PROFESSIONAL SUMMARY

RONDA BLEDSOE-COLLINS

ac6yip@r.postjobfree.com 512-***-**** 15118 Lantern Dr, Pflugerville, Texas 78660 Patient Services Specialist: with accomplished ambitious experience supporting 12 physicians in a busy medical and

Emergency Offices. Expertise includes verifying insurance coverage, patient's demographic, upfront collections, and records

Reviews and schedule appointments and maintenance. Inpatient and outpatient records coding specialist with ICD-9,

ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of

Increased responsibility and authority. Administrative Assistant experienced at registering patients, scheduling

Appointments, recording and filing patient medical records. Enters orders and information quickly and accurately.

Patient-focused claims assistance skilled at medical billing, coding and office supervisor. Reliable multi-tasking with

Internal medicine and dermatology experience. Ambitious individual seeking an administrative role in a hospital or private

Practice. Knowledge, Enthusiastic Administrative Assistant with excellent people skills and dedicated work ethic. Strong

Attention to detail and extensive Customer Service-oriented Administrative Assistant skilled in greeting patients,

Scheduling appointments and preparing patient charts. Knowledge Customer service- oriented Administrative Assistant

Skilled in greeting patients, scheduling appointments and preparing patient charts. Highly efficient Medical Biller with

Experience in anesthesia, dermatology and neurology. Excellent multi-task's and demonstrated team player with a

Positive attitude. Seeking a position requiring HMS and Med iSOFT billing systems. Patient- focused Medical billing with

Over 20 Years' experience working in a busy medical office and hospital working with diverse populations. Leasing Agent. PR and BLS License. Business-minded Financial Counselor known for successfully managing a high level of patient accounts. A determined employee with over 20 years' experience processing financial forms and obtaining referrals and other health documentation. Able to remain calm and poised in all types of situations. Logical Financial Counselor with an extensive history of speaking with patients, physicians and insurance company representatives. An efficient professional with experience obtaining pre-admission paperwork, counseling patients and developing effective payment plans for healthcare services. Organized individual with the ability to multi-task and liaise between patients, physicians and insurance SKILLS

WORK HISTORY

companies. An astute Financial Counselor offering extensive healthcare insurance knowledge and proficiency in V erification/Collections/Obtaining Demographic. Account management and updating

Positive patient experiences

in vision Citrix

Ecare

AIS Telecommunication skills Adaptive team

player And Active Dash. Healthcare billing

proficiency Telecommunication skills Visual

merchandising

Qualified in proficiency

Critical thinking

Customer service

Data entry

Fire and safety

GeneralDocumentation

Executive management support

Health education

Lotus Notes

practices

High-risk trauma situations.

HIPAACompliance Microsoft Office Suite

Microsoft compliance

Fraud Prevention PowerPoint

Multi-Tasking

and commercial insurance

Cobra Insurance.

Business administration

Patient counseling

Insurance verification

Proficient in Software Info cure

Centricity

Pay Nap

Competency in procedure development

Creative problem solving

Specimen collection/processing. ER

experience

Data collection

Ergonomic issues

First Aid

Email

surgery

Healthcare industry Filing Letters and Memos

Microsoft Excel

1600

Microsoft Outlook

HIPAA Training HMO

Microsoft Word

Organizational Specialist indemnity

Hospital Skills

● Professional relationship building

Sep 2016 - Aug 2018

Financial Counselor

Georgetown Behavioral

Hospital - Georgetown, TX

Meticulously documented all details regarding contact with patients, providers and other individuals in the system using AIS.

●

Contacted insurance providers to obtain key

information regarding patient benefits and to submit documentation for accounts.

●

Identified healthcare resources and programs for

patients who were unable to meet their financial

●

obligations.

Conducted interviews with patients and their family members and answered questions regarding insurance benefits.

●

Maintained friendly and professional customer

interactions. Monitor, Evaluated and followed-up with daily Census, Unverified, Unbilled Report, New

admission/status changes update and reports.

Verified insurance coverage and benefits for all

insurance types and services. Identified financial liability for insured and uninsured patients, Calculated and collected payments from all patients, including prior balances discussed financial assistance and

payment plan. Effectively communicated with Patients and Family face to face informed of estimated

responsibility according to the verification of his or her insurance at point of admission, beside or at

discharge. Provided patients and responsible party with financial responsibility documents/letters,

payment plans, receipt upon collections. Performed complete research as needed to determine

appropriate source of liability/payment. Resolved all system edits, updated and remedy expediently

including work queues and reports. Reviewed/QA

accounts for Accuracy, quality, corrected

demographic, insurance and financial data. Provided registration support, Interaction, feedback to our Intake Team, Social Workers, Case Managers,

Utilization Review, Nursing Staff and Third Party Vendor related to patient financial concerns. Promote and maintain the highest quality level of services for all patients and family members by exhibiting a

welcoming environment. Maintained privacy,

confidentiality, respect, dignity and discretion of each person. Effectively demonstrated Our Mission Values of all regulations mandated by Health Insurance

Portability and Accountable Act (HIPAA).Maintained general knowledge of CMS guidelines third party

payers such as HMOs, PPOs, POS, EPO, Indemnity

Plans, Medicare, Medicaid, Commercial Insurance,

Cobra and County Plans. Performed all duties as

requested accurately, efficiently in a timely manner. Worker well with others of all levels.

