Patient Account Representative executes various tasks related to patient account in hospitals and clinics. Typical job duties for these representatives incorporated in the Patient Account Representative Resume include – processing claims, collecting payments, resolving issues related to repayment terms, recording and tracking patients who are delinquent in bill payments, contacting insurance companies for claims, updating patient account information, providing basic administrative tasks related to patient account, monitoring overdue accounts, arranging for debt repayment, establishing repayment schedule and updating patient database.
Most employers prefer their patient account representative to possess certain specific skills such as – knowledge of computer software and applications, outstanding verbal and communication skills, proficiency in math and fluency in medical terminologies. Most of the eligible candidates applying for this job role either depict a high school diploma with experience in medical billing and collections, while some candidates embrace an associate’s degree.
Objective : Dynamic Patient Account Representative with 2 years of experience in healthcare billing and patient services. Proven ability to manage patient accounts, verify insurance coverage, and ensure compliance with regulations. Eager to leverage my skills in a challenging role that prioritizes patient care and financial accuracy, while fostering a positive environment for both patients and staff.
Completed patient account reconciliations, ensuring accurate billing and collections.
Managed insurance verification and pre-authorization processes for outpatient services.
Educated patients on financial obligations and payment options prior to services.
Posted payments, processed adjustments, and maintained detailed account records.
Ensured compliance with HIPAA regulations while handling sensitive patient information.
Scheduled patient appointments and coordinated with healthcare providers for seamless service delivery.
Utilized problem-solving skills to address and resolve patient inquiries related to billing.
Experience
0-2 Years
Level
Entry Level
Education
AAS in HIT
Senior Patient Account Representative Resume
Headline : Accomplished Senior Patient Account Representative with 7 years of extensive experience in healthcare billing and patient account management. Skilled in optimizing patient services, navigating insurance complexities, and ensuring regulatory compliance. Committed to enhancing patient satisfaction through effective communication and personalized support, while driving operational efficiency.
Managed patient accounts across multiple hospital settings, ensuring optimal benefits and support.
Conducted comprehensive assessments to qualify patients for state and federal programs.
Facilitated effective communication between patients, families, and healthcare providers.
Processed billing information accurately, ensuring timely payment from facilities and insurers.
Managed patient accounts, ensuring accurate billing and timely payments.
Established strong relationships with hospital staff to enhance patient advocacy efforts.
Led training sessions for new representatives, promoting best practices in patient account management.
Experience
5-7 Years
Level
Senior
Education
B.S. Health Admin.
Patient Account Representative Resume
Objective : Dedicated Patient Account Representative with 2 years of experience in healthcare billing and patient management. Demonstrated expertise in processing claims, verifying insurance eligibility, and enhancing patient satisfaction through effective communication. Looking to apply my skills in a dynamic role that emphasizes accuracy and compassionate patient care.
Skills : Microsoft Office Suite, Advanced Excel Skills, Database Management, Presentation Skills, Data Entry Proficiency, Telephone Etiquette
Description :
Managed complete billing processes, including follow-up and collection activities.
Conducted thorough follow-ups on outstanding claims through calls and payer portals.
Documented collection activities meticulously to maintain accurate records.
Reviewed account details to determine appropriate follow-up actions.
Verified claims adjudication using relevant systems and resources.
Contacted patients via phone or mail to gather necessary information.
Performed billing functions, including manual and electronic submissions.
Experience
0-2 Years
Level
Entry Level
Education
AAS-HIM
Patient Financial Services Representative Resume
Summary : Accomplished Patient Financial Services Representative with a decade of expertise in healthcare billing and patient account management. Proficient in navigating complex insurance systems, optimizing revenue cycles, and ensuring regulatory compliance. Passionate about improving patient experiences through effective communication and financial accuracy while driving organizational success.
Analyzed managed care and PPO contracts to maximize revenue cycle efficiency.
Verified patient eligibility and claims status using payer websites and direct calls.
Submitted appeals and reconsiderations with comprehensive documentation.
Maintained accurate records of audits and payments to enhance compliance.
Created detailed reports on audit outcomes, driving process improvements.
Provided actionable insights to prevent future payment variances.
Coordinated with payers to resolve claims edits and denials, ensuring timely processing.
Experience
7-10 Years
Level
Senior
Education
B.S. Health Admin.
Patient Account Representative Resume
Objective : Dedicated Patient Account Representative with 5 years of experience in healthcare billing and account management. Expertise in streamlining patient services, verifying insurance eligibility, and enhancing financial accuracy. Committed to delivering exceptional patient experiences while ensuring compliance with industry regulations and fostering a collaborative environment.
Skills : Multi-tasking, Conflict Resolution, Email Communication Management, Accurate Data Management, Medical Terminology, Payment Posting
Description :
Managed patient accounts by submitting claims, following up on insurance payments, and ensuring zero balance for all accounts.
Utilized Soarian Financials and Epic to gather necessary information for account resolution.
Accessed payer websites for eligibility checks, claim statuses, and appeals.
Collaborated on projects to identify and resolve issues with specific payers, enhancing overall efficiency.
Led cleanup initiatives for credits and adjustments during system transitions, improving operational accuracy.
Processed denials and write-offs, accurately transferring balances and ensuring compliance with billing policies.
Reviewed accounts for credit balances, assigning them for further investigation and resolution.
