Customer Service Financial Services
Resume:
EXPERIENCE
CHEYENNE REGIONAL MEDICAL CENTER, CHEYENNE, WY
**** – PRESENT
Patient Financial Specialist II (Financial Assistance Coordinator, Up-Front Collections, Cashier)
Opens mail, verify, batch, and scans self-pay and insurance payments for posting.
Verify, batch and scan zero pays for posting.
Pull collection agency statements from agency websites.
Verify, balance, prep, and scan for posting.
Accesses and balances with deposits.
Accurate and timely posts electronic batches, posts hardcopy daily deposits.
Consistently apply payments to the appropriate payer source, to the appropriate claim and the appropriate line items.
Consistently uses good judgement when making transfers and adjustments.
Appropriately sorts, divides, and scans all “non-payment” EOBs and documents and routes to appropriate recipient.
Reviews Reconciliation Report and balances with deposit and makes adjustments or corrections when necessary.
Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality.
Shares knowledge gained with other staff members and works as a team member.
Interacts with others in a positive, respectful, and considerate manner.
Ensure and assist in posting ERA (835) and EFT’s.
Meet and work with financial services team on Unapplied balances.
Create cash posting training materials and train any new hires.
Performs other job-related duties as assigned.
Solve account errors adjusting applicable accounts in EPIC account system clearing accounts to reflect accordingly.
Gathered information and documentation from patients to assist with financial assistance, completed monthly financial reports for hospital board.
Worked on financial adjustment workque, participated in Medical Home and Goal Connect Project from set-up through training.
Work with admissions and Patient Financial Services to develop a system for up from collections of copays and deductibles in admissions.
PROFORMA TRADEMARK, MCKINNEY, TX
2004 – 2005
Office Manager
Point person for mailing, shipping, supplies, equipment, bills, and errands
Organize and schedule meetings and appointments.
Manage relationships with vendors, service providers, and landlord, ensuring that all items are invoiced and paid on time.
Provide general support to visitors.
Manage executives' schedules, calendars, and appointments.
Responsible for managing office services by ensuring office operations and procedures are organized, correspondences are controlled, filing systems are designed, supply requisitions are reviewed and approved, and that clerical functions are properly assigned and monitored.
Establish a historical reference for the office by outlining procedures for protection.
Ensure office efficiency is maintained.
Perform review and analysis of special projects and keep the management properly informed.
Establish and monitor procedures for record-keeping.
Ensure security, integrity, and confidentiality of data.
Oversee adherence to office policies and procedures.
Monitor and maintain office supplies inventory.
Maintain a safe, secure, and pleasant work environment.
BAYLOR RICHARDSON MEDICAL CENTER
1997 - 2000
Account Specialist
Verified insurance coverage and submitted claims to insurance companies.
Assisted patients in setting up payment plans and completing payment plan contracts. Posted daily payments to practice management system and entered contractual adjustments, as necessary.
Ensured that all payments, adjustments, and denials were posted timely and accurately. Tracked and followed up on appeals and corrections in a timely manner.
Adhered to established quality and quantity standards of the department.
Performed all aspects of A/R resolution, including, but not limited to, researching denied and incomplete claims, and using appropriate methods for appeals and corrected claims. Stays current with payer requirements regarding overpayments, takebacks, claim corrections, and submissions.
Performed various collection actions, including but not limited to, correcting and resubmitting claims to third party payers and tracking and reporting delinquent accounts to collection agency.
Scanned various documents, including, but not limited to, statement verifications, collections.
Ensures all customer service inquiries have been addressed. This includes researching patient questions regarding accounts/statements and initiates appropriate corrections, adjustments and/or resubmission of claim(s).
Reconciles patient credit balances and initiates refund requests.
Researches and reconciles patient and third-party credit balances and initiates refund requests. Adheres to attendance standards to perform the job functions for daily operations and/or continuity of patient care. Track claim statuses and remittances
Work denials and follow up with unpaid claims proactively.
Manage patient responsibility invoices (e.g., patient co-insurance, co-pays)
Evaluate insurance operations and identify efficiency improvements.
Analyze EOBs and post manual payments.
Using appropriate resources to complete assignments within allocated time.
Adapts to changes in volume/acuity demands. Remains calm in crisis situations.
EDUCATION
CENTRAL TEXAS COMMERCIAL COLLEGE, DALLAS, TX
MEDICAL ADMINISTRATION
TEXAS STATE TECHNICAL INSTITUTE, AMARILLO, TX
INTERIOR DESIGN – CERTIFICATE
VERNON REGIONAL JR. COLLEGE, VERNON, TX
COSMETOLOGY – LICENSE
REFERENCES
REFERENCE NAME, COMPANY
CHELSEA NEAL
Patient Financial Services Director, Norfolk NE
Former Supervisor
Cheyenne Regional Medical Center, Cheyenne, WY
*************@*******.***
JOANNE EARLY
Patient Financial Lead - Retired
Cheyenne Regional Medical Center, Cheyenne WY
Former Lead & Co-Worker
******@*******.***
KAREN WESTFALL
Patient Financial Account Specialist
Cheyenne Regional Medical Center, Cheyenne, WY
Co-Worker
*****.********@******.***
DARLA BANDEL
OBJECTIVE
Relocating to the Hunt/Grayson County area, Texas within 2 to 3 weeks of job acceptance.
SKILLS & ABILITIES
Computer Microsoft Office, Power Point, Print Shop, and Quicken) 10-key, EPIC, Legacy, OnBase, Goal Connect, Account Reconciliation, General Ledger control, Cash posting, Deposit, Research, Scanning Customer Service, NSF’s/E-Payment Returns, DSG, HBI. EFT’s, ERA, Provider Websites, AHC’s.
VITALS
5300 Eastview Street, Cheyenne WY 82001
4405 County Road 1089, Celeste TX 75423
E *****.******@*******.***
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