Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Patient Account Biller and Collector
Val Verde Regional Medical Center
Del Rio
06.2024 - 01.2026
Processed patient billing information accurately and efficiently.
Verified insurance claims and resolved discrepancies promptly.
Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.
Verified insurance eligibility for patients by calling appropriate parties.
Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
Maintained up-to-date records of all billing activities including charges, adjustments, denials, and collections.
Prepared detailed claims for submission to insurance companies according to policy guidelines.
Processed and monitored invoices, payments, and adjustments to ensure timely payment from insurance companies.
Submitted claims to insurance companies.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Monitored past due accounts and pursued collections on outstanding invoices.
Patient Account Representative
Val Verde Regional Medical Center
Del Rio
03.2016 - 12.2018
Coordinated communication between patients and healthcare providers effectively.
Handled billing inquiries and resolved payment issues promptly.
Answered incoming calls in a professional manner.
Verified insurance information, collected payments, and scheduled appointments.
Performed administrative duties such as filing, faxing, photocopying.
Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
Patient Admitting Representative
Val Verde Regional Medical Center
Del Rio
03.2012 - 03.2016
Managed appointment scheduling to optimize clinic operations and patient experience.
Updated patient demographics information in the EHR system prior to each visit.
Obtained signatures on consent forms, financial agreements, and other documents required for admission.
Assisted with scheduling tests or procedures requested by physicians.
Coordinated with insurance providers regarding authorization requirements for treatment plans.
Verified patient information and insurance coverage to ensure accuracy..
Explained hospital policies and procedures to patients.
Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.