Experience
2-5 Years
Level
Management
Education
B.S. HCM
Insurance Verification Specialist Resume
Objective : With 5 years of experience as an Insurance Verification Specialist, I excel in validating insurance coverage, processing claims, and improving billing accuracy. My expertise in navigating complex insurance policies ensures timely reimbursements and compliance with regulations. I am dedicated to enhancing operational efficiency and providing exceptional support to patients and healthcare providers.
Reviewed and verified insurance eligibility for patients, ensuring accurate billing and timely reimbursements.
Processed and appealed denied claims, achieving a 20% reduction in denied claims through proactive measures.
Monitored insurance aging reports and followed up on outstanding claims to maintain cash flow.
Assisted in optimizing revenue cycle processes to enhance operational efficiency.
Educated patients on their insurance benefits and responsibilities, improving overall satisfaction.
Maintained up-to-date knowledge of insurance policies and regulatory changes affecting billing practices.
Collaborated with healthcare providers to resolve billing discrepancies and improve claim submission accuracy.
Experience
2-5 Years
Level
Executive
Education
B.S. Health Admin.
Patient Account Representative Resume
Objective : Compassionate Patient Account Representative with two years of experience in healthcare billing and patient advocacy. Demonstrated proficiency in managing accounts, verifying insurance benefits, and ensuring compliance with healthcare regulations. I aim to enhance patient experiences while maintaining financial integrity and accuracy in a supportive healthcare environment.
Skills : 40 Wpm Typing Speed, Cerner Emr Software, Data Entry, Meditech Emr Software, Microsoft Word, Microsoft Outlook
Description :
Conduct personal interviews with uninsured and under-insured patients to collect and verify financial, demographic, and medical information for assistance applications.
Educate patients on eligibility for programs such as Medicaid and Social Security, including required documentation and patient rights.
Collaborate with healthcare providers to gather necessary documentation and assess patient eligibility for disability benefits.
Submit comprehensive applications to relevant federal, state, or county programs while ensuring confidentiality.
Monitor application statuses, follow up on claims, and assist in appealing denied applications.
Verify insurance eligibility and update active coverage in Meditech, preparing accounts for billing.
Independently resolve routine issues while consulting with management on complex inquiries.
Experience
0-2 Years
Level
Junior
Education
B.S. HCM
Medical Accounts Representative Resume
Objective : Results-oriented Medical Accounts Representative with 5 years of experience in healthcare billing and account management. Proficient in verifying insurance coverage, managing patient accounts, and ensuring compliance with industry regulations. Passionate about enhancing patient experiences through effective communication and financial accuracy while optimizing operational efficiency.
Activated patients in the management system upon arrival, facilitating a seamless check-in process.
Collected and entered demographic, financial, and clinical data for both scheduled and unscheduled accounts.
Interpreted insurance eligibility responses to assist patients in understanding their benefits, including copayments and deductibles.
Verified the presence of complete physician orders at the time of service to ensure compliance.
Scanned and organized necessary documents, including consents and insurance cards, into the patient business cycle system.
Collected patient liabilities identified during financial clearance, offering prompt payment options to enhance cash flow.
Coordinated with various departments to address patient inquiries related to billing and medical records, improving overall service delivery.
Experience
2-5 Years
Level
Junior
Education
B.S. Health Admin.
Patient Account Representative Resume
Objective : Experienced Patient Account Representative with 5 years in healthcare billing and patient account management. Adept at resolving insurance discrepancies, ensuring compliance, and optimizing patient services. I am committed to fostering positive patient interactions while maintaining financial accuracy and operational efficiency.
Skills : Healthcare Software Proficiency, Data Analysis And Reporting, Customer Relationship Mgmt, Process Improvement, Training And Development, Work Ethic
Description :
Collaborated with patients to address insurance issues, ensuring prompt account resolution.
Generated comprehensive reports to identify and resolve patient account discrepancies.
Assisted in collecting outstanding payments from overdue accounts, improving cash flow.
Processed claim payments efficiently, reconciling data to ensure accuracy.
Maintained compliance with company policies, ensuring thorough documentation of all activities.
Provided training to colleagues on billing procedures and compliance requirements.
Handled daily office tasks with strict adherence to HIPAA regulations, maintaining patient confidentiality.
Experience
2-5 Years
Level
Management
Education
AAS-HIT
Patient Account Representative Resume
Summary : Accomplished Patient Account Representative with a decade of expertise in healthcare billing and patient account management. Recognized for effectively managing complex accounts, ensuring accurate insurance verification, and enhancing patient satisfaction. I am dedicated to optimizing revenue cycles and fostering a collaborative environment that supports both patients and healthcare providers.
Skills : Idx/ge Integration, Nextgen Electronic Health Records, Account Reconciliation, Financial Counseling, Adaptability To New Technologies
Description :
Utilized billing software to process, print, and email patient medical bills accurately.
Arranged payment schedules, generated billing entries, and created detailed financial reports.
Posted payments and refunds while coordinating with insurance companies to resolve discrepancies.
Followed up on unpaid claims within standard billing cycle timeframes, ensuring timely resolutions.
Verified insurance payments for accuracy and compliance with contractual agreements.
Communicated with insurance companies to address any payment discrepancies effectively.
Responded to patient and insurance inquiries regarding assigned accounts with professionalism.
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