Patient Accounts Representative Resume Sample
Kaitlin Jones
89967 Nolan Junctions,
Chicago,
IL
+1 (555) 204 8218
Work Experience
Patient Accounts Representative, Senior
11/2016
-
PRESENT
New York, NY
- ) experience in registration or professional billing required
- ) experience in customer service or healthcare setting required
- Utilizes the Coding department resources and knowledge to update diagnosis ICD and CPT codes to accurately reflect services and medical rationale
- Submits credit card documentation to Cash Applications team for processing daily
- Counsels patients and others on Mass Health Plan options and eligibility and assists them in completing the required application
- Demonstrate and exemplify behavior consistent with DaVita’s core values – service excellence, integrity, team, continuous improvement, accountability, fulfillment, fun
- 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
- Exercise knowledge of payer regulatory and compliance
- Responsible for account reconciliation
Patient Accounts Representative
05/2010
-
08/2016
Boston, MA
- Responsible for patient billing
- Greet and direct patients and visitors
- Perform cashiering, billing, refunds to patient and third parties, payment plans, insurance coding and collections
- Works assigned Paperless Collection System (PCS) work file by initiating follow up activity on accounts with third party payers
- Timely resolution and collection of assigned account balances utilizing Patient Accounting software
- Timely submission/transmission of claims and verification of claim acceptance where appropriate for assigned account balances
- Completion of daily payment activity reports for assigned account balances
- Identification and recognition of reoccurring problems or issue for assigned account balances that delay or impact reimbursement
- Interacts effectively with management/peers/internal parties/and external parties to resolve a diverse range of problems encountered in the life cycle of a claim
Patient Accounts Representative, Senior
11/2007
-
12/2009
Houston, TX
- Performs general accounting transactions via completion of adjustment forms, charge correction forms, and payment transfer forms
- Updates and maintains denial reports and flags in accordance with departmental requirements
- Recordation of complete and meaningful account documentation
- Reviews and processes correspondence requests for assigned account balances
- After determining that all insurance has been processed and paid appropriately, changes the financial class to patient liability
- Maintains high standards of professional conduct at all times
- Demonstrates competency and a thorough understanding of EPIC. Navigate patient accounts utilizing EPIC functionality to effectively resolve items in Work Queues as well as manually enter patient registration information
- Place outbound calls to resolve patient registration issues to patients and/or third party payers. Provide cordial, courteous and high quality service when speaking with patients and/or third party payers
- Effectively handle and resolve complex registration and insurance issues. Utilize registration, customer service and billing experience to efficiently and effectively determine the correct course of action on each account. Problem solve difficult registration situations such as coordination of benefits, troubleshooting self-pay and new born registrations
Education
Herzing University - Atlanta
2003 - 2007
School's Degree in Healthcare
Professional Skills
- Demonstrated oral and written communication skills required
- Experience: Two years general office experience utilizing organizational and planning
- Experience: Required: Three years of directly relevant experience
- Billing and collections experience in a healthcare environment
- Experience in a medical office, billing, accounting, insurance or customer service setting
- Previous experience with healthcare billing, coding, and associated billing systems
- Previous experience working within a high volume Doctor's Office or Hospital setting
How to write Patient Accounts Representative Resume
Patient Accounts Representative role is responsible for basic, typing, training, mainframe, finance, credit, security, reporting, research, insurance.
