Patient Account Representative Resume Samples
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Patient Account Representative Resume Samples
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JD
J Daugherty
Juvenal
Daugherty
947 Lazaro Coves
Los Angeles
CA
+1 (555) 313 9135
947 Lazaro Coves
Los Angeles
CA
Phone
p
+1 (555) 313 9135
Experience
Experience
Dallas, TX
Patient Account Representative
Dallas, TX
Schneider Group
Dallas, TX
Patient Account Representative
- Creates and maintains a high-quality work environment so team members are motivated to perform at their highest level
- Provides input to the Patient Financial Services Manager for annual performance reviews for the team
- Post payments, rejections and adjustments from patient statements, managed care, commercial carriers and government payers
- Perform all responsibilities in compliance with company policies and procedures; ensuring timely and complete documentation of activities performed
- Timely follow-up on all accounts assigned, work accounts as established procedures until account is resolved, sent to legal, or disputed
- Organize and prioritize work to make sure projects are completed in a timely and efficient manner
- Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed
San Francisco, CA
Lead Patient Account Representative
San Francisco, CA
Kemmer LLC
San Francisco, CA
Lead Patient Account Representative
- Assist in special projects assigned by management
- Provide assistance, coaching and training to staff members, including new hires
- Provide enhanced training and assist staff with techniques to increase production, quality and collections
- Provides information and facilitates communication with and between interdisciplinary healthcare providers, employer groups, and patients
- Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary
- Participate and attend meetings, training seminars and in-services to develop job knowledge
- Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory
present
Los Angeles, CA
Senior Patient Account Representative
Los Angeles, CA
Cartwright and Sons
present
Los Angeles, CA
Senior Patient Account Representative
present
- Participate in the new hire peer interviewing process. Assist in special projects assigned by management
- Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions
- Attend various conference calls, webinars or advanced training to provide assistance to the team members
- Respond timely to emails and telephone messages from the staff, management and the client
- Identify issues or trending and provide suggestions for resolution
- Communicate issues to management, including payer, system or escalated account issues
- Proactively identify issues or trending and provide suggestions for resolution
Education
Education
Bachelor’s Degree in Independence
Bachelor’s Degree in Independence
Kennesaw State University
Bachelor’s Degree in Independence
Skills
Skills
- Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard
- Basic Knowledge of UB-92 and Explanation of Benefits (EOB) interpretation
- Detail oriented with great analytical and organizational skills
- Good interpersonal skills with the ability to work cohesively within a team environment
- Detail oriented with good analytical and organizational skills
- Basic Microsoft Excel and Word knowledge
- Knowledge of basic office equipment including copier, fax machine, and computer
- Accounts Receivable knowledge
- Basic knowledge of FDCPA
- Great computer skills with demonstrated proficiency in word processing, spreadsheet and email applications
15 Patient Account Representative resume templates
Read our complete resume writing guides
1
Patient Account Representative Resume Examples & Samples
- 1+ year of experience in Commercial Insurance collections, including submitting and following up on claims
- Experience in Hospital/Facility billing
- Strong communication skills/oral and written
2
Bwpo Senior Patient Account Representative Resume Examples & Samples
- Bachelors degree preferred, not required
- Minimum of three years experience in a professional billing environment required
- Thorough knowledge of third party reimbursements required
- EPIC and Payer Website knowledge preferred
- Ability to function independently and prioritize work
- Ability to handle sensitive confidential information and data
- Excellent knowledge of word processing and spreadsheet software
3
Patient Account Representative Resume Examples & Samples
- Verifies all inpatient insurance coverage, contacts agency representative by telephone or letter to verify coverage and obtain information regarding extent of eligibility and benefits
- Answers patients' questions regarding statements and agency coverage
- Edits reports in appropriate systems for billing; operates MHIMS to verify benefits, Medicare common working file (CWF) and other applicable insurance websites for billing, eligibility and benefit information. Collects and prepares needed information for standard insurance forms (UB and 1500). Submits bills to financing agency for covered expenses
- Verifies payments from insurance carriers, bills secondary and tertiary insurances accordingly
- Moves money to patient responsibility timely for timely statements to patients for remainder of charges not covered by insurance carriers
- Research and resolve Insurance denials
- Verifies and investigates delays in replying to statements from insurance carriers. Accepts responsibility for ownership of compliance with our Hospital A/R Goals
- Prepares and writes appeals for claims as necessary
- Documents results of mail and telephone contact on system
- Refers hospital accounts to collection when account is delinquent or when unable to contact responsible party
- Prepares and mails correspondence
- Substitutes as cashier when needed
- Projects a positive image for our patients and staff
- Coding ICD or CPT
4
Patient Account Representative Resume Examples & Samples
- High School Diploma with higher education preferred
- Minimum of 2 years of healthcare billing experience required
- Must be able to operate a PC in a Windows environment
- Ability to type or keyboard 45 wpm preferred
- Must have ability to operate a calculator proficiently
- Familiarity with CPT and ICD coding systems desired
- Medical terminology is desirable
- Candidate must have very strong communications and interpersonal skills and good telephone personality
- Must like working with people and be able to work effectively in a fast-paced environment
- Must be willing to learn, interpret and apply new skills and accept direction from other team members as needed
- Ability to organize information and manage time efficiently is essential
- Must be able to work independently in a fast-paced environment
- The ability to read and interpret technical bulletins and software documentation is required
- The ability to analyze problems, collect data, establish facts and draw valid conclusions along with the ability to understand and interpret technical concepts is required
5
Patient Account Representative Resume Examples & Samples
- Contact insurance carriers through website, email or telephone to resolve outstanding accounts
- Assist in employee training and mentorship
- Previous experience in Physician Office healthcare Collections preferred, willing to consider hospital collections exp
- Flexibility, adaptability and accountability are necessary for optimum client results
6
Senior Patient Account Representative Resume Examples & Samples
- Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites and filing appeals. Effectively resolves complex or aged inventory, including payment research and payment recoups with minimal or no assistance necessary. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory
- Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor. Respond timely to emails and telephone messages as appropriate. Identify and communicate issues to management, including payer, system or escalated account issues as well as assist in the development of solutions. Assist with special projects assigned by management as needed. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team or team members that may be absent or backlogged
