Patient Accounts Representative Resume Samples

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D Reichel

Dakota

Reichel

4912 Esmeralda Brooks

Dallas

+1 (555) 329 5904

4912 Esmeralda Brooks

Dallas

Phone

p +1 (555) 329 5904

Experience Experience

Phoenix, AZ

Patient Accounts Representative

Phoenix, AZ

Predovic and Sons

Phoenix, AZ

Patient Accounts Representative

Reports trends or information pertinent to insurance claims, provider or systems issues to the Supervisor/Manager
Researches and processes basic insurance denials and appeals with minimal assistance
Assists with orienting, training and mentoring team members
Notify manager with patient account and insurance issues
Following up with collection and processing in compliance with network policy
Perform financial analysis as assigned
Evaluates accounts and prepares adjustments to refund payments and correct discrepancies as necessary

Philadelphia, PA

Bwpo Patient Accounts Representative

Philadelphia, PA

Jenkins-Lebsack

Philadelphia, PA

Bwpo Patient Accounts Representative

This position will review, correct, and complete edits to claims as assigned
Due to the nature of Radiation Oncology billing an emphasis will be placed on referrals and authorizations management
The representative will perform other duties that may be assigned
This position will review, correct, and complete edit lists as assigned
This position will review, correct, and complete weekly edit lists for both Orthopedics & Psychiatry as assigned
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
The work area is expected to be neat and clean at all times

present

Los Angeles, CA

Patient Accounts Representative, Senior

Los Angeles, CA

Heaney LLC

present

Los Angeles, CA

Patient Accounts Representative, Senior

present

Maintain an up-to-date knowledge of trends and regulations to ensure compliance with established regulatory and Hospital guidelines
Review and verify the receipt of third party claims; identify errors and seek resolution
Contact patients and third party payers to resolve past due accounts
Process complex medical billing and collection claims
May train newer and/or lower-level Patient Account Representatives
Work under the direction of the Patient Accounts Manager to achieve department goals
Works assigned Paperless Collection System (PCS) workfile by initiating follow up activity on accounts with third party payers

Education Education

Bachelor’s Degree in Creativity

Ashford University

Bachelor’s Degree in Creativity

Skills Skills

Knowledge of Fair Debt Collection Practices Act (FDCPA) and Health Insurance Portability & Accountability Act (HIPAA) regulations
Basic knowledge of medical terminology and/or related healthcare management courses to enable interpretation of clinical documentation and appropriate coding
Ability to create basic excel spreadsheets
Excellent analytical and auditing skills, and basic mathematics, for reconciliation of accounts
Dependable and reliable
Ability to multi-task, manage details and organize efficiently and effectively
Strong attention to detail
Basic Microsoft Excel and Word knowledge
Excellent analytical /auditing skills and basic math for reconciliation of accounts
Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment

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7 Patient Accounts Representative resume templates

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Patient Accounts Representative Resume Examples & Samples

1-2 years of experience in a collections or healthcare business office environment
Excellent verbal communication and negotiation skills
Excellent computer and multi-tasking skills
Ability to identify an issue, examine options, and provide an effective solution
Working knowledge of Microsoft Excel

Patient Accounts Representative Resume Examples & Samples

Required:High School diploma or equivalent
Required: One year of directly related experience
Preferred: Experience in the following areas, Infusion, Transplant, or International follow-up
Preferred: Additional training beyond high school
Preferred: Knowledge of Epic system

Patient Accounts Representative Resume Examples & Samples

Required: High School graduate/GED
Required: Three years of directly relevant experience
Preferred: Patient Account or Coding certification

Bwpo Patient Accounts Representative Resume Examples & Samples

The representative is responsible for follow-up on all denied claims. He/she is expected to call the insurance company, document findings, and gather and send the necessary documentation to process the claims in a timely manner. He/she is required to have a clear understanding of the entire appeals process
Due to the nature of Radiation Oncology billing an emphasis will be placed on referrals and authorizations management
The representative must demonstrate initiative, independence, a willingness to learn new tasks, and must be able to work with minimal direction

Bwpo Patient Accounts Representative Resume Examples & Samples

This position will review, correct, and complete edit lists as assigned
The representative is responsible for handling patient and insurance company interactions in a professional manner. He/she must demonstrate excellent customer service skills, including active listening and problem solving
Minimum of one year experience in a healthcare environment

Bwpo Patient Accounts Representative Resume Examples & Samples

The representative is responsible for daily management of accounts receivable process and follow-up in the billing system (EPIC & IDX), including daily screening and correcting of claims for accuracy
This position will review, correct, and complete weekly edit lists for both Orthopedics & Psychiatry as assigned
Knowledge of Physician third-party billing and collections
Knowledge of medical billing programs - EPIC & IDX preferred
Knowledge of Orthopedics, Orthopedic Surgery, Podiatry and Psychiatry billing preferred
Must possess excellent organizational skills and have the ability to exercise sound judgment in decision making
Must know and understand the appeal process for inappropriately denied or paid services

