Patient Accounts Resume Samples
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Patient Accounts Resume Samples
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LM
L Mertz
Lois
Mertz
5390 Bernier Skyway
Detroit
MI
+1 (555) 817 5610
5390 Bernier Skyway
Detroit
MI
Phone
p
+1 (555) 817 5610
Experience
Experience
Detroit, MI
Patient Accounts
Detroit, MI
Koepp and Sons
Detroit, MI
Patient Accounts
- Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed
- Assists in evaluation of reports, decisions, and results of department in relation to established goals
- Performs assignments accurately and on time, as directed
- Serves as a member of the Collection Department Team. Performs duties necessary to ensure the team’s projects/goals are completed
- Reports to work, meetings and professional obligations on time
- Maintains individual productivity and performance standards
- Creates new ways to obtain past due accounts
Philadelphia, PA
Patient Accounts Supervisor
Philadelphia, PA
Lowe Group
Philadelphia, PA
Patient Accounts Supervisor
- Assist manager with employee performance evaluations and hiring decisions
- Monitors Epic work queues for Patient Accounting department and recommends solutions to address workflow challenges and staff performance gaps
- Manager and participates in performance discussions as requested by the Manager
- Maintain training materials, job aides, competencies, and training records for all staff to manage individual performance
- Monitors and recommends development of staff education program and manages orientation, competency assessment, and education for Patient Accounting staff
- Assist with developing and conducting training for respective applications and staff
- Monitors staff productivity and quality and recommends action steps to improve performance
present
Boston, MA
Supervisor, Patient Accounts
Boston, MA
Hermann-Ziemann
present
Boston, MA
Supervisor, Patient Accounts
present
- Evaluates, record and process teammate changes (including time cards and teammate compensation) according to company policy upon Manager approval
- Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation
- Award-winning education and training across multiple career paths to help you reach your potential
- A comprehensive benefits package designed to enhance your health, your financial well-being and your future
- Promote revenue integrity by evaluating accounts for accurate calculation of the expected reimbursement
- Ensures the team follows documented Policies and Procedures, including Sarbanes and Oxley narratives and perform all control activities
- Makes recommendations on changes to existing tools, policies and procedures
Education
Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
Northeastern University
Bachelor’s Degree in Business
Skills
Skills
- Ability to multitask and work both independently and within teams while working effectively with attention to detail
- Maintains working knowledge of applicable systems and department policies
- Monitors staff productivity and quality and recommends action steps to improve performance
- Supervises staff in Billing or Patient Accounting departments and monitors activity, ensuring high-quality claims processing and account resolution
- Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the
- Performs related duties as assigned and unrelated duties as requested.?
- Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager
- Assist in updating policies and procedures as necessary. Develops and implements processes, procedures and controls to identify and address discrepancies associated with third party payments received
- Coordinates the daily activities of the A/R operation ensuring that aging accounts are reviewed and resolved, collector work files are completed on a daily basis and appropriate actions are taken by support staff to ensure timely and correct claim payments
- Manager and participates in performance discussions as requested by the Manager
15 Patient Accounts resume templates
Read our complete resume writing guides
1
Patient Accounts Coordinator Resume Examples & Samples
- 3 years of direct experience involving work with coding, billing or medical necessity compliance risk areas
- Knowledge of physician coding practices and the use of sophisticated professional billing and medical records healthcare information technology
- Knowledge and ability to effectively and accurately use ICD-9 and CPT coding and medical terminology
2
Patient Accounts Coordinator Level Resume Examples & Samples
- Attends all department and club meetings
- Assists with accounting system development
- Post all medical payments to patient accounts
- Back up to medical billing specialist
- Re-bill claims, if necessary
- Assist with the administration set up in billing and scheduler software
- Produces various reports for management
- Respond timely to all inquires made by patients, 3rd parties & Cast Members
- Complete adjustments to patient accounts
- Provides information to management and organizations outside of the club; explains accounting transactions; resolves accounting issues and discrepancies
- Uses various software applications, such as spreadsheets, database and operations programs
- Demonstrated ability to successfully bill insurance carriers, troubleshoot insurance denials, reconcile accounts, period end balancing, adjusting entries and accounts receivable management
- Successful experience compiling accurate and timely and reports
3
Patient Accounts Specialist Resume Examples & Samples
- 2 years experience in insurance, benefits, self-pay, collections or handling complex customer service situations
- Understanding of insurance eligibility and benefits, including claims submissions and billing guidelines
- Knowledge of HIPAA compliance and PCI standards
- Basic knowledge of accounting principles; accurate data-entry
- Strong communication skills, both written and verbal
- Demonstrates strong partnership, influencing and negotiation skills; able to deliver results-oriented solutions for patients
- Knowledge of medical terminology, procedure and diagnosis coding
- Insurance Billing software applications
- Strong Microsoft Word and Excel skills
- Keyboarding and 10-key experience
- Critical thinking skills with the ability to resolve conflict and problems
- Able to handle multiple priorities and competing deadlines. Emotional maturity and ability to deal with conflict
- College coursework or an Associate’s Degree in business administration, accounting or Health Care Billing
- Knowledge of FDCPA laws
- Knowledge of AR performance metrics
- Experience with credit or collections
- General familiarity with bankruptcy laws
- Understanding of financial securing process
4
Patient Accounts Analyst PFS Regional Operations Resume Examples & Samples
- Analyzes account trends and communicates the same to management
- Assists with daily AR Days report and weekly DNFB report
- Compiles, and audits for accuracy, publishes and distributes CHS monthly performance reports
- Customizes and develops the database for in house data management, creation of front-end menu screen
- Creates models and associated queries from STAR reports
- Compiles data for quarterly HBSI reports
- Assists with completions of graphs, charts and visual presentation data.]
