Patient Accounts Resume Sample
Peggie Dietrich
9708 Kemmer Burg,
Philadelphia,
PA
+1 (555) 324 2309
Work Experience
Patient Accounts Specialist
05/2015
-
PRESENT
Houston, TX
- Monitors the effectiveness, accuracy, and efficiency of staff activities; develops appropriate training and development plans for each staff member in concert with Supervisors.
- Establishes and maintains up-to-date and complete filing and record retention systems.
- Monitors accounts receivable reports on a daily and monthly basis. Develops action plans based upon findings and assigns such plans to Supervisors
- Prepares monthly statistical and analytical reports on accounts receivable
- Prepares reconciling journal entries for the accounting department
- Coordinates and signs off on all audits of patient's bills for third party payors
- Works in conjunction with Supervisors to resolve billing and reimbursement problems
Patient Accounts Supervisor
10/2011
-
01/2015
Dallas, TX
- Work in conjunction with the Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
- Assist with cash posting from EFT, Lockbox and Daily Deposits
- Assist with scanning of Daily Deposits, Billing Batches, and IL MWU Clinic Communications
- Skip tracing of bad addresses and correction in system
- Prepare and update necessary forms (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) for process flows
- Participate in internal and external clinic coding assessments/audits
- Research coding/billing guidelines for new specialties
- Prepare monthly reports in excel
Supervisor, Asst Mgr Patient Accounts
06/2007
-
05/2011
Philadelphia, PA
- Has oversight responsibilities for ensuring staff meetings are scheduled and held at least monthly
- Completes and administers or delegates to supervisor, employee performance reviews in a timely, fair, and consistent manner
- Ensures staff is in compliance with all mandatory annual training and periodic in-services
- Performs other tasks that maybe assigned by the Manager
- Contact payers on unpaid balances
- Work within the university clinic policies, procedures and guidelines to coordinate and resolve issues through the understanding and application of collection techniques
- Work system collection reports such as aged trial balances and data searches
- Prepare and follow up on appeals
- Ensure that Federal and State collection/follow-up requirements and regulations are achieved and implement changes directed by regulatory agencies as necessary
Education
Argosy University - Orange County Campus
2002 - 2007
School's Degree in Business
Professional Skills
- Excellent verbal and writing skills and demonstrated aptitude for problem solving
- Demonstrated excellent interpersonal, communication, and organization skills required
- Demonstrated analytical skills and demonstrated ability to learn new concepts required
- Using excellent public relation skills when working with all customers including patients, third party payers, physicians, and Aspirus personnel
- Maintaining proficient computer skills demonstrated by use of Windows, Word, Excel, internet, clearinghouses, and all applicable billing systems
- Excellent written and verbal communication skills to maintain effective working relationships with staff and other departments
- Uses oral and written communication skills to effectively convey ideas in a clear,
How to write Patient Accounts Resume
Patient Accounts role is responsible for insurance, excel, basic, analytical, word, billing, computer, medical, interpersonal, customer.
