Rhodia Richardson
Missouri City,TX
Summary
Dedicated patient account representative bringing several years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.
Overview
11
11
years of professional experience
Work History
Patient Account Representative
Harris Health System
Houston, TX
11.2018 - Current
- 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.
- Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
- 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.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- 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.
- Applied organizational policies and complied with regulations for patient privacy.
Account Representative
Benefits Recovery
Houston, TX
10.2015 - 11.2016
- Provided excellent customer service to ensure client satisfaction.
- Developed and maintained strong relationships with clients, vendors and colleagues.
- Reviewed contracts, invoices and other documents for accuracy.
- Resolved customer complaints in a timely manner.
- Maintained detailed records of all client communications.
- Processed orders promptly according to established procedures.
- Responded quickly to customer inquiries via phone or email.
- Participated in training programs designed to enhance job knowledge.
Account Representative
United Health Care Group, Maryland Heights MO
Houston, TX
10.2013 - 11.2015
- Provided excellent customer service to ensure client satisfaction.
- Developed and maintained strong relationships with clients, vendors and colleagues.
- Reviewed contracts, invoices and other documents for accuracy.
- Resolved customer complaints in a timely manner.
- Set up and updated customer accounts with interactions, payments and personal information.
- Maintained accurate and complete records on past due accounts and collection actions.
- Addressed and resolved client concerns and issues in a timely and effective manner.
Education
Associate of Applied Science - Child Development
Houston Community College
Houston, TX05-2016
Associate of Science - Information Technology
Prairie View A & M University
Prairie View, TX05-1975
Skills
- Medical Billing
- Coding
- File coordination
- Insurance Verification
- Medical terminology knowledge
- Conflict Mediation
Timeline
Patient Account Representative
Harris Health System
11.2018 - Current
Account Representative
Benefits Recovery
10.2015 - 11.2016
Account Representative
United Health Care Group, Maryland Heights MO
10.2013 - 11.2015
Associate of Applied Science - Child Development
Houston Community College
Associate of Science - Information Technology
Prairie View A & M University
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