●

Sep 2016 - Aug 2017 ● Accurately documented all elements of nursing Patient Access Representative

First Choice ER - Round Rock, TX

assessment, treatments, medications, discharge

instructions, and follow-up care.

Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each

resident.

●

Contributed substantially to successful department JCAHO accreditation.

●

Ordered and read lab tests, x-rays, MRIs, Ultrasound's, and EKGs.

●

Collected and processed co-payments and out-of-

pocket charges using C entricity.

●

● Participated in unit-based Quality Assurance Program. Developed and implemented improvements to billing

system to maximize efficiency, reduce delinquency

and increase accuracy.

●

Cooperated and communicated effectively with

physicians to ensure client satisfaction and compliance with set standards.

●

Managed various general office duties such as

answering multiple telephone lines, completing

insurance forms and mailing monthly invoice

statements to patients.

●

Consistently complied with applicable laws and

regulations and ensured facility adhered to Medicare and Medicaid regulations.

●

Jan 2009 - May 2016

Patient Access Representative

Greenville Memorial Hospital -

Greenville, SC

Registration on a daily basis Complied with scripting when greeting guest Registration on a daily basis Complied with Scripting when greeting guest at time of services and phone etiquette obtained and verified patient

demographics,

Insurance and financial information, Verified insurance eligibility and benefits. If needed I covered various departments

Emergency Room, Physical Therapy, Front Desk, Bed

Board and Women's Center, Ensured all notification and Authorizations was completed in a timely matter at time of services. Communicated with Physician, Case

Management

Clinical Staff and Bed Board, Identify and evaluated the appropriate funding programs for patients with insurance. Collected process cash and credit cards payments at time of services, explained all sign document to patient before

Forms was signed. Other duties: Scheduled appointments, Surgery, Pre-OPT, Echo, Labs, Labor & Delivery in- Patient

&

Out-Patient Admission, Patient transfer per Ambulatory, Emergency Room Registrations, Physical Therapy, Exception, ET and DNF reports. Maintained petty cash drawer, Disbursement summary report for Patient

Account, Pharmacy, Gift Shop, and good Health

Commons and Parent Educations. Served as a financial representative,

Participated in patient discharged process, made sure all registration was completed, training with co-workers hand off,

Precisely completed appropriate claims paperwork,

documentation and system entry. Participate in

departmental

Committees and group meetings which focused on

providing quality services. Demonstrated interpersonal Competencies, problem-solving, negotiation and conflict management, Evaluated patient care needs, prioritized Treatment, and maintained patient flow. Managed wide variety of customer service and administrative tasks to resolve

Customer issues quickly and efficiently. Recipient of multiple positive reviews acknowledging dedication to excellent

Customer's services. Achieved collection goals and services performance requirements of $7500 monthly goals through

Patients care and registration, Ensured superior customer experience by addressing customer concerns,

demonstrating

Empathy and resolving problems on the spot.

Jan 2007 - Dec 2009

Scheduler/Insurance

Verification

Texas Oncology-Austin Central -

Austin, TX

Scheduled appointments, registered patients and

distributed sample pharmaceutical as prescribed.

Obtained patient

Demographics, Verified various insurances on daily basis Medicare, Medicaid and commercial insurance every

three

Months. Received, documented updated patients

demographic and insurance information scanned and

filed to medical

Records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol

And third party requirement regarding billing. Obtained copal's, coinsurance, referrals plan type RQI, and encouraged, Authorization, Schedule CT, MRI, and Echoes and Heart screenings obtained medical records at time of services Explained all signed forms to patients before signing and insured they understood what was being signed.

Maintained

And encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working

Relationships with my co-workers, doctors, management and peers. Precisely completed appropriate claims

paperwork,

Documentation and system entry, Cross-trained and

provided back-up for coworkers and service

representatives whenneeded. Managed quality

communication, patient support and product

representation for each Physician. Verified data integrity and accuracy.

