Detail-oriented account representative specializing in organizational skills and reliability. Demonstrated success in managing patient accounts, minimizing claim denials, and supporting a positive team environment.
Overview
6
6
years of professional experience
Work History
Account Representative
Optum
Minnetonka, MN
10.2022 - 07.2026
Managed client accounts, ensuring timely resolution of inquiries and issues.
Collaborated with cross-functional teams to streamline processes and improve service delivery.
Processed insurance claims using electronic health record systems for timely reimbursement.
Collaborated with healthcare providers to verify patient eligibility and coverage details.
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.
Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
Electronically submitted bills according to compliance guidelines.
Utilized computer programs to create invoices, letters, and other documents.
Input data into spreadsheets and databases.
Reviewed files, records and other documents to obtain information to respond to requests.
Managed patient account inquiries and resolved billing discrepancies efficiently.
Account Representative
Aston Carter
Charlotte, NC
04.2022 - 10.2022
Worked with outside entities to resolve issues with billing, claims, and payments.
Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
Prepared reports detailing billing actions, flags, and other key information.
Collaborated with healthcare providers to verify patient eligibility and coverage details.
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.
Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
Electronically submitted bills according to compliance guidelines.
Utilized computer programs to create invoices, letters, and other documents.
Managed patient account inquiries and resolved billing discrepancies efficiently.
Reimbursement Specialist
CareMetx
Bethesda, MD
12.2021 - 02.2022
Processed reimbursement claims with accuracy, ensuring timely resolution of patient inquiries.
Collaborated with healthcare providers to verify insurance coverage and eligibility status.
Analyzed claims data to identify trends and improve reimbursement processes.
Developed training materials for new team members on reimbursement protocols and systems.
Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
Receptionist
Center For the Performing Hearts
Port Charlotte, FL
08.2020 - 04.2021
Managed front desk operations, ensuring smooth visitor check-in and appointment scheduling.
Coordinated communications between departments, enhancing collaboration and information flow.
Maintained accurate records of visitor logs and appointments using electronic management systems.
Trained new staff on reception procedures and best practices for customer interaction.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Handled cash transactions and maintained sales and payments records accurately.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Managed multiple tasks and met time-sensitive deadlines.