Patient Account Payment Variance Specialist with a track record of efficiently resolving billing discrepancies and underpaid claims. Strong analytical skills and relationship-building expertise drive compliance and revenue cycle efficiency, ensuring accurate and timely payments.
Overview
21
21
years of professional experience
Work History
Whole Life Insurance Agent
American Income Life Insurance Company
Lincoln, California
01.2026 - Current
Assisted clients in understanding insurance policies and coverage options.
Processed claims efficiently to ensure timely resolution for clients.
Educated customers on risk management and preventive measures.
Collaborated with underwriters to assess policy applications and approvals.
Maintained accurate records of client interactions and transactions.
Developed strong relationships with clients to enhance customer satisfaction.
Responded promptly to inquiries regarding policy details and claims status.
Participated in training sessions to stay updated on industry regulations and products.
Assisted customers in completing necessary forms and documents related to new or updated policies.
Educated customers on the benefits and risks associated with various types of insurance plans.
Monitored renewals of existing policies and followed up with customers prior to expiration dates.
Identified, evaluated and addressed customer inquiries regarding insurance coverage.
Interviewed prospective clients to obtain data about financial resources and needs.
Remained current on latest industry trends by gaining comprehensive knowledge of financial and insurance products, services, and best practices.
AR Correspondence Specialist
ONE MEDICAL WITH AMAZON
07.2025 - Current
Managed customer correspondence to ensure timely responses and accurate information delivery.
Collaborated with teams to enhance communication processes and increase overall efficiency.
Maintained a detailed database of client interactions for precise record-keeping.
Handled sensitive information with discretion, adhering to strict privacy standards.
Composed professional letters and electronic correspondence for management and staff.
Reviewed written correspondence, correcting grammatical and spelling errors for clarity.
Sorted and distributed incoming mail according to established procedures.
Analyzed appeals for compliance with organizational policies and regulations.
Followed company policies regarding returns, refunds, exchanges of merchandise.
Implemented policies and procedures for handling returns, exchanges, refunds, warranties.
Processed refunds as needed according to company policy.
Prioritized and organized tasks to efficiently accomplish service goals.
Collaborated closely with team members to achieve project objectives and meet deadlines.
Reviewed and reconciled outstanding balances with insurance companies.
Maintained detailed records of payment postings and adjustments.
Collaborated with healthcare providers to resolve billing discrepancies.
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Contracted Vendor Revenue Cycle Specialist
GLOBAL INSIGHT HEALTH
Sacramento, CA
10.2024 - 05.2025
Processed patient billing and claims for various healthcare services efficiently.
Reviewed and corrected discrepancies in insurance authorizations and coding.
Collaborated with healthcare providers to resolve billing inquiries and issues promptly.
Analyzed revenue cycle data to identify trends and recommend improvements.
Managed accounts receivable by following up on outstanding payments regularly.
Ensured compliance with healthcare regulations and coding standards consistently.
Facilitated cross-departmental communication to streamline revenue cycle operations.
Audited payments from third-party payers to verify accuracy of reimbursements.
Patient Account Payment Variance Specialist
EL CAMINO HEALTH
Mountain View, CA
08.2023 - 04.2024
Performs managed care insurance payment audits and underpayment identification, research, analysis, reporting, and collections functions.
Reports significant underpayment issues and trends to Revenue Cycle Senior Management to mitigate adverse effects on Hospital Cash Collections or Accounts Receivable.
Collaborates closely with the Contracting Services Department to escalate significant and systemic insurance payment issues.
Follows up on payment variances for account resolution through insurance payer tools, phone calls, and meetings.
Ensures all accounts are resolved in compliance with hospital policies, procedures, and regulations.
Rev Cycle Comm Follow-up Rep/Medical Biller
LUCILE PACKARD CHILDREN'S HOSPITAL
Menlo Park, CA
06.2016 - 08.2023
Reviews and corrects billable claims in billing software according to payer-specific guidelines.
Processes secondary billing as per EOB and resolves issues related to modifiers and coding errors.
Evaluates denials and determines if appeals are warranted, applying contractual obligations in written appeals.
Performs timely follow-up on unpaid, underpaid, suspended, and denied accounts.