Feb 2004 - Nov 2006

Medical Coder/Biller/Insurance

Verification

Adorno Rogers - Austin, TX

Applied official coding conventions and rules from the American Medical Association and the Centers for

Medicare and Medicaid Services to assign diagnostic codes. Applied official coding conventions and rules from the American Medical Association and the Centers for Medicare and Medicaid Services to assign diagnostic codes. Managed various general office duties which included claims submission, production, collection, and customers services

Completed insurance forms, production collections, mailing out monthly invoice statement to patients

answering

Multi-line telephone and overall operation of the billing office. Assisted in establishing a successful structure of a Growing company, always eager to help co-workers in all Areas of the billing and collection department. Billed & coded for

6 Branches for mobility impaired patients, Analyzed monthly balance sheet, delinquent accounts, advised patient of

Suspended accounts for corporate reporting. Consistently recognized by management and peers for production

high

Quality and outstanding work. Accepted increasing

responsibility demonstrating flexibility and the ability to learn quickly

In all areas of the department as a whole modified a comprehensive financial report to management that

reflected

Insurance verification, claims, collection and delinquent accounts. Developed new process for employee

evaluation which

Resulted in marked performance improvement and

training

Jan 2001 - Nov 2003

Claims Assistance/Customer

Services

AmComp Assurance - Austin, TX

Entered details such as payments, account information and call logs into the computer system. Created

boardroom and courtroom multimedia presentations

including video and text- sync' d depositions for

enhanced understanding Copied, logged and scanned

supporting documentation. Analyzed departmental

documents for appropriate distribution and filing. Validated schematic designs working alongside

hardware engineers. Effectively managed workers comp claims, and the responsibility to the injured workers, Reviewed and analyzed

Suspicious and potentially fraudulent worker comp

claims. Provided superior customer services and to ability to meet

Deadlines and reports, Worked as an individual

contributor performing independent task at appropriate times, handling

Claims process, workers comp claims, paying indemnity payments, medical bills for injured workers, spouses, children if

Loved ones passed away due to work injury attorney fees and doctor bills. Investigated work related accident claims by

Examining the injury to the employee, taking pictures, scheduling routine drug screening, watched video

footage and

Pictures of Autopsy. Attended corporate meetings for new and updated information regarding claims of injured workers.

Jan 1996 - Sep 2003

Patient Account

Representative/Front Desk

Operator

Electrification before patient was seen by physician, worked and processed claims, verification, appeals, Medicare all payer inquiries. Reconciled statements with patient records. Prepared reports detailing billing actions, Capital Imaging Assn - Austin, TX flags and other key information. Electronically submitted bills according to compliance guidelines. Posted

payments and processed refunds. Managed claims and billed to all insurances and secondary carriers, pulled patients demographic information for scheduled

Personification before patient was seen by physician, worked and processed claims, verification, appeals, Medicare

Secondary, EOB submission, coded, billed, and collected processed cash, credit card payment to patient\' s accounts. Made

Payment arrangements, collections bankruptcies slow pay accounts for the billing and claims offices. Handled large call

Volume as a customer services, claim representative, switch board operator and billing representative maintain Accuracy, efficiency in a positive and friendly attitude multi tasked always worked well with others at all levels. Made sure

CPT, ICD-9 was billed correctly along with modifiers, resubmitted corrected claims to various insurance

companies.

Provided superior customer services and quality work while demonstration flexibility and problem solving in the Department as a whole, QA calls to make sure accurate information was given to patients.

Jan 1993 - Aug 1996

Customers/Team Lead

Maximus - Austin, TX

Scheduled appointments, registered patients and

distributed sample pharmaceutical as prescribed.

Obtained patient

Demographics, Verified various insurances on daily basis Medicare, Medicaid and commercial insurance every

three

Months. Received, documented updated patients

demographic and insurance information scanned and

filed to medical

Records. Actively maintained working knowledge or CPT and ICD-9 coding principles, government regulation protocol

And third party requirement regarding billing. Obtained co-pays, coinsurance, referrals plan type RQI,

encouraged, Authorization, Schedule CT, MRI Echoes and Heart screenings obtained medical records at time of services Explained all signed forms to patients before signing and EDUCATION

insured they understood what was being signed.

Maintained

And encouraged patient loyalty with the efficient of the billing office. Worked as a team played maintained good working

Relationship with my co-workers, doctors, management and peers. Precisely completed appropriate claims

paperwork,

Documentation and system entry

1986

High School Diploma

Waco High School Waco, TX

Computer Science

TSTC - Waco, TX, USA

Studying Social Services MHBH and Child & Family Services Purdue Global Online

● Majored in Mathematics/History,

● Graduated with 2.0 GPA

● Awarded Most Athletics/Elected Captain of the Track and Volleyball Team

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