Patient Accounting Resume Samples

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D Roob

Dean

Roob

5994 Gottlieb Cliffs

Philadelphia

+1 (555) 528 8689

5994 Gottlieb Cliffs

Philadelphia

Phone

p +1 (555) 528 8689

Experience Experience

Los Angeles, CA

Patient Accounting Supervisor

Los Angeles, CA

Roberts Group

Los Angeles, CA

Patient Accounting Supervisor

Assume all management responsibilities in the absence of the manager
Distribute updates for insurance changes received from Access Management and Contracting
Assist with the implementation and maintenance of quality control program within the unit
Collaborate both inter-and intra departmentally to resolve issues and manage projects/assignments
Assist with hiring and disciplinary actions
Work in a team setting to assist the Billing manager(s) and other Senior Specialist(s) to develop policies and procedures for Patient Accounting Billing/Follow-up Staff
Prepare draft of staff annual performance evaluations

San Francisco, CA

Application Analyst, Patient Accounting

San Francisco, CA

Ledner-Crona

San Francisco, CA

Application Analyst, Patient Accounting

Researches and resolves Customer Support Center Tickets including major application upgrades
Provides system change management support to the Reimbursement team and other UHS employees, facilities and CBOs on contract, payer or regulatory changes and/or enhancements, adhering to UHS Service Level and Change Management Policies
Comprehensive working knowledge of computer systems analysis and programming techniques and procedures, including: consulting with users to determine hardware, software or system functional specifications design, development, documentation, analysis, creation, testing, coding, debugging, or modification of computer systems or programs based on and related to user design specifications
Working knowledge of IS standards and quality methods and metrics
Working knowledge of system application implementation, enhancement and support methods and practices
Participates in the development of test data, system testing and documentation for all phases of the application development life cycle
Works closely with operations to modify the Cerner system for any payment methodology modifications including fee schedules, DRG, APC, Per-Diem, Case Rates, Percentage of Charges and/or Outlier Reimbursement

present

Boston, MA

Senior Manager Patient Accounting Operations

Boston, MA

Strosin-Cormier

present

Boston, MA

Senior Manager Patient Accounting Operations

present

Work with the Patient Financial Services Director to develop short- and long-term goals for the department and teams that align with the Finance Department's and the Institute's overarching principles and goals; Develop action plans and track towards successful implementation through monitored milestone achievement
Identify and drive quality improvement initiatives geared at improving customer satisfaction and achieving aforementioned goals and principles
Run team-specific and high-level project scoping, planning, testing, implementation, and monitoring efforts to enhance productivity, quality control, and/or best practices as identified in short- and long-term goals or as assigned by the Director of Patient Financial Services
Oversee Data Integrity unit; monitor team performance metrics and ensure the team is managed toward best practice industry benchmarks
Work with the Director of Patient Financial Services and other Managers to prepare the annual department budget; Implement and administer the budget as it relates to his/her team and/or areas of oversight
Conduct regular team meetings for purposes of education, updates, and feedback inquiries; Submit timely minutes of meeting to the Director of Patient Financial Services; Attend regular meetings with Director of Patient Accounting and other Senior Managers
Assist in planning for quarterly, department-wide staff meetings and proactively offer to prepare and conduct innovative educational update sessions for the group

Education Education

Bachelor’s Degree in Management

Washington State University

Bachelor’s Degree in Management

Skills Skills

Knowledge of workflow in business office operations, patient accounting, claims management, contract management and accounts receivable
Knowledge of Cerner ProFit,
Knowledge of Cerner Charge Services
Knowledge of ICD-10, SnoMed, CPT and HCPCS Coding
Knowledge/build/use RevenueCycle.exe 1. Patient Accounting Perspectives
Knowledge/build/use of Discern reports,
Knowledge of Cerner clinical applications (i.e. PowerChart, RadNet, PathNet, PharmNet),
Knowledge/build/use Patient Accounting Transaction Services
3 years’ experience with testing Cerner Patient Accounting, including test plans/scripts development
Patient Accounting Views 3. Patient Accounting Tasks 4. Charge Batch Entry 5. Work Queues 6. Patient Accounting Reporting

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13 Patient Accounting resume templates

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Collector Patient Accounting Hour Days Resume Examples & Samples

Two years of experience in a hospital business office with a high call volume setting
Understanding of hospital reimbursement methodologies, including DRGs, APGs and standard payment methodology
Expert knowledge of self-pay collection techniques
Working knowledge of Medicare, Medicaid and all other third party payment methods
Excellent customer service skills and telephone etiquette
Problem solving skills essential
Insurance knowledge and communication with payers
Computer literacy, including proficiency in MS Word, Excel and some knowledge of Access (preferred)
Knowledge of basic office equipment
Ability to establish work priorities and prioritize needs to meet required timelines
10 Key by touch and ability to type 45 wpm
Basic math calculation skills
Knowledge of ICD-9, CPT-4 and HCPC’s coding systems – PREFERRED
Understanding of contract payer policies and procedures – PREFERRED
Ability to interpret Managed Care Contracts – PREFERRED
Bilingual English/Spanish – PREFERRED

