Glennys Hales
Patient Accounts Specialist
ROCKFORD,Illinois
Summary
At Rockford Gastroenterology, a Patient Accounts Specialist adept in HIPAA compliance and insurance billing significantly enhanced billing procedures, ensuring timely insurance reimbursements. Demonstrated exceptional problem-solving and relationship-building skills, leading to improved patient service and streamlined insurance communications. Achieved notable improvements in claim resolution efficiency and customer satisfaction.
Overview
17
17
years of professional experience
Work History
Patient Accounts Specialist
Rockford Gastroenterology
09.2007 - 08.2024
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Promoted a culture of continuous improvement within the Patient Accounts team by participating in regular staff meetings, offering constructive feedback on department processes, systems, tools for achieving objectives more effectively.
- Posted payments and processed refunds.
- Reconciled statements with patient records.
- Responded to patient, family and external payer inquiries.
- Provided exceptional customer service while assisting patients with questions about their bills or payment options via phone calls or written correspondence.
- Fostered strong relationships with insurance representatives to facilitate smooth communications regarding claim submissions, denials, appeals, or underpayments issues that arose during processing stages.
- Responded to customer inquiries and provided detailed account information.
- Researched billing errors and discrepancies to initiate corrective action.
Education
High School Diploma -
East High School
Rockford06.1977
Skills
- HIPAA understanding
- Medicare and Medicaid knowledge
- Patient Care
- Team Collaboration
- HIPAA Compliance
- Insurance collaboration
- Insurance Billing
- Problem-Solving
- Active Listening
- Decision-Making
- Relationship Building
- Self Motivation
- Professionalism
- Pleasant Telephone Demeanor
- Time management abilities
- Professional Demeanor
- Problem-solving aptitude
- Aging reports analysis
- Insurance Company Communication
Timeline
Patient Accounts Specialist
Rockford Gastroenterology
09.2007 - 08.2024
High School Diploma -
East High School
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