Patient Accounts Rep Resume Samples

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JM
J Mitchell
Joan
Mitchell
49820 Kuvalis Shoals
Detroit
MI
+1 (555) 753 6444
49820 Kuvalis Shoals
Detroit
MI
Phone
p +1 (555) 753 6444
Experience Experience
02/2014 present
Phoenix, AZ
Patient Accounts Rep-senior
Phoenix, AZ
Patient Accounts Rep-senior
02/2014 present
Phoenix, AZ
Patient Accounts Rep-senior
02/2014 present
  • Provides support to NUMC staff and providers relating to state regulations
  • Provide assistance to other areas with balancing and posting concerns
  • Timely response to all customer inquiries including but not limited to patients, employers, providers, insurance companies, outside entities etc
  • Encourages patients/visitors to approach reception area and assist with questions they may have
  • Educate patients on Allinas Financial Assistance Services: -MedCredit, Partners Care, Self Pay Discount
  • Assists patients with insurance/billing questions and concerns
  • Works assigned clinic and hospital billing WQs
05/2011 08/2013
Houston, TX
Bwpo Patient Accounts Rep
Houston, TX
Bwpo Patient Accounts Rep
05/2011 08/2013
Houston, TX
Bwpo Patient Accounts Rep
05/2011 08/2013
  • The representative will perform other duties that may be assigned
  • Due to the nature of Radiation Oncology billing an emphasis will be placed on referrals and authorizations management
  • The work area is expected to be neat and clean at all times
  • Each employee is expected to adhere to the rules and regulations of the BWPO
  • And other duties assigned
  • This position will review, correct, and complete edits to claims as assigned
  • Thorough knowledge of Physician third party billing and collections
03/2008 12/2010
Houston, TX
Patient Accounts Rep
Houston, TX
Patient Accounts Rep
03/2008 12/2010
Houston, TX
Patient Accounts Rep
03/2008 12/2010
  • Works on special projects assigned by the management
  • Works claims via ETM/Encompass, and reports supplied by management, prioritized by date of origin
  • Assisting patients in resolving their issues by clarifying the complaint
  • Identifies and notifies department management of payer payment trends as well as practice and/or follow-up trends
  • Completes daily work assignments and provides status reports of completed work. May be assigned specific phone calling strategies and be re-assigned to ensure completion within time frames established
  • Understands and adheres to policies and procedures governing the performance of the Resolution Team position
  • Assists with orienting and training of new employees
Education Education
Associate’s Degree in Creativity
Associate’s Degree in Creativity
Central Michigan University
Associate’s Degree in Creativity
Skills Skills
  • Basic knowledge of billing regulations for payers
  • Comprehensive knowledge of applicable Federal, State, and local laws and regulations related to HIPPA and payers
  • Detail oriented with the ability to complete tasks in a timely manner
  • Ability to make basic numerical calculations
  • Ability to operate personal computer
  • Knowledge of medical terminology
  • Ability to maintain accuracy
  • Ability to work well as a team member
  • Proficiency in computer skills which include Word, Excel, typing skills and 10-key
  • Polite and courteous speaking manner and excellent telephone etiquette
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2 Patient Accounts Rep resume templates

1

Patient Accounts Rep PFS Credit Processing Resume Examples & Samples

  • Review accounts with credit balances to determine correct recipient of refund check or invoice adjustment if appropriate
  • Research entire account to identify accounts across all groups with positive balances and transfer funds when appropriate
  • Key all refund requests into AES system via ETM
  • Promptly respond to all refund requests from Customer Service, Team Supervisor, and Managers
2

Patient Accounts Rep / CSR / PFS Resume Examples & Samples

  • Accepts all in-coming calls, as well as other inquiries for Patient Accounting -- first line assistance at handling concerns, problems, answering questions, research, etc
  • Refers calls/accounts that need assistance beyond the ability of the Customer Service representative to the department best suited to handle the problem/question
  • Documents all actions taken on each account in the appropriate systems
  • Updates and/or makes appropriate changes in the system - to insurance screens, demographic information, and statement control screens, etc
  • Initiates monthly payment arrangements for patients who meet Carolinas Healthcare System guidelines. Accepts credit card or check payments over the telephone
  • Processes correspondence within 24 hours with follow-up ensuring telephone calls and messages are returned within 48 hours
  • Process and respond to all e-mails and/or portal inquiries in a timely and efficient manner
  • Prepares adjustments to accounts as necessary
  • Performs all clerical functions required to handle a request to completion. Interacts with other Carolinas HealthCare System departments, physicians' offices, insurance companies, and attorneys’ offices to resolve issues
  • Informs supervisor of problems and recommend solutions. Make supervisor aware of errors within/outside of Patient Accounting to alert management of inter-departmental or departmental needs
3