- Builds and maintains Microsoft Access Databases
5
Assistant Manager Patient Accounts Resume Examples & Samples
- Attend meetings and make presentations as needed
- Perform duties of the Non-Contracted Collections Manager as requested or in Managers absence, including other duties and special projects as needed or assigned
- Light travel required
- Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation
- Bachelor's degree in related field preferred
- Two to four years' experience in healthcare reimbursement, working specifically with collections function
- Minimum of two years' related supervisory experience strongly preferred
- Advanced proficiency and analytical ability in Excel; intermediate proficiency in MS Word and PowerPoint
6
Patient Accounts Specialist PRN Resume Examples & Samples
- Document all internal and external inquiries concerning patient accounts including patient and third party payers
- Act as the first line of support to patient or third party payer contacting the facility with questions concerning an account or claim
- Root cause issues and attempt to resolve. Document and communicate resolution as appropriate in the Patient Accounting System
- Escalate problem accounts to management team of department for assistance and resolution
- Clearly communicate resolution of issues to responsible parties and or guarantors on the account
- Respond within 24 hours to patient inquiry which requires research providing updates on the status or the resolution of their issue each step of the process
- Work with facility and internal departments of the CBO to investigate and resolve issues associated with patient or insurance company inquiries
- Maintain working knowledge of the call routing system and patient accounting system
- The ability to communicate clearly and concisely both verbally and in writing
- Proficient in Microsoft Office applications, and others as required
- One to three years of healthcare customer service experience preferred
- Multi hospital business office experience preferred
7
Medicare Patient Accounts Specialist Resume Examples & Samples
- Superior problem solving and analytical skills
- Strong organizational skills with an ability to effectively manage large amounts of detailed information
- Ability to work on several tasks simultaneously
8
Patient Accounts Manager Resume Examples & Samples
- Responsible for achieving facility, Home Health and HME AR day goals and objectives
- Responsible to ensure the facilities Accounts Receivable are maintained within all established metric goals
- Reviews and coordinates for proper maintenance of all billing systems for optimal performance
- Oversees and monitors rejected claims to ensure timely resolution
- Works with Director to ensure billed accounts receivables are converted into cash in accordance with payor contracts
- Responsible to ensure customer service responds to patient calls and concerns in a professional and timely manner
- Actively participates in Revenue Cycle improvement team
- Analyzes and reduces denied claims for billing related issues
- Manages and is responsible for the revenue cycle from billing to collection
9
Supervisor, Asst Mgr Patient Accounts Resume Examples & Samples
- Maintains current knowledge of payor-related contracts, including state and federal mandates/guidelines applicable to the assigned responsibilities of the team
- Ensures that accounts receivable accurately reflects what is collectible and teammates are performing adjustments in an accurate and timely manner with the appropriate approvals
- Reduces rework and minimize bad debt by ensuring each touch on unpaid claims, denials and other payor related correspondence is meaningful, timely and accurate
- Collaborates closely with internal ROPS and external support teams as needed to ensure trends and resolutions are addressed at a company level not just a team level
- Ensures the team follows documented Policies and Procedures, including Sarbanes and Oxley narratives and perform all control activities
- Makes recommendations on changes to existing tools, policies and procedures
- Provides consistent, visible and timely communication to team on matters including but not limited to: team goals and objectives, progress toward those goals, information that will keep teammates well informed on issues and activities that impact their ability to carry out their job
- Writes and conducts Performance Development Reviews (PDRs) as required
- Performs other duties and special projects as needed to effectively manage department and meet department goals
- Intermediate proficiency in MS Excel, Word and PowerPoint
10
Assistant Manager Patient Accounts Resume Examples & Samples
- Assists Manager of Patient Accounts in managing the billing and collection functions of accounts receivable
- Maintains a current and thorough understanding of dialysis reimbursement and industry norms; monitor payment trends, escalating issues, concerns and changes in payer behavior as appropriate
- Reviews daily, weekly and monthly key metrics to identify trends or areas of focus; work with Manager to develop, document, and implement action plans, as appropriate, to address issues
- Manages teammate retention by providing ongoing training, development, coaching and performance management; to ensure teammates meet or exceed expectations of their position
- Ensures new teammates receive appropriate training to effectively understand their responsibilities, other revenue departments, computer systems, and company policies, procedures and Compliance standards. Ensure teammates have the appropriate tools, supplies, job aides, system access, etc in order to be effective in individual roles
- Provides consistent, visible and timely communication to team on matters including but not limited to: team goas and objectives, progress towards those goals, information that will keep teammates well informed on issues and activities that impact their ability to carry out the job
- Partners with Manager to determine staffing needs and promote the most effective use of resources
- Evaluates, record and process teammate changes (including time cards and teammate compensation) according to company policy upon Manager approval
- Develops, document and implement action plans, as appropriate, to address deficiencies identified while reviewing teammates’ work product
- Attends and contribute meaningful content to meetings
- Two to four years’ experience in healthcare reimbursement and revenue cycle management preferred
11
Patient Accounts Resume Examples & Samples
- Effectively collects on past due accounts where the balance is owed by the patient or guarantor
- Ascertains and measures employees’ productivity in many forms
- Creates new ways to obtain past due accounts
- Works closely with the Collection Agency(s) to optimize when and which accounts are sent to them after our efforts have been exhausted
- Oversees the follow up on accounts that have been sent to secondary insurance companies for payments
- Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations
- Develops and institutes collection philosophy for multiple entities along with bad debt companies
- Presents and effectively conveys MEDNAX Services, Inc. position on delinquent or incorrect payment to insurance companies, patients, MDs and department of insurance
- Teaches and mentors team leaders
- Coordinates activities related to collection of accounts with other departments to ensure activities are efficient and consistent with the rest of the organization
- Keeps up to date with health care practices, laws and regulations related to collections of delinquent accounts and secondary filing procedures and trends through participation in professional development activities
- Serves as a liaison between the organization and outside collection agencies
- Interfaces with external and internal customers to ensure optimal efficiency of service
12
Regional Manager Patient Accounts Resume Examples & Samples
- Assists the Accounts Receivable Department with resolving claims issues related to insurance coverage
- Prepares monthly AGE reports to assist the Accounts Receivable Department in collecting accounts
- Distributes correspondence to appropriate personnel
- Maintains a high level of confidentiality, ethical, and professional standards
- Reports to work, meetings and professional obligations on time
- Participates in administrative staff meetings and attends other meetings and seminars
- Ability to read, analyzes, and interprets common and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors
- Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
13
Manager of Patient Accounts Resume Examples & Samples
- Provides direction to business office staff in the development and execution of policies and procedures that ensure a best practices patient accounts function
- Develops, monitors and manages by key metrics of performance within the patient accounts portion of the revenue cycle. Develops goals that correspond with best practices patient accounts function
- Translates metric goals to specific goals of each function within Patient Accounts
- Uses performance improvement tools to continually improve processes within the billing and follow-up, collections and cashier functions within Patient Accounts
- Adheres to all applicable federal and state collection laws
- Negotiates and approves contractual arrangements with collection agencies
- Reviews and approves requests for refunds and write-offs within approved limits related to collections, free care, budgets, and litigation
- Keeps abreast of legislative and third party payor changes, which affect coverage and reimbursement
- Directs the response to all written patient complaints through the development of standard templates and policies
- Develops methods to monitor the amount and type of denials and develops processes to correct the control weaknesses that give rise to denials and to overturn inappropriate denials through appeals or other mechanisms in compliance with Federal and State laws and the terms of Mercy managed care contracts
14
Dir, Patient Accounts Resume Examples & Samples
- Directs all activities for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience
- Incorporates and engages clients and new providers/practices into existing patient accounts workflows, with a focus on optimizing AR collection for the group
- Works closely with IT department to optimize the use of technology to automate revenue cycle functions
- Analyzes and resolves problems that affect the revenue cycle, both inside and outside of the patient accounts department
- Works in partnership with clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored and followed
- Monitors key performance indicators and escalates issues to senior management as appropriate
- Develops and maintains appropriate internal controls in the Patient Accounts department
- Prepares and analyzes accounts receivable reports for clients and senior level management
- Manages and develops a high functioning patient accounts team that includes manager and supervisor levels
- Develops staff that can analyze and recommend ongoing improvements to processes, procedures, systems and reports
- Ensures compliance with MPAS policies and procedures, health plan requirements, and federal and state laws and regulations
- Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
- Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
- Working knowledge of CPT, HCPCS, ICD-10 codes
- Minimum of 10 years progressively responsible management experience in a physician-driven Patient Accounts department
- Experience with multiple practice management systems; Epic Resolute Physician Billing experience preferred
15
Reimbursement Specialist Patient Accounts Resume Examples & Samples
- Must have a minimum of 2 years experience working in medical billing/collections or in a patient support role
- Strong customer service and verbal communication skills are a must
- Knowledge of medical coding is a plus
- Excellent organizational, communication, multitasking and teamwork skills
16
Supervisor, Patient Accounts Resume Examples & Samples
- Supervisor of Patient Accounts in managing the billing and collection functions of accounts receivable
- Ensures the accurate and timely completion of all close related activities to ensure timely submission of primary, secondary and tertiary insurance claims
- Ensures teammates have the appropriate tools, supplies, job aides, system access, etc. in order to be effective in individual roles
- Addresses teammate relations issues in a timely manner and escalate to Manager and People Services Manager as appropriate
- Knows, understands and follows the DaVita teammate guidelines, as well as local safety and security policies and procedures
- Maintains confidentiality of all patient, teammate and company information in accordance with HIPAA regulations and DaVita policies
- Some light travel required
- Minimum of two years’ related supervisory experience required
17
Senior Specialist, Patient Accounts Resume Examples & Samples
- Identify and interpret policies related to exceptions
- Determine and apply appropriate business action in absence of policies or in cases of ambiguity
- Escalate issues as needed; provide recommendations
- Act as resource for teammate’s questions and assist with issues of focus and problematic payer issues
- Train new teammates
- Identify training opportunities to improve individual and team performance; perform one-on-one and group training as needed
- Recommend changes on collection teams, tools, policies and procedures
- Perform all close reconciliation approvals and related activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert for close
- Review and approve adjustments and claims appeals submitted by Specialist of Patient Accounts
- Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement
- Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment. Support department initiatives
- Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changes
- Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving
- Ability to interact positively with all levels of the company
- Maintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policies
- Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures
- Other duties and responsibilities as assigned including but not limited to: consistent, regular and punctual attendance as scheduled, overtime may be required to ensure timely completion of tasks and required duties, attend team meetings, phone conferences, and training as needed, know, understand, and follow department or company procedures, embrace the DaVita culture by actively participating in village and neighborhood initiatives, demonstrate DaVita’s core values in all aspects of your role, less than 5% travel required
18
Patient Accounts Analyst Resume Examples & Samples
- Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information
- Enter insurance information into billing system
- Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis
- Update Patient Registration and associated systems accurately and as required
- Partner with facility and Insurance Management Team to resolve incomplete registrations
- Resolve patient account errors that cause registration denials
- Determine Coordination of Benefits as required; maintain current patient account information at all times
- Complete all ancillary reports and assigned projects within established timeframes
- Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
- Basic computer skills and proficiency in MS Word, Excel, and Outlook required
19
Patient Accounts Specialist Resume Examples & Samples
- Act as an internal/external resource for all customer groups by providing access to healthcare services in accordance with established policies
- Identify payment sources for all services provided; assist in collecting payments, and triage patients or their representatives for financial counseling
- High school diploma or equivalent required; college degree preferred
- One year customer service experience in a healthcare or health insurance related field required
- Typing speed of 30 wpm required, one year computer experience required
20
Patient Accounts Manager Resume Examples & Samples
- Monitors bank deposits, responds to reconciliation issues, and attests to deposit reconciliation monthly
- Assists in preparation of the quarterly management operational reviewreports, internal and external audit documentation, ad-hoc reports foroperational review and decision making, provides budget vs. actual explanations as required, works on special projects, and other projects asassigned
- Contributes to the successof the departments by effectively managing costs and variable salary,general, and administrative costs, staffing, deposit posting
- Focuses and strives to improve production and efficiency by reviewing and analyzing reports and workflow processes, and recommending changes that will positively impact the Revenue Cycle
- Performs Human Resources assigned activities including hiring, training, coaching, performance evaluations, merit increases, disciplinary actions, and staff motivation
- Develops systems and controls to ensure the departments and staff adhere to productivity measures,key billing indicators, and performance metrics
- Develops quality assurance monitors for all areas of responsibility including an ongoing system of training, evaluation, and compliance reporting
- Communicates any issues, trends, or variances that impact payment, denial,correspondence, overprovisions, UI processing, daily/monthly reconciliation,account research, or other assigned duties and coordinates problem analysis,resolution, and process development
- Plans, directs, delegates, and monitors tasks and projects assigned to the Supervisors
- Complies with policies andprocedures, process documents, and mandatory overtime requirements
- Accountable to ensure the month-end closing process is within schedule for areas of responsibility
- Assumes other tasks,d uties, and responsibilities as assigned by the Assistant Vice President
- Advanced knowledge of Medicare and Medicaid billing guidelines and third-party insurance in regards to plantypes: HMO, PPO, POS, and Indemnity is required
- Exceptional analytical, organizational,interpersonal, leadership, oral and written communication skills required
- Ability to multi-task in a fast-paced environment, prioritize tasks, and maintain a professional demeanor
- Leadership skills to motivate team performance towards excellence and develop team concepts and consensus-building management styles
- Knowledge of GE billingsystem preferred
- Proficient in the use of a personal computer to create and manage documents, reports, and presentations in Microsoft Office Suite
21
Patient Accounts Supervisor Resume Examples & Samples
- Coordinates the daily activities of the A/R operation ensuring that aging accounts are reviewed and resolved, collector work files are completed on a daily basis and appropriate actions are taken by support staff to ensure timely and correct claim payments
- Investigates and resolves in a timely manner all credits and unapplied cash balances
- Reviews, documents, and communicates all processes related to insurance and
- Patient billing, follow up, credits denials, and appeals. Monitors staff adherence to
- Department processes and addresses issues through training and counseling
- Ensures accounts are billed and followed accurately, timely, and in a compliant manner
- Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager
- Assist in updating policies and procedures as necessary. Develops and implements processes, procedures and controls to identify and address discrepancies associated with third party payments received
- Compiles and organizes statistical data related to staff productivity and quality weekly. Identifies and communicates both positive and negative trends to the
- Manager and participates in performance discussions as requested by the Manager
- Assist with developing and conducting training for respective applications and staff
- Maintain training materials, job aides, competencies, and training records for all staff to manage individual performance
- Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payers
- Shares knowledge with staff through verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties
- Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues. Assists Manager in preparing materials in advance
- Monitors the performance of outside agencies including reconciling inventories and invoices
- Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership
- Recruits and trains new personnel. Assists Manager with evaluations and counseling when needed
- Prepare reports as requested
- Participates in special projects as requested by the Manager
- Keeps the Director informed as to the status of the department
- Performs related duties as assigned and unrelated duties as requested.?
