Seasoned Patient Account Representative versed in administration, medical billing and coding. Results-driven and proactive team player.
Overview
7
7
years of professional experience
Work History
Unit Secretary/CNA
GLC Group
Weston, FL
06.2020 - 02.2024
Provided administrative and clerical support to staff members, including copying and scanning documents, filing paperwork, managing calendars and scheduling appointments.
Answered incoming calls in a professional manner and directed callers to the appropriate personnel.
Operated multi-lined phone system, copiers, scanners, and facility specific software.
Provided direct patient care to residents in the facility by working closely with the RN supervisor and Nurse unit manager.
Patient Account Representative II
UAB Dental Group
Birmingham, AL
08.2017 - 06.2020
Provided customer service to patients regarding billing inquiries and account information.
Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
Processed payments from patients and maintained accurate records of all transactions.
Conducted follow-up calls with patients to ensure that accounts were up to date and properly documented.
Researched discrepancies in patient accounts to determine appropriate resolution.
Verified accuracy of medical coding for services rendered by healthcare providers.
Performed monthly reconciliations of patient accounts to ensure accuracy of financial data.
Generated reports using proprietary software programs to analyze trends in patient accounts receivable balances.
Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
Maintained detailed notes on all patient interactions for future reference purposes.
Created new patient files according to established procedures and protocols.
Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
Worked closely with insurance companies to obtain authorization for services rendered.
Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
Reviewed flagged items daily and resolved issues.
Submitted electronic bills following facility and legal compliance standards.
Processed refunds, disbursements and payments.
Reached out to patients once insurance was billed in order to obtain payments due.
Generated detailed reports outlining billing, flagged items and other important data.
Created letters, invoices and other documents with diverse computer programs.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Communicated financial obligations to patients and collected fees at time of service.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Processed patient responsibility estimate determined by insurance at pre-registration.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Contacted insurance companies to check status of claim payments.
Answered customer questions regarding account discrepancies or problems.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Wrote appeal letters to insurance companies for denial of claims.
Recorded information about status of collection efforts.
Performed administrative functions for assigned accounts, recorded address changes and purged records.
Accepted and processed customer payments and applied toward account balances.
Received payments and posted amounts to customer accounts.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Monitored overdue accounts using automated information systems.
Contacted customers with delinquent accounts to solicit payment.
Notified credit departments and turned over records to attorneys when customers failed to respond to collection attempts.
Education
GED -
Hewitt-Trussville High School
Trussville, AL
05-1995
Associate of Science - Health Information Technology
Gadsden State Community College
Gadsden, AL
Skills
Office Administration/Clerical Support
Customer Service/Account Resolutions
Database and Medical Record Management
Data Entry
Scheduling
Dental and Medical Terminology Knowledge
Dental and Medical Billing and coding
Insurance eligibility verifications
Payment Processing
Electronic Charting
Timeline
Unit Secretary/CNA
GLC Group
06.2020 - 02.2024
Patient Account Representative II
UAB Dental Group
08.2017 - 06.2020
GED -
Hewitt-Trussville High School
Associate of Science - Health Information Technology