Follow Up Patient Accounts
Resume:
Nicole Clousing
Pewaukee, WI *****
*************@*****.***
Work Experience
PB Follow Up II
R1 RCM-Remote
August 2017 to Present
• Manage account reconciliation, follow up, denials and appeals for all payors.
• Facilitated weekly random audits of co-workers to ensure compliance with policy and procedures on accurately working claims.
• Assisted with updating policies and procedures
• Resolved patient complaints/concerns regarding claim issues.
• Assisted with researching/resolving credentialing denials.
• Analyzed denials for trends to provide management with the data in order to create edits. • Verified insurance coverage and coordination of benefits and updated patient accounts accordingly. Insurance/Self Pay Cash Posting Representative
Wheaton Franciscan Healthcare-Milwaukee, WI
August 2007 to August 2017
• Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted
• Interpreted the explanation of benefits (EOB) and balance transfers money to the secondary insurance or patient liability.
• Researched credit balances and processes refunds or transfers to the appropriate party. Financial Counselor/Cashier
Wheaton Franciscan Healthcare-Milwaukee, WI
January 1997 to August 2007
• Assisted uninsured and under insured patients to obtain coverage and assistance with medical bills.
• Screened patients to see if they were eligible for medical assistance through the state, county, or charity care.
• Compiled daily deposits for the hospital.
• Resolved customers' concerns regarding billing questions. Education
Bachelor of Science in Business Administration
UW-Stevens Point - Stevens Point, WI
September 1991 to December 1996
Skills
• Delegation
• Teamwork
• Negotiation
• Flexibility
• Analytical
• Time Management
• Communication
•Conflict Resolution
•Attention to detail
•Problem Resolution
Contact this candidate