Patient Accounts Rep Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the patient accounts rep job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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J Mitchell

Joan

Mitchell

49820 Kuvalis Shoals

Detroit

+1 (555) 753 6444

49820 Kuvalis Shoals

Detroit

Phone

p +1 (555) 753 6444

Experience Experience

Houston, TX

Patient Accounts Rep

Houston, TX

Haley LLC

Houston, TX

Patient Accounts Rep

Works on special projects assigned by the management
Works claims via ETM/Encompass, and reports supplied by management, prioritized by date of origin
Assisting patients in resolving their issues by clarifying the complaint
Identifies and notifies department management of payer payment trends as well as practice and/or follow-up trends
Completes daily work assignments and provides status reports of completed work. May be assigned specific phone calling strategies and be re-assigned to ensure completion within time frames established
Understands and adheres to policies and procedures governing the performance of the Resolution Team position
Assists with orienting and training of new employees

Houston, TX

Bwpo Patient Accounts Rep

Houston, TX

Bartoletti LLC

Houston, TX

Bwpo Patient Accounts Rep

The representative will perform other duties that may be assigned
Due to the nature of Radiation Oncology billing an emphasis will be placed on referrals and authorizations management
The work area is expected to be neat and clean at all times
Each employee is expected to adhere to the rules and regulations of the BWPO
And other duties assigned
This position will review, correct, and complete edits to claims as assigned
Thorough knowledge of Physician third party billing and collections

present

Phoenix, AZ

Patient Accounts Rep-senior

Phoenix, AZ

Schowalter-Towne

present

Phoenix, AZ

Patient Accounts Rep-senior

present

Provides support to NUMC staff and providers relating to state regulations
Provide assistance to other areas with balancing and posting concerns
Timely response to all customer inquiries including but not limited to patients, employers, providers, insurance companies, outside entities etc
Encourages patients/visitors to approach reception area and assist with questions they may have
Educate patients on Allinas Financial Assistance Services: -MedCredit, Partners Care, Self Pay Discount
Assists patients with insurance/billing questions and concerns
Works assigned clinic and hospital billing WQs

Education Education

Associate’s Degree in Creativity

Central Michigan University

Associate’s Degree in Creativity

Skills Skills

Basic knowledge of billing regulations for payers
Comprehensive knowledge of applicable Federal, State, and local laws and regulations related to HIPPA and payers
Detail oriented with the ability to complete tasks in a timely manner
Ability to make basic numerical calculations
Ability to operate personal computer
Knowledge of medical terminology
Ability to maintain accuracy
Ability to work well as a team member
Proficiency in computer skills which include Word, Excel, typing skills and 10-key
Polite and courteous speaking manner and excellent telephone etiquette

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Patient Accounts Rep PFS Credit Processing Resume Examples & Samples

Review accounts with credit balances to determine correct recipient of refund check or invoice adjustment if appropriate
Research entire account to identify accounts across all groups with positive balances and transfer funds when appropriate
Key all refund requests into AES system via ETM
Promptly respond to all refund requests from Customer Service, Team Supervisor, and Managers

Patient Accounts Rep / CSR / PFS Resume Examples & Samples

Accepts all in-coming calls, as well as other inquiries for Patient Accounting -- first line assistance at handling concerns, problems, answering questions, research, etc
Refers calls/accounts that need assistance beyond the ability of the Customer Service representative to the department best suited to handle the problem/question
Documents all actions taken on each account in the appropriate systems
Updates and/or makes appropriate changes in the system - to insurance screens, demographic information, and statement control screens, etc
Initiates monthly payment arrangements for patients who meet Carolinas Healthcare System guidelines. Accepts credit card or check payments over the telephone
Processes correspondence within 24 hours with follow-up ensuring telephone calls and messages are returned within 48 hours
Process and respond to all e-mails and/or portal inquiries in a timely and efficient manner
Prepares adjustments to accounts as necessary
Performs all clerical functions required to handle a request to completion. Interacts with other Carolinas HealthCare System departments, physicians' offices, insurance companies, and attorneys’ offices to resolve issues
Informs supervisor of problems and recommend solutions. Make supervisor aware of errors within/outside of Patient Accounting to alert management of inter-departmental or departmental needs

Patient Accounts Rep Resume Examples & Samples

Responsible for the timely follow up on all employer billing
Contacting employer to provide update on current and delinquent balances
Communicating trends of non payment to supervisor, accepting payments via phone from employers
Providing statement explanation to employers
Managing ACD telephone line, researching employer credits
Assists with incoming correspondence related to employer billing
Maintain quality and performance standards set by supervisor

