Efficient billing specialist with 5 years of experience performing various accounts receivable functions. Strong familiarity with claims procedures, collections techniques and customer query resolution. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear record keeping and tracking.
Overview
7
7
years of professional experience
Work History
Patient Accounts Representative
San Antonio Regional Hospital
07.2023 - Current
Produce, distribute and track more than 600 monthly invoices.
Improve accounts payable processes and achieve a 30% reduction in late fees.
Work effectively with medical payers such as Medicare, Medicaid and commercial insurance companies to obtain timely and accurate payments.
Strengthened relationships between patients, providers, and insurers through open communication channels promoting transparency in financial matters.
Reconciled account discrepancies to maintain accurate records of payments received from both patients and insurance companies.
Managed high-volume accounts, ensuring accurate and prompt payment of outstanding balances.
Participated actively in cross-functional team efforts geared towards improving overall organizational performance within the healthcare facility.
Provided exceptional customer service, addressing patient concerns and explaining complex billing processes in a clear manner.
Streamlined the revenue cycle process for increased efficiency and timely reimbursements.
Billing Specialist
Tessie Cleveland Community Services
12.2022 - 07.2023
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Contacted up to 20 clients per week with past-due accounts to formulate payment plans and discuss restructuring options.
Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Researched and resolved billing discrepancies to enable accurate billing.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Reduced errors in financial records by conducting regular audits of billed accounts.
Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
Maximized revenue potential by identifying and resolving under-billed accounts.
Patient Account Representative
DaVita
03.2021 - 12.2022
Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
Prepared billing statements for patients and verified correct diagnostic coding.
Submitted electronic and paper claims to 12 different insurance companies to collect medical payments.
Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
Electronically submitted bills according to compliance guidelines.
Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
Direct Bill Analyst
HUB
10.2017 - 03.2021
Followed all company policies and procedures to deliver quality work.
Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Collaborated with cross-functional teams to achieve project goals on time and within budget.
Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
Improved team collaboration by initiating regular strategy meetings.
Conducted comprehensive competitor analysis to inform strategic decisions.
Maintained up-to-date customer contact information, enabling effective communication regarding account status and payment inquiries.
Reduced outstanding account balances through diligent follow-up on overdue invoices and negotiating payment arrangements with clients.
Decreased uncollectible debt by closely monitoring accounts and promptly identifying high-risk customers for management review.
Trained new hires in company policies, standard operating procedures, and software systems related to accounts receivable functions, ensuring seamless integration into the team''s operations.
Assisted in annual audit preparation, ensuring accurate representation of accounts receivable records and compliance with accounting standards.
Handled day-to-day accounting processes to drive financial accuracy.
Contributed to the company''s overall success by consistently meeting or exceeding department goals in terms of closing timelines and client satisfaction.
Improved client satisfaction rates by consistently providing exceptional service throughout the closing process.
Progressive Care Unit/ Telemetry Registered Nurse at San Antonio Regional HospitalProgressive Care Unit/ Telemetry Registered Nurse at San Antonio Regional Hospital