Patricia B. Paul
Elkridge,MD
Summary
Solid experience in healthcare areas of account reconciling, billing, receivables, and collections. Training medical professionals and upgrading computer systems from small offices to large hospitals and HMOs. A motivated leader with strong attention to detail, an accuracy, and the ability to work as a team player or independently.
Overview
13
13
years of professional experience
Work History
Patient Services Representative
Kaiser Permanente
03.2013
- Assisting all center staff with a variety of clerical duties
- Answer and assist all incoming calls to the center
- Recorded and filed patient data and medical records
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
- Chaperoning in procedures.
Cosmetologist
06.1984
- This is teaching salon, for the client as well as the stylist
- Donating 34 years of experience to promote better hair care, and offer a trending style, giving the latest in color techniques to enhance your lifestyle
- All ethnicities are addressed.
Medical Practice Business Associate
Medtec Inc
11.2008 - 02.2009
- Daily routine functions were to post accounts receivable payments to proper patient accounts
- Resolve aging reports and send out statements to reconcile accounts
- Researched patient accounts to resolve outstanding debts, by either re-adjudicating bill for payment, write off balances or requesting payment from patient
- Communicated with physician offices to receive proper documentation to respond to clients needs
- Electronically billed daily physician charges for office or hospital visits
- Developed practices that made the external vendor offices run more efficiently
- Assisted with the training of medical offices remotely on the 3rd generation EMR of Sunrise system.
Patient Account Representative, Scheduler
Mary Kraft and Associates, Greater
04.2006 - 10.2006
- For Ophthalmology surgeons
- Network
Software Trainer
Johns Hopkins Hospital
Patient Services Representative
Radiology Imaging Associates
07.2004 - 06.2005
- Coordinated patient schedules for various modalities, gave directions, preps and received authorization from insurance companies for scheduled appointments
- Greeted patients, accepted co-payments, updated charts for visits and made sure films were in proper jackets for radiographic interpretations.
Neuropsychiatry Program Support
Sheppard Pratt Hospital
04.2004 - 07.2004
- Provided clinical support to four psychiatrists and two social workers
- Daily task included verification of insurance, co-payment collections, and creating and updating of patient charts
- Addressed all entities of billing, to include Medicare, Medicaid, and other commercial insurances
- Registration of patients within the IDX system for diagnosis and treatment.
Practice Manager Trainer
Healthcare Intranet Technology
05.2003 - 08.2003
- Supported Ophthalmology and Retinal Specialist as a trainer to their staff
- Reviewed software application for errors and assisted with remote phone training
- Configured software to tailor to specifications of the client needs of the practice
- Remotely supported and assisted clients with billing and medical records training and set up
- Wrote a scanning manual for training of new equipment to be disseminated.
Kaiser Permanente Mid Atlantic States
06.1998 - 05.2003
Network Associate
07.2002 - 05.2003
- Responsibilities were to act as an advocate and liaison to physician within the external network for Kaiser Permanente, supplied support in problem areas
- Facilitated payment of denied or partial paid claims to gain successful payment for physicians
- Conducted site inspections for credentialing and assurance that other state regulations were satisfied.
Executive Administrative Assistant
01.2001
- 0702
- Assisted MAPMG physicians with staying up to date on CME credits
- Credentialing, and software trainer, and equipment disbursement
- Assisted the Chief Financial Officer, Area
- Administrator, and Area Medical Director in daily functions, maintained their schedules for travel, meetings, conference calls and appointed deadlines
- Facilitated construction plan project for build out of the new Radiology department
- Issued orientation of new physicians and provided strategic assistance for the Medicare Program transition, assisted with the development and implementation of an integrated service delivery plan for the Baltimore Area.
Ray Lab Clerk
X
06.1998 - 01.2000
- Duties included appointment scheduling, patient education, complaint resolution of patients and customer relations
- Mammography tracker, and all phases of film library management and films prepared for Radiologist interpretations
- Coordinated staff assignments between five medical centers with supervisor for coverage
- Supported the
- Mid Atlantic States Area Manager and Area Radiology Director
- Worked on updating the
- RIS dictionary.
Medicaid Specialist
Maxim Healthcare Services
08.1996 - 05.1998
- Researched and adjudicated electronic billing of the UB92 and HCFA Medicaid systems for the states of New Jersey, Pennsylvania and Virginia
- Responsible for recovery of $3.5 million dollars in denied claims and billing errors
- Resolved collection issues of short pays and customer responsibilities.
Education
AA - Healthcare Administration Healthcare
Management Colorado Tech University
Skills
- Performance Evaluation
- Adaptability
- Customer Service
- Feedback Analysis
- Time Management
- Problem Solving
- Virtual Training
- Critical Thinking
- Project Management
- Contract Negotiation
- Team Exercises
- Employee Interviewing
- Labor Relations
International travel
Seeing different countries from the their perspective of family and day to day living. Not on a tourist level getting to know the locals and how they live and their needs.
Timeline
Patient Services Representative
Kaiser Permanente
03.2013
Medical Practice Business Associate
Medtec Inc
11.2008 - 02.2009
Patient Account Representative, Scheduler
Mary Kraft and Associates, Greater
04.2006 - 10.2006
Patient Services Representative
Radiology Imaging Associates
07.2004 - 06.2005
Neuropsychiatry Program Support
Sheppard Pratt Hospital
04.2004 - 07.2004
Practice Manager Trainer
Healthcare Intranet Technology
05.2003 - 08.2003
Network Associate
07.2002 - 05.2003
Executive Administrative Assistant
01.2001
Kaiser Permanente Mid Atlantic States
06.1998 - 05.2003
Ray Lab Clerk
X
06.1998 - 01.2000
Medicaid Specialist
Maxim Healthcare Services
08.1996 - 05.1998
Cosmetologist
06.1984
Software Trainer
Johns Hopkins Hospital
AA - Healthcare Administration Healthcare
Management Colorado Tech University
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