Kelly Mosher
Goodview,MN
Summary
Motivated Patient Account Representative offering over 14 years of healthcare customer service and 35 years customer service experience. Highly effective time management, conflict resolution and communication skills. Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Overview
24
24
years of professional experience
Work History
Patient Account Coordinator
Winona Health - Winona Senior Services
2015.11 - Current
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Responded to customer inquiries and provided detailed account information.
- Maintained accurate records of over 80 customer accounts, payments and payment plans.
- Entered client details and notes into system for interdepartmental access and review.
- Processing resident/patient admissions, including obtaining all necessary billing and financial documents from patients/families.
- Partnership with internal departments and agencies such as county/state and various other healthcare entities.
- Confirms and checks eligibility of referrals, assures proper completion of notification/authorization for medical services working with appropriate nursing staff.
- Processes resident/patient admission, including obtaining all necessary billing and financial documentation from residents and/or family members.
- Educates residents/patients on medical benefits and follows senior services collection policy.
- Oversees and tracks senior services accounts receivable and follow-up on claims regularly to ensure timely payment by submitting insurance claims according to state and/or federal regulations for skilled nursing, assisted living, home care and/or hospice coverage.
- Monitors patient accounts receivable and ensures follow up of past due insurance and self-pay balances to ensure timely payment and assists in facility’s collections protocol.
- Processes month-end duties such as balancing or reconciling monthly reports, calculating and posting charges and sending statements in appropriate software billing system.
- Establishes, maintains, and reconciles Resident Trust Account.
Financial Counselor
Winona Health
2008.12 - 2015.11
- Assist walk-in patients in resolving outstanding issues with account balances.
- Processing payment information
- Understand and analyze insurance coverages
- Responsible for assisting patients with understanding their insurance benefits and expected balances.
- Provide estimations of services to be rendered and to inform patients of their financial responsibility such as co-pays, deductibles, co-insurance and max out of pocket.
- May work directly with interpreters, county workers and insurance carriers regarding patient eligibility of benefits to help facilitate completions of initial Medical Assistance application.
- Confirm insurance coverage, estimate patient out of pocket expenses for services and proactively collect payment prior to services for hospital and /or clinic
- Assisting patients with opportunities for financial assistance
- Patient Advocate of those patients to provide help to those patients who are seeking and/or apply for Medicaid or private insurance coverage.
- Partnering with other service lines resolve disputes/complaints of service
- Balancing own cash bag and maintaining accurate records within billing system(s).
- Partnership with first party collection agency.
Senior Team Leader
Target
1999.07 - 2008.12
- Set clear team goals and delegated tasks and set deadlines.
- Demonstrated knowledge of company mission, values and goals
- Mentored employees in reaching objectives aligned with company core values.
- Discovered training needs and provided coaching.
- Conducted team member meetings and updated members on best practices and continuing expectations.
Education
Associate of Applied Science - Health Unit Coordinator
Minnesota State College-Southeast Technical
Winona, MN05.2013
Associate of Applied Science - Medical Insurance Coding
Minnesota State College-Southeast Technical
Winona, MN05.2013
Associate of Applied Science - Medical Administrative Secretary
Minnesota State College-Southeast Technical
Winona, MN05.2013
Diploma - Medical Coding
Minnesota State College-Southeast Technical
Winona, MN12.2010
Certificate - Bookkeeping
Minnesota State College-Southeast Technical
Winona, MN03.1993
Skills
- Medical Terminology
- Debt Repayment Negotiation
- Payment Processing
- Insurance Billing
- Verbal and Written Communication & Pleasant Telephone Demeanor
- Managing Patient Accounts
- Microsoft Office
- Problem Solving
- Time Management & Organizational Skills
- Office Organization
- AR Aging Reports, Batch Balances & Reports
- Bill Processing & Statement Issuing
- Insurance Company Communication
- Financial Assistance Plans
- Account Resolutions
- Patient Account Reviews
Timeline
Patient Account Coordinator
Winona Health - Winona Senior Services
2015.11 - Current
Financial Counselor
Winona Health
2008.12 - 2015.11
Senior Team Leader
Target
1999.07 - 2008.12
Associate of Applied Science - Health Unit Coordinator
Minnesota State College-Southeast Technical
Associate of Applied Science - Medical Insurance Coding
Minnesota State College-Southeast Technical
Associate of Applied Science - Medical Administrative Secretary
Minnesota State College-Southeast Technical
Diploma - Medical Coding
Minnesota State College-Southeast Technical
Certificate - Bookkeeping
Minnesota State College-Southeast Technical
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