Cerner Systems Patient Accounting Analyst Resume Examples & Samples

Full benefits (medical/dental/vision, 3 weeks paid vacation, 2 weeks paid sick time, 10 paid holidays)
3 years’ experience with testing Cerner Patient Accounting, including test plans/scripts development
3 years’ experience with training IT support staff and end users for Cerner Patient Accounting
Knowledge/build/use Patient Accounting Transaction Services
Knowledge/build/use of Discern reports, a plus
Expertise with Microsoft Project, Excel, Word, etc
Understanding of PMI project management processes, a plus
Strong communication skills (written/verbal) required
Good organizational skills required
Flexibility in work week
Availability to work on-site as well as remote based upon client needs
Associates degree in Accounting. Bachelor’s degree in Accounting, a plus

Patient Accounting & Change Service Resume Examples & Samples

Responsible for analysis, planning and implementation of revenue cycle and Charge Services applications
Work with the departmental/functional team to develop and execute unit and system test scripts
Participate in the design discussions, do build configuration and assume responsibility for solution specific implementation
Provide gap analysis and process redesign recommendations, support client and project teams
Good experience with Cerrner Revenue Cycle (ProFit/CPA) application
Overall Knowledge and Deep Understanding of Cerner Patient Accounting Workflow
Cerner Patient Accounting Design and Build
Experience Testing and Troubleshooting Cerner Patient Accounting Systems

Senior Manager Patient Accounting Resume Examples & Samples

Lead discovery activities with business and information services staff at all levels to understand business objectives, assumptions and constraints related to a solution opportunity
Identify and drive quality improvement initiatives geared at improving customer satisfaction and achieving aforementioned goals and principles
Works closely with business to understand and document decision support needs
Appropriately document work items in progress and initiate administrative change (i.e. policies and procedures)
Collaborate with other Senior Managers, Director, other department senior administrators and outside third parties/vendors as needed
Conduct regular team meetings for purposes of education, updates and feedback inquiries
Assist in planning for quarterly, department-wide staff meetings and proactively offer to prepare and conduct innovative educational update sessions for the group. Submit timely minutes of meeting to Director
Ensure new hire, refresher and skill enhancement training is conducted or provided to all permanent and temporary staff as needed
Conduct timely staff performance appraisals in accordance with Institute policies and pre-determined productivity metrics
Remain current on industry best practices, update other Senior Managers and/or staff of findings and institute appropriate change to the department
Bachelors degree required, with a minimum of 10 years experience. Prior managerial experience required
Knowledge of patient accounts receivable systems and related applications required - IDX, HPA systems experience preferred
Outstanding project management and task prioritization abilities
Ability to supervise, counsel, train and develop staff
Self-starter with strong team player and leadership abilities to motivate staff and increase productivity

Patient Accounting Supervisor Resume Examples & Samples

Review insurance changes from Patient Access and Contracting for completion, accuracy, and questions
Distribute updates for insurance changes received from Access Management and Contracting
Collaborate both inter-and intra departmentally to resolve issues and manage projects/assignments
Assist other staff members as necessary in daily operations to include training in aspects of appropriate billing and follow-up procedures assigned
Work in a team setting to assist the Billing manager(s) and other Senior Specialist(s) to develop policies and procedures for Patient Accounting Billing/Follow-up Staff
Assume all management responsibilities in the absence of the manager
Monitor staff compliance with all patient accounting and DFCI policies including but not limited to attendance, punctuality and diversity
Serve as the first contact to mediate and resolve staffing concerns and issues within the unit
Actively monitor unit inventory
Actively monitor staff production
Ability to work with senior management on cross functional projects
Assist with hiring and disciplinary actions
Assist with the implementation and maintenance of quality control program within the unit
Monitor payer communications and implement changes as required by payer
Prepare draft of staff annual performance evaluations
Bachelor's degree preferred and 3-5 years of related supervision experience in the field
Knowledge of third party billing procedure and practice
Supervision or team leader experience
Experience with working knowledge of various software applications, including Microsoft Office, Word, Excel, and various billing software
Documented problem solving ability
Knowledge of third party billing regulations
Experience or knowledge of hospital and/or professional operations as well as basic third parties payer requirements
Dependable, self-starter able to set priorities, supervise projects, and meet deadlines
Strong interpersonal, oral and written communication, and project management skills
Ability to work well independently, on a team and as a trainer/facilitator
Ability to analyze complex business problems and implement solutions
Ability to research contractual and regulatory issues
Knowledge/Skills:Knowledge of third party Explanation of Benefits/Explanation of Payments (EOB/EOP); Electronic Data Interchange files (EDI). Experience or knowledge of hospital and/or professional operations as well as basic banking requirements. Dependable, self-starter able to set priorities, supervise projects, and meet deadlines. Strong interpersonal, oral and written communication, and project management skills. Ability to work well independently, on a team and as a trainer/facilitator. Ability to analyze complex business problems and implement solutions. Ability to research contractual and regulatory issues

