Dynamic Revenue Cycle Specialist with proven expertise in claims processing and insurance verification at Piedmont Pediatrics. Recognized for enhancing revenue collection through workflow improvements and exceptional customer service. Strong attention to detail and problem-solving abilities drive successful outcomes in high-pressure environments. Committed to maintaining HIPAA compliance and fostering teamwork.
Overview
16
16
years of professional experience
Work History
Revenue Cycle Specialist
Piedmont Pediatrics
Warrenton, VA
12.2015 - Current
Managed patient billing inquiries and resolved discrepancies efficiently.
Processed insurance claims and verified eligibility for services provided.
Collaborated with healthcare providers to ensure accurate coding and documentation.
Monitored accounts receivable aging reports to identify outstanding payments.
Implemented workflow improvements that enhanced revenue collection processes.
Trained new staff on revenue cycle best practices and compliance regulations.
Patient Service Specialist
Northern Virginia Orthopaedic Specialists
Manassas, VA
03.2010 - 09.2015
Scheduled patient appointments using advanced scheduling software to optimize clinic efficiency.
Managed patient intake processes, ensuring accurate data entry and compliance with HIPAA regulations.
Assisted patients with insurance verification and eligibility inquiries to streamline service delivery.
Provided exceptional customer service by addressing patient concerns and facilitating communication with healthcare providers.
Coordinated follow-up care instructions and reminders to enhance patient engagement and satisfaction.
Trained new staff on office procedures and best practices for handling patient interactions effectively.
Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
Facilitated communication between patients and healthcare providers, ensuring clear understanding of treatment plans and expectations.
Answered incoming calls, scheduled appointments and filed medical records.
Verified patient insurance eligibility and entered patient information into system.
Processed payments using cash and credit cards, maintaining accurate records of transactions.