Melissa Pierce
4495 Canvas Pl, Grand Prairie,TX
Summary
Seeking a fulltime position with a reputable company that will allow my levels of experience to grow within a company that has explosive growth towards future career opportunities.
Motivated, professional with multiple levels of collections Patient access representative skills, and customer service experience profitable in business management skills such as Microsoft Office MS Excel, Microsoft Word Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Demonstrated history of producing accurate, timely reports meeting and deadline with multitasks. Flexible and versatile - able to maintain a quality and prompts service to customers under pressure. Thrive in deadline driven environments.
Overview
7
7
years of professional experience
Work History
Patient Account Representative
SSM Health Follow up
St Louis, MO
12.2023 - Current
- Verify accuracy of medical coding for services rendered by healthcare providers.
- Maintain detailed notes on all patient interactions for future reference purposes.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Handle unresolved inquires/issues ,and responsible for developing , implementing polices on collection practices .
- Responsible for insurance premium collections negotiating, and advising on collections of overdue bills, taken appropriate action to recover overdue payments .
- Review EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Applied HIPAA privacy and security regulations while handling patient information.
Patient Account Representative
OPTUM /SSM Health Follow up
St Louis, MO
10.2023 - 12.2023
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Generated reports using proprietary software programs to analyze trends in patient accounts receivable balances.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Reviewed flagged items daily and resolved issues.
PATIENT ACCESS REPRESENTATIVE
USMD/ OPTUM
Mansfield , TX
01.2022 - 10.2023
- Front desk clinical check in specialists, responsible for insurance balances, works daily with insurance companies
- Handle unresolved inquiries/issues/denials with payers, handle prompt payments and cashflow/ via credit card /debit processing, reviews and manages Medicaid, Medicare, and commercial claims in a timely matter handle supportive documentation with HIPPA guidelines, review patient task and correspondence regarding prenatal care to appropriate medical department
- Verify insurance eligibility for benefits, schedule patients and provide new patient appointments as well, clinical task completion with appropriate deadline, daily conformation calls assistance with copays EOB'S or ongoing balances that need to be assisted.
PATIENT ACCOUNT REPRESENTATIVE
CREDIT MANAGEMENT COMPANY
Pittsburgh, PA
04.2020 - 01.2022
- Communicated with patients via telephone on an inbound and outbound dialing system Manage multiple accounts regarding eligibilities of medical health benefits Resolve patient account balances
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Performed monthly reconciliations of patient accounts to ensure accuracy of financial data.
- Demonstrated superior customer service skills, for patients and diligence with each account
- Provided consistent follow-up with patients and third-party insurance carriers
- Negotiated settlements and payment plans with patients under specific guidelines and collect and process payments on accounts
- Keep detailed records of all customer communications, payment plans, and the amounts paid.
SALON RECEPTIONIST
SIGNATURE STYLES SALON
Cedar Hill, Texas
12.2018 - 04.2020
- Supported for the salon and stylist, managers, this included greeting customers upon arrival provided customers with quality service on referrals answering client's questions about services
- Bookkeeping and processing transactions and well and product upselling Handled client's questions and scheduled appointments and cash flow sheets at close of day deposits
- Collections, Report preparation, Customer service Bookkeeping and processing transactions and well and product upselling
PATIENT ACCESS REPRESENTATIVE
TEXAS HEALTH EMERGENCY ROOM
Grand Prairie , Texas
08.2017 - 12.2018
- Effectively verified and communicated to patients and their family insurance eligibility, filling collections and Correctly collected co-pays, co-insurance, deductibles and set up payment plans, maintained medical records following HIPPA guidelines provided medical records to primary care providers, insurance carriers referred providers and patients per patient request, assisted the emergency by performing and very knowledgeable in CPR and supported documentation as needed
- Provided accurate data entry of demographic and financial information into the computer system, registered patients, instructed and provided general assistance to patients while providing customer service.
- Scanned documents into electronic medical records system.
- Assisted with preparing daily cash reports for accounting department.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Resolved discrepancies between hospital systems and third party payers.
- Answered phones promptly in a professional manner.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Education
Diploma Certificate - Cosmetology
Tint Cosmetology And Make Up
Grand Prairie, TX06-2005
High School Diploma -
Lake Highlands High School
Dallas, TX12-2000
Skills
- Collections
- Report preparation
- Customer service
- Written Correspondence
- Marketing & Sales
- Accounting /Bookkeeping
- General office skills
- Front -Office operations
- Insurance Verification
- Medical Billing
- Medical terminology knowledge
- Collections experience
- Follow-up skills
- Physicians' orders
- HIPAA understanding
- Payment Processing
- Insurance collaboration
- Bookkeeping procedures
- Patient Care
- Administrative Support
References
References available upon request.
Timeline
Patient Account Representative
SSM Health Follow up
12.2023 - Current
Patient Account Representative
OPTUM /SSM Health Follow up
10.2023 - 12.2023
PATIENT ACCESS REPRESENTATIVE
USMD/ OPTUM
01.2022 - 10.2023
PATIENT ACCOUNT REPRESENTATIVE
CREDIT MANAGEMENT COMPANY
04.2020 - 01.2022
SALON RECEPTIONIST
SIGNATURE STYLES SALON
12.2018 - 04.2020
PATIENT ACCESS REPRESENTATIVE
TEXAS HEALTH EMERGENCY ROOM
08.2017 - 12.2018
Diploma Certificate - Cosmetology
Tint Cosmetology And Make Up
High School Diploma -
Lake Highlands High School
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