Patient Accounting PFS Audit & Appeals Manager Resume Examples & Samples

Oversight of hiring, training, and disciplinary action, as necessary, for all direct/indirect report employees
Oversight in preparation of annual performance appraisals and Departmental goals
Create, implement, and maintain, Departmental policies and procedures, as needed
Oversight of the Medicare 3-day payment window and same day service(s) reports and process to meet billing compliance regulations
Oversight of denial/appeals process for commercial payors, Medicare (RAC) audit process, and Post-Acute Care Services (PACS) audit process

Patient Accounting Supervisor PFS Medicaid Northeast Resume Examples & Samples

Assists with hiring, training, annual performance appraisals, and disciplinary action (if necessary) for all assigned employees
Reviews assignments and delegates tasks to appropriate personnel. Monitors performance to ensure accuracy and timeliness of completion
Coordinates as a liaison within department, third parties, consultants, and/or patients. Delegates necessary assignments to appropriate personnel. Prepares appropriate denials for refunds to third party payers
Demonstrates sound judgment and discretion relating to efficient operation of departmental functions
Identifies and documents trends to prevent delays in posting and maintain revenue cycle goals
Assists staff with any issues and provides necessary resources to ensure job requirements can be met

Patient Accounting Representative Resume Examples & Samples

Receives, reviews, & controls requests for medical information, visit records, nurse/doctor notes & other pertinent documents; verifies completeness & accuracy; ensures efficiency in processing of claims; obtains medical charts & other data pertaining to request
Audits, abstracts, & summarizes pertinent data from patient medical records, nurse/doctor notes & other documents; processes insurance claims & reports in compliance with state/federal regulations, laws, guidelines & Kaiser Health Plan policies; obtains physician signature and/or signs as provider representative; prepares service charge letters & invoices referring to fee schedule
Prepares & audits visit records & nurse/doctor notes using various fee schedules; prepares documents with charge description master codes, required billing coding conventions, & batch totals
Communicates & corresponds effectively with insurance carriers, intermediaries, members, doctors, outside providers & patients; provides in-service orientation to other departments/personnel; obtains complete & valid information; ensures collectability & maximum reimbursement of revenues
Maintains familiarity & open communication with state, federal & community agencies, insurance carriers, intermediaries & others within Kaiser organization; ensures proper & adequate exchange/interpretation of data & information; ensures maximization of payments
Collects monies owing for all inpatient/outpatient services rendered from third party payers, employers, patients, guarantors
Contacts debtor by telephone and/or correspondence; arranges for collection of monies owing; abides by state & federal collection & credit rules & regulations; schedules interviews with debtors; maintains positive customer relationships through effective communication & follow-up
Analyzes history of delinquent accounts; determines whether account is collectible; prepares write-off accounts; attaches pertinent information to assist outside attorney; submits to supervisor for review; summarizes monthly write-off report
Generates appropriate adjustments; researches documents & all other available sources to determine validity of adjustment; submits back-up to data entry for key punching function
Documents & records on HPMS computer system all collection action taken on individual accounts; maintains tickler system to monitor promised payment
Skip traces all mail returns; researches internal & external documents & all other sources to determine whereabouts of debtor; generates file maintenance to update patient demographics for rebilling when different address obtained
One year of collections or medical insurance claims processing experience
Demonstrated ability to perform diversified clerical functions and basic accounting procedures
Demonstrated ability to motivate debtors to pay
Demonstrated knowledge of and skill in adaptability, change management, conflict management, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication
Reading, writing, speaking, understanding English
Two years of collections experience in health care field
Post high school coursework in accounting
Knowledge of medical terminology, CPT-4 and ICD-9-CM coding
Knowledge of mainframe collections applications
Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications

Patient Accounting Supervisor PFS Denial Management Resume Examples & Samples

Write annual performance appraisals for assigned employees
In absence of the Manager, assumes managerial role to ensure uninterrupted performance levels
Review and approve adjustments on accounts
Maintains productivity and quality measures on staff performance and completes monthly reports