Patient Accounts Representative Resume Examples & Samples

Responsible for daily management of accounts receivable process and followup. 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 the findings and gather and send the necessary documentation to process the claims
Appeals. Once a claim is denied and an appeal is appropriate, appeals are to be done on a timely basis in order to avoid the tiling limit. It is expected of the employee to have the knowledge of what can be appealed and what cannot. This includes gathering the information necessary to process the appeal accurately. Such as finding the correct diagnoses or procedure code, pulling of documentation such as fee tickets, EOB's, and requesting medical records. The employee needs to have a clear understanding of the entire appeals process from start to finish and also be able to work effectively with the Liaison, and to document all activity on the patient invoice
Customer Service calls. Each employee is responsible for handling customer service calls. Employees must demonstrate excellent customer service skills,
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
Each employee must demonstrate initiative, independence, and a willingness to learn new tasks. They must be able to work with minimal directions

Patient Accounts Representative Resume Examples & Samples

Check voicemail each morning for overnight calls within 24 hours
Respond to inquiries from patients by phone, letter, or in person regarding their accounts. These can include questions regarding accuracy of charges, insurance questions, concerns, denials, and credits. Research patient issues and develop payment plans and other options as needed
Contact responsible party/guarantor to expedite collection efforts
Discuss patient options and negotiate a payment plan that meets CSHP guidelines
Generate credit files for each identifiable delinquent account which may involve: individual counseling, making telephone calls and sending collection letters if appropriate; evaluating patient financial status; setting up appropriate budget payment plans; and providing thorough documentation of action taken and responses made
Work all accounts in assigned Paperless Collection System queue on a monthly basis. Document action taken, print out statements and/or transfer account activity to ledger sheets as necessary
Screen, counsel and educate appropriate patients regarding CSHP's credit policies/procedures and rebilling fees
Document and follow up appropriately on corrective actions as identified by the patient, CSHP providers and/or support staff
Handle all returned mail and correspondence appropriately and in a timely manner to include letters from patients, bankruptcy, assignments, and requests from attorneys for billing records
Review accounts for possible assignment to a collection agency. Make recommendations to the Business Office Manager, and prepare information for collection assignment
Work directly with collection agencies on accuracy of accounts assigned, payment discrepancies, disputed balances, etc., assisting with research as necessary. May also include completing affidavits and assignments for the collection agency in a timely manner, preparing information for the agency when court appearances are scheduled, and going to court on behalf of CSHP when the agency/courts determines that is necessary
Review "Red Dot" accounts (problem and collection accounts) and Termination of Care's (TOC's) inquiries and determine action to be taken on each account. Speak with patients at office with account or information problems
Work new OB list for previous week's appointments. Call on benefits and send out patient information letter. Track all OB patients to ensure insurance information is current and set up payment options to collect deductibles, co-insurance, etc., due prior to delivery. Track all self-pay OB patients to ensure that balance due is paid prior to delivery
Generate TOC requests to the appropriate provider as indicated
Work thoroughly all assigned accounts in the Paperless Collection System queue, which averages approximately 1200 patients on a monthly basis
In assigned queue, investigate each account for correct insurance information, and make calls to hospital, provider office, Medicaid, or patient to locate and file as needed
In assigned queue, check insurance denials for valid reasons
In assigned queue, contact patients by telephone or mail to gather necessary information regarding payment/s. Make telephone calls prior to sending final notice and transferring to hold queue. Work hold queue prior to transferring to Collections
Work monthly reports outside of queue to include bad addresses, budget plans, dunning lists, surgery schedules, and red dot reports
Maintain understanding of and appreciation for confidentiality
Attend assigned monthly meetings and functions as specified by the Business Office Manager
Attend and complete all required training and development to include annual compliance training
At least 3 years related experience in insurance follow up
A minimum typing speed of 50 wpm
Intermediate computer proficiency in Microsoft Office in Word and Excel
Ability to listen to patient concerns and complaints objectively and deal with them tactfully
Ability to establish and maintain effective working relationships with staff, patients and the public
Must have tact, good public relations skills, maturity of judgment, and a professional attitude and appearance
Knowledge of federal, state and local legal and regulatory provisions that relate to collection activities