Patient Accounts Rep Resume Examples & Samples

  • Responsible for the timely follow up on all employer billing
  • Contacting employer to provide update on current and delinquent balances
  • Communicating trends of non payment to supervisor, accepting payments via phone from employers
  • Providing statement explanation to employers
  • Managing ACD telephone line, researching employer credits
  • Assists with incoming correspondence related to employer billing
  • Maintain quality and performance standards set by supervisor
4

PRN Patient Accounts Rep / PFS Variance Resume Examples & Samples

  • Reviews accounts in the Variance Database or Spreadsheet to resolve variances from expected reimbursement
  • Handles referrals from other account representatives to resolve variance issues and verify patient responsibility
  • Must meet and maintain a per hour target
  • Understands and adheres to policies and procedures governing the performance of the Variance Account Rep position
  • Maintains confidentiality of managed care contract information
  • Works closely with other departments, especially follow up areas and customer service, to address reimbursement-related concerns
  • Posts and approves adjustment batches in STAR, when appropriate, for referred accounts that are not in the Variance Database
  • Reports issues to supervisor or manager when identified
  • Works on special projects assigned by the manager or supervisor
5

Patient Accounts Rep Resume Examples & Samples

  • Follows up on outstanding A/R verbally and online to Medicare and Medicare Advantage on accounts aged 30 days or more
  • Identifies and analyzes payor trends as well as potential payment issues and reports findings to leadership
  • Demonstrates proficiency in advanced charge corrections
  • Assists with training and on boarding of new Medicare follow-up staff
6

Patient Accounts Rep-senior Resume Examples & Samples

  • Provides excellent customer service to New Ulm Medical Center patients -duties include: cashiering, handling customer complaints, coordination of workers compensation claims and general requests from patients and/or staff
  • To serve as a resource for all customers both internally and externally. This includes all hospital and clinic inquiries and requests
  • Encourages patients/visitors to approach reception area and assist with questions they may have
  • Educate patients on Allinas Financial Assistance Services: -MedCredit, Partners Care, Self Pay Discount
  • Timely response to all customer inquiries including but not limited to patients, employers, providers, insurance companies, outside entities etc
  • Provide patients with direct phone number when follow up is need or when applicable
  • Assists patients with insurance/billing questions and concerns
  • Accurately posts payments in all computer systems
  • Reconcile HPM system with all points of service
  • Provide assistance to other areas with balancing and posting concerns
  • Price estimates per policy
  • Acts as a liaison between the patient and all involved parties
  • Coordinates referral appointments with Patient Services
  • Responds to all requests for authorization, including but not limited to diagnostic testing and surgical services
  • Supports and promotes the Occupational Medicine department when working with area employer or by attending meetings when requested
  • Provides support to NUMC staff and providers relating to state regulations
  • Covers other areas within the department as needed
  • Works assigned clinic and hospital billing WQs
7

Patient Accounts Rep / PFS HBO Correspondence Resume Examples & Samples

  • Handles incoming correspondence from insurance companies, patients and attorneys
  • Assists in manual posting & processing of denials
  • Processes Daily Mail, Scanning and Medical Records
8

Patient Accounts Rep Resume Examples & Samples

  • Ensures that all payments are balanced and posted. Ensures that all batches are approved daily and by the end of the month
  • Researches and helps resolve staffware and unapplied payments
  • Meets and maintains a per hour posting target
9

Patient Accounts Rep / PFS Credit Processing Resume Examples & Samples

  • Research entire account to identify accounts across CHS with positive balances and transfer funds when appropriate
  • Key all refund requests
  • Must meet and maintain monthly performance standards
10

Bwpo Patient Accounts Rep Resume Examples & Samples

  • Responsible for daily management of accounts receivable process and follow-up. Daily management of accounts worked in the PCS system. The appraiser will evaluate progress of work, accuracy, and quality is used to help set benchmarks. Evaluation of work includes quantity of accounts worked daily, accuracy of detail and documentation of work done. This includes daily screening and correcting of claims for accuracy
  • Follow-up on pending claims. The employee is expected to call the insurance company, document there findings and gather and send the necessary documentation to process the claims
  • Each employee is expected to respect his or her co-workers and Management. Each employee must possess good interpersonal skills and demonstrate team work
  • Each employee must possess excellent organizational skills. When asked questions by Management, each employee is expected to have the knowledge and detail or know how to obtain it
  • The work area is expected to be neat and clean at all times
  • Each employee is expected to adhere to the rules and regulations of the BWPO
  • Each employee must demonstrate initiative, independence, and a willingness to learn new tasks. They must be able to work with minimal direction
  • Must be able to work as a team and collaborate and contribute to solving problems
  • And other duties assigned
  • High school degree
  • Minimum of one years experience in a health care environment preferred
  • IDX and PCS knowledge preferred
  • Strong PC skills
11

