Data Entry Patient Account
Resume:
Veronica M. Walker
CORAM, NY 631-***-**** **********@*****.***
PROFESSIONAL SUMMARY
Detail-oriented and results-driven patient account specialist in healthcare administration and medical billing. Excels in managing complex patient accounts, accurately processing insurance claims, and resolving billing discrepancies to enhance revenue recovery. Proven ability to ensure strict compliance with evolving health care regulations including HIPAA and CMS guidelines. Seeking leverage analytical and organizational skills to improve financial accuracy and efficiency for a progressive organization.
EDUCATION
SUNY Empire State College, Bachelor of Science: Healthcare Management, In Progress CORE COMPETENCIES
Insurance Claims Processing Accounts Receivable Team Collaboration Collections HIPAA Compliance Billing Discrepancy Resolution Pre-authorization Adaptability Insurance Verification Customer Service Data Entry Patient Account Management Denial Management Appeals CPT/ICD-10 Medical Coding EMPLOYMENT HISTORY
Patient Account Specialist Professional Occupational Physical Therapy Melville, NY November 2022 – Present
● Oversee patients accounts while ensuring accuracy and timely billing and collections processing
● Verify Insurance coverage and eligibility, and pre-authorizations for patients
● Investigate, resolve billing discrepancies, while working with insurance companies and health providers
● Collaborate with internal team members to discuss unresolved billing issues
● Regularly check and maintain compliance with HIPAA regulations
● Provide extensive customer service to patients addressing inquiries and concerns
● Engage in Medicare training sessions to stay updated on changes in health billing and regulations Senior Patient Account Manager Advanced Cardiac Care, PPLC Ozone Park, NY August 2020 – December 2022
● Managed and secured preauthorization for diagnostic services, as well as followed up for pending and wrongful denied cases
● Executed data entry, generated reports, conducted billing and collection calls
● Coordinated the flow of information between departments, ensuring a smooth and efficient communication environment
● Operated health record systems and billing software while organize, tracked account status and updates C.Tech Collections Inc. Senior Collections Representative Mt. Sinai, NY February 2016 – December 2020
● Executed debt collector duties as assigned
● Resolved complex calls effectively while obtaining payments
● Performed data entry, billing and coding reports
● Exceeded in monthly goals of accounts
● Negotiated with insurance carriers, patients and resolved outstanding balances and settlements Orlin & Cohen Orthopedic Billing/Collections Representative Rockville, NY September 2014 – October 2015
● Assigned ICD-9/CPT codes and sequence diagnosis, procedures per patient, medical records against fraud
● Supported high volume claims electronically and on paper including PT/OT, imaging tests, and orthopedic visits
● Prepared accounts receivable adjustments for processing and approval
● Collected self-pay account balances, worked off A/R, reviewed EOBS and secured payment plans The Patriot Group Collection Manager Bay Shore, NY March 2012 – April 2014
● Supported billing claims for Neruomointoring Physicians
● Conducted and investigated to ensure corrections of denials noted on EOB and Appeals
● Processed all billing and payments of patients outstanding account balance
● Trained and guided new hires on company policies, procedures, and compliance requirements
● Handled high volume calls
PresGar Companies Medicare/Medicaid Account Representative Babylon, NY December 2001 – January 2011
● Provided assistance to customers, providers, claimants, and policy holders pertaining to inquiries and issues
● Handled all Medicare/Medicaid accounts for various offices included New York, Pennsylvania, Virginia and Florida
● Submitted commercial insurance accounts including but not limited to third party billing
● Prepared/reviewed and processed documents
● Evaluated and updated information against policy
● Maintained relationships with internal, external customers and providers to ensure timely processed of transactions
SOFTWARE KNOWLEDGE
TCMS, EPIC, AS400, FDCPA, CBR, HIPAA, Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), Q-Master, iNews, Adobe Premier,
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