Vivian Dixon
Houston,TX
Summary
Experienced with managing patient accounts and resolving billing discrepancies. Utilizes strong analytical skills to ensure accuracy in financial record-keeping and claim processing. Knowledge of effective communication strategies to support patient inquiries and insurance coordination.
Overview
22
22
years of professional experience
Work History
Patient Account Representative
Acclara / R1
12.2017 - Current
- Answer up to 75+ calls per day from patient, providers, insurance, max of 100 call for medical insurance billing
- Explain policies and procedures to patient and refer them to the proper services required
- Attention to detail of Physician/Hospital claims for billing
- Identified reason of denial and resolved issues preventing reimbursement.
- Process Medicaid, Medicare, Commercial, Manage Care, EOB, CPT and ICD-9 codes , HVFAs, UB04s, HCPCS, DRG and authorization/ referrals
- Manage patient billing and insurance information, ensuring accurates and timely processing of payments and resolving
- related issues
- Posted payments and processed refunds.
- 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.
- Adheres to all HIPAA, both URAC state and federal regulations pertaining to the clinical programs
Team Lead, Patient Respresentive
HealthHelp
05.2008 - 10.2017
- Supervise a team of Customer Service Representatives.
- Adheres to all HIPAA, state and federal regulations pertaining to the clinical program.
- Adheres to both URAC &NCQA standards pertinent to their job description.
- Administrative intake and scripted clinical intake of call for clinical review.
- Maintains levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule.
- Adheres to both URAC & NCQA standards, and adhere to all HIPAA, state and federal regulation pertaining to clinical program.
- Maintains high -quality documentation standards when collecting and performing data entry functions.
Patient Account Representative
HealthSouth Diagnostic Center
01.2004 - 12.2007
- Provide customers service Data Entry.
- Perform patient scheduling, obtain patients demographics.
- Verified insurance coverage for all seeking services and obtain authorizations for the services.
- Answering call and schedule diagnostic procedure.
- Collection payments and setting up payment plans
- Maintain daily payment ledger.
- Provide assistance and explaining benefits when needed.
Education
High School Diploma -
Doherty High School
Colorado Springs, CO06-1992
Skills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Data Entry, 10 keys skilled
- ICD9 & CPT coding Knowledge
- UB04 and HCFA 1500 knowledge
- Team Management, Customer Service Experience
- Knowledgement of Epic, Meditech, Sorain, Rad Consult
Timeline
Patient Account Representative
Acclara / R1
12.2017 - Current
Team Lead, Patient Respresentive
HealthHelp
05.2008 - 10.2017
Patient Account Representative
HealthSouth Diagnostic Center
01.2004 - 12.2007
High School Diploma -
Doherty High School
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