William Nieves
JACKSONVILLE,FL
Summary
Experienced Patient Account Representative with proven expertise in insurance billing and adaptability, honed at Jacksonville Orthopaedic Institute Inc. Excelled in enhancing financial targets through effective communication and collections experience. Demonstrated leadership as Team Lead, significantly improving billing processes and patient satisfaction across 12 rehab locations.
Strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
22
22
years of professional experience
Work History
Patient Account Representative III
Jacksonville Orthopaedic Institute Inc.
03.2007 - Current
- Maintained BCBS, Medicare, primary and secondary accounts receivable.
- Assisted customers with Spanish-language inquiries in a timely and professional manner.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assisted 12 rehab locations with billing and patient related inquiries.
- Edited patient demographics and resolved Coordination of benefits issues.
- Served as Team Lead for the Physical Therapy Department.
Patient Account Representative
Jacksonville Spine Center
01.2003 - 04.2006
- Contacted various insurance companies to resolve with unpaid claims.
- Posted payments and processed refunds.
- Contacted patients after insurance was calculated to to obtain payments.
- Electronically submitted bills according to compliance guidelines.
Education
Associate of Science - Business Administration
LaGuardia Community College
Long Island City, NY06-1985
Skills
- Insurance verification
- Insurance billing
- Follow-up skills
- Training and teaching
- Experienced in several billing systems
- Adaptability and flexibility
- Effective communication
- Collections experience
Languages
Spanish
Native or Bilingual
Timeline
Patient Account Representative III
Jacksonville Orthopaedic Institute Inc.
03.2007 - Current
Patient Account Representative
Jacksonville Spine Center
01.2003 - 04.2006
Associate of Science - Business Administration
LaGuardia Community College
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