- High School diploma or equivalent required. Bachelors Degree preferred
- Must be able to interpret third party coverage and institution's charges (rates) to patient. Must possess an in-depth knowledge of third party governmental billing regulations and statutes/laws governing the management of human resources and strong employee relations skills
- Must be able to effectively supervise and coordinate the billing, follow-up, customer service, and regulatory compliance functions of the Hospital RRC
- Must be able to perform a variety of duties, ranging from direct involvement in various procedures to coordination of activities of many subordinates
- Must have excellent computer, time management, organizational, data processing, and analytical skills with proficiency in Excel and Microsoft Office Suite as well as
- A/R systems and associated applications required
- Must have highly developed analytical and problem-solving skills. Must possess high ability to organize, develop, and write user manuals and other required documents
- Certification through the Healthcare Financial Management Association preferred (e.g., CHFP, CRCR)
- Three to five years of health care Accounts Receivable experience of which one to two years must have been devoted to hospital follow-up or billing responsibilities
22
Patient Accounts PRN Days Resume Examples & Samples
- Knowledge of payer contracts and reimbursement
- Basic knowledge of billing regulations for payers
- Detail oriented with the ability to complete tasks in a timely manner
- Must be able to multitask and remain calm with multiple interruptions and demands
- Comprehensive knowledge of applicable Federal, State, and local laws and regulations related to HIPPA and payers
- Meets Health System's Guiding Behaviors and Caring Standards including interpersonal communications and professional conduct expectations with all co-workers, other departments, and with patients and visitors
- Performs all billing and follow-up functions, including the investigation of over-payments, underpayments, payment delays resulting from denied, rejected and/or pending claims, with the objective of appropriately maximizing reimbursement based upon services delivered and ensuring that the claim is paid/settled in the most timely manner. These functions will be in coordination with and depending on threshold metrics defined by the Key Performance Indicators
- Proactively follows-up on delayed payments by contacting patients and third party payers, and supplying additional data, as required
23
Patient Accounts Assistant Manager Resume Examples & Samples
- Coordinates responsibilities related to change in ownership centers, newly-acquired centers and DeNovos as they relate to billing needs responsibilities
- Partners with People Services and other leaders to recruit teammates with the appropriate behavioral competencies to be a successful teammate
- Ensures new teammates receive appropriate training to effectively understand their responsibilities, other revenue departments, computer systems, and company policies, procedures and Compliance standards
- Provides consistent, visible and timely communication to team on matters including but not limited to:team goals and objectives, progress toward those goals, information that will keep teammates well informed on issues and activities that impact their ability to carry out their job
- Understands basic wage and hour laws, federal state and local laws and regulations
- Builds relationships with ROPS leaders as well as support teams to foster a successful work environment
- Fosters strong working relationships between team, assigned centers and across neighborhoods, encouraging communication and collaboration for the overall benefit of our patients
- Develops and deliver effective presentations as needed
24
Senior Patient Accounts Specialist Resume Examples & Samples
- Has a diverse knowledge of Patient Accounts follow up techniques and is familiar with a wide variety of payers, such as Managed Care, Self Pay, and Auto
- Clearly understands purpose, objectives practices and procedures of the department
- Performs other tasks that may be assigned by the Manager
- A minimum of three (3) years of Hospital experience in billing and collecting Medicare/Medicaid
- Working knowledge of Federal, State and County guidelines as it relates to billing; and knowledge of electronic billing systems
25
Patient Accounts Coordinator Resume Examples & Samples
- Review tickets for accuracy and completeness, determine appropriate fees for services rendered, calculate totals, collect appropriate amount from patients, properly record information. Responsible for posting hospital charges or other satellite services. Utilizes correct ICD9, CPT and HCPCS coding methods to determine the proper code for the services rendered
- Processes payments received in person and by mail. Records, totals and prepares monies for deposit according to company procedure
- Makes adjustments to patients' account including editing charge entries and entering charge corrections, according to established procedures
- May reconcile over-the-counter payments with daily input and makes adjustments as needed
- Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
- Reviews all Explanations of Benefits (EOBs) and initiates collection procedures for those with zero payments
- Maintains NSF checks to ensure the applicable account is added back to accounts receivable, in accordance with NSF policies and procedures
- Generates various reports necessary to manage accounts receivable, including denial reports, insurance follow up reports, NSF reports and month end reports
- Communicates information to appropriate personnel. Educates staff on corrections, e.g. front-end entry errors in a positive, constructive manner
- Resolves patient billing complaints and questions, initiates adjustments as necessary
- Participates in company sponsored collection forums and other educational activities
- Gathers and reports monthly and annual data for fiscal, statistical and planning purposes. Develops and implements revenue enhancement strategies for existing practices
