Financial Specialist Medical Billing- Remote
Resume:
Nicole Robertson
Patient Financial Specialist I
Address Reynoldsburg, OH, 43068
Phone 740-***-****
E-mail ******.*************@*****.***
Knowledgeable Patient Financial Specialist with expertise in completing registrations, advanced billing and coding for a Level I Trauma Hospital, claims processing, A/R, re-billing, screening patient financial backgrounds and developing repayment plans that work with individual requirements. Offering 19 years of healthcare experience and the desire to make a positive impact on patient satisfaction and hospital success.
Skills
Patient registrations
Payment coordination and insurance claims processing
Medical terms and procedure knowledge
Self-motivated professional
Supervision
Training & Development
First Aid and CPR
Work History
Aug 2014 - Current
Patient Financial Specialist I
Mt Carmel Health Systems ~ Level I Trauma Center, Columbus, OH
●Used Healthquest, MFocus, ClearIQ and Epic to perform accurate financial analysis and audits to mitigate financial risks.
●Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
●Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
●Obtained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
●Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient and inpatient medical records.
●Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
●Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Apr 2013 - Aug 2014
Patient Financial Coordinator
Crossroads Dental Group, Hebron, OH
●Discussed financial and insurance options with patients.
●Updated accounts with latest patient, payment and insurance information.
●Used coordination and planning skills to achieve results according to schedule.
●Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
●Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
●Filed and tracked insurance claims and communicated claims status to patients.
●Prepared insurance claims for submission to clearinghouses or insurance companies.
●Generated financial statements and reports detailing accounts receivable status
●Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Jun 2010 - Apr 2013
Front Desk Office Manager
ImmediaDent Urgent Care, Reynoldsburg, OH
●Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
●Supervised 25+ administrative team members and provided constructive feedback, resulting in higher morale and increased employee retention.
●Achieved all specific team objectives and collection activity.
●Established and updated work schedules to account for changing staff levels and expected workloads.
●Monitored front areas so that any questions could be responded to quickly and effectively.
●Resolved issues through active listening and open-ended questioning, escalating major problems to Regional Directors.
●Completed bi-weekly payroll for 25+ employees.
●Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Apr 2006 - Jun 2010
Front Office Coordinator Mgr
Hoover Reservoir Dental, Westerville, OH
●Scheduled, rescheduled and cancelled appointments for dental patients.
●Helped patients complete necessary medical forms and documentation.
●Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
●Completed patient referrals to other medical specialists.
●Adhered to strict HIPAA guidelines to protect patient privacy.
●Managed office logistics by scheduling appointments, maintaining files and collecting payments.
●Obtained payments from patients and scanned identification and insurance cards.
●Carried out front office duties utilizing data entry skills in framework of medical database.
Education
Jan 2011 - Jan 2013
Associates of Science: Advanced Medical Billing & Coding
Lincoln College of New England - Southington, CT
Jan 1996 - Jan 1998
Associate of Science: Public Relations and Social Services
Ohio University – Athens, OH
Jan 1991 - Jan 1995
College Preparation Courses
Watkins Memorial High School - Pataskala, Ohio
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