Senior Manager Patient Accounting Operations Resume Examples & Samples

Work with the Patient Financial Services Director to develop short- and long-term goals for the department and teams that align with the Finance Department's and the Institute's overarching principles and goals; Develop action plans and track towards successful implementation through monitored milestone achievement
Run team-specific and high-level project scoping, planning, testing, implementation, and monitoring efforts to enhance productivity, quality control, and/or best practices as identified in short- and long-term goals or as assigned by the Director of Patient Financial Services
Oversee Data Integrity unit; monitor team performance metrics and ensure the team is managed toward best practice industry benchmarks
Work with the Director of Patient Financial Services and other Managers to prepare the annual department budget; Implement and administer the budget as it relates to his/her team and/or areas of oversight
Identify and work to resolve escalated team and department issues by collaborating with appropriate internal and external point persons to initiate and orchestrate valued change
Collaborate with other Senior Managers, the Director Patient Financial Services, other department senior administrators, and outside third parties/vendors as needed; Serve on committees as appropriate
Ensure the successful management of daily team operations; Hold self and others accountable for performance
Conduct regular team meetings for purposes of education, updates, and feedback inquiries; Submit timely minutes of meeting to the Director of Patient Financial Services; Attend regular meetings with Director of Patient Accounting and other Senior Managers
Assist in planning for quarterly, department-wide staff meetings and proactively offer to prepare and conduct innovative educational update sessions for the group
Ensure new hire, refresher, and skill enhancement training is conducted or provided to all permanent and temporary staff, as needed
Conduct timely regular staff performance appraisals in accordance with Institute's policies and pre-determined productivity metrics; Submit appraisal copies to the Director of Patient Financial Services and Human Resources for internal record
Counsel staff and handle disciplinary action as necessary collaborating with Human Resources to include monitoring staff productivity and/or attendance in accordance with Institute guidelines
Identify staffing gaps/vacancies and interview candidates for hiring purposes; ensure adequate staffing coverage for required duties
Remain current on industry best practices, update fellow Senior Managers and/or staff of findings, and institute appropriate change to the department, as appropriate (i.e. processes, policies and procedures, etc)
Perform other duties as assigned by the Director of Patient Financial Services and adhere to compliance of all departmental, institutional, and regulatory policy
Bachelor's degree required or equivalent experience with data analytics and project management. Prior manager/supervisor experience preferred
Knowledge of third party regulations, hospital and/or physician billing operations
Knowledge of Patient Accounts Receivable systems and related applications required; IDX HPA systems experience preferred
Self starter with strong team player and leadership abilities to motivate staff and increase productivity
Outstanding project management and task prioritization abilities; ability to meet pre-determined deadlines
Ability to supervise, counsel, train, and develop staff
Advanced technical skills, as appropriate

Supervisor, Patient Accounting Resume Examples & Samples

Provides daily leadership and guidance, direction, and motivation to team
Proactively monitor all work queues and ensure that the proper amount of staff is in place and that turn time expectations are being met. Assists the team as needed to effectively manage volume
Ensures all productivity standards are met in a timely manner through measuring and monitoring. Runs and analyzes weekly and monthly reports for performance measurement and efficiencies
Ensures team members comply with all Company policies and procedures and holds individuals accountable for not adhering to policies and procedures
Actively develop direct reports through coaching, feedback, and projects to ensure their success and to create a highly engaged, productive team while meeting all performance objectives. Responsible for ensuring team payroll is completed on time and accurately
Assist in planning for team meetings ensuring a sense of community among team and sharing performance and overall updates to keep the team informed
Responsible for agent quality ensuring that patient satisfaction is number one priority
Handles patient escalations to ensure complete patient satisfaction
Identifies team and individual training needs and assists in developing plans for immediate and long-term performance improvements
Aids in the development and implementation of processes that improve efficiencies and quality within the department
Interviews and hires staff as needed and approved by senior management
Conducts and reviews performance appraisals of direct reports, identifies performance problems, and initiates disciplinary actions. Evaluates subordinates performance by establishing objectives and measurements for supervisory and service personnel. Provides constructive feedback on a consistent basis
Works collaboratively with other departments sharing insights and creating process and procedure to improve the overall patient experience
Ensure that customer service center staff meets all HIPAA requirements
Performs any additional duties as assigned
Three or more years of supervisory experience
Experience should be well-rounded, progressively responsible roles, knowledge and experience in healthcare or 5 or more years of general supervisory experience

