Elizabeth (Liz) Patteson
Midlothian,VA
Summary
Dynamic individual with 14+ years experience in Patient Accounting and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
14
14
years of professional experience
Work History
Operations Associate I
R1
02.2022 - Current
- Conduct follow-up calls and payer portal escalations with insurance payers to resolve underpaid hospital claims and maximize reimbursement for hospital clients
- Maintain timely, professional follow-up and demonstrate a wide knowledge base on a variety of risk areas and contractual underpayment issues
- Analyze and interpret denial data to develop evidence-based responses for claim/appeal denials to ensure contractual payment of submitted claims
- Perform continual analysis and quality control of underpayment risk areas to ensure audit accuracy
- Analyze payer trends and patterns identified during payer interactions
- Identify opportunities for process improvement and implement effective solutions
Appeals Specialist, Client Clinical Appeals
Parallon Business Solutions
06.2017 - 02.2022
- Utilize effective documentation standards that support a strong historical record of actions taken on the account
- Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal arguments
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
- Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
Discrepancy Analyst
Government Logging
02.2015 - 06.2017
- Determine types of discrepancies and assign appropriate reason codes
- Make all corrections of non-payment related discrepancies
- Strong communication, customer orientation, and interpersonal skills
- Demonstrates proficiency in Microsoft Office applications and others as required
- Able to perform mathematical calculations, balance and reconcile figures, and transcribe accurately
- Enhanced data accuracy by meticulously reviewing and correcting discrepancies in financial records.
Contract Reimbursement Analyst
Clinical Appeals
05.2013 - 02.2015
- Responsible for logging all discrepancies and correcting non-payment related discrepancies
- Works discrepancy report to determine types of discrepancies and assigns appropriate reason codes
- Great experience in Microsoft Excel
- Conducted audits of patient accounts to identify errors or inconsistencies that could impact timely reimbursements.
- Required to have at least one year of logging related experience
- Identifies coding or billing problems from insurance EOB’s
Medical Record Specialist and Medical Record Office Manager
Clinical Appeals
04.2012 - 05.2013
- Receive and process medical record requests with the use of multiple computer systems to expedite requests
- Process letters from insurance companies to appeal claims
- Logging and distributing medical records to clinical appeal nurses and analysts
- Mailing medical records with appropriate documentation to correct carrier addresses
- Excellent keyboarding/ data entry skills with high accuracy rate
- Knowledge of IP and OP services with the ability to determine service rendered
- Establish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Insurance Payment Processor
Cashiering
07.2010 - 04.2012
- Responsible for balancing general ledger accounts daily
- Update accounts with daily EFT payments, log incoming remits as received, post incoming remits, refund posted remits from the unapplied ledger, and clear insurance plan changes daily
- Managed high-volume payment processing tasks, consistently meeting deadlines without compromising accuracy or quality.
- Collaborated with the accounting team to ensure proper posting of payments to appropriate accounts.
Education
Associates Degree - General Studies
John Tyler Community College
01.2014
Advanced Diploma -
Amelia County High School
01.2008
Skills
- Attention to Detail
- Analytical Thinking
- Patient accounting
- Dedicated employee
- Conflict Resolution
- Operational Efficiency
Personalinformation
- Elizabeth J. Patteson | Address: 6060 Walking Path Lane, Midlothian, VA, 23112 | Phone: (804) 814-7984 | Email: liz.jackman@me.com
Timeline
Operations Associate I
R1
02.2022 - Current
Appeals Specialist, Client Clinical Appeals
Parallon Business Solutions
06.2017 - 02.2022
Discrepancy Analyst
Government Logging
02.2015 - 06.2017
Contract Reimbursement Analyst
Clinical Appeals
05.2013 - 02.2015
Medical Record Specialist and Medical Record Office Manager
Clinical Appeals
04.2012 - 05.2013
Insurance Payment Processor
Cashiering
07.2010 - 04.2012
Associates Degree - General Studies
John Tyler Community College
Advanced Diploma -
Amelia County High School
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