- 2-5 years’ experience in Medical/Hospital Insurance related collections
7
Patient Account Representative Resume Examples & Samples
- Perform collections activity based on collection queue/production goals by making outbound and receiving inbound telephone calls from patients who owe medical bills
- Maintain a working knowledge of client policies and procedures
- Escalate patient complaint calls as necessary to appropriate leadership for resolution
- Achievement of daily/weekly/monthly collection fee goals
- Strict adherence to HIPAA, HiTech and all state and federal regulations relating to account collections and patient privacy
8
Patient Account Representative Resume Examples & Samples
- Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements
- Intermediate knowledge of hospital billing form requirements (UB-04)
- Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology
- Intermediate Microsoft Office (Word, Excel) skills
- Advanced business letter writing skills to include correct use of grammar and punctuation
- High School Diploma or equivalent, some college coursework preferred
- 3 - 5 years’ experience in a hospital business environment performing billing and/or collections
- Call Center environment with multiple workstations in close proximity
9
Patient Account Representative Resume Examples & Samples
- Review patient accounts for submission to third party agencies and interact appropriately with third party collection agencies
- Process and correct returned mail and returned checks. Process bankrupt patients appropriately
- Other additional responsibilities as needed
- Skilled in researching insurance requirements to facilitate claim payment
10
Senior Senior Patient Account Representative Resume Examples & Samples
- Must be able to work with interruption by co-workers or other internal customers needing assistance with
- Demonstrate proficiency in data entry and keyboarding skills
- Ability to identify complex problems and review related information to develop and evaluate options and
11
Bwpo Patient Account Representative Resume Examples & Samples
- This position will review, correct, and complete weekly edit lists for both Orthopedics as assigned
- Special projects will be required occasionally
- Management, follow up and resolution of credit balances, adjustments and write offs within assigned accounts receivable
- The representative will perform other duties that may be assigned
- Knowledge of Commercial and HMO/PPO/POS carriers preferred
- Must possess ability to function independently with broad scope of established procedures, policies, and goals. Refer specific problems to superior when clarification of policies is required
- The representative is expected to respect his or her co-workers, management and must possess good interpersonal skills and be willing to work as part of a team
- Good PC and keyboarding skills are required
12
Patient Account Representative Biller Resume Examples & Samples
- Responsible for timely follow-up on Accounts and for accurate review of contractuals on a timely basis
- Responsible for billing all patient claims in a timely manner
- Responsible for evaluating bill cycles and changing/updating when necessary
- Responsible for entering all communications regarding patients in the computer system
- Responsible for recommending Bad Debt timely
- Responsible for responding to all patient and insurance inquiries in a timely manner
- Responsible for excel spreadsheet implementation of all patients
- Filing all paperwork in patient files
- Assists business office manager when needed
- Must be able to communicate with sensitivity to growth, development and cultural issues
- Comply with all administrative, clinical and human resources policies and procedures
- All other job duties as assigned
- One year experience in insurance claims submission and basic audit skills
- One year experience in insurance claim billing for Medicare/Medicaid
- Prior billing experience in a hospital setting preferred
13
Patient Account Representative Resume Examples & Samples
- Next Day Appointments
- 1+ years of Medical Patient Account experience
- Type 45wpm
- 10-key
- Ability to read and understand eob's
- Microsoft Word / Excel
- MUST be able to multi-task
14
Patient Account Representative Resume Examples & Samples
- Three years of medical billing and/or collections experience is required
- Strong preference for at least one year of experience in a medical office supporting Internal Medicine
- Comprehensive knowledge of insurance is required
15
Patient Account Representative Resume Examples & Samples
- Higher education preferred
- One to two years previous collections experience preferred
- Customer service experience in the healthcare field a plus
- Keyboard 45 wpm preferred
- Proficient with Microsoft Word, Excel, and Outlook required
- Familiarity with CPT and ICD coding systems desirable
- Familiarity with Siemens Invision a plus
- Ability to operate a calculator proficiently
- Ability to work closely with people effectively in a fast-paced environment
- Able to adhere to Self-Pay Collector priority matrix
- Ability to maintain required level of work quality and productivity standards
- Able to work independently and set priorities with minimal supervision
- Must understand and adhere to HIPAA and Patient Confidentiality requirements
16
Patient Account Representative Resume Examples & Samples
- Previous customer service in a healthcare setting or in financial assistance programs preferred
- Healthcare billing experience would be a plus, but will provide training to qualified applicant
- Ability to type or keyboard 45 wpm preferred. Must have ability to operate a calculator
- Familiarity with CPT and ICD coding systems and medical terminology is desirable
- Candidate must have strong communications and interpersonal skills and good telephone personality
- Must be willing to learn, interpret and apply new skills and work cooperatively with other team members as needed
17
Patient Account Representative Resume Examples & Samples
- Review and documentation for each admission. Review includes (a) documentation of verification of insurance benefits and pre-cert (b) appropriate paperwork signed by legally responsible person on required forms (c) patient demographics, address, phones, insurance etc. is complete. Documentation is entered into the specific patient account in MS4
- Financial Counseling with each patient that has a potential patient balance. UHS required forms are completed and given to BOD. Credit Reports are pulled, noted, and placed in the financial folder
- UHS Up Front Collection Tool is completed daily based on discharged patients
- Insurance and patient follow-up list is worked daily
- Review and correction as appropriate for any auto. contractual adjustments based on contracts and the remittances as they are received daily
- Follow up with the insurance companies daily for any accounts that are not paid according to contract or verification
- Individualized letters to the patient concerning any remaining balance as soon as insurance remit is processed
- Placement of accounts for agency collection as appropriate
- Monthly Reports to include patient days, logged days, unbilled reports etc
- Verification of Medicare and Medicaid Eligibility
- Documentation into the MS4 Patient Accounting System
- Scanning into MIDAS individual account EOB's, Pre-Cert Letters, return mail and any other account related correspondence
- Documentation into Excel Spreadsheets for tracking of essential information
- Filing (current and paid out accounts)
18
Patient Account Representative Resume Examples & Samples
- Exceptional customer service skills including effective and efficient problem solving and analyzing skills
- Professional and calming tone of voice with complete command of the English language free of use of inappropriate grammar
- Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact
- Ability to perform essential job functions with high degree of independence, flexibility, and creative problem solving techniques
- Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found
- Ability to function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities
- Ability to interpret and apply reimbursement aspects of managed healthcare contracts
- Attentive listening skills
- Ability to clearly articulate a response to the customer using appropriate voice modulation
- High school education or the equivalent
- 1 – 2 years prior experience in an inbound call center and/or customer service environment; hospital patient account billing with experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus
- Ability to sit at a computer terminal for extended periods of time
- Call Center environment with headset and multiple work stations within close proximity
- Hospital Environment may include direct patient interaction
19
Patient Account Representative Resume Examples & Samples
- High school graduate or equivalent with one-year experience
- 3 yrs working in a physician/hospital setting
- Formal training in CPT or ICD9 coding
- Experience with current practice management/hospital related billing software
- Keyboarding – 35 w.p.m
- Proficiency with adding machines
- Excellent research, organizational, analytical and follow through skills
20
Patient Account Representative Resume Examples & Samples
- Outbound and inbound medical billing inquiries and customer service
- Obtains proper information from insurance company/ patients to submit claims for insurance processing
- Run insurance retro eligibility to update patient’s claims for insurance processing
- Answer questions from the patient regarding insurance coverage and statements
- Timely follow-up on all accounts assigned, work accounts as established procedures until account is resolved, sent to legal, or disputed
- Responsible for maintaining inventory on desks with no backlog
- Ensures proper account documentation which is clear, concise and includes all pertinent information
- Contact patient on self-pay and balance after insurance is establish satisfactory payment arrangements
- Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions
- Makes appropriate and necessary corrections to patient account information as needed to ensure timely payment
- Maintains or exceeds 95% of established productivity goals and quality standards
- Utilizes company software in all account follow-up activities and promotes working toward paperless environment
- Ensures professional verbal and written communication with facilities, clients and co-worker following established guidelines. Obtains management approval when necessary to communicate with external clients about internal processes and procedures
- Follows and maintains patient, account and client confidentiality at all times. Adheres to HIPAA and Compliance Policy Guidelines
- Follows time-keeping and attendance policy daily
- Provides leadership to others through example and sharing of knowledge and skill
- Complies with all company policies and procedures, including the corporate compliance program
21
Patient Account Representative Resume Examples & Samples
- Contacts customers through a variety of methods (e-mail, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
- Obtains agreement, after discussion with customer, on potential balance payoff and/or payment terms within stated level of authority and guideline limits
- Performs research and documents on various computer systems customer information regarding current status, payment expectations, notes of conversations and other relevant information
- Prepares and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
- May in some instances transfer settlement of account and related information to external collection agencies and remains in contact with them regarding further payment activity
- The position is physically in California. Candidate should possess at least 2-3 years experience in Billing and Collections
22
Patient Account Representative Resume Examples & Samples
- Post payments, rejections and adjustments from patient statements, managed care, commercial carriers and government payers
- File secondary insurance when a voucher states that a patient has secondary insurance
- Research accounts when payment is inconsistent with the standard payment or when clarification of payment is needed
- Maintain a personal work schedule that allows him/her to be at work regularly and dependably
- Complete tasks accurately, maintaining quality and productivity standards
- Report problems and issues to the assigned manager
- Other duties as assigned by the manager
23
Patient Account Representative Resume Examples & Samples
- High School Degree or GED preferred
- Preferred 2 years previous business office billing and collection experience
- Knowledge of UB, 1500 claim forms, CPT codes, HCPC codes and ICD-9 codes
- Strong third party payor knowledge
- Working knowledge of Excel
24
Patient Account Representative Resume Examples & Samples
- Effective verbal and interpersonal skills
- Essential computer skills on a PC or Mac
- Basic Knowledge of UB-92 and Explanation of Benefits (EOB) interpretation
- Ability to work successfully in a fast paced environment
- Office Work Environment
25
Patient Account Representative Resume Examples & Samples
- Using Excel macros incumbent is responsible for pulling, copying, batching & scanning patient medical records and charge tickets to aid other staff and departments in completing billing functions
- Reconcile clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting appropriate personnel
- Implement, maintain and run macros for charge capture. Review to ensure results are correct
- Responsible for updating and implementing procedures, processes and strategies to ensure timely and accurate capture of charge information
- Utilize coding and billing knowledge, review trends, to accurately key charges into Epic Billing System
- Research inquiries from internal and external customers regarding charge capture questions within established time frames
- Escalate trends and issues to appropriate supervisor/manager to identify and prevent billing errors
- Overtime may be required
26
Patient Account Representative Resume Examples & Samples
- Research and review outstanding account receivables
- Review, update and correct patient information using various applications
- Follow-up (in-bound and out-bound phone calls, e-mail, regular mail) with insurance companies/patients regarding claim/payment status through our practice management system and reporting tools
- Research and obtain necessary documentation for insurance companies to process outstanding claims
- Organize and prioritize work to make sure projects are completed in a timely and efficient manner
- Identify trends and issues; summarize results and escalate to supervisor
27
Patient Account Representative Resume Examples & Samples
- Effective telephone techniques and listening skills required
- Working knowledge of insurance terms, reimbursement procedures, medical terminology and hospital services, rates and policies relating to collection activities required
- Must be able to perform assignments with minimal supervision
- Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations
- Must be able to work successfully under highly stressful conditions
- Must be able to make sound, independent judgments based on scientific and/or ethical principles
- Must be able to comprehend and perform oral and written instructions and procedures
- Must be able to collaborate with other multidisciplinary team members in an appropriate fashion
- Must be capable of adapting to varying workloads an work assignments on a constant basis
- Must have effective comprehensive reading skills, strong communication skills, written and verbal
28
Senior Patient Account Representative Collections Resume Examples & Samples
- Under limited supervision, identify and resolve complex claims and discrepancies
- Generate and analyze diverse reports and work lists in the identification and resolution of complex patient account issue
- Review and resolve outstanding payments from past due accounts
