Patient Financial Representative Resume
Summary : An optimistic and tenacious person that is detail-oriented and eclectically learns from every experience. Enjoy dealing with the public and meeting new customers while building a relationship with them.
Skills : Office Management, Records Management, Database.
Description :
- Coordinate and maintain insurance and self-pay accounts to ensure accurate and timely payment.
- Ensure adherence to established policies and procedures.
- Performed billing, follow-up and customer service functions, field patient inquiries and maintaining departmental workflow.
- Review and resolve accounts for correct balance.
- Ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization.
- Provided customer service to internal/external customers.
- Learned and maintained the various Federal rules and regulations surrounding patient financial service companies and medical debt collection.
- Utilized strong MS Office skills, including Excel, Word, and Outlook Employed proven skills in mathematics and financial analysis.
Experience
7-10 Years
Level
Management
Education
Business Administration
Patient Financial Representative Resume
Objective : To obtain a position in a team orientated office that will enable to utilize the skills.
Skills : Nurse Technician, Nursing Supervisor.
Description :
- Conducts patient visits for bedside registration to expedite the completion of the patient registration.
- Obtain and encode information into the patient management system of all pertinent demographic and insurance information.
- Completes required forms and obtain appropriate signatures.
- Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications.
- Conducts patient visits for bedside registration to expedite the completion of the patient registration.
- Responsible for answering and facilitating incoming patient calls to our Central Billing Office.
- Provided support to billing team members involving claim management and other billing and collection processes.
Experience
2-5 Years
Level
Junior
Education
Certification
Sr. Patient Financial Representative Resume
Summary : Service-oriented Patient Financial Representative/Receptionist with more than 13 years background in Medical Office.
Skills : Excel, Wordperfect, Microsoft Word, Power Point, Power.
Description :
- Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
- Interview patients or their representatives to identify problems relating to care.
- Maintain knowledge of community services and resources available to patients.
- Refer patients to appropriate health care services or resources.
- Investigate and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.
- Provide consultation or training to volunteers or staff on topics such as guest relations, patients' rights, and medical issues.
- Develop and distribute newsletters, brochures, or other printed materials to share information with patients or medical staff.
Experience
7-10 Years
Level
Management
Education
Human Services
Jr. Patient Financial Representative Resume
Summary : Strongly desire a position where can establish long term career goals, To be in Environment that allows to motivate others, to achieve a strong level of communications skills, written and verbally.
Skills : Computer Hardware.
Description :
- Verify insurance benefits for patients admission process upon arrival Having knowledge of governmental and managed care payer requirements.
- Understands the data elements required to generate a clean bill.
- Verified Insurance eligibility and obtains authorization for dates of service.
- Implement policies and procedures for admission/registration of all patients.
- Ensure appropriate time for posting payments and submit claims to obtain correct payments.
- Create and modify documents such as invoices, reports, memos, letters, and financial statements.
- Discussed outstanding balances with patients; set-up payment arrangements Collect co-pays Scheduled appointments.
Experience
7-10 Years
Level
Management
Education
HR
Patient Financial Representative III Resume
Objective : To work in the medical profession in a position that will allow to utilize knowledge and skills in a successful manner, and a position offering opportunities for personal contribution and professional growth in a hospital or clinical environment.
Skills : Payroll, Medicaid, Sandata, Pivot Table, ePremis, Invision software, RAS.
Description :
- Responsible for Patient Registration and Insurance verifications.
- In charge of balancing and maintaining petty cash as well as patient follow-up calls for next day procedures.
- Evaluated insurance eligibility for patients to determine adjustments or reimbursements on patients' account; answered patient's inquiries regarding benefits and medical claims in a courteous and professional manner.
- Accurately applied payments to patients account, and provided follow-up with insurance providers to ensure proper information and payments were fully collected.
- Researched account receivables, and consulted with insurance companies to institute settlement agreements on patients account.
- Maintained accurate up-to-date individual patient records and databases; answered multi-line phone system in a punctual manner.
- Performed light clerical duties such as filing, faxing, and copying, as well as, processing large volume of correspondence on a timely basis.
Experience
2-5 Years
Level
Junior
Education
Associate Of Arts
Patient Financial Representative II Resume
Headline : To obtain a position that will enable me to use strong organizational skills, educational background, and ability to work well with people also seeking a position in an office environment, where there is a need for a variety of office secretary tasks.
Skills : Microsoft word, Excel, Power point, Outlook, Windows.
Description :
- Maintain physician's daily patient schedules Ensures same day add-on appointments is communicated to appropriate personnel departments and acquired authorization obtained.
- Verifies insurance benefits and eligibility through HDX or other means when necessary and manually looking at patient's insurance card on a monthly's basis.
- Verify type of insurance and identification of financial class.
- Maintains and monitors the flow of front registration procedures and patients wait time in lobby to ensure timely patient processing.
- Identifies deductibles, out- of - pocket expense, copayments, and percentage payables and facilitates the cash collection for services rendered to Cleveland clinic policy.
- Schedules all follow-up appointments or special testing appointments using correct Epam/ Epic /Enterprise pathways and provides proper patient instructions.
- Ensures appointments are booked on proper case and add any case or schemes as necessary.
