Monique Washington
Tolleson,AZ
Summary
Motivated Patient Account Representative offering 15 years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills. Energetic Representative enthusiastic about improving efficiency and accuracy of billing procedures with first rate service and support to hospital and patients. Resourceful, detail-oriented and resilient. Extensive understanding of billing coding and associated software systems. Proficient Biller,driven to improve productivity, resolve delinquencies and drive process updates to modernize systems and maximize effectiveness. Bringing 15 years of experience in Patient Accounts Rep. Hardworking Patient Account Representative dedicated to customer service and patient care. Outgoing and flexible team player. Talent for developing creative solutions that satisfy all parties. Detail-oriented Patient Account Representative with extensive knowledge of billing systems, medical terminology and insurance practices. Experienced Patient Account Representative specializing in medical billing, coding and recordkeeping. Proactive and results-focused professional with 15-year healthcare background. Competent Accounts Receivable Specialist bringing [Number] years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.
Overview
22
22
years of professional experience
Work History
Patient Account Representative
CenterPointe Hospital
St. Louis, Missouri
02.2007 - 01.2017
- Responded to patient, family and external payer inquiries.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Electronically submitted bills according to compliance guidelines.
- Reconciled statements with patient records.
- Prepared reports detailing billing actions, flags and other key information.
- Utilized computer programs to create invoices, letters and other documents.
- Contacted patients after insurance was calculated to obtain payments.
- Worked with customer to create debt repayment plan based on current financial condition.
- Processed debtor payments and updated accounts to reflect new balance.
Medical Billing Clerk
Peoples Health Centers
St Louis, MO
11.2003 - 02.2007
- Updated patient financial information to guarantee accuracy.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Trained new employees on multiple medical billing programs and data entry software.
- Liaised between patients, insurance companies and billing office.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Posted surgical charges for practice providers.
Medical Claims Specialist
HNC Software & Insurance
St Louis, MO
11.1999 - 02.2002
- Submitted electronic/paper claims documentation for timely filing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Reviewed provider coding information to report services and verify correctness.
- Evaluated accuracy and quality of data entered into agency management system.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Verified client information by analyzing existing evidence on file.
- Generated, posted and attached information to claim files.
Provider Relations Representative
Group Health Plan
St Louis, MO
02.1993 - 09.1999
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Researched and resolved disputes, billing discrepancies and claims efficiently to maintain customer satisfaction, boosting satisfaction ratings [Number]%.
- Contributed to and enhanced audit processes to maximize quality management standards.
- Initiated physician and hospital orientations to support ongoing education of health care provider community.
Education
Certificate - Medical Billing And Coding
Allied Medical College
St Louis12.2002
High School Diploma -
Jennings Senior High School
St Louis06.1986
Skills
- Payment Scheduling
- Problem Identification
- Debt Repayment Negotiation
- Credit and Collections
- Accounts Payable and Accounts Receivable
- AR Aging Reports
- Electronic and Paper Filing
- Managing Delinquent Accounts
- Medical Billing
- Reviewing Patient Information
- Problem Investigations
- IDX Systems
- Pleasant Telephone Demeanor
- Insurance Company Communication
- Coding
Timeline
Patient Account Representative
CenterPointe Hospital
02.2007 - 01.2017
Medical Billing Clerk
Peoples Health Centers
11.2003 - 02.2007
Medical Claims Specialist
HNC Software & Insurance
11.1999 - 02.2002
Provider Relations Representative
Group Health Plan
02.1993 - 09.1999
Certificate - Medical Billing And Coding
Allied Medical College
High School Diploma -
Jennings Senior High School
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