To write great resume for patient accounts job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Accounts Resume
The section contact information is important in your patient accounts resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Patient Accounts Resume
The section work experience is an essential part of your patient accounts resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous patient accounts responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular patient accounts position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Accounts resume experience can include:
- Communicate effectively to Payer Units in Patient Accounts and with other key Departments in Finance and at the Entities
- Intermediate computer skills and proficiency in MS Word and Outlook, with advanced proficiency in Excel required
- Two (2) years experience utilizing a computerized billing system (financial spreadsheet and word processing)
- Strong knowledge of Healthcare Financial Administration (HCFA): Medicare, Medi-Cal and Commercial regulations regarding Billing and Insurance reimbursements
- Two years of experience performing accounts receivable
- 6) Interfaces with all third party agencies to determine the effectiveness/accuracy of claim submission/processing
Education on a Patient Accounts Resume
Make sure to make education a priority on your patient accounts resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your patient accounts experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Patient Accounts Resume
When listing skills on your patient accounts resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical patient accounts skills:
- Excellent organizational and analytical skills that ensure successful and accurate completion of daily quota driven processing
- Good computer skills; knowledge of excel, word, etc
- Related healthcare experience including experience working with minimal supervision
- Ensure departmental goals are met through effective review and understanding of Daily TRAC Reporting in order to drive day to day priorities and decisions
- EXPERIENCE: One year of patient accounting experience
- Communicate effectively with resources and groups outside of Patient Accounting
List of Typical Experience For a Patient Accounts Resume
1
Experience For Patient Accounts Specialist Resume
- 22) Monitors the effectiveness and service performance of the collection unit. Ensures all staff has been instructed in proper customer service techniques
- Analyze and resolve complex problems and organize and prioritize work assignments
- Assists Manager in preparing materials in advance Monitors the performance of outside agencies including reconciling inventories and invoices
- Responsible for documenting and implementing policies and procedures related to the billing process
- Assist in educating and training staff on billing requirements and departmental policies
- Implements and remains current on all regulatory and governmental agency requirements regarding billing and reimbursement
- Performs cash posting processes for accounts receivable including account pro-ration
- Responsible for all aspects of patient billing and collection processing in compliance with departmental policies and procedures
- 15) Responsible for implementing and tracking Medicaid applications
2
Experience For Patient Accounts Supervisor Resume
- Monitors staff adherence to department processes and addresses issues through training and counseling
- Ensures maximum cash flow and protects Pathways from losses by billing and collection along with the revenue cycle functions of claims submission
- Acts as a liaison with patients, other departments and fellow PFS teammates to obtain information related to claims processing and payment
- Interacts with industry-wide peers, state, federal and local regulatory agencies to ensure compliance with billing and reimbursement requirements and statutes
- Protects Pathways from financial losses by monitoring collection of accounts receivable and third party payments for correct reimbursement; resolves billing inquiries or problems
- Facilitates resolution of customer billing inquiries or problems, contacts patient and/or guarantor as appropriate
- Work with Commercial Collections and other teams to analyze and understand emerging payer behaviors
- Make recommendations to Non-Contracted Collections leadership on changes to existing tools, policies and procedures
- Coach Patient Account Representatives providing them with knowledge
3
Experience For Patient Accounts Coordinator Resume
- Responsible for following up on all correspondence/inquires vendors have on PFS accounts
- Prepares weekly status listing for accounts with vendors
- 3) Ensures the productivity of staff and makes suggestions for changes in procedures and staffing to enhance the performance in the area
- 11) Responsible for conducting weekly unit meets and participation in all daily/weekly/monthly PFS SPE meetings
- 14) Responsible for the reconciliation and application of all manual charge posting into the patient accounts system
- 16) Responsible for the financial screening of inpatient and ambulatory surgery accounts
- 23) Responsible for the monitoring and responses to the mail and correspondence received in department
- Reviews, documents, and communicates all processes related to insurance and patient billing, follow up, credits denials, and appeals
- Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues
4
Experience For Manager of Patient Accounts Resume
- Assists Manager with evaluations and counseling when needed
- Monitor daily workflow of staff to ensure all efforts are contributing to Department goals
- Monitor daily Xclaim and paper Payer Billing volumes
- Serve as additional resource to complete daily tasks and responsibilities during Staff absences and vacancies