PRN Patient Accounts Rep / PFS Variance Resume Examples & Samples

Reviews accounts in the Variance Database or Spreadsheet to resolve variances from expected reimbursement
Handles referrals from other account representatives to resolve variance issues and verify patient responsibility
Must meet and maintain a per hour target
Understands and adheres to policies and procedures governing the performance of the Variance Account Rep position
Maintains confidentiality of managed care contract information
Works closely with other departments, especially follow up areas and customer service, to address reimbursement-related concerns
Posts and approves adjustment batches in STAR, when appropriate, for referred accounts that are not in the Variance Database
Reports issues to supervisor or manager when identified
Works on special projects assigned by the manager or supervisor

Patient Accounts Rep Resume Examples & Samples

Follows up on outstanding A/R verbally and online to Medicare and Medicare Advantage on accounts aged 30 days or more
Identifies and analyzes payor trends as well as potential payment issues and reports findings to leadership
Demonstrates proficiency in advanced charge corrections
Assists with training and on boarding of new Medicare follow-up staff

Patient Accounts Rep-senior Resume Examples & Samples

Provides excellent customer service to New Ulm Medical Center patients -duties include: cashiering, handling customer complaints, coordination of workers compensation claims and general requests from patients and/or staff
To serve as a resource for all customers both internally and externally. This includes all hospital and clinic inquiries and requests
Encourages patients/visitors to approach reception area and assist with questions they may have
Educate patients on Allinas Financial Assistance Services: -MedCredit, Partners Care, Self Pay Discount
Timely response to all customer inquiries including but not limited to patients, employers, providers, insurance companies, outside entities etc
Provide patients with direct phone number when follow up is need or when applicable
Assists patients with insurance/billing questions and concerns
Accurately posts payments in all computer systems
Reconcile HPM system with all points of service
Provide assistance to other areas with balancing and posting concerns
Price estimates per policy
Acts as a liaison between the patient and all involved parties
Coordinates referral appointments with Patient Services
Responds to all requests for authorization, including but not limited to diagnostic testing and surgical services
Supports and promotes the Occupational Medicine department when working with area employer or by attending meetings when requested
Provides support to NUMC staff and providers relating to state regulations
Covers other areas within the department as needed
Works assigned clinic and hospital billing WQs

Patient Accounts Rep / PFS HBO Correspondence Resume Examples & Samples

Handles incoming correspondence from insurance companies, patients and attorneys
Assists in manual posting & processing of denials
Processes Daily Mail, Scanning and Medical Records

Patient Accounts Rep Resume Examples & Samples

Ensures that all payments are balanced and posted. Ensures that all batches are approved daily and by the end of the month
Researches and helps resolve staffware and unapplied payments
Meets and maintains a per hour posting target

Patient Accounts Rep / PFS Credit Processing Resume Examples & Samples

Research entire account to identify accounts across CHS with positive balances and transfer funds when appropriate
Key all refund requests
Must meet and maintain monthly performance standards

Bwpo Patient Accounts Rep Resume Examples & Samples

Responsible for daily management of accounts receivable process and follow-up. Daily management of accounts worked in the PCS system. The appraiser will evaluate progress of work, accuracy, and quality is used to help set benchmarks. Evaluation of work includes quantity of accounts worked daily, accuracy of detail and documentation of work done. This includes daily screening and correcting of claims for accuracy
Follow-up on pending claims. The employee is expected to call the insurance company, document there findings and gather and send the necessary documentation to process the claims
Each employee is expected to respect his or her co-workers and Management. Each employee must possess good interpersonal skills and demonstrate team work
Each employee must possess excellent organizational skills. When asked questions by Management, each employee is expected to have the knowledge and detail or know how to obtain it
The work area is expected to be neat and clean at all times
Each employee is expected to adhere to the rules and regulations of the BWPO
Each employee must demonstrate initiative, independence, and a willingness to learn new tasks. They must be able to work with minimal direction
Must be able to work as a team and collaborate and contribute to solving problems
And other duties assigned
High school degree
Minimum of one years experience in a health care environment preferred
IDX and PCS knowledge preferred
Strong PC skills

Patient Accounts Rep Resume Examples & Samples

Documents all actions taken on each accounts in the systems
Updates changes in insurance screens, demographic information, and statement systems. Initiates monthly payment contract on accounts up to $1000 for patients who meet guidelines
Informs leadership of problems and recommends solutions

