Dedicated and resourceful Patient Account Representative bringing 10 years' experience focused on patient care. Well-developed communication, time management and problem-solving abilities.
Overview
11
11
years of professional experience
Work History
Patient Access Representative/Admissions
UW Health University Hospital
Madison, WI
08.2022 - Current
Facilitate efficient patient check-in and registration processes, ensuring timely service delivery.
Verified insurance coverage for services rendered, streamlining billing and administrative tasks.
Collected co-pays and additional payments at the time of service to maintain financial accuracy.
Greeted patients and visitors courteously, promoting a welcoming environment.
Obtained necessary signatures for privacy compliance, safeguarding patient information integrity.
Oversee insurance verification for multiple health plans related to transfer requests, ensuring seamless transitions.
Assisted internal departments as needed, enhancing overall operational efficiency.
Coordinated with inpatient units to admit and transfer patients into correct rooms effectively.
Scheduling Specialist
UW Health Kids
Madison, WI
07.2021 - 08.2022
Check out patients and print after visit summaries
Schedule appointments via phone, in person and electronic correspondence
Coordinate appointments for patients in other Specialty Clinics
Coordinate Lab and Radiology appointments
Cancel and reschedule appointments
Manage electronic work lists
Manage templates for edits and reschedules
Communicate in a manner consistent with positive patient relations
Provide helpful assistance in anticipating and responding to the needs of all patients and family members
Claims Billing Representative
Chartwell Midwest Wisconsin-UW Health Care Direct
Middleton, WI
09.2020 - 07.2021
Resolve inquiries from patients, families and external payers.
Review flagged items daily and resolve issues in accurate and efficient manner.
Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
Accepted and processed customer payments and apply toward account balances.
Review aging report and provide necessary follow-up and research to resolve outstanding claims.
Send and process appeals for claims denied by insurance provider
Assessed policy coverage and pulled contracts for review.
Submitted claims to insurance companies.
Contacted insurance providers to verify correct insurance information.
Patient Account Specialist
UnityPoint at Home
Madison, WI
07.2016 - 09.2020
Handled billing related activities focused on medical specialties.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Verified that patients had proper insurance coverage prior to any procedures or appointment scheduling.
Resolved inquiries from patients regarding financial responsibility.
Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
Accepted and processed customer payments and applied toward account balances.
Reached out to patients once insurance was billed in order to obtain payments due.
Reviewed accounts to determine payment plan compliance.
Recorded information about customers' financial status and collections status efforts.
Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
Patient Account Specialist
Home Health United
Madison, WI
04.2014 - 07.2016
Resolved inquiries from patients, families and external payers.
Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
Accepted and processed customer payments and applied toward account balances.
Reviewed flagged items daily and resolved issues in accurate and efficient manner.
Completed and submitted appeals.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Added modifiers, coded narrative diagnosis and verified diagnoses.
Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
Filed and submitted insurance claims.
Researched and rectified account discrepancies.
Education
Some College (No Degree) - Health Care Administration
UW-Milwaukee
Milwaukee, WI
Skills
Proficient in Epic, Forward Health, Availity, MyQuartz, Connex
Patient relations
Insurance practices
Excellent verbal and written communication skills
Gather and analyze information
Familiar with reading EOBs and medical terminology
Multi-task and assist/cover different departments and roles
Excellent customer service skills
Timeline
Patient Access Representative/Admissions
UW Health University Hospital
08.2022 - Current
Scheduling Specialist
UW Health Kids
07.2021 - 08.2022
Claims Billing Representative
Chartwell Midwest Wisconsin-UW Health Care Direct
09.2020 - 07.2021
Patient Account Specialist
UnityPoint at Home
07.2016 - 09.2020
Patient Account Specialist
Home Health United
04.2014 - 07.2016
Some College (No Degree) - Health Care Administration