Experienced medical office professional with over 2 decades in patient access, insurance verification, and revenue cycle management, seeking Patient Registration Representative position to support an efficient patient registration process.
Work History
Credit Resolution Representative
8 Years 1 Month
Conifer Health Solutions | 09.2018 - Current
Conduct refund and credit analyses, audit and reimbursement functions for all managed care, commercial self-pay and third party payers for all patient accounts.
Effectively identify credit balance cause and resolve credit balances timely and appropriately.
Manage daily desk inventory, complete reports, and resolve high priority/aged inventory, accurately and thoroughly.
Regularly complete special assignments and projects as needed. Voluntarily complete overtime projects to ensure meeting client expectations.
Prior experience as Medicare Credits Lead
AR / Patient Accounts Representative
4 Months
Conifer Health Solutions | 05.2018 - 09.2018
Executed insurance follow-up tasks including calls and online inquiries ensuring thorough documentation of actions taken.
Initiated communication with patients for additional information required for claims processing improving claim accuracy.
Shasta Regional Medical Center | 04.2013 - 04.2016
Work assigned patient accounts via work-list to a final disposition.
Correspond via telephone and written letter with patient, insurance company, and various third parties to confirm claims process promptly and accurately.
Applied payments, contractual adjustments, and denials while keeping up to date and thorough account collection notes
Assisted billing and collection departments, supporting overall operational efficiency within the facility's revenue cycle processes.
Intermediate Claims Processor
2 Years 5 Months
Blue Shield of California | 01.2003 - 06.2005
Adjusted previously processed claims via provider appeals. Resolved edits and errors by collaborating directly with providers addressing billing issues effectively
Assigned as mentor and point person for all new hires due to continued high audit scores
Admitting Representative
2 Years 10 Months
Redding Medical Center | 11.1998 - 09.2001
Verified and recorded accurate and thorough patient demographic data.
Obtained insurance information and completed verification of benefits and eligibility
Collected patient out of pocket including co-pay and deductible at point of service