Patient Accounts Rep, / PFS CBO Northeast Resume Examples & Samples

Monitors regulatory changes for federal payers and alerts management of pertinent changes
Identifies and analyzes government payor trends, as well as potential payment issues. Reports findings to leadership
Pulls CBO Edit, Self Discrepancy and MMG Split reports for distribution and monitors them to completion
Maintains updated policies, procedures, departmental manuals and job aids for assigned areas by staying current on all regulatory affairs impacting government payers
Monitors physician and group credentialing issues as well as NPI linking issues

Patient Accounts Rep / CSR / PFS Resume Examples & Samples

Maintains communication with collection agencies, provides administrative support, and handles cash management regarding activity on patient accounts
Performs all clerical functions. Assists with handling requests to completion with other departments
Establishes patient referrals, pre-certifications, and authorizations. Processes and returns patient voicemails within 24 hours of receipt

Patient Accounts Rep Resume Examples & Samples

Follows up with claims by telephone or online inquiry and creates appropriate correspondence, including appeal generation
Assists with on-the-job training of new government follow-up staff
Pulls requested EOBs from electronic batches, file folders or storage boxes as needed to assist telecommuters and leadership

Patient Accounts Rep Resume Examples & Samples

High School Diploma/GED or equivalent experience
Previous experience working with the public
Computer experience/knowledge
Previous experience in credit

Bwpo Patient Accounts Rep Resume Examples & Samples

The representative is responsible for daily management of accounts receivable process and follow-up in the billing system (EPIC), including daily screening and correcting of claims for accuracy
This position will review, correct, and complete edits to claims as assigned
The representative is responsible for handling customer calls in a professional manner when received. He/she must demonstrate excellent customer service skills, including active listening and problem solving
Management, follow up and resolution of credit balances and write offs within assigned accounts receivable
Minimum of one-year experience in a healthcare environment
Knowledge of Physician third-party billing and collections, including EPIC preferred
Must possess strong written and verbal communication skills. Tact and patience is required in dealing with difficult or confused patients
Must possess good organizational skills and ability to exercise sound judgment in decision making
Must possess excellent organizational skills

Patient Accounts Rep Resume Examples & Samples

Works claims via ETM/Encompass, and reports supplied by management, prioritized by date of origin
Performs all elements of account maintenance encompassing all departments of the Central Business Office
Contacts patients, through outbound phone calls, to update them on the status of their pending, and completed, coding related questions
Will escalate issues and concerns to the practice(s) if patients are not satisfied
Works directly with internal and external customers, especially practices, Coding Support, and IDX to resolve system and claim problems
Understands and adheres to policies and procedures governing the performance of the Resolution Team position
Responsible for maintaining an acceptable turnaround time, 72 hours, in all ETM views including Responses from the Coding Team, the practices and other departments across the Central Business Office
Identifies and notifies department management of payer payment trends as well as practice and/or follow-up trends
Responsible for creating correspondence (emails, letters memos, forms etc… as needed and requested) regarding denials, cash posting, problem accounts between the Resolution Team and practices or other departments within CBO
Required knowledge of and experience with personal computers, Word software, Excel, copy machine, fax machine, 10 key adding machine, and multi-line telephone
Excellent communication, negotiation, and advocacy skills with peers, staff, third party payers and system resources
Works on special projects assigned by the management
Assists with orienting and training of new employees

Patient Accounts Rep-biller Resume Examples & Samples

Three years electronic acute care billing, required
Thorough understanding of CMS and UB92 billing required
Basic understanding of CPT and ICD-9 coding preferred
Basic knowledge of Managed Care programs and billing requirements as necessary
Typing, data entry, 10-key, PC and word processing skills preferred
Sharp analytical abilities required to identify and resolve repetitive edit failures relating to specific
Payors, charge master/coding issues, etc

Patient Accounts Rep Days Resume Examples & Samples

Understanding of various medical claims formats
Working knowledge in medical terminology, CPT and ICD-10 coding
Problem identification and problem solving skills
Willingness to participate and attend off site meetings/seminars
Good customer service oriented attitude/behavior
Proficiency in computer skills which include Word, Excel, typing skills and 10-key
Comprehensive understanding of clinic medical billing information and related systems
Researches claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions
May perform financial counseling activities, including but not limited to

Patient Accounts Rep / PFS Variance Resume Examples & Samples

Maintains an up-to-date knowledge of commercial insurance contracts for all primary enterprise hospitals
Compares posted payments to expected reimbursements and processes as necessary
Confirms the accuracy of patient statements
Posts denials and refers accounts needing follow-up to the correct department
Meets and maintains a per hour processing target

