Efficient Patient Account Specialist equipped with the necessary abilities and experience to successfully resolve patient accounts. Handle difficult situations with a calm, analytical approach.
Overview
8
8
years of professional experience
Work History
Patient Account Specialist
Centura Health - Common Spirit
07.2023 - Current
Facilitate the analysis and research of patient accounts in order to problem solve outstanding issues and billing concerns.
Resolve patient disputes in order to maintain patient satisfaction. Assess accounts to determine billing and quality of care concerns. Compose correspondence informing patient of results upon resolution.
Determine Federal Poverty Levels in order to assess accounts for charity and financial assistance.
Prevent non- payment issues through proactive payment plans for patients with outstanding balances.
Patient Account Representative
CCRM
02.2022 - 07.2023
Educated patients on financial policies, promoting understanding of their responsibilities within the healthcare system.
Worked with outside entities to resolve issues with billing, claims, and payments.
Reduced outstanding balances by implementing effective collection strategies tailored to individual patients' needs.
Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
Researched billing errors and discrepancies to initiate corrective action.
Patient Account Specialist
Centura Health
02.2019 - 02.2022
Researched accounts for the purpose of resolving patient billing concerns.
Monitored flags and resolved urgent items with accuracy and efficiency.
Proactively identified potential issues in patient accounts, communicating with other departments as necessary to resolve discrepancies that could impact billing accuracy or timely reimbursements from insurance carriers.
Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
Patient Account Specialist
Apex Systems
09.2018 - 02.2019
Responded to patient phone calls and assisted patients with billing concerns for the purpose of resolving accounts and maintaining patient satisfaction.
Researched billing errors and discrepancies to initiate corrective action.
Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
Enhanced patient satisfaction by efficiently managing billing inquiries and resolving discrepancies.
Supported a positive patient experience with empathetic communication during financial discussions, addressing concerns with professionalism and understanding.
Scheduling Specialist
University of Kansas Healthcare
08.2017 - 08.2018
Scheduled all outpatient procedures including complex treatment plans, provider visits, radiology, laboratory and biopsies.
Rescheduled patient appointments and coordinated with providers' changing availability.
Answered phone calls and accommodated patients' needs in a timely manner.
Acted as administrative assistant to providers and nurses. Provided support in order to facilitate smooth workflows for staff.
Patient Access Representative
Olathe Cancer Center
07.2016 - 08.2017
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Stayed calm under pressure to and successfully dealt with difficult situations.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Education
Bachelor of Arts (B.A.) - Latin American Studies -
University of Kansas
Lawrence, KS
05.1990
Associate in Arts (A.A.) - General Studies -
Araphoe Community College
Littleton, CO
06.1987
Skills
Epic
Cerner
Outlook
Excel
HIPAA Compliance
Insurance Verification
Team Collaboration
Investigative research
Correspondence Writing
Conflict Resolution
Analytical and Critical Thinking
References
Available Upon Request
Timeline
Patient Account Specialist
Centura Health - Common Spirit
07.2023 - Current
Patient Account Representative
CCRM
02.2022 - 07.2023
Patient Account Specialist
Centura Health
02.2019 - 02.2022
Patient Account Specialist
Apex Systems
09.2018 - 02.2019
Scheduling Specialist
University of Kansas Healthcare
08.2017 - 08.2018
Patient Access Representative
Olathe Cancer Center
07.2016 - 08.2017
Bachelor of Arts (B.A.) - Latin American Studies -
University of Kansas
Associate in Arts (A.A.) - General Studies -
Araphoe Community College
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