- Perform administrative functions in adherence to company policies and procedures; ensuring timely and complete documentation of activities performed
- May serve as a point of contact for customers and/or vendors in response to general inquiries and unresolved issues
- May escalate issues to supervisor for resolution, as deemed necessary
29
Patient Account Representative Resume Examples & Samples
- Under general supervision, identify and resolve routine outstanding claims
- Assist in the resolution of outstanding payments from past due accounts
- Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data
- Perform all responsibilities in compliance with company policies and procedures; ensuring timely and complete documentation of activities performed
- May serve as a point of contact for customers and/or external vendors in response to inquiries and unresolved issues
- May mentor other staff as applicable
- General computer skills with working knowledge of word processing, spreadsheet, and email applications
- Good interpersonal skills with the ability to work cohesively within a team environment
- Excellent oral and written communication skills to effectively communicate with customers and all levels of management
30
Patient Account Representative Verifications Resume Examples & Samples
- Verify and reports general patient information in the facilitation billing and collections activities
- Under general supervision, analyze and resolve benefits and insurance information; ensuring reconciliation of data within company-defined deadlines, and in compliance with company policies and procedures
- Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues
- Act as a liaison by working with cross-divisional teams in the identification and resolution of outstanding issues
- Good computer skills with working knowledge of word processing, spreadsheet and email applications
- Possess a positive, enthusiastic and energetic attitude
- Excellent oral and written communication skills to effectively communicate with all levels of management
31
Senior Patient Account Representative Collections Resume Examples & Samples
- 2 – 4 years’ related experience; or an Associate’s or Bachelor’s degree without experience
- General computer skills with working knowledge in word processing, spreadsheet, and email applications
- Detail oriented with good analytical and organizational skills
32
Patient Account Representative Resume Examples & Samples
- Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment
- Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle
- Provide excellent customer service to market personnel, insurance carrier representatives and patients
- Document all follow-up efforts in practice management system
- Assists with patient education concerning insurance plan
- Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control
- Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice
- Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies
- Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing
- High school diploma or equivalent; college course work a plus
- Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch
- Effective oral and written communication skills
33
Patient Account Representative Resume Examples & Samples
- Excellent communication skills, accounting knowledge and ability to type 40 wpm
- Excellent computer skills, ability to use the 10-key by touch and be detail oriented
- Must be flexible and can move easily from one task to another
- Must meet performance requirements while working under pressure in a fast paced environment
- Meets qualifications for Notary Public for the State of Missouri
34
Lead Patient Account Representative Resume Examples & Samples
- Responsible for primary oversight of billing and patient accounts functions such as processing, denials and follow up on accounts
- Oversees write-offs, work orders, insurance processing and verification, patient chart maintenance, accuracy of billing, payment processing
- Researches incomplete, incorrect, or outstanding claims and submits claims with knowledge of all insurance plans and contractual arrangements affecting payments
- Investigates and resolves claims submission problems with insurance payers and reviews new and existing insurance claims processing information
- Works to resolve billing/insurance issues and ensure compliance with departmental financial policies
- Provides information and facilitates communication with and between interdisciplinary healthcare providers, employer groups, and patients
- Develops and implements overall cost effective staffing plans, schedules staff and confirms time records
- Interviews, orients, trains, counsels, mentors, disciplines and evaluates staff
- Provides leadership and direction in resolving operational issues
- Monitors and evaluates key processes in order to identify opportunities for improvement
- Addresses customer complaints and ensures that follow-up action is taken and documented
- BS degree or High School Diploma or equivalent with minimum of 5 years of supervisory experience in a health services group or physician office, required
- Minimum of three years’ experience with billing, insurance claims processing, and ICD-9 coding, required
- Ability to communicate effectively and diplomatically within a multi-functional team, required
- Strong organizational skills and attention to detail, required
- Ability to successfully function in a fast paced, service oriented environment, requireed
- Experience in understanding and usage of computers, including the Microsoft Office Suite and preferably knowledge of billing/collections software, as well as the ability to learn applications relevant to the position, required
35
Patient Account Representative Resume Examples & Samples
- Associate’s degree is preferred
- Two to four years of experience is preferred
- Our ideal candidate is also bilingual (English/Spanish)
- One year of related experience
- Proficiency with Microsoft Office software
- Strong communication and customer service skills are essential to success
36
Patient Account Representative Resume Examples & Samples
- Participates in establishing priorities for specific departmental functions and activities. Assigns responsibilities, monitors and schedules daily workflow of the department to achieve team goals
- Establishes work procedures and processes that support organizational and departmental standards, procedures and strategic initiatives. Provides continual evaluation of processes and procedures, identifying system and workflow improvements to enhance the team's efficiency
- Coordinates registration and other account maintenance required for research billing, grant and other special programs
- Performs duties of the department as needed to ensure timely and efficient completion of departmental tasks and responsibilities
- Provides escalated customer service to patients and practice staff related to patient billing inquiries received through the third party billing partner and/or front office staff
- Creates and monitors a variety of daily, weekly and monthly reports to ensure appropriate account resolution in adherence with departmental policies, procedures, initiatives and goals
- Assists Manager in the development of educational/training materials related to the department’s functions. Provides training to the team and front office staff as needed; monitors participation to ensure the training they are providing is being put into use; evaluates need for additional training
- Monitors and analyzes all projects assigned to staff for accuracy and timely completion
- Creates and maintains a high-quality work environment so team members are motivated to perform at their highest level
- Works as a member/leader of special or ongoing projects that are important to area/process improvement
- Uses appropriate judgment in upward communication regarding department or employee concerns
- Demonstrates knowledge of the revenue cycle overall and the specific responsibilities of the Patient Account Services department and its roles and responsibilities in the billing process
- Provides input to the Patient Financial Services Manager for annual performance reviews for the team