Supervisor, Patient Accounting / Collections Resume Examples & Samples

Organize, direct, coordinate and supervise the collection department and billing areas by developing, implementing and evaluating ongoing processes to collect unpaid patient/member/guarantor and insurance claims while complying with the Federal Fair Debt Collection Practices Act using multiple computer systems to obtain information. Assist patient/member/guarantors in resolving coverage, benefit and billing questions by providing a high level of customer service for medical and dental billing. Direct, train, and monitor the collection staff in assessing financial resources for patient/member/guarantors such Workers Compensation, Motor Vehicle Accident Fund, Medicaid, etc. Manage, recommend, and approve the use of funds from the Region's Charitable Care Program when appropriate. Mange the assignment of unpaid accounts to professional collection agencies and represent KP in court when necessary in the collection of unpaid accounts. Is held accountable for the reduction of accounts receivable residing in both SPARCS and Resolute Billing Systems. New targets to be established in conjunction with the Director of Patient Business Services
Must obtain Masters Certification by EPIC personnel in the appropriate component of Resolute, as defined by the Director of Patient Business Services and EPIC
Ensure smooth efficient operations of the department by recruiting, hiring, providing orientation, training, monitoring, evaluating, and when necessary, counseling and/or disciplining of staff in accordance with Divisional policies, procedures, goals and visions. Trains and develops and provide opportunity for all staff to offer input into their area of responsibility to provide and promote team work and staff feeling valued and a member of the partnership to enhance the delivery of excellent customer service
Develop and maintain current procedures and performance standards and instruct and train staff in usage and compliance. Develop the presence of controls and procedures to assure compliance with State and Federal laws and regulations by analyzing work flow processes, implementing changes where necessary, and continually monitoring to ensure compliance and making changes when appropriate. Active participation in Kaiser Permanente's Corporate Compliance program and compliance with Principles of Responsibility. Must demonstrate strong work ethic and promote adherence to policy by modeling desired behavior, and leading by example
Integrate service quality with customers both inside and outside the organization, who rely on us to meet their individual needs by focusing, communicating, and resolving concerns and discrepancies in a fair, efficient, timely, and friendly manner. Demonstrate leadership skills by creating, developing, encouraging and mentoring employees to develop cross functional skill. Enhance employee satisfaction by providing learning tools and growth opportunities for staff
Maintain cost effective operations by maintaining high levels of productivity and positive budget variance
Minimum three (3) years of supervisor experience or equivalent
Minimum five (5) years of collection experience
Minimum five (5) years of previous supervisory experience
Bachelor's degree in management or related field
In depth understanding and working knowledge of the Signature Patient Accounts Receivable Common System (SPARCS)
Proficiency in medical terminology and standard coding practices, i.e. CPT 4, ICD-CM-9., ADA
In-depth understanding of the Federal Fair Debt Collections Practices Act
Working knowledge of third party payer rules and regulations i.e. Medicare, Medicaid, Champus
Working knowledge of organization policies and procedures
Proficiency with computer and KP on-line systems
Demonstrated excellent written and verbal communications
Demonstrated knowledge of Charitable Care policies and principles
Working knowledge of basic accounting principles

Patient Accounting Supervisor Resume Examples & Samples

5-7 years of patient accounting background and AR Mgmt
Knowledge of Medi-Cal TAR submission and billing process required
Must possess strong knowledge of hospital registration, insurance billing, and overall AR management. Strong written and verbal communication skills. Ability to supervise, organize and multi task and achieve results through others. Strong interpersonal skills. Requires contract knowledge and interpersonal skills. Must interface with departments of patient concerns and/or charging matters

Patient Accounting Audit & Appeals Supervisor HBO Resume Examples & Samples

Assist Manager with hiring, training, and disciplinary action, as necessary, for all direct report employees.Assist Department Manager with preparation of annual performance appraisals and Department goals.Create, implement, and maintain, Departmental policies and procedures, as assigned
Oversight and maintenance of the Medicare 3-day payment window and same day service(s) reports and process to meet billing compliance regulations
Oversight of clinical denials and appeals process for commercial payors
Oversight of Medicare (RAC) audit process (i.e. – ADR, RAC, MAC, CERT, etc.)
Oversight of Post-Acute Care Services (PACS) audit process
Perform and document monthly quality assurance monitoring of processes per established criteria
Oversight of orientation and training of departmental staff in collaboration with Manager
Function as an Interdepartmental liaison to promote teamwork within Patient Accounting and other CHS Departments
2 years of supervisory experience preferred

Patient Accounting Strategist Resume Examples & Samples

Ability to work overtime and irregular hours when needed, this position will work with global clients
Able to travel up to 20% as needed
Experience in RevCycle
Residing in or able to relocate to the Malvern PA or Kansas City, MO metro area
A minimum of 1 year of experience using Cerner MILL (please make sure to indicate on your resume this experience)

