Patient Financial Services Representative Resume Samples

The Patient Financial Services Representative is accountable for completing the patient’s admission and registration related functions. The list of responsibilities listed on the Patient Financial Services Representative Resume include – under the supervision of the Manager performing various tasks like answering phone calls, fixing appointment, cash handling and resolving patient’s issues; handling patient account through phone to get payment of accounts, providing support to team management regarding claims follow-up, preparing payer response reports, and processing claims for multiple payer types.

Skills recognized for this position include some or all of these – advanced clerical knowledge, multi-line phone proficiency, filing and data archiving techniques, ability to comply with HIPAA, the ability to maintain confidentiality, knowledge of relevant software and telephone etiquette. As far as education is concerned, a degree in health-related fields will be considered.

Patient Financial Services Representative Resume

Objective : A compassionate, conscientious, and dedicated individual with strong interpersonal skills seeks a position in clinical research to serve as a study coordinator to support the goals and objectives of physician investigators in compliance with the standards of Good Clinical Practice.

Skills : EHR, Microsoft, Outlook, Excel.

Description :

    1. Preformed registration processes, which included performing data entry activities, providing patients with appropriate information and intake forms, and obtaining necessary signatures.
    2. Verified insurance eligibility benefits for services rendered and documented appropriately.
    3. Assisted in obtaining referrals and insurance authorizations.
    4. Explained and provided financial policies and available resources for alternative payment arrangements to patients and their families.
    5. Entered payments/charges for services rendered and performed daily payment/charge resolution in an efficient and accurate manner.
    6. Prepared daily financial journal with bank deposit and necessary paperwork to send to centralized billing for record purposes.
    7. Scheduled office visits and procedures within the medical practice and external practices as necessary to support continuity of care.
    8. Exhibited proactive interpersonal/customer service skills while dealing with patient concerns and optimizeed patient satisfaction by effectively communicating with management and the clinical team.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Nursing


Sr. Patient Financial Services Representative Resume

Summary : Seeking employment as a Federal Career Intern, Admission Director, Billing Manager, Office Manager, etc.

Skills : Outlook, Microsoft Windows, Excel, Time Management, Problem Resolution, Leadership, Adaptability.

Description :

    1. Collected outstanding accounts insurance or third party balances on patient hospital accounts.
    2. Reviewed all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance.
    3. Effectively resolved accounting issues as they arise to promote claim resolution.
    4. Researched and obtained required information and forms from patients, third party, and medical records for primary and secondary payers.
    5. Successfully conducted audits, processed insurance claims; data entry of charges, payments, and adjustments; assist patients with payment plans and other account related issues; prepare various reports; prepared and submitted bills for payment; and worked credit balance accounts to a timely an appropriate conclusion.
    6. Responded to and resolved account inquiries by patients and other entities via mail, fax, or telephone communication.
    7. Prepared documents for destruction or other disposition and ensure proper accountability of documents based upon degree of classification.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Master's In Business Administration


Jr. Patient Financial Services Representative Resume

Objective : A Goal driven, experienced, and dedicated Healthcare worker, soon to complete B.S. degree in Healthcare Administration. Thirteen years related hands-on experience in a fast-paced healthcare industry. Excellent communication skills with a high level of customer service experience. Provide quality customer service for patients, directors and staff. Provide positive support, and helpful attitude when interacting with all departments in the hospital (social workers counselors, directors, doctors, and UR nurses).

Skills : Microsoft Office, Microsoft Word/ Excel, Meditech.

Description :

    1. Processed patient files and billing information, answered questions, responded to concerns, and alleviated delicate situations with professionalism and sensitivity.
    2. Patient billing processing and payment posting Set patient accounts to collections Contacted Auto and Health insurance agencies in order to collect payment and or settlement funds towards outstanding medical bills.
    3. Negotiated with Attorney's retained by payee to consolidate and settle medical expenses.
    4. Served as a customer care/relations representative for the Emergency Room for both Littleton and Parker Adventist Hospital.
    5. Collaborated with fellow employees and managerial staff to create strategic plans to enhance customer satisfaction.
    6. Assisted employees with tools to maintain and increase service levels to both internal and external customers.
    7. Worked closely with other departments to gather, analyze, and report service statistics.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma

Patient Financial Services Representative I Resume

Summary : To utilize my professional life skills experience with the intention of securing a professional career with ample opportunity to tackle challenges and advance, while continuously building on my library of knowledge and skills.