Patient Accounts Rep Resume Examples & Samples

Verbal and Written Communication skills
Customer Service skills
Ability to make basic numerical calculations
Familiar with ICD-9 and CPT coding
Ability to operate personal computer

Patient Accounts Rep Resume Examples & Samples

Answers patient phone calls, correspondence and personal interviews on a daily basis. Answers inquiries from patients in a timely and professional manner. Identifies appropriate actions needed to resolve issues at hand. Involves, but not limited to, adjustments, transfers, researching, updating and correcting computerized registration and billing files
Works the accounts receivable via on-line worklists, payer trial balance reports or the predictive dialer. Schedules payments with patients, reviews insurance information and suggests and explains different financial assistance available. Documents all actions taken on-line
Prepares written responses to various patient inquiries. Submits accounts to write-off where appropriate
Completes daily work assignments and provides status reports of completed work. May be assigned specific phone calling strategies and be re-assigned to ensure completion within time frames established
Follows up on non-existent names, addresses, etc., provided on admission records and locates persons involved by all available means. When phone contact is not possible, actively pursues responsible parties through variety of sources, including thorough research of all hospital records for additional information such as next of kin, other contacts, etc. Must be imaginative and resourceful

Patient Accounts Rep-eye Institute Resume Examples & Samples

Answer phones and patient questions
Enter patient information into the computer system
2 years: Working in a medical office setting is required, experience working in an optometry setting preferred

Patient Accounts Rep Resume Examples & Samples

Review self-pay accounts to ensure all payment sources have been identified
Monitor and update bad debt pre-list accounts to insure all revenue resources have been identified and included on the patient account prior to bad debt write off
Compile and enter data into spreadsheets and/or databases as required for reporting purposes
Works exception reports as necessary to correct issues on a particular account(s)
Performs account level maintenance to ensure maximum and timely reimbursement
Responsible for staying current on latest functionality of CHS standards used for PFS processes
Responsible for staying current with updates and information on systems used by Patient Accounting, including HBO STAR, Epic (Encompass), and Microsoft applications (Access, Excel, and Word) as they relate to QA processes
Responsible for keeping current on information related to the QA team regarding regulatory and policies as related to Patient Accounting
Consistently meet productivity monthly
Informs management of problems within and recommends solution

Patient Accounts Rep Resume Examples & Samples

This customer service position is for answering phones from patients, insurance companies, etc... To provide and process information in response to their inquiries, concerns and requests about the services or bills received
Assisting patients in resolving their issues by clarifying the complaint
Determining the cause of the problem
Advising the best solution to solve the problem
Sending for correction or adjustment and following up to ensure resolution
Additional projects as assigned
Great communication
Friendly and compassionate
Flexible, organized, and punctual

Patient Accounts Rep Resume Examples & Samples

Two years of business office experience a must
One year of experience in accounts receivable, accounting practices, insurance billing and compliance a plus
Experience working with Microsoft Office products
Experience working in healthcare facility desired

Patient Accounts Rep Resume Examples & Samples

Three years of experience in a medical office billing setting preferred
Polite and courteous speaking manner and excellent telephone etiquette
Ability to work well as a team member
Submits third party and patient claims (electronically or by hard copy), including the correction of errors in an effort to provide timely, accurate billing services. Edits HCFA-1500 (and where appropriate UB) claim forms within the patient accounting system, using proper data element instructions for each payer, applying principles of coordination of benefits, and ensuring that correct ICD-10 diagnosis, HCPCS and CPT procedure codes are utilized and communicates any charge entry errors to the appropriate resource for resolution. Ensures that claims are in accordance with regulations set forth by the state and federal governments, third party payers, and SAMG guidelines
Utilizes available data and resources to make decisions regarding complexity of claim processing and payment propensity, and the appropriateness of transferring account to Collection vendor(s) or other resources for follow-up

Patient Accounts Rep, / Lansdowne Station Resume Examples & Samples

Processes claims including claims generation, data entry, edits and follow-up to ensure proper billing practices
Maintains and applies knowledge of current regulatory and departmental requirements
Evaluates accounts and prepares adjustments for debit/credit and corrects discrepancies as necessary
Assists with orienting, training and mentoring team members. Supports other staff members as needed
Bills and collects third party balances for services provided to patients including rendered services within the Physician Services Medical Staff
Identifies areas where consistent payment delays, claim denials, or reduced payment are occurring and works with physicians and administrators to resolve associated deficiencies. Partners with Physician Services Billing Management to address coding related deficiencies
Assists patients/guarantors in applying for financial assistance
Reviews explanation of benefit and correspondence received from third party payers. Works the electronic rejection report from the automated patient accounting system