Rita Kimble
MISSOURI CITY, TX *******@*****.*** C: 832-***-****
PROFESSIONAL SUMMARY
Dedicated, self-motivated, and energetic Patient Service Professional with Over 25 years of excellent customer service skills looking for a full-time position in a Healthcare setting where there is always an opportunity to grow, gain experience and improve skills. Organized and efficient in office administration, data organization, multi-line telephone systems, database management, and word processing.
EDUCATION AND TRAINING
Fair Park High School High School Diploma
National Education Center Medical Assistant Certificate
SKILLS
Proficient in Microsoft Office applications.
Working knowledge of Epic, Amcom and Everbridge applications.
Data Entry
Ability to enter a minimum of 10,000 keystrokes.
ICD-9 and CPT coding
Basic Knowledge of Explanation of Benefits (EOB) interpretation.
General knowledge of pharmacy operations, medical claims, and Protected Health Information (PHI), HIPPA
Telecommunication knowledge.
Time management and Multitasker.
Conflict Resolution.
Strong Written and Oral Skills.
Medical Terminology &
Capacity to work under pressure.
Ability to learn proprietary software and databases.
EXPERIENCE
Patient Account Representative Houston Behavioral Healthcare Hospital 2022- Current
Verify Patient Insurance benefits
Process patient payments and refunds
Help patients set up payment plans
Liaise with Insurance Representatives to ensure that patients have coverage for necessary treatments
Answer patient questions regarding their bill
Resolve any issues that may arise during the payment process
Telecommunications Operator The Methodist Hospital 2009-2022
Manages 1100 average daily call volume, acting as intermediary between patient families, and facilitating paging and relay messages to on-call hospital personnel.
Conducted directory searches for employees and customers to locate phone numbers, business addresses and patient information.
Provides excellent, customer-focused service by handling in bound telephone calls from both internal customers and the community. Navigates through various systems maximizing efficiency by ensuring the accuracy of the information flow between different staff and departments.
Serves as the first line of support as it relates to the paging system, Telecom equipment and database resources. Handles all emergency response protocol (Codes/List pages) to both medical and non-medical teams.
Insurance Verification Representative HCA Patient Account Services 2005-2008
Completed outbound calls to insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
Verified insurance eligibility for both medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Reviewed patient deductibles and/or copays and entered into the billing system and spreadsheets provided.