Patient Accounts Representative with extensive experience in revenue cycle management, insurance verification, and patient financial communications at Nationwide Children's Hospital. Skilled in handling escalated cases, MyChart messaging, and denial management while maintaining HIPAA compliance and high patient satisfaction. Demonstrates leadership potential through trusted responsibilities typically assigned to leadership, with a strong ability to analyze processes, resolve complex issues, and drive workflow improvements.
Overview
2
2
years of professional experience
Work History
Patient Account Representative
Nationwide Children's Hospital
05.2024 - Current
Selected by leadership to manage escalated and high-complexity patient calls, resolving sensitive financial concerns, and de-escalating emotionally charged situations typically handled by leadership.
Demonstrated proficiency in Epic software use by handling MyChart financial messages and digital patient inquiries, providing accurate, timely guidance on billing, payment plans, insurance questions, and account resolution.
Review and interpret insurance coverage, EOBs, CPT/HCPCS, and ICD-10 codes, and denial reasons to identify issues, correct errors, and support successful claim reimbursement.
Collaborate with families to establish payment plans, explain complex insurance processes, and improve the overall patient financial experience through clear, empathetic communication.
Investigate and resolve insurance denials by analyzing payer policies and account histories, coordinating with billing, coding, and financial counseling teams to drive timely claim resolution.
Demonstrated reliability and strong problem-solving skills by being entrusted with sensitive cases, complex accounts, and situations requiring discretion, accuracy, and sound judgment.
Driver
Two Men & A Truck
09.2023 - 05.2024
Served as the on-site team lead by directing move crews, assigning tasks, and ensuring the safe, efficient loading and unloading of customer belongings.
Acted as the primary customer point of contact, handling walkthroughs, managing expectations, answering questions, and resolving issues throughout the move.
Education
Master of Science - Health Administration
Louisiana State Univeristy
Shreveport, LA
Bachelor of Science - Health Services Administration
Ohio University
Zanesville, OH
Skills
Revenue Cycle Management
Insurance Verification & Claims
CPT/HCPCS & ICD-10 Familiarity
HIPAA & Compliance Knowledge
Denial Management & Appeals
Billing & Coding Support
MyChart & Patient Portal Communication
Customer & Patient Relations
Conflict Resolution / De-escalation
Team Leadership / Crew Coordination
Timeline
Patient Account Representative
Nationwide Children's Hospital
05.2024 - Current
Driver
Two Men & A Truck
09.2023 - 05.2024
Master of Science - Health Administration
Louisiana State Univeristy
Bachelor of Science - Health Services Administration
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