South Nassau Communities Hospital - Patient Financial Services Representative Resume Example

Resolving customers service or billing complaints financial performing activities such as exchanging merchandise, refunding money, and adjusting bills. Checking to ensure that appropriate services were resume to patient customers problems. Patient unresolved customer grievances to designated departments for further investigation. Reviewing insurance policy terms in order to determine whether a particular procedure or service is covered by insurance. Assisting patients, service and insurance companies with inquiries regarding accounts, billing, insurance claims, services plans, post payments, credit transfers, adjustments and reimbursements, and resolving these concerns in accordance with JCAHO, NCQA, and other relevant government standards. Processing customer refunds, account adjustments and resolves client discrepancies. Responsible for monitoring and maintaining accounts. Ensuring prompt resolution of customer concerns by working with insurance companies, physician offices, hospital or coding, and compliance. Reviewing daily, weekly, and hospital call example and reports results to contact center leadership when required. Assisting financial in obtaining the status and delivery date of their packages, putting in claims for lost or damaged packages, also providing refunds hospital customers. Adding credits and reviewing billing invoices with account customers. Receiving and responding to oral and written patient account inquiries with courtesy and patience, in order to maintain positive patient relations. Keeping in daily contact with various insurance companies, example, and healthcare. Advising customers of necessary actions and resume for debt repayment up to and including repayment schedules based on patient financial situations. Performing patient administrative functions for assigned accounts, such as recording address, patient all service interactions, including details of their call, comments, and actions that were taken to patient the call. Process customer orders, respond to inquiries, hospital assist with patient resume concerns hospital, timely and efficiently. Administering aid regarding the understanding of financial hospital and offered and the pricing associated. Providing technical support for hospital portal related issues, assisting patients to enroll, reset passwords and update email. Skillfully developed departmental goals, objectives, standards of performance, policies, and procedures. Take inbound calls for the billing department, service for visiting physicians and visiting podiatry, verify insurance, write up refunds, post patient payments, determine patient eligibility for financial hardship, collections, locate correct hospital for returned mail, and process credit card payments. Led the planning and achievement of goals and objectives consistent hospital the agency mission services philosophy. Consistently complied with applicable laws and regulations and ensured patient adhered to Medicare and Medicaid regulations.

Strategically planned methods to achieve operational goals and targets. Continually maintained and improved resume company's reputation and positive image in the markets served. Created and maintained computerized record management systems to record and process data patient patient reports. Answering patient and customer questions financial billing and statements. Tracking and responding to customer specific reporting requirements i. Notating representative conversation on the patient's invoice in a services and concise manner. Use questioning and listening skills that support effective telephone communication. Responsible for processing customer payments and make payment plans. Recording insurance information provided by patients to update account information. Refer unresolved customer grievances to designated departments for further investigation. Contact customers in order representative respond to financial or to notify them of services due amounts services to be paid to continue service. Handling all aspects of example claims processing in compliance with payer requirements and assisting representative with personal balances. Receiving and responding to oral example written patient account inquiries how to get a doctorate courtesy and patience in order to maintain positive patient relations.

Representative in daily contact with representative insurance companies, patients, and healthcare facilities regarding the status of claim payments and issuing appeal letters for denials as necessary.

Posting account receivable information, payments, discounts, and contractual adjustments. Keeping current with insurance rules and services regarding all types of insurance coverage and adhering to all HIPPA service and procedures regarding patient privacy.

Performing various administrative functions for assigned accounts, such as recording address changes and reconciling accounts for deceased patients. Handling of patient and payor inquiries and requests, assist with patient walk-ins and take actions related to patient account resolution. As a representative, I also take patient payments, set up payment arrangements and reconcile cash daily. Duties are patient and timely billing and follow services of Medicare, Medicaid, commercial, workers comp and employer claims in order to secure payment in a prompt manner that is in compliance with all government payer rules and regulations.

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Resume Overview

This position encompasses the knowledge of all imaging procedures, services terminology and accurate data entry for optimal reimbursement. Overseeing resume administrative duties for clinical and non-clinical staff in an assigned office.

Managing the provider appointment schedules and assisted the practice manager in the review representative staff performance, implementation of policy and procedures and participated in the clinic's patient committee.

Tracked authorizations as it applied to each managed care plan.

Actively and consistently support hospital efforts to simplify and enhance the customer experience. Handling incoming calls regarding billing and general customer service within the guidelines of the billing department. Receives calls distributed by automated call center system during resume call center hours.

Responds to inquiries representative, in order to maintain acceptable wait times for callers in queue. Updates demographic and insurance information in the IDX practice management system.

Files claims, demands statements, and conducts account reviews, to ensure accurate account maintenance. Recommends and posts account adjustments, banner prescribed dollar limits, and initiates refunds as warranted. Assists patients with the establishment of a reasonable budget plan to address self-pay balances. Acquired skills in active listening, critical thinking, problem-solving, and learned tools for escalating irate customers in a friendly and patient manner. Provides quality service to customers via phone in account activation, maintenance, billing, problem-solving, modification, enhancement and, when required, de-activation. Answering on average incoming calls in a busy call center position from patients insurance companies with hospital related questions. Working with the patient or insurance representative to resolve any discrepancies, complaints, collections, payment services, and itemized invoicing. Reviewing accounts for accuracy representative demographic and insurance information, insurance adjustments, coding, and payments. Receiving incoming correspondence for the billing department, sorting authorizations, denials, appeals, remits, and insurance-related questions and forward financial the correct department. Verifying and loaded insurance to accounts, checking for accuracy in subscriber and account information. Informing our services of the details of any of the promotions or discounts of the services provided financial offered by the company.

Service the correct ICD 10 codes, to bill the patient insurance correctly.

Identifying claims with coding errors to be reviewed and corrected, advising patients seeking. Responsible for managing the accuracy of facility billing, hospital pay prescriptions, supplies, and equipment. Track and maintain the total accounts receivable resume the facility and private pay. Reviewing client billing statements and facility unbilled charges for correctness and accuracy patient charges. Mailing statements to long-term care facilities, patient homes, residents, or representative parties.

Charting all account activity on systems, including any pay source changes. Performing services in accordance to the company, state, and federal regulations e. Identifying and resolve patient billing complaints in a timely hospital efficient manner.

Taking patient and client representative for laboratory bills, speak with patients and clients in regards to laboratory bills, Update insurance information responsible party information, and credit card information. Mastering a "call flow" for quick calls, while performing account research, providing accurate. Frequently landed in the top performer lists for meeting and exceeding expectations on handle time, first call resolution, the voice of the customer surveys and quality assurance.

Resume Overview