Patient Accounts Rep Resume Examples & Samples

  • Documents all actions taken on each accounts in the systems
  • Updates changes in insurance screens, demographic information, and statement systems. Initiates monthly payment contract on accounts up to $1000 for patients who meet guidelines
  • Informs leadership of problems and recommends solutions
12

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

  • Monitors regulatory changes for federal payers and alerts management of pertinent changes
  • Identifies and analyzes government payor trends, as well as potential payment issues. Reports findings to leadership
  • Pulls CBO Edit, Self Discrepancy and MMG Split reports for distribution and monitors them to completion
  • Maintains updated policies, procedures, departmental manuals and job aids for assigned areas by staying current on all regulatory affairs impacting government payers
  • Monitors physician and group credentialing issues as well as NPI linking issues
13

Patient Accounts Rep / CSR / PFS Resume Examples & Samples

  • Maintains communication with collection agencies, provides administrative support, and handles cash management regarding activity on patient accounts
  • Performs all clerical functions. Assists with handling requests to completion with other departments
  • Establishes patient referrals, pre-certifications, and authorizations. Processes and returns patient voicemails within 24 hours of receipt
14

Patient Accounts Rep Resume Examples & Samples

  • Follows up with claims by telephone or online inquiry and creates appropriate correspondence, including appeal generation
  • Assists with on-the-job training of new government follow-up staff
  • Pulls requested EOBs from electronic batches, file folders or storage boxes as needed to assist telecommuters and leadership
15

Patient Accounts Rep Resume Examples & Samples

  • High School Diploma/GED or equivalent experience
  • Previous experience working with the public
  • Computer experience/knowledge
  • Previous experience in credit
16

Bwpo Patient Accounts Rep Resume Examples & Samples

  • The representative is responsible for daily management of accounts receivable process and follow-up in the billing system (EPIC), including daily screening and correcting of claims for accuracy
  • This position will review, correct, and complete edits to claims as assigned
  • The representative is responsible for handling customer calls in a professional manner when received. He/she must demonstrate excellent customer service skills, including active listening and problem solving
  • Management, follow up and resolution of credit balances and write offs within assigned accounts receivable
  • Minimum of one-year experience in a healthcare environment
  • Knowledge of Physician third-party billing and collections, including EPIC preferred
  • Must possess strong written and verbal communication skills. Tact and patience is required in dealing with difficult or confused patients
  • Must possess good organizational skills and ability to exercise sound judgment in decision making
  • Must possess excellent organizational skills
17

Patient Accounts Rep Resume Examples & Samples

  • Works claims via ETM/Encompass, and reports supplied by management, prioritized by date of origin
  • Performs all elements of account maintenance encompassing all departments of the Central Business Office
  • Contacts patients, through outbound phone calls, to update them on the status of their pending, and completed, coding related questions
  • Will escalate issues and concerns to the practice(s) if patients are not satisfied
  • Works directly with internal and external customers, especially practices, Coding Support, and IDX to resolve system and claim problems
  • Understands and adheres to policies and procedures governing the performance of the Resolution Team position
  • Responsible for maintaining an acceptable turnaround time, 72 hours, in all ETM views including Responses from the Coding Team, the practices and other departments across the Central Business Office
  • Identifies and notifies department management of payer payment trends as well as practice and/or follow-up trends
  • Responsible for creating correspondence (emails, letters memos, forms etc… as needed and requested) regarding denials, cash posting, problem accounts between the Resolution Team and practices or other departments within CBO
  • Required knowledge of and experience with personal computers, Word software, Excel, copy machine, fax machine, 10 key adding machine, and multi-line telephone
  • Excellent communication, negotiation, and advocacy skills with peers, staff, third party payers and system resources
  • Works on special projects assigned by the management
  • Assists with orienting and training of new employees
18

Patient Accounts Rep-biller Resume Examples & Samples

  • Three years electronic acute care billing, required
  • Thorough understanding of CMS and UB92 billing required
  • Basic understanding of CPT and ICD-9 coding preferred
  • Basic knowledge of Managed Care programs and billing requirements as necessary
  • Typing, data entry, 10-key, PC and word processing skills preferred
  • Sharp analytical abilities required to identify and resolve repetitive edit failures relating to specific
  • Payors, charge master/coding issues, etc
19

Patient Accounts Rep Days Resume Examples & Samples

  • Understanding of various medical claims formats
  • Working knowledge in medical terminology, CPT and ICD-10 coding
  • Problem identification and problem solving skills
  • Willingness to participate and attend off site meetings/seminars
  • Good customer service oriented attitude/behavior
  • Proficiency in computer skills which include Word, Excel, typing skills and 10-key
  • Comprehensive understanding of clinic medical billing information and related systems
  • Researches claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions
  • May perform financial counseling activities, including but not limited to
20

