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Skillful Patient Services Coordinator resume

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Professional Profile
Result-oriented professional with extensive experience in the healthcare industry. Goals-directed Revenue Cycle Manager with a consistent track record of increased practice revenue to include both front and back end. Skilled in clarifying issues, implementing solutions and complex decision making. Detail-oriented and organized with the ability to multi-task. Committed to professional interaction with staff from varying backgrounds while promoting team values. 
Key Accomplishments
  • Effectively managed all aspects of accounts receivable for a multi-specialty practice with multiple locations.
  • Initiated insurance verification policy to be implemented practice-wide.
  • Increased patient participation by 25% with credit card on file to resolve outstanding balances.
  • Educated and trained support staff to use insurance web sites to increase profitability. 
Experience Summary
Billing Manager, 07/1999 to 04/2017
Endocrine & Diabetes Center – Vienna, VA
  • Professionally and efficiently managed all aspects of medical billing for a multi-practitioner, multi-location specialty practice.
  • Effectively coordinated all claims processing functions, allocated payments, appealed denials, and processed adjustments.
  • Accurately and timely posted payments from all sources; paper checks, EFT's and credit cards
  • Researched insurance retractions and verified patient refunds for Accounts Payable in a timely manner.
  • Initiated and established insurance verification policies with major payers to be adopted and implemented by office staff.
  • Administrative contact managing insurance website registration and training front desk staff.
  • Responsible for daily financial operations including: accuracy of charge posting, electronic deposits, payment allocation and scanned bank check deposits.
  • Thoroughly performed insurance claim follow up and patient collection of approximately 900 accounts monthly.
  • Systematically printed and reviewed monthly patient aging reports and solicited overdue payments. Prepared accounts for electronic collection agency transfer.
  • Meticulously reconciled all charges and payments preparing accurate reports daily, month end closing and yearly summary for managing physician review.
  • Working knowledge of CPT codes, ICD-10 coding and HIPAA guidelines.
  • Well versed with all major payers such as Blue Cross, Medicare, Managed Care and commercial plans, etc.
  • Flagged all payments not paid in accordance with current contract rates, followed up with insurance representative for resolution of payment errors.
  • Resourcefully used various coding books, procedure manuals and on-line encoders to resolve billing and payment errors.
  • Maintained accurate patient registration and managed appointment scheduling.
Patient Services Coordinator, 04/1991 to 06/1996
INOVA Home Health – Springfield, VA
  • Responsible for primary intake and insurance verification for patients requiring home care services.
  • Coordinated with liaison nursing staff and RN team leaders conducting case management and ensured benefits for all ordered disciplines.
  • Initiated communications regarding home care benefit information to patients or family members prior to staffing.
  • Carefully completed entry of patient demographic and insurance information into data base prior to claim submission.
  • Promoted teamwork with billing team to ensure smooth reimbursement and collection process.
Billing Supervisor, 05/1990 to 03/1991
Northern Virginia Doctor's Hospital (Northern Virginia Community Hospital) – Arlington, VA
  • Managed Billing Department operation by daily submitting electronic claims to all major payers with a staff of three representatives
  • Consistently ensured accurate ICD-9 and CPT4 coding of outpatient and emergency room accounts.
  • Worked closely with Admissions, Medical Records, and the Business Office to ensure accuracy.
  • Well versed in Medicare, Medicaid, PPO and HMO guidelines in a hospital setting.

Medicare Specialist, 09/1989 to 04/1990
Southwestern Medical Center – Lawton, OK
  • Reliably billed both inpatient and outpatient Medicare accounts.
  • Responsible for computerized follow up and supplemental insurance billing. Professionally resolved errors to expedite payment.
  • Successfully received and allocated payments to patient accounts.
  • Worked cooperatively with patients and family members while making payment arrangements and performing financial counseling.
Patient Services Coordinator, 09/1986 to 05/1989
Abbey/Foster Home Health Care – Lawton, OK
  • Diligently obtained and verified insurance and diagnosis information for successful claims filing.
  • Filled orders for rental and/or purchase of durable medical equipment (DME).
  • Proficiently handled all areas of office operations including customer service, accounts payable, inventory, payroll and retail sales.
  • Mastered Medicare, Medicaid and CHAMPUS (Tricare) guidelines for home care equipment.
Education
Bachelor of Arts: Psychology, Wheaton College - Wheaton, IL
Certifications

Certified Medical Insurance Specialist, May 2012

Licensed AFLAC agent (life and health) 2014

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Job-winning Patient Services Coordinator resume