Bwpo Patient Accounts Representative Resume Examples & Samples

Review, correction and completion of edit lists weekly for the particular insurance (s) assigned. This requires the employee to be diligent and take the initiative to ensure the entire patient account is corrected, not just the invoice (s) on the list to be corrected
Appeals. Once a claim is denied and an appeal is appropriate, appeals are to be done on a timely basis in order to avoid the filing limit. It is expected of the employee to have the knowledge of what can be appealed and what is not. This includes gathering the information necessary to process the appeal accurately. Such as finding the correct diagnoses or procedure code, pulling of documentation such as fee tickets, EOB’s, and requesting medical records. The employee needs to have a clear understanding of the entire appeals process from start to finish and also be able to work effectively with the Liaison, and to document all activity on the patient invoice
Customer Service calls. Each employee is responsible for handling customer service calls. Employees must demonstrate excellent customer service skills, i.e. listening, problem solving, professionalism, etc. If unable to resolve, he/she must write up a complaint form when necessary and refer it to their Manager. Complete documentation of the call must be document in the IDX system
Projects. When asked to do a project, employee is required to complete the project within the specified time frame. Employee is responsible to gather and compile information relevant to the project, log the findings and a final documented report for Management
12 Must be able to work as a team and collaborate and contribute to solving problems
13 And other duties assigned

Patient Accounts Representative Resume Examples & Samples

Researches, analyzes and reconciles patient account receivables, refunds, claims processing, patient statements and revenue cycle management
Processes claims and patient statements including claims generation, coding, data entry, edits and follow-up
Maintains and applies knowledge of current requirements relative to managed care contracts, Medicare, Medicaid, Worker's Compensation, and departmental policies regarding uninsured payers and discounts
Evaluates accounts and prepares adjustments to refund payments and correct discrepancies as necessary
Serves as a primary resource for responding to patient/payer inquiries regarding account balances and claim status
Assists with orienting, training and mentoring team members
A minimum of 2 years of experience in patient billing or related area

Patient Accounts Representative Resume Examples & Samples

Works assigned Paperless Collection System (PCS) workfile by initiating follow up activity on accounts with third party payers
Meets established performance standard for accounts receivables follow up
Meets monthly collection goal
Documents collection activity in financial comments and assigns the appropriate action/rejection codes
Initiates Charge/Payment disputes to resolve coding and payment issues on accounts
Researches and processes basic insurance denials and appeals with minimal assistance
Contacts patient/guarantor/third party payer either by telephone or in writing to resolve open issues on account
Requests itemized statements and insurance claims
Updates patient insurance and demographic information
Requests patient collection and form letters
Researches and prepares documentation for adjustments according to the CBO Adjustment Policy
Reports trends or information pertinent to insurance claims, provider or systems issues to the Supervisor/Manager
High school diploma or GED Experience

Patient Accounts Representative Resume Examples & Samples

Assess outstanding accounts receivable and determine appropriate course of action to collect monies owed for assigned accoun
Related effectively with patients, insurance representatives, case managers and adjustors in order to resolve outstanding accounts receivable
Manage and prioritize multiple functions within the accounts receivable departmen
Review daily correspondence and determine appropriate course of action to collect monies owed for assigned accounts
Relate effectively with coworkers to resolve problems and issues identified during the course of business
Identify overpayments and perform necessary research to determine reason for overpaymen Complete refund paperwork with substantiated documentation for review by Practice Administrator
Develop an understanding of the ARC business model and effectively communicate/educate others
Other tasks and projects as assigned
Ability to create basic excel spreadsheets
Ability to perform routine mathematical calculations
Ability to operate personal computer and 10 key calculator
Ability to maintain accuracy
Ability to approach problems/decisions analytically
Positive attitude and professional demeanor
Follow clinic and OSHA safety rules and procedures
Uphold HIPAA regulations and maintain confidentiality

Patient Accounts Representative Resume Examples & Samples

Two to four (2-4) years of work experience, and/or equivalent education or training in medical claims management and reimbursement
Two (2) years of mainframe based PC and software experience, preferably HBOC, and knowledge of electronic billing systems; proficient in Microsoft Windows applications, including Microsoft Office; ability to interpret, and work from, computer reports and spreadsheets
Served as direct point of contact for customers in call center environment, or large organization, handling general questions and complaints
Types minimum of 45 words per minute, with 90% accuracy
Excellent analytical and auditing skills, and basic mathematics, for reconciliation of accounts
Knowledge of Fair Debt Collection Practices Act (FDCPA) and Health Insurance Portability & Accountability Act (HIPAA) regulations
Knowledge of third-party reimbursement regulations, with emphasis on Medicare and Medicaid programs
Basic knowledge of medical terminology, and/or related health care management courses, to enable interpretation of clinical documentation and appropriate coding
Bilingual desired, but not mandatory