- Prepares letters and files appeal to insurance regarding claim denial. Collects necessary information to accompany appeal
5
Experience For Supervisor, Patient Accounts Resume
- Review all monthly statistical numbers and reconcile issues for month end reporting
- When filling temporary vacancy, provides Regional Manager, Collection Manager, and lead with summary status report weekly/monthly as requested by manager
- Review diagnosis and procedure codes with the Coding Department
- Respond to complex billing related questions and resolve escalated issues
- Complete special assignments involving A/R research and resolution
- Maintain a current knowledge of All Third Party Payer rules and regulations as they apply to inpatient and Outpatient billing and follow up
- Coordinate the timely billing and/or collection of all Third Party Claims
- Obtains all health insurance information and appropriate authorizations needed for services as appropriate
6
Experience For Patient Accounts Lead Resume
- Communicates with all departments as needed
- Facilitates refund requests as appropriate
- Assists with completions of graphs, charts and visual presentation data
- Take significant accountability for cash collections and Days Sales Outstanding (DSO) reduction for a portfolio consisting of hundreds of millions of dollars in accounts receivable
- Assist leaders across NonCon Collections, Reimbursement Operations and Yield Management in development and implementation of approaches to increase yield
7
Experience For Senior Specialist, Patient Accounts Resume
- Proactively identify, research and coordinate initiatives designed to improve speed of collections and ultimate yield
- Design, assess, and test new approaches and strategies
- Support efforts to calculate and report out on collections impact; provide project reports on a weekly, monthly, and/or as needed basis
- Ensure all department/internal controls are in place and maintained to adhere to all known compliance mandates for all Patient Accounts areas, concentrating on vulnerable areas such as Billing and Registration
- Provide assurance to Administration and other Patient Account customers that patient and departmental issues are brought to closure thru delegation, investigation, response and other means necessary to resolve
- Train, orient and direct Supervisory and other personnel thru education, performance appraisal, discipline, regular staff meetings and other venues as appropriate to accomplish DCH goals and objectives
- Develops, document and implement action plans, as appropriate, to address deficiencies identified while reviewing teammates’ work product
- Maintain a thorough knowledge of facility, professional claims and coding requirements
- Provide periodic and as-needed information to various levels or personnel throughout the DCH Health System that affect DCH procedures, outcomes and perceptions
8
Experience For Dir, Patient Accounts Resume
- Assist the Director and coordinate with subordinates the preparation and on-going monitoring of departmental budgets, goals and employee productivity to ensure resources are utilized efficiently and that departmental outcomes positively impact DCH
- Keeps abreast of changes in the industry by participating in professional affiliations, educational programs, seminars and periodicals
- Adds Accounts Receivable activities of other DCH lines of business to RMC procedures as necessary or directed
- Develops cooperation across departmental lines
- Responds to attorney’s requests for medical records and bills
- Keeps Chief Patient Accounting Officer and Director Revenue Cycle apprised of any potential compliance issues and the action plans employed to appropriately resolve these issues in accordance with our Corporate Compliance plan
- Departmental procedures and performance standards are in place to ensure consistency and control
- Departmental goals and objectives are developed and a high level of accuracy and productivity is maintained
- Act as resource for teammate’s questions and assist with issues of focus and problematic payer issues
9
Experience For Patient Accounts Manager Resume
- Run and complete data integrity reports to ensure that the events are enter in conjunction with the Client’s program history and authorization
- Supervises directly or indirectly, exempt and nonexempt personnel engaged in the department. This includes interviewing, hiring, performance evaluation, training and disciplining all system support personnel. Delegates authority as determined appropriate
- Provides a goal oriented work environment, establishing clear and concise work procedures expectations. Develops and plans goals and objectives for the department with Director and Management Team
- Conducts meetings on a periodic basis or otherwise as needed to maintain efficient and effective operation of department personnel
- Reconcile, verify and validate that accounts referred to outside vendors (collection agencies) are acknowledged
- Coordinate with outside party’s for account validation
- Be responsible for the timely collection of all insurance receivables throughout regions of Hazelden Betty Ford facilities
- Review EOBs to ensure payments from the insurance companies are accurate
10
Experience For Coordinator of Patient Accounts Resume
- Work with insurance companies to resolve issues causing delay in the processing of the claim relying heavily upon extensive interpersonal communication skills and decision making
- Provide support to team members in absence of Team Lead and Supervisor
- Demonstrate strong mathematical skills and interpersonal communication skills to maintain good customer relations while keeping in mind Hazelden Betty Ford financial interest
- Works closely with executive level management. Participates in meetings and committees related to functions, and represents the department as necessary
- Resolve service issues with associates and internal departments as needed