- Follows the CHRISTUS Provider Network guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
- Maintains established CHRISTUS Provider Network policies, procedures, objectives, quality assurance, safety, environmental and infection control
- Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Provider Network's cultural diversity objectives
- Supports and adheres to CPN Service Guarantee
26
Patient Accounts Specialist Resume Examples & Samples
- Is consistent, dependable and accurate in carrying out responsibilities to a successful conclusion
- Responsible for performing job duties in accordance with mission, vision and values of Tampa General Healthcare
- A minimum of one year billing and/or collection experience working in a medical setting
27
Manager of Patient Accounts Resume Examples & Samples
- Responsible for the daily patient accounts operations at Rushford Center and Natchaug Hospital, including but not limited to billing, claims adjudication, write-off management. Also responsible for taking steps necessary for team goals (such as Accounts Receivable Days, cash collections, write-offs, etc.) to be attained
- Manages the selection, hiring, training and performance review of all staff members under supervision. Identifies needs and provides opportunities for ongoing staff development
- Coordinates and decisions staff PTO requests, collects and submits staff timesheets, and processes other personnel information as necessary
- Manages the process of all third-party payor claims generation and submission, both printed and electronic. Correct and resubmit any claims returned needing additional information or correction. Ensure claims go to secondary payers, if applicable
- Reviews and works daily follow-up and billing reports to ensure claims are processing with accurate and timely billing information (Aging, Unbilled Reports). Develops and produces ad hoc reports, as needed
- Executes the activities of shift according to program time schedule with minimal supervision
- Facilitates orientation & training for new patient accounts staff
- Assists the Supervisor to assure accuracy in the maintenance of all required documentation, reporting, and other records necessary to ensure effective service delivery
- Run and complete data integrity reports to ensure that the events are enter in conjunction with the Client’s program history and authorization
- Reviews and advises other Departmental Managers of inconsistencies of information provided by the Clinical Staff to properly validate services to prescheduled events
- Coordinate and perform month-end and year-end close as it relates to billing functions
- Responds to client inquiries in a timely and professional manner
- Manages payment posting and adjustments to client accounts
- Responds to payor inquiries (via phone or mail) on submitted claims, procedure, codes, rates, etc
- Performs third-party payor and/or client follow-up projects as designated by supervisor
- Works with other departments in processing inquiries related to client accounts
- Identifies system issues as it relates to events being entered into billing system
- Performs any other additional responsibilities as assigned by the BHN Director of Revenue Cycle
- Minimum Seven to five years experience years’ experience in a medical billing position
- Prior supervisory experience required preferred
- Requires knowledge of UB/HCFA billing codes, CPT codes, ICD-9 / ICD-10 coding
- Requires knowledge of 837 billing processes, 835 processes, 270/271 processes
- Proficient at keyboarding and computer skills including word processing, spreadsheet and billing software
- Able to organize and demonstrate multi-tasking skills
- Ability to analyze problems and focus on detail
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Supervisor, Patient Accounts Resume Examples & Samples
- Promote revenue integrity by evaluating accounts for accurate calculation of the expected reimbursement
- Collaborate with the team to ensure accuracy of all balances
- Coordinate AR follow up activities and ensure denials are identified and addressed effectively
- Monitor and rectify credit balance accounts
- Train and monitor staff to ensure proper steps are taken to overturn or appeal denials
- Stay current on all Federal and State regulatory requirements for all insurance carriers
- Associates Degree required; Bachelors preferred
- Three years(3) + years experience supervising staff and managing accounts receivable for an ambulatory surgery center
- Knowledge of federal and state regulatory requirements for all insurance carriers, medical and insurance terminology, and health insurance issues
- Must be proficient in Microsoft Word, Excel, Outlook; experience working with Epic highly desirable
- A strong initiative to complete work, solve problems, communicate issues and suggest efficiencies will be key to your success
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Hcs Patient Financial Service Rep Patient Accounts Resume Examples & Samples
- Researching accounts and payments applied to ensure accuracy in posting and validity of credit balances
- Current knowledge of coordination of benefits rules
- Frequent use of, and current knowledge of, Excel and Word
- Experience with routinely reconciling a high number of self-pay credit balance accounts in a timely and accurate manner
- Ability to handle a large volume of incoming accounts on a daily basis
- Any other tasks as assigned by manager or supervisor
- This is a UNC REX position, this hire will not be a UNC Medical Center employee.*
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Hcs Patient Financial Service Rep Patient Accounts Resume Examples & Samples
- Researching and sorting various paper payments received for appropriate and timely deposit and posting
- Current knowledge of payment posting for insurance and patient payments
- Frequent use of, and current knowledge of, Excel spreadsheets
- Experience with routine reconciling of high volumes of payments
- Ability to handle a large volume of incoming payments on a daily basis
- Any other tasks as assigned by manager or team lead
