Patient Financial Services Representative recognized for high productivity and timely task completion. Specialized in billing, coding accuracy, and insurance claims management. Strong communication and problem-solving skills enhance teamwork and improve patient financial experiences.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Patient Financial Services Representative
Woman & Infants Hospital - CNE
Providence
07.2005 - Current
Guided patients through financial inquiries and provided assistance with billing concerns.
Administered patient accounts and confirmed accuracy of billing information.
Coordinated with healthcare personnel to rectify billing discrepancies
Protected confidentiality of patient financial data consistently.
Engaged third-party payers to investigate and resolve unpaid or denied claims
Facilitated maintenance of patient accounts, ensuring accuracy of demographic, insurance, and financial data.
Ensured HIPAA compliance when handling confidential patient information.
Responded to patient calls regarding billing questions and successfully resolved associated service challenges.
Conducted follow-up on outstanding insurance claims and worked with other departments to resolve payment issues.
Investigated billing discrepancies and implemented effective solutions with the providers to resolve concerns and prevent future rejections and/or denials.
Participated in training sessions related to changes in laws and regulations affecting Patient Financial Services operations.
Researched and responded to customer inquiries via phone, email, or mail regarding billing statements, services rendered.
Coordinate with all staff to troubleshoot patient registration challenges, ensuring clean claims submission.
Administer billing and coding guidance for all providers.
Education
Some College (No Degree) -
University of RI
Kingston, RI
Skills
Patient account management
Billing verification and claim resolution
Insurance coordination and compliance
Customer relationship management
Regulatory knowledge
Problem solving
Effective communication
Team collaboration
CPT and ICD-10 coding
Certification
AAPC Certified Professional Coder 1995
Accomplishments
Revenue Cycle Department "Above and Beyond" Award in 2008