- Maintains appropriate documents, reports and files in order to comply with all applicable laws and policies
- Participates in professional development activities to keep current with industry trends
- High school diploma or equivalent with 1-3 years relevant medical office billing and collection experience
- Demonstrated analytic skills required to audit an account
- High level of competency with computers, the Internet, and computer software such as MS Office or equivalent is required
- Considerable knowledge of medical office operations, professional fee billing, reimbursement and third party payers regulation and medical terminology is required
- Working knowledge of regulatory requirements pertaining to collection activities
- Ability to organize and prioritize workload to manage multiple tasks and meet deadlines
- Excellent verbal, written, organizational, and interpersonal skills are required
- The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required
37
Patient Account Representative Resume Examples & Samples
- Ability to read, comprehend and demonstrate courteous and effective oral and written communication with patients, visitors, physicians, staff, and peers
- Demonstrate legible handwriting skills
- Ability to count money and balance ledger sheet
38
Patient Account Representative Resume Examples & Samples
- Under general supervision, post electronic and manual cash receipts, adjustments and denials; ensuring reconciliation of all posted data
- Generate and analyze diverse reports and work lists in the identification and resolution of general account issues
- Prepare and distribute overpayment packages as necessary
- Great computer skills with demonstrated proficiency in word processing, spreadsheet and email applications
- Detail oriented with great analytical and organizational skills
- Good interpersonal skills to work cohesively within a team environment
- Great oral and written communication skills to effectively communicate with all levels of management
39
Patient Account Representative Resume Examples & Samples
- Ability to type 30 wpm with 70% accuracy
- Ability to 10-key by touch
- Prior payment posting experience
40
Patient Account Representative Resume Examples & Samples
- Patient registration
- Review patient admitting records and extracts relevant information
- Records patient identification and demographic information in the computerized billing system
- Contacts agency representatives to verify type and extent of coverage
- Charge entry
- Performs preliminary review of source documents to determine that sufficient data are present for processing
- Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer
- Batch charges
- Generate cash totals
- Enter charges
- Balances batches by comparing batch proofs to source documents and hash totals
- Billing
- Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas
- May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information
- Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials
- Completes processing of all inpatient and outpatient documents received on a daily basis
- Assists in resolving department problems with IDX billing
- Maintains records of charges, payments, third party charges, etc
- Collection
- Answers patient’s questions regarding statements, agency coverage, etc
- Handles correspondence regarding collection activity and records results
- Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party
- May receive patient payments and/or issue payment receipts
- Follow-up
- Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims
- May process incoming and outgoing mail
- May receive incoming telephone calls and resolve issues communicated
- Records results of mail and telephone contacts on the computer billing system
- Contacts insurance carriers regarding non-payment and/or improper payment of claims
- Reviews denials
- Interfaces with patients, physicians, and others regarding professional billing operations and funds
- As Needed
- Performs various duties as needed in order to successfully fulfill the function of the position
41
Patient Account Representative Resume Examples & Samples
- Able to use 10-key by touch with 7,000 ksp with 98% accuracy
- Able to type 45 wpm with 70% accuracy
- Medical billing knowledge
- Read EOBs (Explanations of Benefits)
42
Patient Account Representative Resume Examples & Samples
- High School Diploma or GED and 12 months experience in Medical Billing, Medical Collections, Medical Billing Systems(IDX or other) and General Office or Computer Data Entry. Will accept an equivalent combination of training and experience
- Proficient in Medical Terminology
- Data Entry skills
- Will accept an equivalent combination of training and experience
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Patient Account Representative Resume Examples & Samples
- Provide account and billing information to patients, collection/early out/ and physician billing agencies
- Adheres to facility, department, corporate, personnel and standard policies and procedures
- Attend all mandatory facility in-services and staff development activities as scheduled
- Treating everyone as a guest
- Demonstrating professionalism
- Practicing teamwork
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Patient Account Representative Resume Examples & Samples
- Answers calls arriving through call system in a timely and professional manner
- Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts
- Contacts responsible party to resolve outstanding patient account balances
- Establishes requested payment plans and monitors adherence to plans by responsible party
- Utilizes hospital billing system, payor websites and system interfaces to manage accounts in a timely and effective manner
- Sends correspondence to patient
- Provides resources and information to patients and callers
- Initiates applications for Financial Assistance as requested by patients
- Directs accounts to outside collection agencies using establish procedure when appropriate
- Contacts appropriate SCCA Departments to obtain necessary information to manage accounts
- Ability to communicate verbally, in person, on the telephone and in writing in a clear and concise manner
- Strong listening skills
- Ability to apply critical thinking and good judgment when resolving patient complaints/issues
- Interpersonal/human relations skills
- Ability to follow established processes and procedures
- Ability to maintain accuracy and pay attention to details
- Ability to interpret accounts and related documentation
- Ability to troubleshoot and thoroughly review account information
- Customer service skills strongly preferred
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Patient Account Representative Resume Examples & Samples
- Five years of patient accounting experience, with exposure to the entire Revenue Management Cycle and all payer classes
- A knowledge of billing requirements for all payer classes required
- A working knowledge of the Florida Shared System and the Direct Data Entry System is required
- The ability to correctly interpret remittance advices for all payer classes and ensure that they are correctly posted required
- A working knowledge of Generally Accepted Accounting Practices as they pertain to Patient Accounting required
- An ability to accurately investigate complaints, errors, and other operational problems and recommend the appropriate corrective action; then follow up to ensure the recommended action is being taken and is working
- Ability to organize, prioritize and adapt to a constantly changing workload required
- Excellent Customer Service skills and orientation required
- Ability to fill in at any position within the Patient Business Services Department when called upon to do so required
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Patient Account Representative Resume Examples & Samples
- Knowledge: Working knowledge of collections helpful, but not required. Capable of meeting production goals. High school diploma or equivalent