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Patient Accounts Coordinator Resume Examples & Samples
- 2 years experience in Maternal Fetal Medicine
- 3 years accounts receivable experience
- Knowledge of billing and coding
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Patient Accounts Lead Resume Examples & Samples
- Must be able to utilize Microsoft Word and Excel
- Self-directed
- Well-developed problem solving skills
- Strong written and oral communication skills
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Specialist, Medicare Patient Accounts Resume Examples & Samples
- Initiate collection follow-up of all short-paid, unpaid, or denied claims with Medicare
- Research, appeal, and resolve claim rejections and denials with Medicare
- Navigate through Medicare's Direct Data Entry claim system, and multiple internal systems to ensure timely and accurate resolution of outstanding claims
- Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
- Experience in customer service a plus
- Health care and medical billing/collections or reimbursement experience is preferred
- Intermediate computer proficiency in Microsoft Office including Excel and Outlook
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Patient Accounts Lead Resume Examples & Samples
- Completion of high school or its equivalent
- 3 years of experience in a healthcare revenue cycle (registration, billing, etc.) with at least 1 year of experience directly related to Registration/Admitting/ Financial Clearance
- Completed all required OSF revenue cycle training and certifications necessary for levels I and II; requires passing level III within one year of employment
- PI lead experience preferred
- Strong experience with electronic medical record system and strong knowledge of office applications and the internet. Demonstrates a detailed working knowledge of Patient Access Services procedures and healthcare reimbursement to include familiarity with various payors
- Completes all required OSF revenue cycle training and certifications necessary for levels I, II, and III
- Associates degree in business, healthcare or related field preferred. Nationally recognized Revenue Cycle certification is preferred (NAHAM, AAHAM, HFMA)
- Advanced knowledge of CPT4, ICD10, HCPCS, and modifiers is required
- Knowledge of medical terminology is required
- Requires advanced knowledge of standard PC word processing and website navigation
- Requires strong attention to detail and ability to obtain and record information accurately
- Requires communication strong skills to clearly and concisely communicate verbally and in writing with peers, supervisors, payers, physicians, patients, other departments, etc
- Ability to understand, interpret, evaluate and resolve advanced patient service issues
- Advanced problem solving skills to address payer and patient issues appropriately and know when to ask for assistance
- Requires advanced conflict management skills, and time management skills
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Senior Specialist Patient Accounts Resume Examples & Samples
- Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt
- · High School diploma or equivalent required
- · One year prior experience in collections/Accounts Receivable strongly preferred
- · Intermediate computer proficiency in Microsoft Office including Word, Excel, Outlook
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Patient Accounts Receivable Specialist Resume Examples & Samples
- Process payment on merchant accounts and record payment within the billing software, as appropriate
- Address all credits by refund request or by transfer to an outstanding balance
- Meet all AR goals and cash collection goals
- Ensure patient statements are sent monthly
- Communicate past due accounts to the client
- Submit all designated accounts to the collection agency after approval from the client
- Perform Service Line Transfer
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Patient Accounts Supervisor Resume Examples & Samples
- Two(2) to five (5) years of college
- Capable of making administrative decisions that involve the overall functioning of the department
- Must possess computer skills (Microsoft Access, Microsoft Outlook, Microsoft Word and Microsoft Excel)
- Must understand how to use a practice management system to work accounts receivable
- Extensive knowledge of insurances-HMO, PPO, EPO, Indemnity, Medicare, Medi-Cal
- Ability to navigate Health Plan Websites to verify eligibility, benefits and claim status
- Two to four years experience in a medical setting preferred or equivalent education
- Three years of account receivable experience in a multi-specialty medical group environment, including patient scheduling/registration and business office processes, credit and collections
- Epic knowledge is a plus
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Patient Accounts Manager / Hunt Valley Resume Examples & Samples
- Monitors departmental performance to ensure accurate and timely procedures on patient accounts
- Establishes and implements a fair and appropriate incentive system in collaboration with the Project Director
- Prepares performance reports and distributes to monitor and evaluate the effectiveness of the department
- Ensures office environment and facilities are maintained in an orderly fashion and conducive to efficient operations. Develops and maintains contacts as necessary
- Responsible for all personnel and payroll matters for the department, and maintains all related records
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Patient Accounts Specialist Resume Examples & Samples
- Associate’s degree in Business, Accounting, Finance or related field OR 3 or more years of work experience in a healthcare business office
- Preferred experience in collection of outstanding balances and call center experience
- Knowledge of and skill in the use of Microsoft Office products, such as excel, power point, word etc
- Desired Qualifications
- Knowledge of state and federal regulations as they pertain to collection processes and procedures
- Knowledge of insurance billing requirements
- Detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, and ability to be self-directed