Patient Accounts Rep / PFS Variance Resume Examples & Samples

  • Maintains an up-to-date knowledge of commercial insurance contracts for all primary enterprise hospitals
  • Compares posted payments to expected reimbursements and processes as necessary
  • Confirms the accuracy of patient statements
  • Posts denials and refers accounts needing follow-up to the correct department
  • Meets and maintains a per hour processing target
21

Patient Accounts Rep Resume Examples & Samples

  • Verbal and Written Communication skills
  • Customer Service skills
  • Ability to make basic numerical calculations
  • Familiar with ICD-9 and CPT coding
  • Ability to operate personal computer
22

Patient Accounts Rep Resume Examples & Samples

  • Answers patient phone calls, correspondence and personal interviews on a daily basis. Answers inquiries from patients in a timely and professional manner. Identifies appropriate actions needed to resolve issues at hand. Involves, but not limited to, adjustments, transfers, researching, updating and correcting computerized registration and billing files
  • Works the accounts receivable via on-line worklists, payer trial balance reports or the predictive dialer. Schedules payments with patients, reviews insurance information and suggests and explains different financial assistance available. Documents all actions taken on-line
  • Prepares written responses to various patient inquiries. Submits accounts to write-off where appropriate
  • Completes daily work assignments and provides status reports of completed work. May be assigned specific phone calling strategies and be re-assigned to ensure completion within time frames established
  • Follows up on non-existent names, addresses, etc., provided on admission records and locates persons involved by all available means. When phone contact is not possible, actively pursues responsible parties through variety of sources, including thorough research of all hospital records for additional information such as next of kin, other contacts, etc. Must be imaginative and resourceful
23

Patient Accounts Rep-eye Institute Resume Examples & Samples

  • Answer phones and patient questions
  • Enter patient information into the computer system
  • 2 years: Working in a medical office setting is required, experience working in an optometry setting preferred
24

Patient Accounts Rep Resume Examples & Samples

  • Review self-pay accounts to ensure all payment sources have been identified
  • Monitor and update bad debt pre-list accounts to insure all revenue resources have been identified and included on the patient account prior to bad debt write off
  • Compile and enter data into spreadsheets and/or databases as required for reporting purposes
  • Works exception reports as necessary to correct issues on a particular account(s)
  • Performs account level maintenance to ensure maximum and timely reimbursement
  • Responsible for staying current on latest functionality of CHS standards used for PFS processes
  • Responsible for staying current with updates and information on systems used by Patient Accounting, including HBO STAR, Epic (Encompass), and Microsoft applications (Access, Excel, and Word) as they relate to QA processes
  • Responsible for keeping current on information related to the QA team regarding regulatory and policies as related to Patient Accounting
  • Consistently meet productivity monthly
  • Informs management of problems within and recommends solution
25

Patient Accounts Rep Resume Examples & Samples

  • This customer service position is for answering phones from patients, insurance companies, etc... To provide and process information in response to their inquiries, concerns and requests about the services or bills received
  • Assisting patients in resolving their issues by clarifying the complaint
  • Determining the cause of the problem
  • Advising the best solution to solve the problem
  • Sending for correction or adjustment and following up to ensure resolution
  • Additional projects as assigned
  • Great communication
  • Friendly and compassionate
  • Flexible, organized, and punctual
26

Patient Accounts Rep Resume Examples & Samples

  • Two years of business office experience a must
  • One year of experience in accounts receivable, accounting practices, insurance billing and compliance a plus
  • Experience working with Microsoft Office products
  • Experience working in healthcare facility desired
27

Patient Accounts Rep Resume Examples & Samples

  • Three years of experience in a medical office billing setting preferred
  • Polite and courteous speaking manner and excellent telephone etiquette
  • Ability to work well as a team member
  • Submits third party and patient claims (electronically or by hard copy), including the correction of errors in an effort to provide timely, accurate billing services. Edits HCFA-1500 (and where appropriate UB) claim forms within the patient accounting system, using proper data element instructions for each payer, applying principles of coordination of benefits, and ensuring that correct ICD-10 diagnosis, HCPCS and CPT procedure codes are utilized and communicates any charge entry errors to the appropriate resource for resolution. Ensures that claims are in accordance with regulations set forth by the state and federal governments, third party payers, and SAMG guidelines
  • Utilizes available data and resources to make decisions regarding complexity of claim processing and payment propensity, and the appropriateness of transferring account to Collection vendor(s) or other resources for follow-up
28

Patient Accounts Rep, / Lansdowne Station Resume Examples & Samples

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