Professional with proven expertise in patient account management and revenue cycle operations. Adept at resolving billing issues, ensuring accurate financial records, and maintaining compliance with healthcare regulations. Strong focus on team collaboration and achieving results, with flexible approach to adapting to changing needs. Known for excellent communication, problem-solving skills, and commitment to patient satisfaction.
Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
Worked with outside entities to resolve issues with billing, claims, and payments.
Posted payments and processed refunds.
Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
Electronically submitted bills according to compliance guidelines.
Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
Utilized computer programs to create invoices, letters, and other documents.
Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.
Educated patients on financial policies, promoting understanding of their responsibilities within the healthcare system.
Contacted patients after insurance was calculated to obtain payments.
Reconciled statements with patient records.
Researched billing errors and discrepancies to initiate corrective action.
Responded to customer inquiries and provided detailed account information.
Monitored customer accounts for payment delinquency and initiated collection efforts.
Established relationships with customers to encourage payment of delinquent accounts.
Entered client details and notes into system for interdepartmental access and review.
Deployed automated system tracking and skip tracing to locate hard-to-find, re-located customers.
Coordinated with other departments to ensure accurate application of payments, credits, and adjustments to client accounts.
Decreased uncollectible debt by closely monitoring accounts and promptly identifying high-risk customers for management review.
Insurance Verification Specialist
Crossroads Treatment Centers
10.2019 - 04.2020
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
Played key role in minimizing financial losses by identifying and correcting discrepancies in insurance information.
Assisted with medical coding and billing tasks.
Account Receivable/Patient Account Representative
Oaktree Medical Center
09.2017 - 08.2019
Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
Posted payments and processed refunds.
Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Worked with outside entities to resolve issues with billing, claims, and payments.
Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
Streamlined billing processes for increased efficiency in managing patient accounts.
Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
Electronically submitted bills according to compliance guidelines.
Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
Prepared reports detailing billing actions, flags, and other key information.
Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
Responded to patient, family, and external payer inquiries.
Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.
Educated patients on financial policies, promoting understanding of their responsibilities within the healthcare system.
Contacted patients after insurance was calculated to obtain payments.
Researched billing errors and discrepancies to initiate corrective action.
Responded to customer inquiries and provided detailed account information.
Entered client details and notes into system for interdepartmental access and review.
Established relationships with customers to encourage payment of delinquent accounts.
Analyzed customer financial records to determine appropriate payment plan.
Processed debtor payments and updated accounts to reflect new balance.
Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
Legal Assistant/Administrative Assistant
Law Office of James P O'Connell
09.2015 - 09.2017
Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
Handled office scheduling and made notes for deadlines, motions, and other important dates.
Improved communication between attorneys and clients by scheduling meetings, providing status updates, and relaying critical information promptly.
Increased client satisfaction by efficiently managing case files and promptly addressing inquiries.
Facilitated timely resolution of legal matters by preparing and organizing essential documents.
Responded to client inquiries, providing accurate legal advice and offering assistance.
Managed accounts and client records of clients, observing confidentiality, and extreme discretion.
Delivered exceptional service to clients by assisting them with routine needs like obtaining copies of pertinent records or directing them to appropriate resources when needed.
Reduced errors in court filings by meticulously proofreading documents for accuracy before submission.
Gathered key information during initial client intake interviews that contributed significantly to the formulation of effective legal arguments.
Drafted accurate and persuasive legal correspondence, contributing to successful negotiations and settlements.
Streamlined administrative processes for better efficiency in handling caseloads, reducing paperwork backlog, and ensuring timely completion of tasks.
Supported attorneys in achieving favorable outcomes through thorough research and analysis of complex legal issues.
Facilitated client meetings and consultations, ensuring all necessary documentation was prepared and available for attorney review.
Drafted legal documents, including pleadings and motions, to support attorneys in various cases.
Managed correspondence with clients, courts, and opposing counsel, maintaining professionalism and confidentiality.
Contacted clients to schedule appointments and discuss progress of cases.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
Identified and recommended changes to existing processes to improve accuracy, efficiency, and quality service.
Established administrative work procedures to track staff's daily tasks.