Healthcare professional with extensive experience in managing patient accounts and ensuring seamless billing processes. Known for strong focus on team collaboration and achieving results, consistently adapting to changing needs. Skilled in financial record-keeping, claim processing, and patient communication, offering reliability and dedication to excellence.
Overview
4
4
years of professional experience
Work History
Patient Account Representative
Guidehouse, LLC
04.2024 - Current
Reviewed accounts from the Matrix work queue by contacting insurance companies for resolution and payment
Ensured all claim edits in the Waystar billing system and SSI billing system were resolved and billed within 24 hours
Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Worked with outside entities to resolve issues with billing, claims, and payments.
Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
Accounts Receivable Specialist
Clark Holmes Smith Oral Facial Surgery
08.2023 - 04.2024
Verifying and posting receipts, and resolving any discrepancies
Processing, reviewing, coding, and inputting daily outgoing invoices and incoming payments
Assisting with significant daily cash receipts
Sending bill reminders and contacting clients to facilitate payment of invoices due
Posting and reviewing payment transactions, adjustments, transfers, and billing information
Verifying discrepancies and resolving clients' billing issues
Documenting status of collection efforts
Verifying insurance coverage of patients
Contacting insurance companies for status of payments and submitted claims
Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
Patient Access Representative
Guidehouse, LLC
02.2022 - 08.2023
Managed outgoing calls to insurance companies to resolve account balances efficiently
Handled all business-related requests and correspondence from patients and insurance companies
Communicated with upper management on areas of concern and potential improvements
Resolved account balances to zero before forwarding accounts to an outside agency for collections
Filed appeals and reconsiderations in a timely manner
Obtained prior authorization for scheduled procedures and medications
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Stayed calm under pressure to and successfully dealt with difficult situations.
Data Entry Specialist Team Lead
Core Diagnostic Laboratories
09.2020 - 01.2022
Create SOPs (Standard Operating Procedures) for the business and data entry office
Keep up with the high demand of filing laboratory data
Work quickly and accurately with a numeric filing system
Monitor and report any problems to the manager immediately
Participate in special projects and/or assignments as requested by the Manager
Provide excellent organizational skills and ability to multitask
Working knowledge of office equipment
Understand filing system and clearly communicate file request procedures to fellow staff members
Completed data entry tasks with accuracy and efficiency.
Education
Accounting
Colorado Technical University Online
Colorado Springs, CO
01.2020
Skills
Front Office
Medical Billing
EMR Systems
Insurance Verification
Microsoft Applications
Data Entry/Collection
40 WPM
Medical Terminology
Payment processing
Collections experience
Assessments
Customer Service, Proficient, 05/01/20
Administrative Support, Proficient, 08/01/20
Customer Focus and Orientation, Proficient, 09/01/21