- Able to effectively work with team composed of direct and indirect reporting relationships
- Able to communicate effectively with team members and management
- Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., Quality, Hospitality, Respect, Justice, Stewardship and Teamwork)
- Complete the Essentia Health Process Excellence 2-3 day work shop within 1 year of acquiring this position
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Coordinator of Patient Accounts Resume Examples & Samples
- Coordinates all Insurance Authorizations for the service
- Verifies and updates necessary information; enters patient demographics and insurance information into the computer
- Responsible for cross-checking tickets and correcting all detected errors; notifies physician and patient of corrections. Reconciles daily charge tickets within established guidelines
- Handles collection efforts for all outstanding accounts including patient calls and sending correspondence. Takes necessary steps to establish acceptable payment schedules or refer appropriate accounts to collection agency
- May post over-the-counter payments to accounts (or NSF checks) for outstanding balances, including discounts, adjustments and write-offs
- Obtains approval/arrangement of Budget plan booklets as established by policy or practice. Follows up to determine if payment arrangements are being met, contacts patients to resolve problems, responds to correspondence or telephone calls from patients about accounts
- Collects and reviews managed care contracts for correct billing and payment terms
- Identifies problem accounts and follows through to completion
- Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues or payer trends to supervisor
- Helps fiscal management and other administrative staff in implementing cost effective policies and procedures for all areas including billing, insurance, fee schedules, credit/collections, purchasing, and data processing
- Responsible for assuring all appropriate licensure, certifications and/or accreditations are secured according to policy
- Maintains strict confidentiality
- Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives
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Patient Accounts Supervisor Resume Examples & Samples
- Ability to multi-task is a must
- Bilingual (Spanish) is preferred
- Minimum of 3 years' collections/insurance experience, required
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Patient Accounts Supervisor Resume Examples & Samples
- 5 years of progressive experience in third-party, managed care, Medicare, Medicaid, CHAMPUS, and Blue Cross collections, UB04/1500 billing procedures, cash applications, balancing and reconciliation processes, and overall business office operations
- 2 years of experience in a supervisory role
- Knowledge of computer hardware and software and its functions within the billing and patient accounting workflow
- Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., EPIC Resolute, Dentrix, Clearinghouse, or comparable
- Must possess and demonstrate strong communication, organizational, and interpersonal skills
- Proven aptitude for problem-solving and critical thinking
- Ability to multitask and work both independently and within teams while working effectively with attention to detail
- Supervises staff in Billing or Patient Accounting departments and monitors activity, ensuring high-quality claims processing and account resolution
- Conducts routine account audits for all Collectors to identify trends in collection efforts and provides findings to Manager, Patient Accounting or department director
- Monitors staff productivity and quality and recommends action steps to improve performance
- Ensures compliance with facility and departmental policy and procedures
- Maintains working knowledge of applicable systems and department policies
- Supports Manager, Patient Accounting in communicating team initiatives while tracking team progress towards agreed goals
- Reviews escalated accounts timely for claim errors or payor issues and provides guidance to staff to increase capability while minimizing delays in account adjudication
- Monitors and recommends development of staff education program and manages orientation, competency assessment, and education for Patient Accounting staff
- Supports Manager, Patient Accounting in executing and achieving Revenue Cycle goals and initiatives
- Provides day-to-day supervision of staff, including problem-solving, scheduling, and productivity monitoring
- Supports Manager, Patient Accounting in implementing new departmental projects and goals
- Monitors and maintains Clearinghouse and Epic Resolute systems, including work queues and reports to ensure proper functionality
- Monitors Epic work queues for Patient Accounting department and recommends solutions to address workflow challenges and staff performance gaps
- Completes timekeeping while monitoring staff attendance in a timely fashion for payroll processing
- Performs other duties and responsibilities as required
- Manage the day to day operations of the staff, including but not limited to: work assignments, task management, time tracking/management, and on-the-job training
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Coordinator Patient Accounts Resume Examples & Samples
- Minimum 5 years of related experience in a healthcare organization
- Ability to understand and resolve complex billing situations
- Working knowledge of Medicare, MediCal, PPO/HMO and other government agencies
- Minimum (3) years' experience with hospital computer systems
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Patient Accounts Specialist Resume Examples & Samples
- Minimum 4 yrs experience in insurance collections
- Minimum 1 yr experience with facility and professional claims
- Strong math and accounting skills
- Ability to comprehend and utilize effective collection process
- Demonstrated knowledge in Microsoft Suite
- Excellent interpersonal and telephone communication skills
- Demonstrated knowledge of ICD-10-CM, HCPCS and CPT coding
- Knowledge of 12 Step Program