Patient Accounting Strategist Resume Examples & Samples

5-7 years of experience in Patient Accounting RevCycle
Ability to travel up to 25%
A minimum of 1 year of experience using Cerner Millennium Revenue Cycle or Soarian Financials as a super user or supervisor
Residing in or able to relocate to the Kansas City, MO metro area

Associate Application Analyst Patient Accounting Resume Examples & Samples

Researches and resolves Customer Support Center Tickets including major application upgrades
Provides system change management support to the acute care facilities and physician offices and other UHS employees for requested changes and/or enhancements
Works closely with operations to modify the Cerner system for any registration or scheduling changes, enhancements, or break/fix solutions
Adheres to UHS Service Level and Change Management Policies
Establishes and maintains regular communications with user community

Application Analyst, Patient Accounting Resume Examples & Samples

Provides system change management support to the Reimbursement team and other UHS employees, facilities and CBOs on contract, payer or regulatory changes and/or enhancements, adhering to UHS Service Level and Change Management Policies
Provides on-call support as scheduled
Supports system upgrades and effectively communicates system functionality changes to end users
Supports system modifications for Medicare/Medicaid reimbursement for several states
Works closely with operations to modify the Cerner system for any payment methodology modifications including fee schedules, DRG, APC, Per-Diem, Case Rates, Percentage of Charges and/or Outlier Reimbursement
Maintains all system-wide Financial Classes, Insurance Plan Codes and Transaction Codes and confirms that team members complete each assigned portion of the system build
Performs quality reviews on all system modifications and manages daily workflow thru UHS Incident Ticketing System
Creates Tip Sheets/How To Documentation, when applicable, to support new functionality of system, workflow modifications, or modifications to current build/design

Patient Accounting Representative Resume Examples & Samples

Accuracy with data entry (i.e. names, numerals, codes, etc.) required
Current experience with dental insurance billing preferred
2 years' experience preferred
Adaptable to change and able to take initiative to research, resolve and follow-up with claim issues necessary
Knowledge of word processing software, spreadsheet software and accounting software
Able to meet ADA requirements

Supervisor Patient Accounting Resume Examples & Samples

Assists Manager with hiring, training and disciplinary action when necessary for all assigned employees
Oversees and reviews assignments and delegates tasks to appropriate personnel. Monitors performance to ensure accuracy and timeliness of completion
Follows-up on delegated assignments to ensure accuracy and timeliness of completion
Works closely with other departments in Patient Accounting to identify and resolve issues that affect A/R

Manager Patient Accounting PFS Medicaid Resume Examples & Samples

Assists Management in all functions related to government denials/follow-ups
Manages training and consistently monitors personnel for productivity, quality and effectiveness
Advises ways to improve the system as well as individual employee performance
Organizes activities of the department by establishing standards, checking results and taking corrective action. Provides direction and assistance in the solution of problems

Application Analyst, Patient Accounting Resume Examples & Samples

Regularly meets with users, vendors, and IS staff to develop/modify system specifications
Designs solutions for applications and prepares the appropriate documentation
Participates in the development of test data, system testing and documentation for all phases of the application development life cycle

Patient Accounting Representative Resume Examples & Samples

Must accurately type approximately 40 WPM along with efficient 10-key skills
Must be familiar with and know basic functions of Microsoft Excel
Must have mathematical skills
Ability to multitask and prioritize
2 years related experience preferred
Medical/Dental billing degree preferred
Knowledge of dental terminology preferred
Experience with medical billing preferred

Communityworks Patient Accounting Consultant Resume Examples & Samples

Experience participating in multiple phases of a system implementation
Strong client facing presentation and facilitation skills (may be demonstrated through teaching client or associate classes or presentations)
Ability to work overtime and “off” hours as necessary
Ability to travel up to 80%
Bachelor's degree or equivalent experience in Healthcare, Sciences, or Information Systems
Experience with Healthcare Patient Financial Services and Financial Reporting
Technical or healthcare background
Experience working with the Millennium suite of solutions

Patient Accounting Biller Resume Examples & Samples

Ability to communicate (verbally and written) courteously and effectively with Third Party Payers, patients, and co-workers
Ability to type 35 wpm. Excellent organizational skills Ability to work independently
Ability to sit for extended periods of time. Ability to reach, bend, stoop, etc
Maintain acceptable level of quality and production standards as determined by supervisory review and audit of assigned account categories. Notifies manager of possible or potential issues that may result in delays in payments or increase of denials. (20%)

