Ann Hamilton
Locust Grove, Georgia ***** ~ 347-***-**** ~ *************@*****.***
Professional Summary:
Proactive self-starter with excellent communication and problem-solving skills. Ability to resolve complex financial issues resulting in improvement reimbursement for services. Comprehensive knowledge and understanding of budgeting and risk analysis. Ability to offer financial advice and assistance to patients regarding their medical bills. Excellent communication and interpersonal skills including the ability to communicate effectively with patients, families, doctors, and insurance providers and articulate complex problems and solutions through concise and clear messaging to all employees including executive leadership.
Work Experience:
Patient Financial Counselor 61st Street of Columbia Presbyterian Hospital, New York, NY June 2015 - Present
●Responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments and obtaining pre-authorization of services.
oCollaborated with cross-functional teams to improve billing processes and optimized revenue cycle management.
oDocumented interactions and developments with patients and always maintained patient confidentiality.
oManages patient accounts resulting in a 25% reduction in accounts receivable.
●Conducted financial counseling and established payment arrangements for current and past-due balances.
oAbility to work in a fast-paced office environment with numerous interruptions.
oDelivers high-touch care that is reliable, responsive, and coordinated.
oUnderstands and complies with policies and procedures.
●Interviews patients who are uninsured/underinsured and determines which agencies will provide financial assistance with the patient’s hospital and medical bills.
oBuilds partnerships and works collaboratively with others to meet shared objectives.
oAbility to analyze relationships with patients, physicians, co-workers and supervisors.
●Conducted financial assessments and established payment schedules, resulting in a 15% increase in on-time payments.
oReviews daily patient lists to determine patients requiring interviews.
oKnows the more effective and efficient process to get things done, with a focus on continuous improvement.
oDemonstrates a high level of professional conduct with colleagues, superiors, and internal/external customers.
●Assists the patients through the application process and follows-up to make sure that the patient completes the application in a timely manner.
oInterviews patients to collect all patient demographic and financial information and get patient signature on required forms.
oConsistently achieving results, even under tough circumstances.
oUtilized knowledge of procedure and ICD-10 to assist in the corrected coding of a claim for the Obstetrics and Gynecology Department
●Focused on constant innovation and creating improvements.
oDemonstrates professionalism, effective verbal and written communication skills and active listening skills.
oRebounds from setback and adversity when facing difficult situations.
oCreates a nurturing environment, ensuring child safety and well-being.
oAble to speak and write in a clear and concise manner to convey messages and ensure that the customer understands whether clinical or non-clinical.
Medical Billing/Collection Specialist 61st St. of Columbia Presbyterian Hospital, New York, NY December 2002 – June 2015
●Responsible for revenue cycle management of all assigned claims.
oWorked assigned AR projects, reviewed claims for accuracy before billing, contacted insurance companies to resolve disputes, checked claim status, assisted patients with billing questions, and ensured claims were paid accordingly.
oStrong attention to detail and accuracy in data entry.
oFamiliarity with medical terminology and procedures.
oDetailed-oriented with excellent problem-solving and communication skills.
oWorked online payer systems to check for claim status as needed.
●Provided insurance representatives with accurate information regarding a claim to check status of payment and resolve any questions, process payments, and follow-up on accounts in a timely manner.
oPerformed appeals on claims that were denied in error.
oMaintained productive goals and met deadlines set by the Supervisor.
Education:
Borough of Manhattan CC – New York, NY
AA Liberal Arts
Drake Business School
Computer Science
Skills:
Epic System Active Listening Budget Management Interpersonal Skills Phone Skills Customer Service Communication HIPPA Compliance Conflict Resolution Administrative Database Management ICD-10 CPT Coding Medical Insurance Information Detailed-Oriented Financial Assistance Applications Documentation Interpersonal Skills Data Entry Medicine Problem-Solving Health Insurance Collection Management Insurance Verification Attention to Detail Analytical Time Management Billing Software Proficiency Multitasking Bookkeeping Adaptability Diagnostic Coding Integrity Active Listening