Highly organized and detail oriented Non-clinical Supervisor with over 3 years of experience managing day-to-day operations in fast-paced healthcare settings. Proven expertise in streamlining office procedures, improving patient care delivery, and optimizing team performance. Strong leadership skills with a focus on creating efficient, patient-centered enjoinments while ensuring compliance with healthcare regulations and industry standards.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Patient Account Representative
University Pediatric Association/ Texas Children’s
College Station, USA
09.2015 - Current
Worked with all insurance to ensure insurance payments are paid per contract.
Verify claims are going out clean, reviewing information on claim to ensure it is correct.
Appealed claims if denied by all insurances.
Worked reports for credit balances, refunds, bad debt, collections and AR.
Use all insurance website, to check claim status and verify active coverage.
Work front desk, check out and scheduling when needed.
Use QuickBooks to reconcile daily deposits made to the office from insurance companies, office staff and patient payments.
Oversee daily operations of the front desk.
Ensure doctor’s templates are accurate per company guidelines.
Fluent in Epic system and keep up with all updates.
Complete mid-year and yearly evaluations for employees.
Review legal document (CPS paperwork, Guardianship, Divorce) and make sure our office is policy the proper protocol.
Patient Account Representative II
St. Joseph Regional Health Center
Bryan, USA
06.2014 - 09.2015
Collections of all Hospital Claims, which would include but not limited to: Compliance to state, federal regulations and HIPPA for all medical collections process.
Reviewed hospital contracts to ensure insurance pay per reimbursement guidelines.
Filed appeals and followed up to ensure payment.
Understand all lines on a medical claim and able to fix problems with claims.
Shadowed in other department to come up with other ways to reduce claim denials.
Able to meet and exceed productivity since employed.
Communicate with patients, facility, and insurance companies to resolve patient accounts.
Using Microsoft word, Excel, Meditech, Emdeon, Availity, Relay Health and Assitanst.
Actively involved in hiring process for all new employees and on boarding coach for all new hires.
Vice President of External at Vietnamese Student Association - University of Texas at San AntonioVice President of External at Vietnamese Student Association - University of Texas at San Antonio