Bwpo Patient Accounts Representative Resume Examples & Samples

Responsible for daily management of accounts receivable process and followup in the Billing System (Epic), including daily screening and correcting of claims for accuracy
Review, correction and completion of edit queues weekly for the particular insurance (s) assigned
Responsible for the appeals process. This also includes gathering the information necessary to process the appeal accurately. Such as finding researching payer websites, identifying the correct diagnoses and/or procedure code, pulling of documentation such as EOB's, requesting medical records, reviewing registration/eligibility and benefits, as well as documenting all work performed on the patient invoice
Customer Service calls. Responsible for handling customer service calls and demonstrate excellent customer service skills, listening, problem solving, professionalism, etc
Handle confidential information with accordance with HIPPA standards
A Minimum of 1 year experience in a healthcare
Once fully trained have a complete understanding of the entire appeals process from start to finish
Strong Interpersonal skills, service orientation and team work
Knowledge of Physician third party billing and collections preferred
Thorough knowledge of third party reimbursements preferred
Basic proficiency in Microsoft Word and Excel

Patient Accounts Representative Resume Examples & Samples

Collect past-due patient balances
Offer resolution of patient account balances through protocol available
Knowledge of Accounts Receivable collection process

Patient Accounts Representative Resume Examples & Samples

Minimum two (2) years of experience as a customer service professional
Call Center experience preferred
Experience in credit and collection strongly preferred
Healthcare experience strongly preferred

Patient Accounts Representative Resume Examples & Samples

Prior applicable experience in a hospital or physician office setting
Demonstrated computer proficiency
Strong communication and interpersonal skills to deliver exceptional customer service

Patient Accounts Representative Resume Examples & Samples

Clerical testing is required*
Ability to type 45 wpm with 70% accuracy
Ability to use 10-key by touch with 7,000 ksp
Basic Microsoft Excel and Word knowledge
Read EOBs (explanation of benefits)
Organizational skills

Patient Accounts Representative Resume Examples & Samples

Ability to use 10-key by touch with 7,000 kpm
Proficient with Microsoft Excel and Word
Read and interpret EOBs (explanation of benefits)
PeopleSoft (preferred)

Patient Accounts Representative Resume Examples & Samples

Two-four years work experience and/or equivalent education/training in Medical claims management and reimbursement
Two years of mainframe based PC’s and PC software preferably HBOC and knowledge of Windows applications and electronic billing systems. Proficient with Windows Applications, Microsoft Word and Excel. Ability to interpret and work from computer reports and spreadsheets
Served as a direct point of contact for customers in a call-center environment, or large organization handling general questions and complaints
Type a minimum of 45 works per minute (90% accuracy)
Excellent analytical /auditing skills and basic math for reconciliation of accounts
Knowledge of the Fair Debt Collection Laws and HIPPA regulations
Knowledge of 3rd party reimbursement regulations with emphasis on Medicare and Medicaid programs
Basic knowledge of medical terminology and/or related healthcare management courses to enable interpretation of clinical documentation and appropriate coding
Bilingual desired by not mandatory

Patient Accounts Representative, Senior Resume Examples & Samples

Process complex medical billing and collection claims
Maintain an up-to-date knowledge of trends and regulations to ensure compliance with established regulatory and Hospital guidelines
May train newer and/or lower-level Patient Account Representatives
Maintain all licensure/certifications required; maintain an up-to-date knowledge of medical billing and insurance claim standards
May lead the day-to-day activities of an assigned team. Provide leadership and direction to members of the department, performing those responsibilities in accordance with the Hospital's policies and applicable laws. May participate or hold responsibility for interviewing, planning, assigning or directing work, appraising performance, and resolving problems
Extensive knowledge of basic medical terminology and medical insurance terminology
Extensive knowledge of CPT-4, HCPCS, and ICD-9/10 coding
Extensive knowledge of UB-04 and HCFA 1500 billing requirements
Experience and knowledge of electronic transaction remark and adjustment codes
Basic math computational skills and the ability to use a 10-Key calculator
Ability to respond to questions in a tactful and professional manner
Ability to work collaboratively and meet the needs of competing demands
Ability to demonstrate accuracy and attention to detail on a regular basis
Ability to interpret accounts and records
Ability to utilize various coding software programs
Ability to serve as a resource for multiple physician practices
Ability to support the instruction of other Patient Account Representatives

Patient Accounts Representative Resume Examples & Samples

Previous experience in hospital admissions, business office or medical records preferred
Excellent communcitaion/organizational skills
Experience with Microsoft Office (Word, Excel, Access, Outlook, etc.)
Applicant must be at least 21 years of age
Ability to manage a fast paced environment
Must be polite, positive, and professional at all times

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