional experience
Work History
Patient Account Representative
Community Health Network
03.2020 - Current
- Update patient insurance information and demographics in electronic medical records to ensure accuracy and compliance
- Process accounts receivable and manage denials, ensuring prompt and accurate payment collection
- Monitor patient accounts to verify correct claim payments from insurance companies prior to patient billing.
Patient Service Representative
Community Health Network
06.2019 - 03.2020
- Accurately registered patient demographics and verified insurance coverage to ensure seamless patient intake processes
- Monitored and obtained necessary authorizations for patient procedures and surgeries, maintaining compliance with healthcare regulations
- Coordinated surgical schedules and meticulously reviewed associated charges, supporting physician billing accuracy.
Facility Billing Collections
IU Health
Indianapolis
01.2018 - 02.2019
- Ensured accuracy of patient billing statements by conducting thorough reviews of Explanations of Benefits (EOBs) and HCFA-1500 forms
- Responded to third-party requests for additional claim information by supplying necessary medical record documentation and monitoring insurance correspondence for payer requirement updates.
Patient Financial Navigator Pre-Services
IU Health
03.2017 - 01.2018
- Conducted thorough eligibility verification and analysis of patients' health insurance benefits to ensure accurate information collection
- Facilitated financial pre-service processes by obtaining essential insurance data through strategic phone communication with patients.
Patient Placement Specialist/ Admission Center
IU Health
06.2014 - 03.2017
- Managed precise data entry of patient information to facilitate accurate billing and minimize errors in financial statements
- Adjusted patient status orders to align with insurance requirements, ensuring proper procedure coverage and financial compliance
- Coordinated efficient patient bed assignments to optimize hospital flow and enhance patient admission experience.
Education
High School Diploma -
Bloomington High School South
08.2009 - 6 2013
Business Administration Healthcare Administration With Concentration of H
Southern New Hampshire University
Skills
Familiarity With Multiple Computer Systems (STAR, Cerner, Epic, GE)CommittedDecisiveOrganizedGoal OrientedSelf MotivatedInterpersonal CommunicationMicrosoft Office
Insurance Verification
Payment Processing
Medical Terminology
HIPAA Compliance
Insurance Billing
Administrative Support
Data entry proficiency
Collections experience
Verbal and written communication
Team Collaboration
Follow-up skills
Patient Care
Multitasking and Organization
Problem-Solving
Quality Assurance
Registration and Admissions
EMR Updating
Team Leadership
Flexible Schedule
Attention to Detail
Analytical and Critical Thinking
Accomplishments
In 2023, I collected 33k in revenue for Community Health Network while making sure they received maximum reimbursement.
Software
Cerner
Star
Timeline
Patient Account Representative
Community Health Network
03.2020 - Current
Patient Service Representative
Community Health Network
06.2019 - 03.2020
Facility Billing Collections
IU Health
01.2018 - 02.2019
Patient Financial Navigator Pre-Services
IU Health
03.2017 - 01.2018
Patient Placement Specialist/ Admission Center
IU Health
06.2014 - 03.2017
High School Diploma -
Bloomington High School South
08.2009 - 6 2013
Business Administration Healthcare Administration With Concentration of H
Southern New Hampshire University