Dedicated Patient Account Representative bringing 22+ years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities. Seasoned Patient Account Representative versed in administration, medical billing and coding. Results-driven and proactive team player with 22+ years in the field.
Overview
26
26
years of professional experience
Work History
Workers Compensation Specialist
Williams Medical Group Dba Xpress Wellness Urgent
05.2024 - 02.2025
Examined claims forms and other records to determine insurance coverage.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Researched claims and incident information to deliver solutions and resolve problems.
Patient Account Representative
McBride Orthopedic Hospital Clinic
03.2023 - 05.2024
Provided customer service to patients regarding billing inquiries and account information.
Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
Processed payments from patients and maintained accurate records of all transactions.
Conducted follow-up calls with patients to ensure that accounts were up to date and properly documented.
Researched discrepancies in patient accounts to determine appropriate resolution.
Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
Maintained detailed notes on all patient interactions for future reference purposes.
Ensured compliance with company policies concerning the privacy of confidential health information.
Worked closely with insurance companies to obtain authorization for services rendered.
Lab TPA Account Receivable Specialist
Concentra dba Select Medical
03.2015 - 01.2023
Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
Generated reports using proprietary software programs to analyze trends in patient accounts receivable balances.
Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
Maintained detailed notes on all patient interactions for future reference purposes.
Updated existing patient files with relevant information such as changes in address or contact information.
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.
Worked closely with insurance companies to obtain authorization for services rendered.
Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
Contacted insurance companies to check status of claim payments.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Answered customer questions regarding account discrepancies or problems.
Recorded information about status of collection efforts.
Tech Support specialist
Sprint PCS
07.1999 - 01.2015
Education
Accounting -
Oklahoma Christian University
01.1997
Accounting -
Santa Clara University
05.1995
Skills
22 years of experience in telephone customer service, tech support, customer care and medical billing
Comfortable with Microsoft word, excel and outlook Very organized and meticulous with organizing customer interaction logs
Resolves tickets representing staff-generated technical requests or problems and troubleshoots technical and process issues to maintain productivity
Knowledge of script languages such as Python, JavaScript, Java, C#, etc
Excellent communication skills - 10 years
Medical Billing
Verbal and Written Communication
Insurance Billing
HIPAA Understanding
Payment Processing
Timeline
Workers Compensation Specialist
Williams Medical Group Dba Xpress Wellness Urgent
05.2024 - 02.2025
Patient Account Representative
McBride Orthopedic Hospital Clinic
03.2023 - 05.2024
Lab TPA Account Receivable Specialist
Concentra dba Select Medical
03.2015 - 01.2023
Tech Support specialist
Sprint PCS
07.1999 - 01.2015
Accounting -
Santa Clara University
Accounting -
Oklahoma Christian University
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