Patient Account Specialist is responsible for auditing the patient records and ensuring that it is accurate and complete in all ways. A well-crafted Patient Account Specialist Resume should demonstrate the following job description – managing patient account for documentation purpose, performing tasks pertaining to patient care or third party reimbursements, receiving medical records and reviewing the same, collecting necessary documents for auditing files and proofreading, resolving errors with patients, employees and referral sources, maintaining accuracy and quality control of inputs, obtaining re-certifications and re-authorizations, rendering assistance for overdue or not paid status accounts and offering all other assistance as required.
The preferred qualifications for this job role are – knowledge of medical terminology, medical billing, and medical software; experience in administrative record and medical field record management and strong customer service background. With a High school diploma and knowledge of billing reimbursement, any candidate can seek this job employment.
Headline : Dedicated Patient Account Specialist with over 7 years of experience in healthcare billing and claims processing. Proven ability to manage complex accounts, ensuring timely and accurate submissions. Committed to enhancing patient satisfaction and streamlining operations through effective communication and problem-solving skills.
Skills : Advanced Excel Skills, Email Management And Communication, Effective Interpersonal Communication, Self-driven And Proactive
Description :
Assembled and reviewed required documentation to ensure accurate billing submissions within regulatory time frames.
Entered insurance and patient data into Cerner Millennium, adhering to departmental protocols.
Collaborated with hospital staff to gather necessary information for timely claim processing.
Maintained up-to-date knowledge of billing procedures to ensure compliance and accuracy.
Processed approximately 100 inpatient and outpatient EOBs daily, in line with agreements from major insurers.
Managed refund and payment transfer requests due to overpayments or incorrect billing.
Facilitated patient transfers for refunds across multiple accounts, ensuring smooth operations.
Experience
5-7 Years
Level
Senior
Education
BSHA
Insurance/Patient Account Specialist
Resume
Objective : Enthusiastic Insurance/Patient Account Specialist with 2 years of experience in healthcare billing and account management. Adept at ensuring accurate claim submissions and enhancing patient communication. Passionate about leveraging analytical skills to improve processes and deliver exceptional service in a fast-paced environment.
Reviewed assigned accounts for accuracy in information, codes, and adherence to billing guidelines.
Followed up on billed claims to ensure timely payments and compliance with payer contracts.
Resolved billing discrepancies by identifying errors and implementing corrective actions.
Analyzed trends in claim denials to enhance the billing process and reduce errors.
Coordinated with patients regarding account statuses and managed payment plans.
Collaborated with providers for additional information or coding corrections on claims.
Processed patient payments and ensured proper posting of transactions.
Experience
0-2 Years
Level
Entry Level
Education
AAS - HIT
Patient Account Specialist Resume
Objective : Accomplished Patient Account Specialist with 5 years of experience in healthcare billing and account management. Skilled in optimizing claims processes and enhancing patient relations to ensure timely payments. Eager to leverage analytical abilities and extensive knowledge in a role that prioritizes patient satisfaction and operational efficiency.
Skills : Analytical Problem Solver, Effective Communication, Strong Time Management, Interpersonal Skills, Medical Billing Knowledge, Proficient In Patient Account Management
Description :
Greeted patients and provided assistance with payer inquiries, utilizing approved scripting.
Ensured accuracy in patient information for receipt issuance and conducted audits for timely payments.
Resolved patient billing inquiries and complaints, initiating necessary adjustments.
Followed up on zero payment explanations of benefits, utilizing all resources to secure claim payments.
Experience
2-5 Years
Level
Junior
Education
B.S. in HA
Patient Account Specialist II
Resume
Summary : Accomplished Patient Account Specialist with a decade of expertise in healthcare billing, claims processing, and account management. Proficient in ensuring accurate submissions and optimizing patient interactions. Driven to enhance operational efficiency and patient satisfaction through proactive communication and analytical problem-solving.
Skills : Healthcare Software Proficiency, Analytical Problem Solving, Payment Processing, Claims Management, Data Entry Proficiency, Efficient Time Management
Description :
Utilized the E-intake proprietary system to maintain data accuracy and quality control during patient interactions.
Conducted thorough reviews of medical documentation to ensure compliance with payer requirements and regulations.
Audited delivery documents to confirm services rendered were accurately recorded in E-intake.
Resolved discrepancies by liaising with patients, referral sources, and internal teams.
Verified information accuracy between IMBs and E-intake against required documentation.
Provided comprehensive service information to patients and referral sources, enhancing their understanding of billing processes.
Executed timely charge confirmations in E-intake for accurate billing to patients and third-party entities.
Experience
7-10 Years
Level
Senior
Education
B.S. in HA
Patient Account Specialist Resume
Summary : Accomplished Patient Account Specialist with 10 years of extensive experience in healthcare billing and claims management. Expert in optimizing billing processes and enhancing patient communication to ensure timely reimbursements. Dedicated to improving operational efficiency and patient satisfaction through strategic problem-solving and effective collaboration.
Skills : Proficient In Microsoft Office Suite, Expert Problem Resolution Skills, Accurate Data Entry And Management, Advanced Excel Proficiency, Strong Word Processing Skills, Effective Powerpoint Presentation Skills
Description :
Ensured compliance with clinic billing procedures and standards, enhancing accuracy and efficiency.
