Nelly Adames
Crestview,FL
Summary
Dynamic Patient Account Representative with Conifer Health Solutions, skilled in insurance verification and problem-solving. Achieved significant reductions in aged accounts receivable through meticulous follow-up and attention to detail. Experienced with managing patient accounts and resolving billing discrepancies. Utilizes strong analytical skills to ensure accuracy in financial record-keeping and claim processing. Knowledge of effective communication strategies to support patient inquiries and insurance coordination.
Overview
9
9
years of professional experience
Work History
Patient Account Representative
Conifer Health Solutions
09.2020 - Current
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- 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.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
Entrepreneur
Rental Empire Property Management LLC
01.2017 - 09.2020
- Built strong brand recognition and customer loyalty by delivering high-quality products and services consistently over time.
- Improved customer satisfaction with exceptional project management skills and timely delivery of products and services.
- Launched new product lines successfully through comprehensive planning, strategy and research.
- Determined business plan, mission statement, and vision.
- Successfully navigated challenging economic conditions by adapting business strategies quickly in response to changing market dynamics.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Managed financial aspects of the business including budgeting, forecasting, cash flow management, and financial reporting.
Education
Bachelor of Arts - Business Accountancy
Florida Institute of Technology
Melbourne, FL12-2026
Associate of Arts - General Studies
Northwest Florida State College
Niceville, FL07-2020
Skills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Follow-up skills
- Collections experience
- Attention to detail
- Problem identification
- Account investigation
- Problem-solving abilities
- Multitasking
- Adaptability and flexibility
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Patient Account Representative
Conifer Health Solutions
09.2020 - Current
Entrepreneur
Rental Empire Property Management LLC
01.2017 - 09.2020
Bachelor of Arts - Business Accountancy
Florida Institute of Technology
Associate of Arts - General Studies
Northwest Florida State College