Experience
5-7 Years
Level
Executive
Education
Associate Of Science
Patient Financial Representative I Resume
Objective : Able to connect meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.
Skills : MS Office, Adobe, SalesForce, Medical Terminology, ICD-9/10.
Description :
- Works all assigned insurance payers to ensure proper reimbursement on patient accounts to expedite resolution.
- Processes administrative, technical appeals, request refunds when applicable, reinstatements and rejections of insurance claims.
- Ensures proper escalation is met when an account receivable is not collected in a timely manner.
- Completes account follow up daily, maintaining established goal (s), and notifies Assistant Supervisor, when necessary, of issues preventing the achievement of such goal(s).
- Ensures our corporate goals are met by consistently keeping our account receivables below our corporate standard.
- Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues.
- Responds to written correspondence received from Payer and/or Patients.
Experience
2-5 Years
Level
Junior
Education
Administrative
Patient Financial Representative/Consultant Resume
Summary : Patient-focused financial representative skilled at medical billing, coding and office management. Reliable multi-task with medical billing and follow up experience.
Skills : Finance, Medical Representative.
Description :
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
- Confirmed patient information, collected copays and verified insurance.
- Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
- Completed appeals and filed and submitted claims.
- Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
- Reviewed medical records for accuracy and completion as required by insurance companies.
- Strictly followed all federal and state guidelines for release of information.
Experience
7-10 Years
Level
Consultant
Education
Finance
Patient Financial Representative/Manager Resume
Summary : Dedicated and technically skilled business professional with a versatile operation management skill set developed through experience as a manager, customer service expert and service desk analyst.
Skills : Project Management, Inventory Management, IT Manager, Office Manager.
Description :
- High preforming medical biller completing claims on a UB04 and UB92.
- Primary trainer for new associates in the medical billing department on the Health Insurance Portability and Accountability Act (HIPAA), software and policies.
- Audit billing invoices for inaccuracies and ensure compliance with insurance billing requirements.
- Utilized consultative approach to define customer's needs and develop solutions that cultivated strong relationships with customers.
- Exceeded quarterly collection goals by 20 percent equaling approximately 650,000 in accounts receivable.
- Completed Medicare billing for lab charges.
- Increased customer service satisfaction by providing solutions to financial constraints and qualifying customers for government assistance programs.
- Explained billing invoices to customers providing necessary medical records and charge summaries.
Experience
10+ Years
Level
Senior
Education
Certification In Project Manager
Patient Financial Representative/Supervisor Resume
Objective : Over 10 years with a Golf Apparel Company Possess solid computer skills. Working knowledge Microsoft Excel, Microsoft Word, A team player, Willing to learn new tasks.
Skills : Finance, Medical Technician.
Description :
- Accurately and efficiently completed data entry and general reception deliverables in a timely manner at multiple hospitals and clinics throughout the greater Washington, DC area.
- Clients included Prince Georges Hospital Center, Hebrew Home of Greater Washington, PG Hospital, Laurel Hospital and Bowie Health Care Center.
- Performed data entry using 10-key and received patient payments by phone.
- Addressed patient billing and insurance questions and inquiries, quickly resolving issues that arose.
- Resolved issues and sent out electronic claims, processing refunds as needed.
- Posted all insurance payments and prioritized workload to meet all established deadlines.
- Utilized an array of software including Word, Excel, Adobe and Medical Billing databases.
- Processed billing for skilled nursing facility services including Medicare Part A and secondary's.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Arts
Patient Financial Representative/Specialist Resume
Objective : Looking for a challenging opportunity in an office setting where can utilize current knowledge, computer skills, display initiative and responsibility.
Skills : Finance, Accounting.
Description :
- Obtained working knowledge of all insurance payer's policies and procedures.
- Researched claims denied for non-payment by resubmitting, appealing or processing applicable accounts for Bad Debt.
- Ensured the patient received the assistance needed with any billing or claims issues.
- Collected self-pay account balances, worked Accounts Receivable reports, reviewed Explanation of Benefits and helped patients establish payment plans.
- Prepared Accounts Receivable adjustments for processing and approval.
- Communicated with out of office certified medical coder, responsible for claims that were denied and in question, either by patient or insurance.
- Preregister outpatients, update demographics, obtain auth before a visit, call insurance to obtain eligibility.
Experience
2-5 Years
Level
Junior
Education
Diploma
Patient Financial Representative Resume
Objective : Demonstrates service excellence and positive interpersonal skills in dealing with others including patients, families, employees, and medical staff, volunteers and community members to maximize communication and productivity.
Skills : Finance, Marketing.
Description :
- Scheduling patient appointments, canceling appointments and rescheduling patients, checking patients in and out for appointments.
- Collecting co-pays (cash or credit card), insurance verification, entering new patient information, making new patient charts.
- Obtaining prior authorizations for procedures from insurance companies.
- Experienced in Medical Manager, experience in daily postings of charges and entering payments.
- Very computer savvy, ability to make any forms with just a rough draft Preparing charts for the next day of business, getting messages to the proper person in a timely manner.
- Experienced in the Medical Records Department, filing, pulling charts, copying patient records.
- Experienced in using the ICD-9 book to look up codes for billing purposes Experienced in Accounts Payable.
Experience
2-5 Years
Level
Junior
Education
Diploma