Director, Patient Accounting Resume Examples & Samples

Provide daily management oversight to all business office functions, including billing, collections, refunds, appeals and payment variances, as well as cash application for the combined business office
Serve as a liaison to all Physician Practice areas involved with financial operations by communicating financial services activities and results
Work as an effective member of the Finance leadership team to ensure that physician affiliations are represented in developing and monitoring the system’s mission values, strategic plans, policies, decision-making instructions and processes
Collaborate with Finance and Physician Practice leaders to establish strategic plans and goals for continued improvement related to accounts receivable and net revenue performance. Implement improvement plans that drive results through strong project management skills, and communication with stakeholders throughout the organization
Analyze and identify opportunities for process improvement using physician financial services reporting data. Communicate results with staff, as well as leaders in Finance and Physician Practices
Lead our Physician Practice Denial Management program to report denials for physician team and partner with all appropriate areas to develop the most appropriate solution to eliminate denials
Prepare and manage all operational budgets associated with the business office for physician services
Provide strategic oversight and management of all people and technology systems that impact physician financial services
Ensure electric medical records system is utilized to the full potential. Coordinate with Information Technology team to scope, test, and deploy technology upgrades. Oversee training for the department and ensure staff is equipped to use the new technology features
Ensure compliance of all responsible areas with internal policies, procedures, regulatory agency requirements and standards effecting operations
Support and encourage professional development of the department staff by encouraging and supporting participation in educational programs and professional organizations to maintain knowledge of national trends, and promote leading edge performance
Demonstrate excellence in management of all levels of employees. Solicit and act on feedback provided from all areas of the Finance team in a timely and respectful manner
Minimum 10 years of experience working in patient accounts and revenue cycle management in a high volume health care provider setting
At least five (5) years management experience leading billing and collection processes for a multi-site, multi-specialty physician practice
Extensive experience in managed care and Medicaid reimbursement/billing requirements
Advanced understanding of billing operations and deep expertise in billing compliance concepts and processes
Strong medical billing technology orientation and experience overseeing usage and upgrades with an integrated electronic medical records system. Prior hands-on experience with Epic is preferred
Advanced data analysis and analytics skills to isolate root cause of issues. Prior experience with a tool like Qlick View is preferred
Advanced relationship building skills. Demonstrated ability to establish trusted partner relationships with physician practice leaders and/or physicians
Strong consulting and problem solving skills. Demonstrated ability to trouble shoot and pinpoint issues, then develop comprehensive solutions that are effective, compliant, and scalable
Proactive communicator with all levels of staff. Able to actively listen and seek to understand. Demonstrated ability to translate what is being said to a broader audience
Strong change adoption skills. Ability to “bring people along” to navigate the change continuum
Inspirational team leader. Advanced team management skills. Demonstrated ability to maintain high engagement on a high performing team

Hcs Manager Non Governmental Follow Up Patient Accounting Resume Examples & Samples

Responsible for managing the daily operations of the Billing/Follow-up teams
Oversees the team that performs patient accounting functions including claims submissions, account follow-up, denials management, payor audits, payment variances and credit balances
Monitors revenue cycle metrics to ensure adherence to departmental and organizational goals and objectives
Implements and monitors initiatives to reduce outstanding accounts receivable, denials and revenue losses
Leverage data analytics to identify trends that impact the overall performance of the department
Monitors and maintains staff productivity and quality standards
Prepare and present reports and presentations to departmental and organizational leadership
Maintains knowledge of Payor contracts in regards to specific billing and collection requirements
Maintains systems and processes that effectively monitor staff activity and performance to ensure productivity and quality standards are met
Works collectively with Reimbursement and Managed Care Office to report Payer issues and non-compliance of contract terms

Patient Accounting Resume Examples & Samples

Verify insurance information via phone call to payor and or use payor website to retrieve benefits
Maintain Excel spreadsheet
Meet with all new patients to establish correct insurance information and discuss financial ability to pay co-pays and deductibles
Contact patients to ensure payments are current and timely or to arrange alternative settlement plans on past due accounts
Enter all patient financial arrangements into computer system
Procure required deposits for all self-pay admissions and any co pays and deductibles

Manager Patient Accounting Resume Examples & Samples

Bachelors degree or equivalent required
Demonstrated management competency & experience
Knowledge of hospital and/or physician HIS systems
Strong leadership, organization, planning and time management skills required
Excellent analytical skills required; high proficiency in excel
Excellent verbal, written, communications and presentations skills required
Project management skills and ability to effect change is required
Exhibit behaviors consistent with standards of performance improvement and NMHC values
5-7 years of increasingly responsible positions within a Patient Financial Services/Patient Accounting
Knowledge of Epic Systems
Knowledge of Epic’s Single Billing Office (SBO)module
Knowledge of Process Improvement methodologies such as LEAN/Six Sigma
Knowledge of NMHC systems
Knowledge of NMHC policies and procedures

