Respond to incoming calls from patients and guarantors making payments or inquiring about billing status, mail patient statements.
Research and resolve complex billing issues, utilize knowledge of current hospital, medical billing, and reimbursement methodologies.
Review patient accounts to ensure account balance accuracy and resolve any issues that may have happened.
Rely on experience and judgment to plan and accomplish goals, and to provide the best customer service experience, determining payment arrangements with patients and family members.
Perform other duties as assigned.
Experience with multiple electronic health records, web based and payer applications, including software to manage application processes.
Analytical and financial assessment abilities to maintain close attention to a variety of details.
Face to face and telephonic patient contact.
Familiar with standard concepts, practices, and procedures within the field.
Knowledge of current health insurance reimbursement methodology, hospital, and medical billing practices.
Patient Service Coordinator
Kootenai Health
Coeur d’Alene, ID
01.2021 - 01.2022
Serving the organization by managing the schedule for 29 physicians and facilitated times and dates for appointments.
Updated patient’s charts and kept patient data accurate and secure.
Recovered patient records when necessary to ensure a positive patient experience.
Collected demographic, insurance, and financial information from incoming patients prior to delivery of services.
Identified and verify active payer sources for patients.
Calculated, communicated, and attempted to collect financial liability as assigned by patient’s insurance policies.
Communicated with patients, physicians, payers, families, and co-workers in person and on telephone.
Performed other related duties as assigned.
Familiar with standard concepts, practices, and procedures in the medical field.
Regular and predictable attendance.
Demonstrated knowledge and competence working with Microsoft Office software, and familiar with CPT codes, and medical terminology.
Customer Service/ Retail Sales
Qualfon
Coeur d’Alene, ID
01.2016 - 01.2021
Help customers pick up where their order left off in their shopping experience, whether it was on the phone, online or in person.
Explored customer’s needs and provided knowledgeable information about the latest technology.
Side by side selling to find personalized solutions beyond the bare bones devices and service plans that kept customers connected.
Approached service and sales need with composure, integrity, and compassion.
Owner /Operator
Elegant Creations
, Washington State
01.2010 - 01.2011
Coordinate orders, provide design templates and customize orders to customers’ requests.
Allocated resources to ensure high quality and performance.
Trained staff members and organized orientations.
Managed pricing of inventory, products, and business plans.
Extended follow up with customers to ensure product excellence, customer satisfaction, and customer service.
Medical Receptionist/ Office Mgt. Trainee
Monroe Medical Massage
Monroe, WA
01.2010 - 01.2011
Functioned as the communication center for the clinic regarding all patient care, patient location, and patient activities, and was able to provide information and direction as needed.
Greeted visitors/ vendors upon entering building.
Relies on experience and judgment to plan and accomplish goals.
Contacted insurance companies for referrals and authorizations, as well as knowledge of health insurance reimbursement methodology.
Read and explained an explanation of benefits (EOB) and Remittance Advice (RA).
Assisted patients with compassion and care.
Maintained Office operations and presentation neatly and organized.
Ensured patient demographics and insurance information was maintained in appropriate scheduling systems.
Responded to emergency situations if alone or as directed/needed by practice owner and office manager.
Generated reports, handled multiple projects, and prepared and monitored invoices and expense reports.
Demonstrated excellent communication, organizational and analytical skills.
Timeline
Patient Account Specialist - Kootenai Health
01.2022 - 01.2024
Patient Service Coordinator - Kootenai Health
01.2021 - 01.2022
Customer Service/ Retail Sales - Qualfon
01.2016 - 01.2021
Owner /Operator - Elegant Creations
01.2010 - 01.2011
Medical Receptionist/ Office Mgt. Trainee - Monroe Medical Massage