Paula Folk
Walbridge,OH
Summary
Dynamic Patient Account Specialist II with extensive experience at ProMedica, excelling in patient account management and insurance verification. Proven track record in enhancing billing processes, achieving significant reductions in processing times. Strong communicator and collaborator, committed to ensuring compliance and improving patient satisfaction through effective financial counseling and support.
Overview
34
34
years of professional experience
Work History
Patient Account Specialist II
ProMedica
03.2020 - Current
- Assisted patients with account inquiries and billing questions.
- Collaborated with healthcare providers to verify patient insurance information.
- Processed patient payments and reconciled accounts efficiently.
- Utilized electronic health record systems to maintain accurate patient data.
REFUND ADJUDICATOR
PARAMOUNT
10.2013 - 03.2020
- Evaluated applications to determine eligibility based on established guidelines.
- Collaborated with cross-functional teams to enhance adjudication processes and improve workflow efficiency.
- Developed and implemented training programs for new adjudicators, ensuring adherence to compliance standards.
- Analyzed case data to identify trends and recommend policy improvements for streamlined operations.
Managed Care Contract Analyst
MERCY HEALTH
08.1991 - 10.2013
- Analyzed managed care contracts to ensure compliance with regulatory requirements.
- Collaborated with cross-functional teams to optimize contract negotiation processes.
- Developed and maintained comprehensive databases for tracking contract performance metrics.
- Facilitated training sessions for staff on managed care policies and procedures.
- Reviewed and interpreted contractual language for accuracy and clarity in execution.
- Led initiatives to streamline contract review processes, enhancing operational efficiency.
Billing Specialist, Financial Assistance, Registra
MERCY HEALTH
08.1991 - 10.2013
- Processed billing statements, ensuring accuracy and compliance with company policies.
- Resolved discrepancies in billing accounts, improving customer satisfaction and retention.
- Managed invoicing procedures using advanced accounting software, enhancing efficiency of financial operations.
- Led initiatives to streamline billing processes, significantly reducing processing times and errors.
- Audited invoices for accuracy, facilitating timely payments and minimizing financial discrepancies.
Education
CERTIFIED MEDICAL ASSISTANT - Medical , Business
STAUZENBERGER COLLEGE
Maumee, OH06-1982
Skills
- Patient care
- Team collaboration
- HIPAA compliance
- Verbal and written communication
- Patient account management
- Collections experience
- Insurance verification
- Medical terminology
- Medical billing expertise
- Payment processing
- Financial counseling
Timeline
Patient Account Specialist II
ProMedica
03.2020 - Current
REFUND ADJUDICATOR
PARAMOUNT
10.2013 - 03.2020
Managed Care Contract Analyst
MERCY HEALTH
08.1991 - 10.2013
Billing Specialist, Financial Assistance, Registra
MERCY HEALTH
08.1991 - 10.2013
CERTIFIED MEDICAL ASSISTANT - Medical , Business
STAUZENBERGER COLLEGE