- Experience: Minimum 1 year work experience in customer service, medical billing or collections. Prefer experience providing training and feedback to less experienced associates and experience in production driven environment. Experience with standard office software products a must
- Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment
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Patient Account Representative Resume Examples & Samples
- Accurate and timely insurance and patient payment posting
- Process and posting of credit card payments
- Payment batch reconciliation
- Verifies accuracy of patient insurance and demographic information
- Investigates duplicate payments and takes appropriate action to resolve. Initiates refund requests, where necessary, in accordance with departmental procedures
- Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures
- Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends of payer behavior
- Cross trained in all phases of third party billing, follow-up, cash, credit and collections and customer service related activities
- Establishes and demonstrates competency in accounts receivable systems and associated applications
- Performs related duties as assigned and unrelated duties as requested
- High School diploma or equivalent required. Medical trade school preferred
- Two to three years related experience in healthcare strongly preferred. Minimum one (1) year hospital billing experience preferred
- Medical terminology and working knowledge of CPT codes
- Ability to interpret third party coverage and institution's charges (rates) to patient
- Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm
- Demonstrated competency operating a personal computer required
- Required to sit for long periods of time interspersed with standing, walking and bending
- Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies
- Near vision acuity is required for maintaining patient accounts and computer work
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Patient Account Representative Resume Examples & Samples
- Strong computer, telephone, customer service and communication skills
- Thorough understanding of medical claims processing and insurance company interaction are required
- Must be able to multitask and work in a fast paced environment
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Patient Account Representative Resume Examples & Samples
- Assists vendors with daily billing for services rendered by providers
- Assist in verifying insurance eligibility, obtaining insurance authorizations, or confirmation authorizations are on file, as appropriate or required
- Assigns CPT and ICD-9 codes to encounter forms as applicable under direction of physician
- Data entry of charges for provider services from charge encounter tickets
- Reviews, correct, and re-submits denied claims
- Counsels and contacts patients regarding billing questions and issues, insurance coverage, and patient responsibility through direct patient contact, mailing patient letters, and phone contact, as appropriate
- Reviews delinquent accounts and refers to UMCMG A/R analyst as appropriate
- Performs daily posting of payments
- Reconciles daily charges with appointment schedule
- Responsible for daily review of EOD reports
- Responsible for review of Claims Manager Report, and follow-up as appropriate
- Prepares and takes daily deposits to the bank, as appropriate or required
- Answers telephones, takes and relays messages, directs calls and provides general information
- Review request for refunds with UMCMG A/R Analyst and Director of Financial Operations
- Receives, sorts, and processes incoming mail
- Strives to achieve excellence of service as described in the CARE Manual
- Responds to the following UMCMG codes
- Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job
- Three (3) years business experience; including medical insurance billing required, or the equivalent combination of education and experience
- Demonstrated computer skills and excellent verbal, interpersonal, and organizational skills required
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Patient Account Representative Resume Examples & Samples
- Two years related hospital or medical collection experience is preferred
- *Billing and Collecting Medicare within a hospital environment is highly preferred
- Accounts Receivable knowledge
- Basic Medical Terminology
- Excellent communication skills
- Knowledge of Insurance Reimbursement methodologies is preferred
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Patient Account Representative Resume Examples & Samples
- Accountable for ensuring an acceptable level of outstanding accounts receivable, as defined by corporate or department key process measures based on national standards
- Access and understand necessary information via automated membership files, claims inquiry, account histories, account status screens. This includes understanding the systems adjudication process in determining how a claim has been paid
- Demonstrating working knowledge of online payor systems (e.g AccessBlue, ProviderLink, Preferred One, Choice Plus, Medipac, & HCSS) in order to view eligibility and claim information on behalf of HPMG patients
- Responsible for screening and appropriately routing misdirected patient phone calls regarding insurance benefits (i.e. copayments, deductibles, coinsurance) ,claim status (i.e. HP member services, Riverview Center, KVI, BCBS, etc.), and other inquiries not supported by Patient Accounting
- Receives, verifies, and documents patients over the phone credit card payment requests according to department procedures
- Work with appropriate department/clinic/administrative staff to resolve questions and/or issues related to billing, coding and denials
- Resolve walk-in patient/customer questions as necessary in a professional manner according to department procedures
- Documents accounts worked according to departmental procedures
- Responsible for reading, understanding, and complying with all departmental and job-specific policies and procedures within the Department
- Responsible for follow up on account by performing necessary charge void and charge entry actions resulting from inquires or incorrect billings (i.e. coding, waiver, credits)
- Re-issue claims and statements when necessary and resubmit to appropriate parties
- Act as HP wide resource for medical service fee estimates and document according to department procedures
- Responsible for knowing and understanding benefit structures provided and administered by HealthPartners, its subsidiaries, and insurance companies
- Informing management/supervisor of deficiencies and erroneous items or codes in Resolute (billing system) master files
- Patient Accounting Terminology Test
- Data entry 4000
- Three years recent experience, in a health care industry customer service/call center handling incoming and/or outgoing customer calls regarding medical billing and/or collection issues or two years recent medical billing and collection experience and one year general health care customer service experience
- Knowledge of insurance terminology, medical coding systems (ICD9 & CPT) and third-party billing and reimbursement procedures
- Ability to work and make decisions independently, perform under deadlines and assume responsibility for problems and problem resolution
- Must possess strong analytical and quantitative skills
- Flexibility - must be able to perform team duties as required to accomplish departmental goals and meet patient customer needs
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Patient Account Representative Resume Examples & Samples
- Full understanding of UB-04 claim form requirements, ICD-9, ICD-10, CPT and HCPCS coding nomenclature and standards
- Basic knowledge of medical terminology, human anatomy & physiology
- Strong problem solving, analytical and multi-tasking skills required
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Patient Account Representative Resume Examples & Samples
- Works the insurance aging report
- Works all lines of insurance including governmental agencies
