PETER JAMES
Saint Martinville,LA
Summary
Competent Accounts Receivable Specialist bringing 2 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Patient Registrar/Financial Counselor- EPIC EHR
Our Lady Of Lourdes W/C Hospital
LAFAYETTE, LA
02.2022 - Current
- Prepared billing statements and invoices for customer purchases and recorded transaction date, price and fees to support accuracy.
- Used accounting software to reconcile accounts, track income and generate invoices.
- Entered figures using 10-key calculator to compute data quickly.
- Processed bill reminders and consulted with third-party collection agency to resolve past-due customer accounts.
- Calculated discounts, percentage allocations and credits and spearheaded process improvements to secure prompt and regular receipts for organization.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
Medical Collections Specialist
Benefit Recovery Specialists
Houston , TX
09.2021 - 01.2022
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Set up drafts and processed immediate payments after conducting thorough research and analysis of account.
- Posted payments to accounts and maintained records.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Processed online and paper appeal submissions and refund requests.
- Corrected, completed and processed claims for multiple payer codes.
Financial Counselor-EPIC EHR
UTMB Health
League City, TX
03.2021 - 06.2021
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
- Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
- Visited patients' rooms to collect insurance and financial information required for registrations.
- Maintained energy and enthusiasm in fast-paced environment.
- Performed duties in accordance with all applicable standards, policies and regulatory guidelines to promote safe working environment.
- Imaged and scanned patient and registration documentation into electronic patient record via [EPIC].
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Met with clients to discuss assets, expenses and long-term and short-term investment goals to devise personalized financial plans.
Patient Account Specialist-EPIC EHR
Texas Children's Hospital
Houston, TX
01.2020 - 04.2020
- Resolved inquiries from patients, families and external payers.
- Submitted electronic bills following facility and legal compliance standards.
- Processed refunds, disbursements and payments.
- Generated detailed reports outlining billing, flagged items and other important data.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Earned reputation for good attendance and hard work
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Applied more than 150 payments per week.
- Performed targeted collections on past due accounts aged over 90 days.
- Prepared reports detailing billing actions, flags and other key information.
- Contacted patients after insurance was calculated to obtain payments.
Patient Services Coordinator-EPIC EHR
MD Anderson Cancer Prevention Center
Houston, Tx
11.2018 - 12.2019
- Accepted payments, credit card payments, checks and cash and processed payments in EPIC cash drawer.
- Schedules patient visits, physician appointments, diagnostic tests, and treatments.
- Communicates pertinent information regarding appointments, scheduling in call center environment.
- Handled prepayment, and financial counseling to patients, family, physicians and team members.
- Reviews and maintains patient information for confidentiality and accuracy.
- Performed process copay, check patients in, verified insurances, collected patient information, entering patient demographics, guarantor information, verify benefits.
- Handled inbound customer calls regarding, appoint status, billing concerns, updating patient accounts with new information.
- Inputted accurate patient insurance, billing and payment information in EPIC software.
- Answered over 15 telephone calls per hour to handle rescheduled, missed and reassigned visit requests
Education
General Biology, Anatomy & Physiology 1 and 2, Microbiology - Nursing
Houston Community College
Houston, TX12.2019
Associate of Arts - Nursing
Houston Community College
Houston, TX12.2019
Skills
- EPIC EMR experience, Medication administration, Clerical writing, Filing and data archiving, Patient care assessment and management, Interpersonal communication, Document accuracy and management, Reporting and statistical analysis, Microsoft Word, Excel, and Outlook
- Accounting
- Benefits
- Billing
- Call center
- Clerical
- Interpersonal communication
- Conflict resolution
- Counseling
- CPR
- Creative problem solving
- Outlook
- Newsletters
- Reporting
- Sales
- Shipping
- Statistical analysis
- Supervisory
- Credit
- Invoicing
- Notes
- Medical terminology
- Meetings
- Progress
- Safety
- Scheduling
- Staff development
- Strategic
- Well-organized
- EPIC-savvy
- Medical billing
- Time management
- HIPAA understanding
- Pivot tables
Certification
First Aid/CPR Certified
Timeline
Patient Registrar/Financial Counselor- EPIC EHR
Our Lady Of Lourdes W/C Hospital
02.2022 - Current
Medical Collections Specialist
Benefit Recovery Specialists
09.2021 - 01.2022
Financial Counselor-EPIC EHR
UTMB Health
03.2021 - 06.2021
Patient Account Specialist-EPIC EHR
Texas Children's Hospital
01.2020 - 04.2020
Patient Services Coordinator-EPIC EHR
MD Anderson Cancer Prevention Center
11.2018 - 12.2019
General Biology, Anatomy & Physiology 1 and 2, Microbiology - Nursing
Houston Community College
Associate of Arts - Nursing
Houston Community College
First Aid/CPR Certified
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