To write great resume for patient accounts representative job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Accounts Representative Resume
The section contact information is important in your patient accounts representative 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 Representative Resume
The section work experience is an essential part of your patient accounts representative 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 representative 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 representative position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Accounts Representative resume experience can include:
- Manage assigned EPIC work queues, ensure accuracy of registration data including health insurance and patient demographics, navigate payer and/or other websites for eligibility verification when necessary and initiate appropriate billing when necessary
- Follow established regulations and procedures in collection, recording, storage and handling of information. Protect and preserve confidentiality and integrity of patients, employees and the hospital. Comply with hospital HIPAA confidentiality policy
- Communicate clearly and concisely both orally and in writing. Participate in continuous quality improvement efforts on an ongoing basis. Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues
- Demonstrates competency in communication skills
- Demonstrates knowledge of appropriate procedures for managing monthly accounts receivables, payables, and posting of payments
- Demonstrates proficiency in implementation of monthly billing cycle
Education on a Patient Accounts Representative Resume
Make sure to make education a priority on your patient accounts representative 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 representative 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 Representative Resume
When listing skills on your patient accounts representative 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 representative skills:
- For billing or collections positions, one year of collections or billing experience is required
- 24 months experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other), and General Office, or Computer Data Entry
- Experience with Vision & Dental billing and collections
- Previous experience in a high volume Doctor's Office or Hospital setting
- Vision & Dental billing and collections experience
- AR experience in a healthcare setting
List of Typical Experience For a Patient Accounts Representative Resume
1
Experience For Patient Accounts Representative, Senior Resume
- Demonstrates knowledge of basic hospice Medicare, Medi-Cal, Partnership and commercial insurance
- Manage and prioritize work flow
- Responsible for maintaining all policy and procedures
- Participates in unit progress meeting
- Enforces safety policies and procedures by staff and volunteers
2
Experience For Bwpo Patient Accounts Representative Resume
- Process credit balances from EOB copies to determine refund
- Process credit invoices through workfiles
- Reviews credit report monthly to ensure all credits have been reviewed
- Contacts insurance carriers and requests EOB’s as necessary
- Copies of guarantor, Medicare, and Medicaid credits for each emergency, and clinic group
- Completion of the unapplied log sheet and attaches copies of the EOB's for each unapplied payment
- Completion of the Offset log sheet with attached copies of the EOBs for review
- Completion of the deposit batch logs
3
Experience For Patient Accounts Representative Resume
- Maintains daily batch log of all posted batches
- Receives, processes and respond to patient initiated charge, payment, and claims inquiries
- Assist third party payers with general account inquiries
- Serves as a liaison between Baylor PBS and clinic personnel
- Documents inquiry activity in financial comments
- Works daily rejection reports
- Initiates and tracks medical records request for the entire team
4
Experience For Patient Accounts Representative, Senior Resume
- Updates patient demographic and insurance information
- Order itemized statements and insurance claims
- Prepares documentation for adjustments and write offs
- Responsible for the submission of claims to assigned payers, either electronically or on paper on the day the claim becomes eligible for billing. This includes the confirmation that electronic claim files are received by the
- Works remittance advices and reviews claims that have rejected or denied and determines the corrective course of action based on the rejection/denial within 3 days of receipt
- Downloads the electronic payment files and insures that all cash posting rejects are posted to the patient account in a timely manner
5
Experience For Bwpo Patient Accounts Representative Resume
- Transmits claims electronically and/or via paper to our third party payers on a daily basis
- Clearly communicate with patients and insurance companies
- Resolve insurance denials with applicable resources
- Follows all regulatory policies and procedures, privacy and security standards in accordance with government agencies to include HIPPA requirements
- Knowledge of or familiarity with: NT Windows IDX Registration/BAR, PCS, TES TDH Connect Medicare & Texas Medicaid Rules and Regulations Managed Care Contractual Agreements Third Party Payers Protocols Medical Records Confidentiality Standards
- Knowledge of: Texas Children’s Hospital Inquiry System Methodist Hospital Inquiry System Harris County Hospital District Inquiry System Harris County Hospital District Inquiry System
- Knowledge of Anesthesia follow-up
6
Experience For Patient Accounts Representative Resume
- Knowledge of transplant follow-up
- Knowledge of or familiarity with: Managed Care Contractual Agreements, Third Party Payers Protocols and Medical Records Confidentiality Standards
- In a hospital, clinic, doctor?s office, or insurance company
List of Typical Skills For a Patient Accounts Representative Resume
1
Skills For Patient Accounts Representative, Senior Resume
- Experience with Medicare billing and documentation requirements with Medicare resources
