Objective: I aspire to obtain a professional position, with an established company that is patient driven and thrives in patient healthcare excellence. I expect to utilize and enhance my present skill set, and assure creativity, professionalism, loyalty, and outstanding job performance in my position.
Education: Bachelor of Science in Business Administration - Healthcare Management,
Kaplan University
Skills and Knowledge
Computer Programs: MS word, MS Excel, PowerPoint, Email, Copier/Fax, 10-key by touch.
Medical Software Expertise: Referral Management System (RMS), Nursing Calendar, Ascend Software, Emedix billing software.
Insurance Experience posting/ EOB/correspondence/Appeals: Medicare, Medicaid, Workers’ Comp. Aetna. Cigna, United Healthcare, BC/BS, Tysbari Copay Assistance Fund, RemiStart Program.
Special Drug Infusion Billing/Reimbursement Training
Health insurance Portability and Accountability Training (HIPAA)
Career Experience
PA Client Analyst
Healix Infusion Therapy Sugar Land TX 06/2006-present
The Patient Account Client Analyst is responsible for special projects for external office infusion centers in Texas, Georgia, Florida, and California. The PA Client Analyst is accountable for handling external client request for end of month reports, reviewing profitability, and delegating client concerns/issues to the appropriate department heads. The Patient Account Client Analyst is also responsible for overseeing the patient accounts team. These duties also include resolving complicated departmental issues in a timely professional manner, assisting department leaders in resolving client requests, executing effective solutions, ensuring proper billing of over 8,000 patient accounts; coaching and training of staff, preparing reports for the Director of Reimbursement and other departmental leaders, generating client reporting of insurance reimbursements. These duties are completed to ensure quality service to our patients and clients. Responsibilities also include managing staff procedures to ensure efficiency in the issues. Assist Human Resources with new employees system training. handling of patient calls, patient written correspondence, and various client requests.
• Provide all end of month reports to clients (physician) related to outstanding patient balances and insurance projected monies.
• Communicate effectively with clients to resolve report discrepancies and patient flow
• Direct work flow and coach staff to ensure proper handling of patient requests and client requests.
• Manage information flow from patient accounts team to ensure HIPAA Compliance.
• Review, compile, and audit special system reports for clients and department management.
• Review patient due balances, delegate discount offers, and post proper adjustments to patient accounts.
• Coordinate monthly patient statements and letters for staff to review.
• Submit electronic patient statements via third party to Emedix
• Conduct patient account team meetings to address any concerns and/or issues
A/R Coordinator (Offload Department)
Affiliated Computer Services (ACS) Houston, TX 77036
02/2003-10/2005
The A/R coordinator was responsible for managing revenue cycle for uncollectable or unresponsive hospital accounts. Daily duties included, managing several VIP accounts by monitoring patient correspondence, contacts, and payments prior to transference to bad debt. Complied with client contractual agreements on collection criteria and methods: also provided quality assurance and exceeded monthly goals in reference to accounts reviewed. These duties allowed clients to transfer bad debt to ...
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