Marie Pantle
Oklahoma City,USA
Summary
Seeking a position in the medical industry with a strong, innovative company where my knowledge of accounts receivable, collections, customer service skills, and other computer skills may be utilized.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Insurance Follow-Up Representative
Integris Baptist Medical Center
Remote
09.2021 - Current
- Increased efficiency in resolving complex cases by maintaining strong relationships with insurance providers, facilitating clear communication and prompt issue resolution.
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Supported team members in claim follow-up efforts, contributing to overall departmental success through proactive collaboration and information sharing.
- Enhanced customer satisfaction by providing timely and accurate updates on the status of insurance claims.
- Proactively monitored industry news and changes in healthcare regulations to ensure ongoing compliance with evolving best practices and standards within the field of insurance follow-up representation.
- Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
- Delivered comprehensive training programs for new hires on the nuances of insurance follow-up procedures, fostering a knowledgeable and capable workforce.
- Ensured compliance with industry regulations through meticulous review of all submitted documents, reducing instances of rejected or denied claims.
- Streamlined processing times for insurance claims by collaborating with billing departments to ensure proper documentation and coding practices were followed.
- Minimized loss ratios for the organization by meticulously reviewing aged accounts receivable reports and promptly addressing unpaid balances due from insurance carriers.
- Expedited claim settlements by efficiently addressing inquiries from both patients and insurance companies regarding billing disputes or payment arrangements.
- Contributed to a positive work environment by sharing best practices among peers and actively participating in team meetings geared towards continuous improvement.
- Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.
- Exemplified professionalism when interacting with clients in-person or via telephone, consistently displaying empathy, patience, and tact during difficult conversations.
- Enhanced revenue recovery efforts by effectively negotiating payment plans with delinquent account holders, securing prompt payments while preserving client relationships.
- Streamlined coordination between medical providers and insurance companies by serving as a reliable point of contact for all claim-related matters.
- Empowered patients to make informed decisions about their insurance coverage by providing clear explanations of benefits, limitations, and payment responsibilities.
- Reduced errors in claim submissions by conducting thorough audits of patient accounts prior to submission, ensuring accuracy and completeness of information.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Clinical Coordinator
Oklahoma Urology
Oklahoma City, Oklahoma
08.2019 - Current
- Preparing medical records. Processing incoming referrals from outside agencies.
- Greeting patients at initial check in.
- Receiving and/or dispatching incoming phone calls from patients, pharmacies, and hospital personnel.
- Collecting payments for copays and deductibles.
- Assisting patient with financial arrangements.
- Scheduling new and established patient appointments.
- Reconciling end of day cash report and preparing of deposits.
Patient Account Representative IV
OU Children's Hospital
Oklahoma City, Oklahoma
11.2018 - 07.2018
- All aspects of medical billing including charge entry, transmission, correction and resubmission as required.
- Worked hand in hand with front office staff to ensure that the proper information was received for claims processing.
- Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary.
- Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles.
Patient Account Specialist
Newman Memorial Hospital
Shattuck, Oklahoma
11.2015 - 10.2017
- Responsible for following up on claims, calling and collecting money from insurance companies.
- Resolved billing issues identified by insurance carriers and patients.
- Reviewed claim denials and payer requirements for corrective action and prevention in the future.
- Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
- Kept accurate records of all activity and conversations for each file.
- Collected over 60% of hospital revenue
- Provider Credentialing
- Emergency room registration
Patient Registration
Canyon Vista Medical Center
Sierra Vista, Arizona
11.2014 - 08.2015
- Evaluated accuracy and compliance of all documentation and reports.
- Generated invoices, processed payments and prepared deposits and part of financial operations oversight
- Verified and entered necessary information such as patient demographics, Insurance Carrier information and patient income into the patient management system.
- Maintained patient charts and confidential files.
SR Patient Care Coordinator
Planned Parenthood - Puyallup Health Center
Puyallup, Washington
08.2008 - 04.2014
- Organized, updated and maintained over 200 patient charts.
- Verified and entered necessary information such as patient demographics, vitals and past medical history into the patient management system.
- Delivered high-quality and compassionate treatment to indigent and low-income patient community.
- Provided necessary health education training for patients.
- Evaluated health education needs of patients and provided necessary training and instruction.
- Supported patients with customized patient teaching tools.
- Recorded patients' medical history, vital statistics and test results in medical records.
- Performed pregnancy tests and sent specimens for laboratory testing.
- Patient Check in-Check out
- Answer multiple phone lines
- Fax /print
- Re stock supplies
- Transfer paper charts to electronic medical records system
Education
Medical Billing
Bryman College
Tacoma, Washington11.2004
Skills
- Medical Billing
- EPIC
- Office Management
- Front & Back Office
- Ten-Key by touch
- Scheduling
- Patient check in
- Compliance
- Patient Referrals
- Insurance Verification
- Medical Terminology
- Transcription
- Charge Entry
- Correction and Resubmission
- Claims
- Medical History
Certification
- Medical Terminology
- January 2004 to April 2006
- Medical billing and coding.
Timeline
Insurance Follow-Up Representative
Integris Baptist Medical Center
09.2021 - Current
Clinical Coordinator
Oklahoma Urology
08.2019 - Current
Patient Account Representative IV
OU Children's Hospital
11.2018 - 07.2018
Patient Account Specialist
Newman Memorial Hospital
11.2015 - 10.2017
Patient Registration
Canyon Vista Medical Center
11.2014 - 08.2015
SR Patient Care Coordinator
Planned Parenthood - Puyallup Health Center
08.2008 - 04.2014
Medical Billing
Bryman College