- Work alongside Patient Accounts Manager and Team Lead to achieve department goals
- Research any payments received that cannot be identified initially
- Preparation of weekly excels spreadsheets
- Make necessary account receivable adjustments
List of Typical Skills For a Patient Accounts Resume
1
Skills For Patient Accounts Specialist Resume
- Knowledge and ability to create Excel and Word documents, as well as skills in using such documents to analyze patient accounting data and to manage projects
- Effectively communicate with employees throughout the PHS network
- Working experience with computerized systems such as: Invision, Health Data Exchange (HDX), Data Systems Group (DSG), IVANS, Cal-Med
- Experience working in a physician/hospital billing or collection environment is required
- Collaborate with supervisor to develop staffing plans and cross-functional training plans that promote the most effective use of all teammates
2
Skills For Patient Accounts Supervisor Resume
- Medical billing and account receivable follow-up experience
- Five years of experience in a hospital, including at least three years supervision above the first supervisory level
- Demonstrated knowledge of ICD-9-CM, HCPCS and CPT coding
- Functional experience using Microsoft Office products (Word, Excel)
- Hospital Supervisory experience with All Payer Billing (Medicare, Medi-Cal, Commercial) and Insurance follow-up/collections
3
Skills For Patient Accounts Coordinator Resume
- Demonstrates world class care in alignment with DPH's caring framework, ICARE (I-Introduce, C-Conduct, A-Ask, R-Respond, E-Exit)
- Five years’ previous patient accounting experience required
- Strong understanding of Microsoft Office Suite is required
- Expert experience with hospital billing systems is required
- Strong understanding of Microsoft Office Suite (Excel, Word, and Access specifically) is required
- Experience collecting from thir party payors required
4
Skills For Manager of Patient Accounts Resume
- Requests training as needed to be effective in each assignment
- Experience in denial management, third party policy, and regulations
- Medical Billing and/or Accounts Receivable Follow-Up experience
- Previous experience with Denial Management and Third Party Policy / Regulations
- : Previous management experience
- Previous management experience required
- Customer service experience preferably in a healthcare or health insurance related field required
5
Skills For Supervisor, Patient Accounts Resume
- Customer service experience preferably in the healthcare or insurance related field
- One year customer service experience preferably in a healthcare or health insurance related field
- Demonstrated proficiency with Microsoft Excel and Microsoft Access required
- Revenue cycle experience working in an integrated clinic environment is required, preferably with an academic institution
- Experience in HP24, RevSpring, EFR (Optmum), EMEVS, Omnipro and Viva systems
- Five years experience in the business office of an acute care facility
6
Skills For Patient Accounts Lead Resume
- Two to three years of related work experience in a medical patient accounts department
- Five years directly related experience
- All business is conducted in a manner that yields good public relations and patient satisfaction
- Working knowledge of CPT, ICD9 coding, and Correct Coding Initiatives and basic accounting
- Auditing accounts, ensuring account balances are accurate, and communicating any necessary adjustments to the AR Coordinator
- Preparing, submitting for approval, and transmitting appropriate information to the contracted collections agency on a monthly basis
- Completing reports related to PI Monitors according to the closing timeline set by the CFO
- Working knowledge of ICD9, CPT and HCPCS coding
- Retrieving HSN files, including Payment files and Referred Eligibility files from HSN INET System
7
Skills For Senior Specialist, Patient Accounts Resume
- Making the appropriate number of quality outbound calls per month according to the MS4 work list
- Monitoring the statement process to ensure timely and accurate statements are sent to patients with outstanding balances
- Understanding of clinic operations related to patient registration, referrals, & cash collections
- Understanding of insurance payer reimbursement
- Working for a FORTUNE 500 company stability-as the nation's largest independent provider of dialysis services
- Transferring charges and payments to proper accounts
- Negotiating reasonable payment arrangements with patients
- Following up on phone and in-house patient inquiries in a prompt, courteous, and comprehensive manner
- Extensive knowledge and understanding of billing procedures, regulations, and electronic filing of claims and problem solving
8
Skills For Dir, Patient Accounts Resume
- Receive award winning training, as note in Training Magazine Top 125 award-winning education
- Understands state law governing privacy, utilizing compliance protocol and refers to policy and procedure manual when dealing with specific issues
- Provides administrative support such as answering phones and scheduling and maintaining digital patient appointment book
- Assist patients with concerns and complaints regarding scheduling/billing
- Maintains expertise concerning medicare, Medicaid and insurance coverage and billing systems and practices
- Knowledge of standard problem solving, management information systems and governmental and third party payer billing information requirements
- Understands and applies insurance billing, governmental regulations and managed care requirements, as applicable, to the billing process
9
Skills For Patient Accounts Manager Resume
- Completed all required OSF revenue cycle training and certifications necessary for levels I and II; requires passing level III within one year of employment.
