YELENA LINKOV
Delray Beach
Summary
Experienced Patient Accounts Analyst with expertise in claims processing, insurance verification, and billing compliance. Proven track record of identifying discrepancies and implementing corrective actions to enhance revenue cycle efficiency.
Overview
25
25
years of professional experience
Work History
Patient accounts Analyst
Cognizant Technologies Solutions
Baltimore
03.2008 - Current
- Analyzed patient accounts to ensure accuracy and compliance with regulations.
- Reviewed financial reports to identify trends and recommend process improvements.
- Assisted patients with inquiries regarding account statements and payment options.
- Coordinated with insurance companies to verify coverage and resolve claims issues.
- Collaborated with relevant parties to resolve billing issues, insurance claims, and patient payments.
- Submitted electronic bills following facility and legal compliance standards.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Reviewed accounts before submitting to patients or collection agencies.
- Identified billing errors and implemented corrective action plans accordingly.
- Reviewed credit balancing reports and requested refunds or transfers.
- Responded promptly to inquiries from patients regarding their account status.
- Researched and resolved discrepancies between patient accounts and insurance companies.
- Provided customer service support to patients regarding their accounts.
- Performed data entry tasks to update patient accounts in the system.
- Analyzed patient accounts for accuracy and completeness of information.
- Developed strategies to reduce outstanding balances owed by patients.
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Patient Account Representative
Albert Einstein Medical Center
Philadelphia
03.2002 - 03.2008
- Managed patient billing inquiries and resolved account discrepancies.
- Processed insurance claims using electronic medical records systems.
- Analyzed account statuses to identify potential issues and escalate as needed.
- Maintained accurate records of patient communications and transactions.
- Provided customer service to patients regarding billing inquiries and account information.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Submitted electronic bills following facility and legal compliance standards.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Answered telephones, directed calls, and took messages.
- Reviewed files, records and other documents to obtain information or respond to requests.
- Operated photocopiers and scanners, facsimile machines and personal computers.
Medical Clerk
Northeast Medical Group
Philadelphia
03.2001 - 01.2002
- Processed insurance claims and verified patient information accurately.
- Maintained accurate records of billing codes used during patient visits in order to facilitate payment processing by insurance companies.
- Managed patient records and ensured confidentiality compliance.
- Maintained confidentiality of all medical records in accordance with HIPAA regulations.
- Reviewed and entered patient medical records into electronic health record system.
- Assisted medical staff with administrative tasks and patient inquiries.
- Verified patient information by interviewing them to obtain demographic data.
- Developed organized filing systems for easy access to patient documents.
- Demonstrated strong organizational skills while managing multiple tasks simultaneously.
- Sent records requests and stayed in close communication with case managers regarding open issues.
Education
Diploma - Medical Billing And Coding.
CSC INSTITUTE
Southampton, PASkills
- Claims processing and insurance verification
- Medical coding and billing
- Medical terminology and coding expertise
- Revenue cycle management
- Account reconciliation and billing compliance
- Physicians' orders management
- Data entry and records management
- Microsoft Excel proficiency
- Database updates and error revision
- Attention to detail
- Analytical thinking and professionalism
- Customer service and support
- Interpersonal communication
- Time management skills
- Adaptability and flexibility in problem solving
- Inventory management and record keeping
Timeline
Patient accounts Analyst
Cognizant Technologies Solutions
03.2008 - Current
Patient Account Representative
Albert Einstein Medical Center
03.2002 - 03.2008
Medical Clerk
Northeast Medical Group
03.2001 - 01.2002
Diploma - Medical Billing And Coding.
CSC INSTITUTE