Skills : Certified and Licensed Forklift driver, Type 45 wpm, microsoft literate.

Description :

    1. Data entry and detailed documentation of scheduled health care services used for billing.
    2. Required reporting of hospital admissions and pre-certification.
    3. Collections of monies due for non-covered portion of hospital services.
    4. Notification to insurance companies for hospital authorization of medical services and collections.
    5. Supports the mission of providing quality healthcare to the patients of Florida Hospital by performing a variety of duties that support the financial health and well-being of the organization.
    6. Responsible for coordinating patient referrals and subsequent follow up, verifying insurance and providing financial counseling to assist with self-pay accounts, as well as billing and collection of insurance and self-pay accounts.
    7. Follows all federal, state and payer specific regulations and policies pertaining to documentation and billing practices to ensure all work is in compliance with established guidelines.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelor's In Communication

Patient Financial Services Representative II Resume

Objective : To learn, grow and succeed within the medical industry while utilizing my excellent leadership, interpersonal and organizational skills. I believe in a team approach to accomplishing goals where lines of communication are open and there is a mutual support between co- workers.

Skills : Client relations, specialist Conflict resolution techniques, Team management Meticulous attention to detail, Scheduling Focused on customer satisfaction Management of remote employees Skilled multi-tasker Microsoft software proficiency Deadline-oriented.

Description :

    1. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately.
    2. Assists in obtaining or validating pre-certification, referrals, and authorizations Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement.
    3. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.
    4. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner.
    5. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.
    6. Schedules office visits and procedures within the medical practice(s) and external practices as necessary.
    7. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Diploma

Patient Financial Services Representative III Resume

Objective : Dedicated customer service representative with motivation to maintain customer satisfaction and contribute to company success.

Skills : Medical Front Office Admin Assistant, Patient Financial Services Rep.

Description :

    1. Accurately and completely document all information into the patient records system to ensure maximum reimbursement.
    2. Obtain all necessary signatures and documentation required by the patient's insurance plan.
    3. Calculate patient liability according to verification of insurance benefits, collect estimates, deposits, and co-payments.
    4. Provide financial counseling to patients &their families.
    5. Explain company financial policies and provide information as to available resources and avenues for alternative payment arrangements.
    6. Assist patients and their families in completing financial assistance paperwork when appropriate.
    7. Acted as a liaison between the patient, the billing department and the payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
High School Diploma

Patient Financial Services Representative/Consultant Resume

Objective : Dedicated and focused student who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Hard-working, multi-tasking assistant with outstanding telephone, scheduling and documentation skills.

Skills : Microsoft Office, Research, Fax, Customer Service Skills,.

Description :

    1. Assigned to a variety of admitting, registration and customer service work.
    2. Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications.
    3. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement.
    4. Obtains all necessary signatures and documentation required by the patient's insurance plan.
    5. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities.
    6. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance Explains and obtains signatures on hospital legal forms i.e.
    7. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma

Associate Patient Financial Services Representative Resume

Summary : Dedicated professional with a 10+ year career in auditing, compliance, and financial services in the healthcare sector. Exceptional attention to detail and ability to navigate the complex world of HIPAA and health insurance regulations and guidelines. Focuses on ensuring proper billing for care and proper management of patient information security. Hands-on leader who identifies opportunities for improvement and implements innovative new systems and processes.

Skills : Microsoft, Adobe, Cerner, Faxing, Scanning, Phone Skills, CPR Certified.