Audited claims prior to submission to verify all data elements were complete and correct.
Maintained comprehensive knowledge of contracted health plans to resolve complex billing inquiries.
Monitored reimbursements for accuracy, filing appeals for denied claims and addressing payment discrepancies.
Re-filed claims with necessary documentation to maximize reimbursement amounts.
Communicated effectively with insurance carriers to gather additional information for claim support.
Reviewed audit reports to ensure accurate payment postings and identify areas for improvement.
Experience
7-10 Years
Level
Management
Education
AAS-HIM
Patient Account Specialist I Resume
Objective : Experienced Patient Account Specialist with 5 years in healthcare billing and collections. Demonstrates expertise in accurate claim submissions, account management, and patient communication. Aiming to enhance operational efficiency and patient satisfaction through diligent account oversight and effective problem resolution.
Conducted comprehensive billing analysis to ensure accuracy and compliance with payer requirements.
Managed complex patient accounts, overseeing timely and precise claim submissions.
Collaborated with clinical staff to gather necessary documentation for effective claim processing.
Developed and implemented strategies to improve revenue cycle efficiency.
Investigated and resolved claim denials, working with payers to secure payments.
Maintained meticulous records of patient accounts, ensuring data integrity and confidentiality.
Utilized billing software to track and manage accounts receivable effectively.
Experience
2-5 Years
Level
Junior
Education
AAS
Patient Account Specialist Resume
Headline : Dynamic Patient Account Specialist with 7 years of expertise in healthcare billing and claims management. Proficient in optimizing account processes and enhancing patient experiences through effective communication. Focused on driving operational excellence and ensuring accurate claim submissions to maximize revenue and patient satisfaction.
Managed patient accounts by verifying demographic information, ensuring accurate guarantor entries, and completing authorization reports.
Contacted insurance companies for preauthorization and resolved outstanding balances, incorrect payments, and claim denials.
Collaborated with clinical teams to resolve rejections and assess collectability for adjustments.
Oversaw Medicaid and Medicare reporting, ensuring compliance with necessary agreements.
Provided administrative support, including scheduling, patient check-in/out, and handling inquiries.
Processed claims to meet clean claim definitions, ensuring timely and accurate payments.
Applied patient payments to accounts, ensuring compliance with contractual agreements and preparing bank deposits.
Experience
5-7 Years
Level
Consultant
Education
B.S. in HA
Senior Patient Account Specialist Resume
Summary : With a decade of specialized experience in patient account management, I excel in optimizing billing processes and fostering effective communication. My expertise lies in enhancing patient satisfaction and ensuring timely reimbursements through strategic problem-solving. I seek to leverage my comprehensive knowledge to drive operational excellence and improve financial outcomes in a dynamic healthcare environment.
Skills : Accounts Receivable Management, Patient Relations Management, Empathy, Follow-up Skills, Work Ethic, Process Improvement
Description :
Oversee billing operations as a Senior Patient Account Specialist at Virginia Cancer Specialists, focusing on account management and customer service.
Conduct detailed audits of patient accounts to ensure accurate and timely payments, utilizing data analysis to identify discrepancies.
Develop solutions for account errors and monitor resolutions to enhance operational efficiency.
Engage with patients to establish payment plans for delinquent accounts, promoting financial accessibility.
Manage sensitive financial interactions between patients and insurance companies with diplomacy, improving collections on unpaid balances.
Respond to insurance company inquiries, identifying issues and proposing effective resolutions.
Reconcile refund accounts, collaborating with management to process refund checks efficiently.
Experience
7-10 Years
Level
Consultant
Education
BSHA
Patient Account Specialist Resume
Summary : Accomplished Patient Account Specialist with a decade of expertise in healthcare billing and claims management. Adept at streamlining processes, enhancing patient relations, and ensuring accurate claim submissions for timely reimbursements. Passionate about leveraging analytical skills and effective communication to foster operational excellence and improve patient satisfaction.
Skills : Patient-centric Communication Skills, Team Leadership And Training, Administrative Coordination, Healthcare Coding Knowledge, Proficient In Ms Office Suite, Accounts Receivable
Description :
Reviewing claims for completeness, reasonableness of charges, and accuracy of billing codes.
Pursuing timely collection of claims through strategic follow-up with payers.
Correcting and ensuring legibility of outgoing secondary bills and correspondence.
Handling incoming inquiries with professionalism and accuracy.
Communicating effectively with all parties to resolve account-related issues.
Maintaining accurate account information in relevant systems.
Logging documentation related to account processes for future reference.
Experience
10+ Years
Level
Executive
Education
B.S. Health Admin.
Patient Account Specialist Resume
Summary : With a decade of dedicated experience in patient account management, I specialize in optimizing billing processes and ensuring accurate claims submissions. My proven track record in enhancing patient satisfaction and streamlining operations through effective communication and problem-solving positions me to significantly contribute to your team.
Skills : Multi-tasking, Time Management, Team Collaboration, Confidentiality, Conflict Resolution
Description :
Verified insurance eligibility and managed patient accounts to ensure timely billing and collections.
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