Summary
Overview
Work History
Education
Skills
Timeline
Generic

Racquel Hamilton

Midland,Texas

Summary

Patient Affair Coordinator with background in billing and collections, records management and maintenance and appointment setting. Desires a role in a medical office environment. Patient-focused Medical Administrative Assistant with more than 10 years experience working in a busy medical office serving diverse populations.

Overview

20
20
years of professional experience

Work History

Patient Affair Coordinator

Houston Methodist Hospital
Houston, TX
08.2014 - Current
  • Precisely evaluated and verified benefits and eligibility. Researched questions and concerns from providers and provided detailed responses. 
  • Maintained strict patient and physician confidentiality.Managed collections claims for unpaid bills against the estates of debtors.
  • Accurately posted and sent out all medical claims. Submitted electronic/paper claims documentation for timely filing.
  • Responded to correspondence from insurance companies.Identified and resolved patient billing and payment issues.
  • Maintained and updated collections tracking spreadsheet to help organize payment information. Updated patient financial information to guarantee accuracy.




Collector

Christus Health (Frontline Source Group)
Houston, TX
03.2014 - 08.2014
  • Prepared billing correspondence and maintained database to organize billing information.
  • Printed and reviewed monthly patient aging report and solicited overdue payments. Updated patient financial information to guarantee accuracy.
  • Examined patients insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Evaluated patients financial status and established appropriate payment plans.Confidently and adeptly handled claim denials and/or appeals. Identified and resolved patient billing and payment issues.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.



Collector /Insurance Verifier/ Financial Counselor

Cypress Creek Hospital
Cypress, TX
01.2013 - 02.2014
  • Professionally and courteously verified appointment times with patients.
  • Verified patients eligibility and claims status with insurance agencies. Prepared patient charts accurately and neatly for the clinic. Managed collections claims for unpaid bills against the estates of debtors.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations. Submitted electronic paper claims documentation for timely filing.
  • Responded to correspondence from insurance companies. Posted and adjusted payments from insurance companies. Evaluated patients financial status and established appropriate payment plans.
  • Examined patients insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.



Self- Pay Collection

Houston Methodist Hospital
Houston, TX
07.2012 - 11.2012
  • Compiled and tracked outstanding balances owed to medical facilities. Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Prepared billing correspondence and maintained database to organize billing information. Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
  • Updated patient financial information to guarantee accuracy. Evaluated patient's financial status and established appropriate payment plans.
  • Examined patient's insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.



Physician Billing

Children\'s Hospital at New Orleans
New Orleans, LA
09.2009 - 05.2012
  • Accurately posted surgeries, hospital visits and payments for assigned carriers.
  • Printed and reviewed monthly patient aging report and solicited overdue payments. Prepared billing correspondence and maintained database to organize billing information.
  • Confidently and adeptly handled claim denials and/or appeals. Maintained and updated collections tracking spreadsheet to help organize payment information. Identified and resolved patient billing and payment issues.
  • Posted and adjusted payments from insurance companies. Responded to correspondence from insurance companies.
  • Precisely evaluated and verified benefits and eligibility. Diligently filed and followed up on third party claims. Prepared patient charts accurately and neatly for the clinic.



Patient Account Representative

Global Alliance Healthcare
Houston, TX
12.2007 - 10.2008
  • Managed collections claims for unpaid bills against the estates of debtors.
  • Accurately posted and sent out all medical claims. Submitted electronic/paper claims documentation for timely filing.
  • Responded to correspondence from insurance companies. Posted and adjusted payments from insurance companies.
  • Maintained and updated collections tracking spreadsheet to help organize payment information. Confidently and adeptly handled claim denials and/or appeals.



Patient Account Representative

Texas NeuroRehab
Austin, TX
05.2006 - 05.2007
  • Identified and resolved patient billing and payment issues. Posted and adjusted payments from insurance companies.
  • Responded to correspondence from insurance companies. Submitted electronic/paper claims documentation for timely filing. Accurately posted and sent out all medical claims.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Managed collections claims for unpaid bills against the estates of debtors.



Patient Account Representative

San Marcos Treatment Center
San Marcos, TX
03.2005 - 08.2005
  • Managed collections claims for unpaid bills against the estates of debtors. Submitted electronic/paper claims documentation for timely filing.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services. Responded to correspondence from insurance companies.
  • Posted and adjusted payments from insurance companies. Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Identified and resolved patient billing and payment issues. Evaluated patient's financial status and established appropriate payment plans.





Education

Associate of Applied Science - Business Administration Human Resources Management Specialization

Houston Community College
Houston, TX
2016

Skills

  • Billing and collection procedures expert
  • Hospital inpatient and outpatient records
  • Patient referrals expert
  • Familiar with commercial and private insurance carriers
  • Patient chart auditing ability
  • Behavioral health billing and collections
  • Insurance and collections procedures
  • Understands insurance benefits
  • Research and data analysis
  • Office management professional
  • Close attention to detail
  • Office support (phones, faxing, filing)
  • Excellent verbal communication

Timeline

Patient Affair Coordinator

Houston Methodist Hospital
08.2014 - Current

Collector

Christus Health (Frontline Source Group)
03.2014 - 08.2014

Collector /Insurance Verifier/ Financial Counselor

Cypress Creek Hospital
01.2013 - 02.2014

Self- Pay Collection

Houston Methodist Hospital
07.2012 - 11.2012

Physician Billing

Children\'s Hospital at New Orleans
09.2009 - 05.2012

Patient Account Representative

Global Alliance Healthcare
12.2007 - 10.2008

Patient Account Representative

Texas NeuroRehab
05.2006 - 05.2007

Patient Account Representative

San Marcos Treatment Center
03.2005 - 08.2005

Associate of Applied Science - Business Administration Human Resources Management Specialization

Houston Community College

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Racquel Hamilton