- Collects patient balances, answers patient questions regarding balances
- Calls the individual insurance companies and patients whose balances are past due and conducts follow through with any research, re-filing, etc. that needs to be done to obtain maximum payment
- Confers with insurance company by telephone in an attempt to determine reason for lack of payment
- Records information about the status of collection efforts
- Sorts and files correspondence
- Ability to adhere to policy and procedures
- Strong understanding of medical collections and reading Explanation of Benefits (EOBs)
- Typing 30-35 wpm
- Ability to use basic computer, understanding and working on it
- Self-starter, with good organizational skills
- Must properly control the release of proprietary and confidential information
- High School diploma or general education
- At least two years experience working in collections
- Ability to communicate and speak effectively with co-workers and management
- Must be able to fluently speak, write and understand English
- Must possess excellent written and verbal communications skills
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Patient Account Representative Resume Examples & Samples
- Posts payments and adjustments from patient statements, commercial carriers, Medicare, Medicaid, Blue Shield, and remittance advices
- Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account
- Communicates with insurance companies via phone or mail
- Files secondary insurance as indicated
- Handles customer service calls that are transferred from NPSC
- Processes daily mail per assigned group or as requested by Team Leader or Supervisor
- Completes tasks accurately, maintaining quality standards
- Posts voucher rejections from commercial carriers, Medicaid, Medicare, and Blue Shield
- Researches accounts when payment is inconsistent with the standard payment, or when clarification of payment is needed
- Processes adjustments and maintains all accounts on an active basis
- Resolves all patient cash application problems resulting from cash posting for client service staff
- Prepares preliminary processing of patient refunds
- Inputs all zero payment vouchers and insurance rejections from all payer sources in a timely manner
- Complies with mandatory overtime requirements at the direction of the Patient Accounts Supervisor
- Completes deposit batch logs, unapplied log sheet, and off-set log sheet, daily
- Reports problems and issues to the Patient Accounts Supervisor, as well as status of workload for the payment posting, zero voucher posting, and refund processing for individual assigned Billing Areas
- Other duties as assigned by Supervisor, or Director of Reimbursement
- 40-45 WPM
- Accurate 10-keystrokes, by touch
- Effective telephone communication skills
- Able to work in fast paced environment
- Good follow-up skills
- Possess the ability to work within a timeframe to post insurance reimbursement, and zero payment correspondences
- Previous knowledge of third party payer reimbursement, required
- Knowledge of IDX-BAR system, preferred
- Minimum High School diploma, or equivalent. Additional training in medical billing and cash applications
- Two years medical billing experience
- One year Accounts Receivable experience
- Training classes, and seminar attendance may require travel
- PHYSICAL / ENVIRONMENTAL DEMANDS
- Job performed in a well-lighted, moderate office setting
- Prolonged sitting tolerance is required
- Job performed in a well-lighted, modern office setting
- Occasional standing/bending
- Occasional lifting/carrying (20lbs or less)
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Bwpo Senior Patient Account Representative Resume Examples & Samples
- Follow-up on pending claims, this includes following up with the insurance company, document the findings and gather and send the necessary documentation to process the claims
- Liaison, and to document all activity on the patient invoice
- Management, follow up and resolution of credit balances and adjustments within assigned accounts receivable
- Responsible for special projects as assigned
- Train new employees and serve as a resource to coworkers. Act as a backup for employees who are out of the office or behind
- Responsible for processing service request (JIRA tickets) and Payer Relations submissions
- Responsible for processing service requests and identifying denial trends which would include working with the Payer Relations Department
- Handle confidential information with accordance to HIPPA standards
- All other duties assigned
- Minimum of 3 years progressive patient account billing experience
- Ability to communicate at all levels
- Working knowledge of Microsoft Outlook, Word and Excel
- Thorough knowledge of Physician third-party billing and collections
- Must demonstrate initiative, independence, and a willingness to learn new tasks
- Understanding of the entire appeals process from start to finish
- Strong computer skills including knowledge of EPIC
- Ability to identify trends in billing rejections and denials
- Able to solve complex problems and issues
- Experience working with all appropriate payers
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Patient Account Representative Resume Examples & Samples
- 1 year of experience with ICD-10, CPT and HCPCS coding (medical coding)
- Filing
- Knowledge of insurance filing, collection laws, research personal and insurance overpayments requests and bankruptcy laws
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Patient Account Representative Resume Examples & Samples
- Stung interpersonal skills
- Supports an environment of team work
- Ability to interpret payer contracts to determine expected reimbursement
- Must be able to work well in a fast paced environment and be able to adapt and learn quickly
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Patient Account Representative Resume Examples & Samples
- Knowledge of ICD-10 codes and computer software
- Knowledge of Microsoft Excel, including linking multiple spreadsheets and workbooks, three dimensional formulas and worksheet grouping
- Accurate data entry
- Detail orientated in fast-paced environment
- Ability to interact with all types of customers
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Patient Account Representative Resume Examples & Samples
- Handles incoming calls to the department and distributes messages as needed
- Greets patients with a friendly conversation tone and smile
- Will receive, open and deliver departmental mail
- Files and makes copies of correspondence and other printed documents
- Organizes and maintains file system
- Orders weekly supplies for department
- Handles multiple tasks simultaneously
- Uses acquired knowledge and experience to “streamline” the job
- Will furnish prompt, accurate information to expedite maximum amount of work in a minimum amount of time
- Able to operate copier, fax, computer, 10-key, and postage meter
- Ability to efficiently use Word processing including Office, Word, and Excel
- Ability to accurately scan correspondence into Powerchart and distribute accordingly
- Accurately post payments to Cash Drawer and balance end of day transactions
- Able to accurately put daily deposit together and run electronic checks
- Able to complete and maintain MVA lien files
- Assist with follow-up on liability claims, including typing liens and releases
- Follows up on case/claim status with insurance offices and/or attorney offices in an attempt to collect payments
- Collects checks, cash, and credit card payments for co-pays and deductibles for patient account payments with guarantor
- Able to expedite anesthesia and patient refunds
- Other clerical duties as requested by departmental manager
- Responsible to comply with all USPI internal control practices and policies
- Follows regulations and guidelines protecting the confidentiality of health related information
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Patient Account Representative Resume Examples & Samples
- High School diploma or GED. Graduation from a recognized medical billing program desirable
