Knowledgeable and resolute customer service professional with over 10 years' experience in the Durable Medical Equipment (DME) industry. Solid collaborator with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed, and process optimization. Articulate, energetic and purposeful with exemplary passion for developing relationships, cultivating partnerships, and growing businesses.
Hi, I’m
Tracy Clark
Patient Account Coordinator
Holland,US
Summary
Overview
16
years of professional experience
10
Years of professional experience Customer Service Representative
Work History
Healthcare Staffing Inc.-Buckeye Health Plan
Senior Provider Services Representative
2023.04 - 2023.10 (6 months)
Job overview
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Collaborated with healthcare providers to resolve billing discrepancies, fostering positive relationships between parties involved.
- Enhanced provider satisfaction by promptly addressing concerns and offering timely resolutions.
- Collaborated with cross-functional teams to implement process improvements, resulting in increased operational efficiency for both providers and the organization.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
Lincare Holdings, LLC
Patient Account Receivable Representative
2021.08 - 2023.02 (1 year & 6 months)
Job overview
- Researched and analyzed insurance policy guidelines for diverse medical procedures to accurately enhance medical claim approval rates, resulting in reduced claim denials by 25% and improved revenue cycle management efficiency.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Lincare Holdings, LLC
Order Confirmation Specialist
2019.08 - 2021.08 (2 years)
Job overview
- Reviewed 25+ patients' PAP orders daily, ensuring proper documentation was obtained per insurance guidelines
- Confirmed completed PAP orders and entered into electronic medical record database
- Researched and informed team of insurance policy guideline updates for Medicare, Ohio Medicaid, Michigan Medicaid, and commercial plans.
American HomePatient
Customer Service Representative
2012.02 - 2019.08 (7 years & 6 months)
Job overview
- Collaborated with Physician's office, obtained, reviewed sleep studies, ensured valid ICD-10 diagnosis codes implemented in physician chart notes for adequate billing of PAP equipment and/or PAP supplies
- Entered patient information and PAP orders in electronic medical records system, contacted patients to inform of any coinsurance or copay due and scheduled appointment for PAP setup
- Tracked patient's PAP progress and obtained documentation from Physicians' office per insurance PAP compliance guidelines
- Maintained knowledge of durable medical equipment products and services offered by American HomePatient and covered for insurance reimbursement.
The Pharmacy Counter
CMN Coordinator
2007.10 - 2012.02 (4 years & 4 months)
Job overview
- Reviewed patient's insurance guidelines, Physician's chart notes, sleep studies, oxygen testing, and ICD-9 diagnosis codes for qualification for creation of certificates of medical necessity (CMN's) in Brightree system, then submit to Physicians office for completion
- Tracked and logged completed CMN's in accordance to insurance timely filing guidelines
- Maintained up to date insurance policy guidelines for accurate billing procedures.
Education
E.L. Bowsher High School Toledo, OH
05.1998
University Overview
Skills
- Insurance policy guidelines
- Medical documentation review
- Data Entry
- Customer Service
- MS Office
- HCPC/CPT/ICD-10 Revenue coding
- Benefits Verifications
- Procedural Codes
- Eligibility Guidelines
- Problem Resolution
- Medical Claims Submission
- Corporate Policies and Procedures
- Account Follow-Up
Timeline
Senior Provider Services Representative
Healthcare Staffing Inc.-Buckeye Health Plan
2023.04 - 2023.10 (6 months)
Patient Account Receivable Representative
Lincare Holdings, LLC
2021.08 - 2023.02 (1 year & 6 months)
Order Confirmation Specialist
Lincare Holdings, LLC
2019.08 - 2021.08 (2 years)
Customer Service Representative
American HomePatient
2012.02 - 2019.08 (7 years & 6 months)
CMN Coordinator
The Pharmacy Counter
2007.10 - 2012.02 (4 years & 4 months)
E.L. Bowsher High School
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