- Expertise in payer specific billing, coding, reimbursement and compliance guidelines
- Thorough knowledge and understanding of electronic HIPAA transactions including 837 claim files and fields as well as 835 Remit files and fields
- Understand and monitor all daily claim files utilizing Epic, Xclaim, Huron, and other reporting tools
- Ensure that all Federal, State and other third party billing, collecting and follow-up requirements and regulations are achieved
- Participate in various University and clinic audits as it relates to finance, billing, and coding
- Communicate and educate clinical care staff on billing, coding and documentation changes
- Manage and direct credentialing activities for MWU clinic providers in conjunction with the credentialing agency
- Review month-end reporting to develop, implement and monitor benchmarking/metrics for patient accounts
10
Skills For Coordinator of Patient Accounts Resume
- Receive incoming patient calls concerning claims and collections in a professional and courteous manner
- Communicate via phone or mail with patient regarding their outstanding balances
- Maintains accurate and complete records concerning collection activity on all accounts according to company procedures
- Has a working knowledge of HMO, PPO and Medicare billing
- Assists in monthly closing by assuring all appropriate information is entered into computer
- Contacts all third party payer organizations and/or patients as necessary to facilitate the timely gathering of information to ensure billing credibility
- Supervises and investigates issues relating to non-payment of client Medicare, insurance, Medicaid and private pay claims. Resolves issues
- Coaches corporate and Pharmacy personnel on proper billing and collection techniques
- Manages bad debt write-offs; Maintains expert knowledge regarding Medicare bad debt documentation requirements
List of Typical Responsibilities For a Patient Accounts Resume
1
Responsibilities For Patient Accounts Specialist Resume
- Answering inquiries from insurance companies taking whatever action is necessary to resolve with maximum concern for the patient experience
- Interprets data and reports to determine work priorities and resource allocation across multiple billing and collection tasks
- Provides information regarding work progress, actions and issues in a timely and effective manner
- Handle, and experience with, routine reconciling of high payment volumes
- Experience applying appropriate adjustments to accounts as needed
- : Revenue cycle experience working in an integrated clinic environment
- Demonstrates understanding and compliance with company processes, policies and procedures
- Adhering to timely filing requirements
2
Responsibilities For Patient Accounts Supervisor Resume
- Adding and deleting insurance as appropriate
- Maintaining patient confidentiality in accordance with state and federal law
- Working knowledge of the financial policy
- Working knowledge of methods of payment (e.g., credit cards, electronic transfers, checks)
- Working knowledge of collection/bad debt process
- Nursing home / long-term care Medicaid billing/bookkeeping
- Forwards bill to third party payers, and/or enters billing information into computerized billing system
3
Responsibilities For Patient Accounts Coordinator Resume
- Obtains necessary billing/appeal information from provider/division/electronic record/billing contact/patient to facilitate timely claim/appeal adjudication
- Work in a paperless collection system environment contacting patients regarding their balances
- Actively participating in hospital meetings, required in-service education and training, and hospital-wide performance improvement and compliance activities
- 5) Monitors and adheres to all third party billing regulations
- Assists in creation/implementation of in service training materials and presentation for team development
- Reviews and monitors work quantity and quality, recommends the allocation of resources, helping to ensure departmental goals are met or exceeded
4
Responsibilities For Manager of Patient Accounts Resume
- Maintains collection follow-up notes utilizing GE IDXETM software
- Provides supporting documentation at time of claim appeal to facilitate timely reimbursement
- Resolves billing issues if necessary
- Sorts, distributes, and responds to incoming mail from insurance carriers
- Uses support capabilities of accounts receivable billing system to obtain appropriate information and work product
5
