Nicole Robertson

Patient Financial Specialist I

Address Reynoldsburg, OH, 43068

Phone 740-***-****

E-mail adpea7@r.postjobfree.com

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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