Motivated and detail-oriented Registration Representative with a track record of successfully verifying patient information, collecting payments, and scheduling appointments. Possesses knowledge of medical coding and insurance regulations.
Overview
10
10
years of professional experience
Work History
Registration Representative
Parkland Health and Hospital Systems
Dallas, Texas
05.2023 - Current
Greets patients and families, making them feel welcome and wanted.
Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.)
Coordinates clinic/area activities and facilitates business processes according to standards.
Checks the patient into the clinic.
Correctly identifies patient prior to performing tasks.
Reviews and updates patient account to ensure registration and coverage are current and complete.
Confirms or verifies coverage as needed.
Identifies and refers patients for financial counseling, as appropriate.
Performs upfront cash collections; receives, verifies, and posts money transactions following Parkland cash management policies and procedures.
Verifies and completes daily reconciliations that ensure cash transactions are handled accurately and deposits made daily.
Assists with the process of internal and external appointments, referrals, and information retrieval.
Schedules appointments in accordance with clinical team directive and patient desires/availability.
Performs charge capture and charge reconciliation to ensure encounters are complete and closed in a timely manner.
AR Specialist (refunds)
Methodist Charlton Medical Center
Dallas, Texas
11.2021 - 03.2023
Manage daily work queues of credit balances
Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances
Complete thorough review of patients' accounts with credit balances to validate the patient overpayment is accurate
Recommend an adjustment when applicable or recommend a refund of the overpayments to the insurance carrier or patient, providing the appropriate documentation
Apply knowledge related to insurance contracts, interpret explanation of benefits, understand regulations concerning coordination of benefits and other applicable guidelines
Process refunds accurately and in timely manner adhering to contract language where appropriate
Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims
Use critical and analytical problem-solving skills to resolve issues.
Revenue Cycle Specialist (Workers Comp)
Concentra
Dallas, TX
08.2018 - 11.2021
Collaborated with other departments to resolve customer inquiries regarding billing issues.
Processed appeals related to denied or rejected claims in a timely manner.
Reviewed patient charts for accuracy prior to submitting claims for reimbursement.
Performed account reconciliations between insurance companies and internal systems.
Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
Monitored accounts receivables daily to determine appropriate follow-up action needed.
Researched discrepancies on unpaid invoices and reconciled them.
Reached out to responsible companies and individuals to collect on outstanding debts.
Assisted with the development of new processes for billing, coding, collections, and reimbursements.
Medical Practice Assistant
Parkland Hospital
Dallas, Texas
08.2014 - 06.2018
Greets patients and families, making them feel welcome and wanted.
Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.)
Coordinates clinic/area activities and facilitates business processes according to standards.
Checks the patient into the clinic.
Correctly identifies patient prior to performing tasks.
Reviews and updates patient account to ensure registration and coverage are current and complete.
Confirms or verifies coverage as needed.
Identifies and refers patients for financial counseling, as appropriate.
Performs upfront cash collections; receives, verifies, and posts money transactions following Parkland cash management policies and procedures.
Verifies and completes daily reconciliations that ensure cash transactions are handled accurately and deposits made daily.
Assists with the process of internal and external appointments, referrals, and information retrieval.
Schedules appointments in accordance with clinical team directive and patient desires/availability.
Performs charge capture and charge reconciliation to ensure encounters are complete and closed in a timely manner.
Education
High School Diploma -
Lincoln High School
Dallas
05-2009
Skills
Technologically savvy
Problem-solving abilities
Account Auditing
Adaptive team player
Insurance Verification
Timeline
Registration Representative
Parkland Health and Hospital Systems
05.2023 - Current
AR Specialist (refunds)
Methodist Charlton Medical Center
11.2021 - 03.2023
Revenue Cycle Specialist (Workers Comp)
Concentra
08.2018 - 11.2021
Medical Practice Assistant
Parkland Hospital
08.2014 - 06.2018
High School Diploma -
Lincoln High School
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