Summary
Overview
Work History
Education
Skills
Timeline
Generic

Janice Hollingsworth

Dallas,TX

Summary

Resourceful Patient Account Representative known for high productivity and efficient task completion. Specialize in insurance verification, billing dispute resolution, and patient communication. Excel in problem-solving, time management, and empathy to navigate complex account issues and improve patient satisfaction. Enthusiastic professional eager to help hospital increase efficiency and improve patient service by providing exceptional support. Hardworking, methodical and ready to handle any challenge. Familiar with coding and diverse healthcare software systems.

Overview

13
13
years of professional experience

Work History

Patient Account Representative

EXCEED Healthcare
Irving, TX
01.2025 - 03.2025
  • Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
  • Worked closely with insurance companies to obtain authorization for services rendered.
  • Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
  • Processed payments from patients and maintained accurate records of all transactions.
  • Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
  • Maintained detailed notes on all patient interactions for future reference purposes.

Substitute

LIFE Charter school
Dallas, TX
11.2024 - 01.2025
  • Managed classrooms of up to 30 students at once while maintaining order and discipline.
  • Provided instruction in place of absent teachers, following lesson plans and instructions for classroom management.
  • Supported individual students who needed additional assistance on assignments or concepts taught in class.
  • Assisted with developing creative lesson plans that engaged all types of learners.

Patient Accounting Representative Ll

Virtual Business Office Associates
Dallas, TX
04.2024 - 07.2024
  • Performed collection activities on delinquent accounts, including follow-up calls to patients.
  • Maintained current knowledge of healthcare billing regulations and guidelines.
  • Researched and processed appeals of denied claims in a timely manner.
  • Created detailed documentation of all communication with patients regarding financial responsibility obligations.
  • Maintained confidentiality of patient information in compliance with HIPAA regulations.
  • Implemented billing procedures, audited and reconciled accounts and recorded transactions.

Revenue Cycle Specialist

Behavioral Innovations
Addison, TX
01.2023 - 09.2023
  • Performed account reconciliations between insurance companies and internal systems.
  • Assisted with the development of new processes for billing, coding, collections, and reimbursements.
  • Monitored accounts receivables daily to determine appropriate follow-up action needed.
  • Processed appeals related to denied or rejected claims in a timely manner. Knowledge of EMR systems
  • Reviewed patient charts for accuracy prior to submitting claims for reimbursement.

A/R Representive

Fresenius Medical
Plano , TX
06.2018 - 09.2021
  • Worked with insurance companies to ensure timely reimbursement of claims.
  • Trained new staff members on proper procedures for collecting payments from customers.
  • Performed data entry tasks related to patient account information updates.
  • Verified accuracy of invoices prior to submitting them for payment processing.
  • Wrote appeal letters to insurance companies for denial of claims.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.

Patient Financial Services Representative

Christus Health
Irving, TX
07.2012 - 08.2018
  • Provided exceptional customer service by addressing patient concerns promptly and professionally.
  • Contacted insurance companies to check status of claim payments.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Recorded information about status of collection efforts.
  • Inpatient/UB92, HCFA professional billing collections

Education

High School Diploma -

Justin F Kimbell High School
Dallas, TX
05-1986

Some College (No Degree) - Medical Asstiant

Texas Medical And Dental College
Dallas

Skills

  • Claim processing
  • Payment collection
  • Insurance verification
  • Billing procedures
  • Account reconciliation
  • Customer service
  • Attention to detail
  • Problem solving
  • Team collaboration
  • Time management
  • Analytical thinking

Timeline

Patient Account Representative

EXCEED Healthcare
01.2025 - 03.2025

Substitute

LIFE Charter school
11.2024 - 01.2025

Patient Accounting Representative Ll

Virtual Business Office Associates
04.2024 - 07.2024

Revenue Cycle Specialist

Behavioral Innovations
01.2023 - 09.2023

A/R Representive

Fresenius Medical
06.2018 - 09.2021

Patient Financial Services Representative

Christus Health
07.2012 - 08.2018

High School Diploma -

Justin F Kimbell High School

Some College (No Degree) - Medical Asstiant

Texas Medical And Dental College
Janice Hollingsworth