Account Representative Patient
Resume:
SUMMARY: Certified Patient Account Representative with 18 years of relevant industry experience. Sound knowledge of hospital administration and billing process. Excellent problem solver with strong communication and analytical skills. Proven record of not only meeting but exceeding performance goals while working in a fast paced environment. Work well in a team environment and understand the importance of teamwork.
EDUCATION
Jefferson State Community College 2009-2011
Lawson State Community College 2012-2013
Strayer University (B.S. Business Administration) 2014-2019
RELEVANT WORK EXPERIENCE
Senior Team Lead Representative HBOC, UAB Hospital, Birmingham, Al October 2015- Present
Research, prepare, and bill for all private, government payers and other third party reimbursement claims.
Responsible for timely follow-up on third party insurance and resubmits.
Maintain customer confidence and protect operations by keeping information confidential.
Evaluate and analyze multiple reports and render decision on how to proceed with accounts.
Review and correct rejections, obtain claim and payment status.
Efficiently maintain productivity of 50 accounts daily.
Subject Matter Expert for the team.
Patient Account Representative, UAB Hospital, Birmingham, AL May 2007- October 2015
Investigated all accident accounts for possible liens.
Obtained as much information as possible concerning the accident, liability and patient’s auto and health insurance coverage.
Used the patient emergency contact person and police reports as a resource to investigate accidents.
Contact third parties and attorneys about accounts related to accidents.
Prepare and submit medical bills for medical payments.
Prepared the liens & estate to be filed in Probate Court of where the accident occurred as well as documents in H Quest.
Release lien and Estate accounts when satisfied.
Processed insurance correspondence and maintained daily productivity of 40 accounts.
Patient Account Representative Bay Medical, Panama City, FL July 2005-November 2007
Worked out of Star/GUI (Insurance Billing Software).
Contacted insurance companies in an effort to collect on daily submitted claims.
Ensured that all necessary information was provided on claims in order for clean submission.
Resubmitted information requested by the insurance companies such as medical records in order to ensure timely processing and payment of claims received.
Met monthly cash goals and accounts receivable goals.
Billed all claims out of SSI electronically, Worked correspondence on a daily basis.
Patient Account Advisor Lead Baptist Montclair Hospital, Birmingham, Al May 2003-June 2005
Provided continual training to staff making sure insurance submissions, codes and intake procedures were billed correctly to minimize rejections for referral/registration related reasons.
Worked from the mainframe FMS & CMS.
Billed and follow-up on claims through SSI Electronic Billing System/Document Imaging.
Provided Supervisor with employee productivity.
Generated Medicaid & Medicare accounts receivable once a month.
Generated weekly reports to distribute to each employee
Patient Account Representative University of Alabama Birmingham, Al December 1996- May 2003
Performed various duties which consisted of researching, preparing, and billing for all private, government payers and other third party reimbursement claims.
Maintained customer confidence and protected operations by keeping information confidential.
Reviewed and corrected rejections, obtained claim and payment status.
Maintained productivity of 35 accounts daily.
Billed all claims out of SSI electronically.
Worked correspondence on a daily basis.
COMPUTER PROFICIENCY
Microsoft Office
Microsoft Excel
Microsoft Powerpoint
Outlook Email
References available upon request.
Contact this candidate