- Two years prior experience in a hospital business office preferred. Insurance and follow-up experience will substitute for collection experience
- Medical billing terminology and knowledge of insurance payers desirable
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Patient Account Representative Resume Examples & Samples
- Investigate and follow-up on all open account balances overdue for 45 days or more to determine reason for non-payment
- Contact responsible party to establish reason for delinquency, document in system all verbal and written communication relative to overdue account and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment
- Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables and DSO
- Manage correspondence related to designated work load
- Address incoming center/field inquiries as necessary and in accordance with departmental guidelines
- Identify and resolve issues impacting the timely collection of open receivables
- Provide timely notification to the appropriate managerial staff of any identified payor issues
- Counsel patients on financial options and establish payment plan or begin dunning letter process and follow-up as needed
- As necessary, request account adjustments as identified via write off requests and refund requests
- Recommend accounts to an outside agency based upon company guidelines
- Notify database operations of changes or additions to specific payor, plan, contact, address, or other pertinent information as necessary
- Meet the expectations and goals for productivity and cash targets as set forth by management
- Performs other duties or special projects as assigned
- Good interpersonal, oral and written communication skills
- Ability to work independently with minimal instruction or supervision
- Knowledge of insurance practices, contracts and managed care ideal
- Required to be proficient in Windows based office technologies (ex. Word, Excel, PowerPoint)
- 1-2 years of computer, accounting, collections, and high volume medical billing and/or insurance claims processing experience required
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Patient Account Representative Resume Examples & Samples
- Transmit or submit claims (paper or electronic) to insurance payers for reimbursement
- Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
- Contact insurance companies as needed in order to expedite claims processing
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Patient Account Representative Resume Examples & Samples
- Previous work experience that required knowledge of physician billing procedures
- Excellent verbal and written language skills
- Must be reliable, dependable and must have an excellent attendance history
- Associate degree or higher
- Previous work experience with EPIC
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Patient Account Representative Resume Examples & Samples
- Displays positive morale and promotes positive staff morale. Builds and maintains positive work relationships as well as working well with others as part of a team. Respects other co-workers
- Is quick to respond to customers at the window and on the phone, using a pleasant greeting
- Knowledgeable of hospital and services offered; able to direct families, and guests appropriately. Answers phone and provides assistance to callers, routes calls and takes messages as necessary
- Wears clothing and Mercy Hospital badge consistent with dress code, and attends to personal hygiene to maintain a clean, well groomed appearance
- Meets Mercy Hospital attendance standards and attends all staff meetings
- Reviews and follows all Hospital and Department policies
- Consistent ability to prioritize tasks for a smooth and timely work flow
- Follows proper line of authority
- Communicates with agencies, insurance companies, the Mercy Business Office to research and resolve unsettled accounts. Makes all necessary updates and corrections that are needed
- Processes point of service deposits and ancillary deposits timely and accurately
- Works main cash box efficiently and effectively; follows balancing procedures, change order prepped daily
- Receipts and post payments accurately. Balances daily in a timely manner
- Documents any involvement or activity on accounts in a clear, thorough and appropriate manner through free-form or canned notes
- Notifies Supervisor of any adjustments that need to be made
- Follows valuables release protocol, documenting circumstances, obtaining appropriate signatures and copy of ID
- Verifies all demographic and insurance information thoroughly on every patient encounter
- Consistently meets or succeeds productivity and quality standards
- Maintains notary public for the State of Missouri
- 1-3 years clerical experience preferred
- Excellent communication skills, accounting knowledge and ability to type 40 wpm. Excellent computer skills, ability to use the 10-key by touch and be detail oriented
- Working conditions, mental and physical requirements: Equipment used: Computer, 10-key adding machine, general office equipment
- Banking and/or insurance experience helpful
- Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy
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Patient Account Representative Resume Examples & Samples
- Education/Training: High school diploma or equivalent
- Experience: One year business office experience
- Verbal and written skills; ability to interact with physicians, patients and payor representatives
- Ability to perform the essential functions of this position, with or without reasonable accommodation and without posing a direct threat to the health and safety of self or others
- Ability to comply with all GSMC policies and procedures that are job-related and consistent with business necessity
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Patient Account Representative Resume Examples & Samples
- Under general supervision, make outbound calls to collect/resolve outstanding patient balance amounts
- Receive incoming calls, provide excellent customer service and resolve customer inquiries
- Establish balance resolutions and process patient payments over the phone
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Patient Account Representative Resume Examples & Samples
- Review of orders to ensure all charges are captured
- Review and reconciliation of deposits made at clinics
- Post time of service patient payments
- Work with clinics to resolve any issues related to charge entry
- Maintain excel spreadsheet of outstanding documentation issues
- One to two years previous work experience in a physician office or medical related position with knowledge of medical terminology, and physician office billing and coding required. Certified coder a plus
- Demonstrated writing skills to effectively communicate with patients and insurance companies and document in patient charts
- Demonstrated reading skills to interpret instructions, manuals, insurance forms, and patient correspondence
- Demonstrated knowledge of billing requirements, rules, and regulations
- Demonstrated knowledge of claim processing time limitations
- Demonstrated knowledge of insurance company policies and procedures
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Patient Account Representative Resume Examples & Samples
- Demonstrate excellent computer skills
- Good communication and logic skills
- Proven ability to comprehend concepts quickly
- Previous insurance billing and collection experience preferred
- Previous experience in cash posting preferred
- Knowledge of medical terminology, practices, and procedures are helpful
- Equal Opportunity Employer Minorities/Women/Veterans/Disabled
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Patient Account Representative Resume Examples & Samples
- Must be able to type 40 wpm
- Able to demonstrate computer skills
- Working knowledge of software, including MS Word, Excel and Windows, Internet Navigation
- Ability to use office equipment, such as copier and scanner
- Excellent customer service, verbal and written skills to facilitate with healthcare personnel
- Ability to handle heavy call volume