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Professional Overview
Administrative professional who values high performance and professionalism. Excels in organizational communications and well established in administrative environments that are fast-paced and challenging.
Highlights
  • Strong oral and and written communication skills with the ability to communicate effectively
  • Ability to maintain high levels of confidentiality
  • Ability to work with a high degree of attention to details
  • Ability to multi-task, set priorities and ensure deadlines are met
  • Demonstrated ability to establish positive rapport and build collegial relationships within various departments of the organization to maximize the efficient flow of information and focus on customer-service
  • Demonstrated success working within an office environment addressing a variety of internal customer requirements and requests
Education
Bachelor of Science: Double Major - Human Resources Management/Social Sciences 2020 University of Maryland University College Adelphi, MD, USA
  • Member of National Honor Society
  • Member of National Society of High School Scholars
Experience
Family Christian Store 05/2016 to 03/2017 Sales Associate Waldorf, MD
  • Greet incoming customers and provided immediate assistance. 
  • Complete purchases with cash, credit and debit payment methods.
  • Answer incoming telephone calls with professional and knowledgeable responses.
  • Increase purchase totals by recommending additional items.
My Eye Doctor 11/2013 to 12/2014 Claims Processor Vienna, VA
10/2014 to 12/2014
  • Reduce loss ratios through fair and prompt processing of claims.
  • Evaluate the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
  • Post charges, payments and adjustments, apply payments, adjustments and denials into medical manager systems.
  • Gather and distribute mail and faxes to all inboxes.
Data Entry Clerk 05/2014 to 10/2014 Vienna, VA
  • Verify that information in the computer system is up-to-date and accurate.
  • Create and maintain spreadsheets using advanced Excel functions and calculations to develop reports and lists.
  • Handle and process confidential patient information.
  • Complete daily data entry of updated patient and insurance information.
Patient Services Coordinator 11/2013 to 05/2014 Silver Spring, MD
  • Manage and maintain schedules, prepare and maintain patient   records, perform general office duties.
  • Collect deposits or payments, collect clinical data, prepare medical treatment room, and use medical diagnostic equipment.
  • Authorize patient insurance benefits.
  • Assist PC team with follow up/reminder appointment calls, as needed.

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Experienced Patient Services Coordinator resume

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Professional Summary
Adaptable and well-trained healthcare manager/administrator accustomed to the integration of new healthcare delivery systems and restructuring of work in an increasingly complex regulatory environment. I am an accomplished healthcare manager who proudly maintains a highly productive, efficient and quality-driven environment at all times. I offer vast experience in medical operations, excellent interpersonal communication skills and the organizational savvy to run a hospital department or medical practice efficiently.
Skills
  • Strong leadership and team-building skills
  • IDX/GE
  • Allscripts Bed Management
  • Ability to develop
    • Ability to positively influence others to meet established goals
  • Orienting/On-boarding
  • Counseling

  • Comprehensive knowledge of regulatory requirements such as Joint Commission
  • EMTALA
    		•
  • Project Management
    Systems: Epic
  • Microsoft Office
  • lead and facilitate team and strategic initiatives

