SAMANTHA MARTIN
JEFFERSON HEALTH
Philadelphia,PA
27
years of professional experience
Results-driven patient account representative with deep experience in medical billing, claim review, and payment posting. Known for accurate insurance verification, timely follow-up on denials, and clear communication with patients and payers. Strong team collaborator committed to improving revenue cycle performance.
Work History
Revenue Cycle Representative
10 Years 10 Months- Verified insurance eligibility and benefits to support timely claim submission and payment processing.
- Initiated follow-up on unpaid claims, denials, and incomplete documentation to reduce reimbursement delays.
- Collaborated with registration, clinical, and billing teams to correct account errors and improve charge capture.
- Managed patient account inquiries and resolved billing discrepancies through accurate account review.
- Processed payment arrangements, refunds, and adjustments while maintaining compliance with revenue cycle policies.
- Trained new staff on account workflows, billing systems, and patient financial communication standards.
- Streamlined front-end and back-end revenue cycle processes to improve accuracy and patient service continuity.
- Ensured accurate billing and coding practices, leading to a reduction in claim denials.
- Trained new employees on company-specific systems, tools, and processes for efficient integration into the team.
- Maintained up-to-date knowledge of payer policies, regulations, and guidelines, ensuring compliance throughout the revenue cycle process.
- Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
- Reached out to insurance companies to verify coverage.
- Identified and resolved payment issues between patients and providers.
Patient Account Representative
16 Years 2 Months- Managed patient accounts, resolving billing inquiries and maintaining accurate account records.
- Reviewed insurance claims, corrected errors, and supported timely reimbursement workflows.
- Posted payments and adjustments, ensuring precision across patient ledger transactions.
- Investigated account discrepancies, coordinated follow-up, and reduced unresolved balances.
- Communicated with patients regarding statements, balances, and payment arrangements professionally.
- Tracked denials and reworked claims using payer guidelines and billing systems.
- Collaborated with clinical and billing teams to streamline account resolution processes.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Electronically submitted bills according to compliance guidelines.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
Education
High School Diploma
Skills
Claim submission
Insurance verification
Medical billing expertise
Claims review
Payment posting
Billing proficiency
Collecting payments
Bill management
Accounts payable
Payment collection
Billing operations
Time management
Multitasking
Organizational skills
Bill payment management
Revenue tracking
Accounts receivable management
Timeline
Revenue Cycle Representative
JEFFERSON HEALTH
12.2015 - CurrentRead More
Patient Account Representative
JEFFERSON UNIVERSITY PHYSICIANS
10.1999 - 12.2015Read More
SAINT MARIA GORETTI
High School Diploma
Read More