Manager, Patient Accounting Resume Examples & Samples

Develops, supports and monitors work flow processes assuring timely, efficient, and accurate collection of accounts receivable
Manages employee performance in such activities as: updates position descriptions, hires, appraises, trains, schedules, meets, develops, and terminates in accordance with Human
Experience: Minimum of five years' experience in health care in a supervisory role
Demonstrates the ability to manage accounts receivable and manage staff in a multi-facility central business office with knowledge of the revenue cycle including billing, follow-up, and collections
Knowledge of laws governing admitting, billing and credit and collections
Demonstrates knowledge to effectively utilize multi-facility systems in the management of accounts receivable
Demonstrates the ability to effectively work with a diverse group of people which includes physicians, clinicians, office managers, administrators, third-party payers, and associates
Demonstrates excellent verbal and written communication skills, communicating thoughts and ideas effectively
Demonstrates a sense of maturity that enables the positive and effective handling of people and situations

Patient Accounting Resume Examples & Samples

Minimum of 2 years’ related medical collections experience preferred
Intermediate computer skills and proficiency in MS Word, Excel, Outlook, and an electronic accounts receivable system required
Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position
DaVita provides reasonable accommodations to enable otherwise qualified individuals with disabilities to perform the essential Physical and/or Mental functions of a position
Level III– Moderate noise (e.g., business office with computers or printers, light traffic). No required tasks involve greater exposure to blood, body fluids or tissues than would be encountered by a visitor. The normal work routine involves no exposure to blood, body fluids or other hazardous conditions
Vision adequate to perform the essential duties/responsibilities of position
May be required to demonstrate the ability to differentiate colors on a test strip
Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following activities
Ability to lift minimum of 5 pounds to a maximum of 50 pounds unassisted and able to stand, sit, stoop, walk, stretch, reach, and use full range of body motions
Manual dexterity as required for specific equipment and ability to use computer keyboard and peripherals

Supv / Patient Accounting Denial Management Resume Examples & Samples

Performs audit of staff’s work to ensure policies and procedures are followed
Assist in maintaining up-to-date policies and procedures for assigned area
Exercises sound judgment and discretion relating to efficient operation of departmental functions
Works closely with other departments in Patient Accounting to identify and resolve issues that affect the Denials process
Commute between offices as required for meetings and staff engagement

Patient Accounting Rep Resume Examples & Samples

Processing the Daily Mail is the main job function
Assists in manual posting and processing of denials and refunds
Meets and maintains a per hour productivity and quality target
Scanning
Other Correspondence or Patient Accounting Duties

Manager Patient Accounting Resume Examples & Samples

Type Of Supervision: Responsible for the planning, coordinating, and directing of all Collection activities and personnel within the collection department on a daily basis
Workers Supervised: 20 - 30 employees
Interactions With: Patients and/or the public, insurance companies, courts, attorneys agencies, business office personnel, admitting personnel, physicians and their staff, I/S personnel, and employees from other departments

Patient Accounting Representative Resume Examples & Samples

Responsible for billing follow up/collection on assigned accounts with appropriate payers (i.e. governmental agencies, attorneys, patients, insurance companies) to ensure an acceptable level of outstanding receivables as defined by corporate or department key process measures based on national standards
Investigate and respond to all phone and written inquiries from patient/member, third party payers, and attorneys concerning billing, account status, claim status and eligibility issues
Perform maintenance as needed on the patient's insurance record to ensure accurate billing
Interfaces with and responds to internal departments (i.e. Member Services, Claims, and HP clinics) as an information resource on billing documents (i.e. HCFA 1500 forms, Patient Statements ) for Fee for Service, Workers Compensation, Medicare, Medicaid, Coordination of Benefits, Third Party, No Fault, Reciprocity, Self-Insured, Pharmacy, Occupational Health as well as products provided and administered by HP and its subsidiaries
As needed, will negotiate suitable payment arrangement plans for individuals who cannot pay according to established guidelines and documents agreement according to department procedure. Accurately notes all action taken on patient's account in computer system
Responsible for the understanding of insurance sequencing rules and medical billing guidelines or laws
Keep abreast of current information and changes impacting Patient Accounting customer service and organize relevant information for daily reference
Identify and propose solutions to problems which contribute to customer dissatisfaction in order to reduce future complaints or errors
Assist in orientation for new Patient Accounting staff. Operates as a member of Patient Accounting Team in support of other staff
Completes assigned projects and duties in a timely manner
35 WPM
One year experience with automated health care billing systems
One year PC experience including Microsoft Word
Good communication skills, written and verbal, to establish and maintain effective working relationships, with internal/external payers and customers
Must be detail oriented and have the ability to organize information