Shelly Dobbs
Oklahoma City,OK
Summary
Accomplished Patient Account Representative Team Lead at OU HEALTH, adept in HIPAA Compliance and fostering customer service excellence. Streamlined claims processing, enhanced team efficiency, and significantly improved patient account management. Skilled in medical billing and team collaboration, with a proven track record of resolving complex billing issues and boosting revenue recovery.
Overview
20
20
years of professional experience
Work History
Patient Account Representative Team Lead
OU HEALTH
07.2021 - Current
- Enhanced patient satisfaction by efficiently handling inquiries, resolving issues, and providing prompt assistance.
- Safeguarded revenue cycle integrity through diligent review of denied claims followed by appropriate actions such as appeals or resubmission.
- Increased efficiency in processing claims by implementing system for organizing paperwork and tracking progress on pending cases.
- Optimized workflow within team through effective delegation of tasks based on skill level, priority, and workload balance.
- Improved team performance by providing ongoing training, guidance, and support to Patient Account Representatives.
- Assisted development and implementation of policies and procedures for effective patient account management.
- Managed patient accounts with attention to detail, ensuring accurate billing and timely collection of payments.
- Maintained up-to-date knowledge on insurance policies, procedures, and regulations to assist patients with accurate information.
Patient Account Representative
OU Health Science Center
02.2020 - 06.2021
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Electronically submitted bills according to compliance guidelines.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Researched billing errors and discrepancies to initiate corrective action.
Insurance Denial Auditor
Legacy Medical Management
08.2019 - 02.2020
- Worked/follow-up insurance denials
- Prepared appeals via online/letter
- Electronically submitted bills according to compliance guidelines
- Anesthesia
- Pain Management
- Neurology
Patient Account Representative
Radiology Consultants Inc.
11.2004 - 12.2018
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Electronically submitted bills according to compliance guidelines.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Responded to patient, family and external payer inquiries.
- Reconciled statements with patient records.
- Maintained and documented appeals for Medicare
- Resolved billing issues identified b y insurance carriers and patients
Education
Medical Coding
Moore Norman Technology Center - South Penn
Oklahoma City, OK2017
Skills
- HIPAA Compliance
- Insurance Verification
- Team Collaboration
- Medical Billing
- Interviewing ability
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking Abilities
- Effective Communication
- Adaptability and Flexibility
- Goal Setting
- Medical terminology knowledge
- Coding
- Insurance Billing
Accomplishments
- OUHSC Leadership and development program 2021
- EPIC Super User
Timeline
Patient Account Representative Team Lead
OU HEALTH
07.2021 - Current
Patient Account Representative
OU Health Science Center
02.2020 - 06.2021
Insurance Denial Auditor
Legacy Medical Management
08.2019 - 02.2020
Patient Account Representative
Radiology Consultants Inc.
11.2004 - 12.2018
Medical Coding
Moore Norman Technology Center - South Penn