Description :

    1. Performed follow-up of Blue Cross Blue Shield health insurance claims submitted on behalf of Emory Healthcare.
    2. Follow-up entailed using various systems IDX and reports for collections.
    3. Prepared correspondence, special payer reports, interdepartmental requests.
    4. Posted contractual adjustments as needed to accounts.
    5. Obtained claim status via the Telephone, Internet and/or Fax from insurance payers.
    6. Evaluated and interpreted contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation.
    7. Constructed supporting documentation regarding insurance follow-up efforts and processes Identified contractual and administrative adjustments.
    8. Routed resubmitted and billed claims via electronic and hard copy submission to insurance carriers for payment.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Master Of Healthcare Administration

Patient Financial Services Representative/Supervisor Resume

Summary : Over 15 years of experience in healthcare, Seeking the opportunity to develop and demonstrate my skills and work experience in the Health Care field, familiar with commercial and private insurance, third party payers, Capitated hospitals and Medical and Medicare recipients, worker's compensation. Claims follow up by phone and written correspondence.

Skills : Medical Terminology, Anatomy And Physiology, ICD-9.

Description :

    1. Collection of deductibles, co-insurance, up front collections and financial arrangements for cash accounts.
    2. Assisted patients in understanding their health care insurance coverage appropriately and correctly identified errors and re-billed denied/rejected claims.
    3. Treat all patients and their families, visitors, peers, staff and providers in a pleasant and courteous manner.
    4. Internet access and phone contact with both patients and insurance companies.
    5. Account analysis to verify accurate payments received; perform appropriate Follow up on underpaid claims.
    6. Updated patient financial information to guarantee accuracy.
    7. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Health Information Management

Patient Financial Services Representative/Executive Resume

Summary : Seeking position within an organization that can fully utilize my skills to achieve their business needs and objectives.

Skills : Microsoft word, excel, PowerPoint, Epic, Star Panel, Quickbooks, Etime, EHS , bilingual in spanish.

Description :

    1. Troubleshoot various problems related to patient insurance benefits, eligibility, processed appeals, denials and authorization.
    2. Accurately posted data information updates regarding credit, collection, refund and adjusted discount percentages to patient accounts.
    3. Created affordable billing plans and payment plans tailored to the needs of the patient.
    4. Interact with patients during stressful situations while communicating information effectively and tactfully.
    5. Fostered a work environment where all employees were treated equitably.
    6. Strategically made adjustments to accomplish workloads in accordance with priorities.
    7. Maintained frequent contact with management to keep them informed about important or controversial situations.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Bachelor Of Science

Lead Patient Financial Services Representative Resume

Summary : International experience in training, process improvement, and quality assurance. Proven ability to solve sensitive issues and problems in a professional manner. Work independently and as a member of a team. Work additional case loads or hours when requested. Thorough understanding of data collection techniques. Twelve years of admission and billing experience in both inpatient and outpatient Facilities. Twelve years of experience performing management responsibilities.

Skills : Spanish, Microsoft Office, Excel, PowerPoint, Mysis,.

Description :

    1. Verify insurance, obtain authorizations and notifications.
    2. Accurately and completely document all information into the patient record to ensure maximum reimbursement.
    3. Explain and obtain signatures on legal forms and registration materials.
    4. Calculate patient liability according to verification of insurance benefits, collect deposits, deductibles, coinsurance and co-payments.
    5. Provide information as to available resources and avenues for alternative payment arrangements.
    6. Act a liaison between the patient , the billing department and the payer to enhance account receivables performance.
    7. Resolve outstanding issues and patient concerns to maximize service excellence.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Consultant
Education
Education
Medical Billing

Patient Financial Services Representative Resume

Summary : Seeking the opportunity to develop and demonstrate my skills and work experience in the Health Care field, familiar with commercial and private insurance, third party payers, Capitated hospitals and Medical and Medicare recipients, worker's compensation. Claims follow up by phone and written correspondence.

Skills : CCA Certified.

Description :

    1. Verify patient demographic information is accurate; ensure member eligibility and benefits by utilizing company websites, phone or fax.
    2. Obtain referral and authorization for service as required.
    3. Strong organizational abilities, professional customer service, and oral/written communications.
    4. Efficiently and expediently prepared claims electronically from list before transmittal, corrected errors, verified all information, etc.
    5. Billed accounts that must be sent to a specialty unit hardcopy, with required documentation.
    6. Filed correspondence bills requiring more information.
    7. Followed-up on edits and reports from billing vendor.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
CCA