Trains new team members on policies and accounting systems to maintain operational efficiency.
Vendor – Commercial Follow-up/Biller/Customer Service Representative
PFS GROUP
Menlo Park, CA
07.2011 - 07.2016
Fostered strong relationships with clients to maintain retention and address service issues.
Conducted account reconciliations to identify discrepancies and resolve outstanding debts.
Updated databases with new customer data and performed follow-up on unpaid accounts.
Contacted insurance providers to verify patient coverage and collect outstanding payments.
Supported day-to-day administrative operations and processed financial documents.
Data Entry/Payroll/Trainer
IRS - INTERNAL REVENUE SERVICE
Fresno, CA
01.2006 - 07.2009
Established employee payroll files and updated existing files with new information
Maintained the database by entering new and updated customer and account information
Audited new data, identifying potential issues and corroborating reports
Located information contained in files to meet requests by supervisors and other departments
Supported data entry across departments as requested, switching promptly to new projects
Transferred data from hard copies to digital databases, organizing information in new formats
Verified confidential or private client information in adherence to state and federal laws
Completed database backups to secure information
Detected flaws in customer and account data, resolving issues and communicating with supervisors
Remained focused for lengthy periods to accurately perform work with adequate speed
Responded to daily inquiries and requests within the mandated timeframe to meet deadlines
Identified and corrected data entry errors to prevent duplication across systems
Scanned and stored files and records electronically to reduce paper files and secure data
Worked closely with lead trainers and the recruiting department to choose qualified applicants for positions
Maintained a strong knowledge of tax forms by participating in workshops, conferences, and online education classes
Evaluated outlines, texts, and handouts prepared by other instructors
Assisted senior staff in preparing course methods, organizing seminars, and promoting presentations for trainees
Created and offered additional materials to enhance training
Assisted with updating training materials to digital mobile platforms, reflecting technology advances.
Education
California Certified Whole Life Insurance - Whole Life, Accident, And Death CA Certfieid Agent
ESI Testing Online Sight
Lincoln, CA
04-2026
CERTIFICATION - MEDICAL ASSISTANT FRONT/BACK OFFICE
Golden State Business College
Fresno, CA
05-2002
HIGH SCHOOL DIPLOMA -
Mendota High School
Mendota, CA
06-1998
Some College (No Degree) - Bachelor of Science in Allied Management
Grand Canyon University (Online)
Phoenix, AZ
07-2026
Skills
Underpaid claims appeals
Account reconciliation
Data review
Error revision
HIPAA compliance certification
Medical terminology
Attention to detail
Relationship building
Discrepancy resolution
Billing and collection procedures
Claims appeal procedures
Verifying data accuracy
Commercial and private insurance
Analytical skills
Customer service-oriented
Teamwork and collaboration
Timeline
Whole Life Insurance Agent
American Income Life Insurance Company
01.2026 - Current
AR Correspondence Specialist
ONE MEDICAL WITH AMAZON
07.2025 - Current
Contracted Vendor Revenue Cycle Specialist
GLOBAL INSIGHT HEALTH
10.2024 - 05.2025
Patient Account Payment Variance Specialist
EL CAMINO HEALTH
08.2023 - 04.2024
Rev Cycle Comm Follow-up Rep/Medical Biller
LUCILE PACKARD CHILDREN'S HOSPITAL
06.2016 - 08.2023
Vendor – Commercial Follow-up/Biller/Customer Service Representative
PFS GROUP
07.2011 - 07.2016
Data Entry/Payroll/Trainer
IRS - INTERNAL REVENUE SERVICE
01.2006 - 07.2009
Some College (No Degree) - Bachelor of Science in Allied Management
Grand Canyon University (Online)
HIGH SCHOOL DIPLOMA -
Mendota High School
CERTIFICATION - MEDICAL ASSISTANT FRONT/BACK OFFICE
Golden State Business College
California Certified Whole Life Insurance - Whole Life, Accident, And Death CA Certfieid Agent
Bilingual Senior Reservation Sales Agent at Accor Global Reservation Centre CanadaBilingual Senior Reservation Sales Agent at Accor Global Reservation Centre Canada