HEATHER CALMA
Patient Representative/Customer Service
Eugene,OR
Summary
Professional with strong experience in patient account management, skilled at ensuring accurate billing and efficient revenue cycle processes. Known for effective collaboration with team members and adapting to changing needs to achieve results. Expertise includes billing systems, insurance claim processing, and patient communication. Dependable and focused on delivering high-quality outcomes in healthcare environment.
Overview
11
11
years of professional experience
Work History
Patient Account Specialist
Oregon Medical Group
09.2017 - 05.2022
- Confer with customers by telephone or in person to determine reasons for overdue payments and to review the terms of sales, service, or credit contracts.
- Answer customer questions regarding problems with their accounts.
- Perform various administrative functions for assigned accounts, such as recording address changes and purging the records of deceased customers.
- Receive payments and post amounts paid to customer accounts.
- Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Electronically submitted bills according to compliance guidelines.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Posted payments and processed refunds.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Worked with outside entities to resolve issues with billing, claims, and payments.
Kitchen Staff
Chartwells
09.2016 - 06.2017
- Clean and inspect galley equipment, kitchen appliances, and work areas to ensure cleanliness and functional operation.
- Cook foodstuffs according to menus, special dietary or nutritional restrictions, or numbers of portions to be served.
- Clean, cut, and cook meat, fish, or poultry.
- Wash pots, pans, dishes, utensils, and other cooking equipment.
- Plan menus that are varied, nutritionally balanced, and appetizing, taking advantage of foods in season and local availability.
Patient Account Specialist
Oregon Eye Consultants
02.2011 - 09.2012
- Answer telephones and direct calls to appropriate staff.
- Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
- Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
- Complete insurance or other claim forms.
- Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.
- Transmit correspondence or medical records by mail, e-mail, or fax.
- Maintain medical records, technical library, or correspondence files.
Education
High School Diploma -
Highland High School
Salt Lake City, UT06.1996
Skills
- Communication
- Patient Care
- Patient care
- Team collaboration
- HIPAA compliance
- Verbal and written communication
- Collections experience
- Patient account management
- Insurance verification
- HIPAA
- Medical terminology
- Medical billing expertise
- Payment processing
- Medical billing
- Regulatory compliance
- Conflict mediation
- Insurance collaboration
- Bookkeeping procedures
- Claims resolution
- Data entry proficiency
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Multitasking
- Organizational skills
- Adaptability and flexibility
Accomplishments
- Built productive relationships with patients and insurance companies, increasing payment rates.
- Resolved outstanding claims in first months on job.
- Trained and mentored multiple new staff on proper procedures, service standards, and compliance.
Timeline
Patient Account Specialist
Oregon Medical Group
09.2017 - 05.2022
Kitchen Staff
Chartwells
09.2016 - 06.2017
Patient Account Specialist
Oregon Eye Consultants
02.2011 - 09.2012
High School Diploma -
Highland High School
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