- Strong knowledge of Patient Accounting systems
- Previous Banking and/or Finance experience
- Experience medical insurance billing
- One or more years of experience working directly with Medicare Part A and Part B on Medicare on line system (FSS)
- Experience in hospital/physician office, patient accounts or related setting required
- Physician office billing experience required
- Previous experience with high-volume Hospital-system Collections
- Experience as a direct point of contact for customers in a call-center environment, or large organization handling general questions and complaints
2
Skills For Bwpo Patient Accounts Representative Resume
- Familiarity with ICD-10 coding and medical billing offices practices
- One (1) year in a medical setting required
- Knowledge of medical terminology- familiarity with medical record coding and Medical Groupings (CPT, DRG, ASC, APG, APC, ICD-9)
- Knowledge of Current Procedural Terminology (CPT) and ICD-9 coding
- Knowledge of Medicare and payment systems and reporting requirements
- Clerical testing is required
- Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website
- Assists with inquiries from outside parties regarding account status
3
Skills For Patient Accounts Representative Resume
- Resolves all denials, and requests for information, including appeals
- Follows up on outstanding accounts and makes proper notations in EPIC system
- Patient Account or Coding certification
- Accurate typing at 30 WPM
- Responds promptly and accurately to customers' complaints, inquiries, and requests for information and coordinates appropriate follow-up
- Knowledge of MS Office and IDX system
- Handle confidential information with accordance to HIPAA standards
- Knowledge of insurance follow-up and collection practices
4
Skills For Patient Accounts Representative, Senior Resume
- Knowledge of Medical insurance AR follow-up and collection practices
- Knowledge of insuerance follow-up and collection practices
- Collect money in a professional and empathetic manner
- Read a variety of books, magazines, instructions, atlases and encyclopedias. Ability to prepare and/or edit memoranda, reports and essays using proper format, punctuation, spelling and grammar. Ability to communicate distinctly with correct pronunciation and using all tenses
- Add, subtract, multiply, and divide all units of measure; to perform the four operations with like or common decimal fractions; to compute ratio, rate, and percent; and to perform arithmetic operations involving all American monetary units
5
Skills For Bwpo Patient Accounts Representative Resume
- 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
- Consistently follows department policies and guidelines in obtaining, reviewing and settling delinquent information
- Knowledgeable of all payers and billing/payment practices
- Knowledgeable of collections procedures and schedules
- Receives all over-the-counter and mailed payments
- Reviews explanation of benefits and applies contractual adjustment accordingly
6
Skills For Patient Accounts Representative Resume
- Prepares daily cash reports
- Consistently reviews all information received daily from the Intake Department with regards to insurance, demographics and payment arrangement information
- Consistently reviews any delinquent insurance information and reports to the Business Office Manager any self-pay accounts in the house as a result of no insurance
- Consistently contacts all third party payers and other appropriate persons, such as patients themselves, to obtain additional information or clarification regarding patient insurance information
- Experience in Self-pay follow up
7
Skills For Patient Accounts Representative, Senior Resume
- Strong work ethic, independent worker
- Interpret and work from computer reports and spreadsheets
- Knowledge of MS Office and EPIC system
- Knowledge of Epic system
- 10 key requirement of at least 8,000kph
- Knowledge of government payer guidelines
8
Skills For Bwpo Patient Accounts Representative Resume
- Mature professional and team player
- Proficiency with Microsoft Office products (Excel, Outlook and Word)
- Continued Self Improvement courses & seminars related to position
- Reviews invoices to verify payments and contractual adjustments
- Detail oriented with a focus on exceptional customer service
- Review, correction and completion of edit queues weekly for the insurance(s) assigned
- Knowledge of or familiarity with NT Windows Epic Registration/BAR, PCS, TES TDH Connect, Medicare & Texas Medicaid Rules and Regulations Managed Care Contractual Agreements and Third Party Payers Protocols Medical Records Confidentiality Standards
9
Skills For Patient Accounts Representative Resume
- Knowledge of Texas Children’s Hospital Inquiry System Methodist Hospital Inquiry System Harris County Hospital District Inquiry System Patient Account or Coding certification
- At least one year experience in healthcare billing or in a role working with health care insurance
- Experience with third party billing
- Demonstrates sound understanding of a commitment to the hospice philosophy of team and care
- Billing experience required
- Three years of directly relevant experience
- Assembles appropriate documentation to validate refunds and forward for mailings
- Answers incoming patient, clinic, and third party payers calls, including maintaining daily patient log
- Collects and enters all data from staff service logs where applicable, and aintains billing filing system
10
Skills For Patient Accounts Representative, Senior Resume
- Documents account immediately after receiving correspondence, a telephone call or speaking with a patient in person
- Knowledge of third party billing
- Prepares monthly and yearly billing reports in a timely manner
- Reports any consistent errors identified that affect invoices from being processed correctly
- The posting of all groups lockbox receipts in IDX
- The posting of all groups payments to the individual invoices in Post Receipts
- The posting of all rejections listed on payment EOBs
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