Responsibilities For Supervisor, Patient Accounts Resume
- Uses relevant functions of various billing and patient practice management systems
- Answers patient questions, inquires and concerns regarding their accounts
- Administer the hardship program by confirming documentation submitted and log/track applications
- Ensure compliance with payer contracting agreements
- Maintain a current knowledge of all pertinent Third Party Payer rules and regulations as they apply to Inpatient billing and follow up
- Explain billing statement and methodology
6
Responsibilities For Patient Accounts Lead Resume
- Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner
- Performs follow-ups on unpaid claims by contacting intermediary or insurance carrier in order to ensure that patient is free from financial burden
- Assists in meeting departmental goals in accordance to the hospital strategic plan
- Thorough knowledge and understanding of UB04 and 1500 claim forms and data fields
- Thorough knowledge and understanding of ANSI and 5010 data standards for claim requirements/submission
- Identify problems and issues within daily bill drops and research, review, and analyze for systems reporting
- Expert knowledge of hospital billing required
7
Responsibilities For Senior Specialist, Patient Accounts Resume
- Attends meetings and seminars in order to keep informed of changes in billing regulations, collection procedures and Utilization Review guidelines
- Maintains daily performance standards as it applies to daily Medicare billing
- Work required Trac Worklists for unbilled vendor accounts and accounts for vendor referral
- Work closed and vendor listings
- Work all assigned listings from patient accounts system
- Reviews accounts through various third party websites
- Communicate and work close with inter/intra-departments
8
Responsibilities For Dir, Patient Accounts Resume
- Adapt to new systems implemented
- Attends seminars as required
- 1) Responsible for staff of assigned work area. This includes the hiring, firing and disciplining in addition to providing the annual performance appraisals as well as compliance with performance expectations
- 2) Responsible for the attendance and performance of all staff
- 4) Responsible for Inpatient and Outpatient unbilled accounts receivables. This includes the communication to various internal departments (e.g. medical records, admitting etc.)
9
Responsibilities For Patient Accounts Manager Resume
- 7) Interacts and participates with third party payers meetings (includes off site visit and preparation of account issues)
- 8) Responsible for Inpatient and Outpatient billed accounts receivables
- 9) Monitors the follow-up of all billed accounts, including the compliance with hospital collection policies, completeness of follow-up activities and accuracy of account information
- 12) Responsible for the reconciliation and application of all patient account remittance processes
- 13) Responsible for the reconciliation and application of all patient account receipts collected through B1 Cashiers
- 17) With the direction of the Manager, implements all new processes and procedures
- 18) Reviews all denials for proper procedures and corrective measures
- 19) Creates and implements daily, weekly and/or monthly reports and keeps required statistics and records for the department
- 20) Coordinates with other departments on all open outpatient visits
10
Responsibilities For Coordinator of Patient Accounts Resume
- 21) Responsible for the referral of self-pay accounts to collection agencies
- 24) Implements realistic goals for their area. (e.g. $’s billed, $’s received, lags, AR days, etc.)
- 25) Attends workshops and seminars as required
- 26) Ensures timely completion of required reports, assignments and projects
- Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager Assist in updating policies and procedures as necessary
- Process adjustments as necessary (ie; contractual, good faith, settlement, etc.)
- Develops and implements processes, procedures and controls to identify and address discrepancies associated with third party payments received
- Compiles and organizes statistical data related to staff productivity and quality weekly
- Identifies and communicates both positive and negative trends to the Manager and participates in performance discussions as requested by the Manager Assist with developing and conducting training for respective applications and staff
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