  • Hiring
  • Coaching
  • Staff Development & Disciplinary Process
  • HIPAA
  • CMS CoP
  • Medical Coding
  • Claims Knowledge
  • Customer Service
    		•
    Work History
    Practice Administrator, 06/2015 to 11/2016
    Arizona Oncology – Tucson, Arizona
    • Organized 3 medical oncology offices in accordance with corporate guidelines in order to provide exceptional patient care services and meet regulatory, organizational and medical staff guidelines.
    • Consistently complied with applicable laws and regulations and ensured facilities adhered to Medicare/Medicaid, State and Federal regulations.
    • Interpreted and communicated new or revised policies to all staff.
    • Continually maintained and improved the company\'s reputation and positive image in the markets served.
    • Encouraged creative thinking, problem solving, and empowerment as part of a multi-disciplinary group to improve morale, teamwork and achieve desired outcomes.
    • Confidently managed the overall operation of administrative services and patient care, including financial management, marketing, quality assurance, patient care, safety risk management, legal, physician and staff satisfaction, quality index scores and facility maintenance.
    • Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement.
    • Managed and directed fiscal operations in coordination with physician shareholders, including planning budgets, authorizing expenditures, accounting, program development, and coordinating financial reporting.
    • Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
    Practice Manager, 08/2015 to 05/2016
    Arizona Oncology – Tucson, AZ
    • Managed the day-to-day business operations of the largest Medical and GYN oncology office in Tucson, AZ.
    • Improved patient, physician and staff satisfaction by working with staff and physicians to improve operations, response time and patient satisfaction.
    • Conducted interviews, hiring, coaching, counseling/disciplinary action and terminations in coordination with Human Resources and Clinical Team Leader.
    • Developed performance goals and conducted the performance reviews of administrative staff.
    • Conducted oversight and ongoing review of all administrative roles and functions to include, Teleservices/Scheduling, Check-In/Check-Out, Patient Financial Management Services, Diagnostic Scheduling, Surgery Scheduling, Medical Records, and Facility Management.
    • Coordinated and held monthly staff meetings which consisted of administrative and clinical staff.
    • Coordinated monthly physician staff meetings in coordination with the Clinical Team Leader.
    • Coordinated monthly staff recognition program and worked collaboratively with the Nursing Team Leader to develop seamless service amongst and between the clinical and administrative teams.
    International Patient Services Coordinator, 03/2013 to 08/2015
    University of Arizona Health Network/Banner Health – Tucson, AZ
    • Served as liaison between hospital administration, clinical staff and community health leaders and governmental agencies.
    • Collaborated with other health-related agencies and organizations in community activities.
    • Maintained up-to-date knowledge of applicable State and Federal laws and regulations.
    • Established and maintained positive relationships with government agencies, patients, families, foreign healthcare providers, physicians and community at large.
    • Served as a member of the Arizona Mexico Commission.
    • Coordinated hospital-to-hospital patient transfers .
    Manager II, Revenue Cycle, 10/2003 to 03/2013
    University Medical Center Tucson – Tucson, AZ
    • Actively maintained up-to-date knowledge of applicable State and Federal laws and regulations.
    • Expertly planned, coordinated, organized and managed the daily operations of Patient Placement and Physicians\' Resource Service, reducing bed placement time and improving access to care.
    • Responsible for managing daily operations in an academic, acute care, 468-bed hospital providing level I trauma care to Southern Arizona and a 200-bed acute care medical and behavioral health care hospital.
    • Provided oversight of the day-to-day operations of this 24/7 department in accordance with hospital policies, procedures and State and Federal regulations.
    • Evaluated employee performance, provided feedback and assisted, coached and disciplined staff.
    • Diligently monitored the quality of service and compliance with all regulatory corporate compliance requirements.
    • Reduced staff turnover through appropriate selection, orientation, training, staff education/development.
    • Established and nurtured positive working relationships with executive leadership, colleagues, nursing leadership, physicians, and referring healthcare providers.
    • Organized and led personnel and interdepartmental meetings and strategic improvement initiatives (i.e., patient progression/patient flow, strategic planning).
    • Improved our market share in Southern Arizona, Nevada and New Mexico.
    • Developed and revised policies and procedures in accordance with local, State and Federal laws and regulations.
    • Worked closely with all levels of hospital leadership and staff to ensure key metrics and revenue goals were met.
    • Assisted in testing, training and implementation of system upgrades and an entirely new software system (Epic).
    • Provided orientation and training to all hospital staff, including New Resident Orientation and Nursing Orientation.
    Manager II, Admitting & Registration, 10/2000 to 10/2003
    University Medical Center Tucson – Tucson, AZ
    • Oversight of a department of approximately 100 Pre-Visit, Admitting and Financial Counselors, Team Leaders/Supervisors.
    • Areas include the Emergency Department, Outpatient Admitting, Inpatient Admitting, Transplant Financial Services, Patient Placement and Physicians\' Resource Service.
    • Worked closely with the Business Office attending regular meetings to identify and resolve denial trends, billing and registration issues. Managed $23.9 M A/R and met goal of $8.9M in discharged not billed accounts.
    • Membership on various hospital committees: Compliance, Utilization Review/Denial Management and joint operations meetings with various payers/insurance companies.
    • Conducted or approved performance evaluations, merit increases and promotions.
    • Participated in the budgeting process with responsibility for managing it effectively.
    • Cash collections at 90% to 100% of cash goals
    Manager, Front Office Operations, 07/1998 to 10/2000
    University Medical Center Tucson – Tucson, AZ
    • Responsible for day-to-day operations of all administrative (front office) operations of 6 primary care clinics, including Internal Medicine, Family Medicine, Pediatrics and GYN.
    • Direct reports included Front Office Supervisors, Medical Coding and Medical Records Team Leaders.
    • Conducted or approved the performance evaluations, hiring, firing and promotions of all administrative staff.
    • Monitored staffing patterns, volume, costs and departmental needs to ensure effective utilization of resources.
    • Fostered interdisciplinary relationships through effective negotiation and consensus building in order to achieve practice goals.
    • Developed and arranged continuing education opportunities for staff, increasing knowledge and skill level of existing staff by partnering with Pima Community College (Medical Terminology and Coding).
    Supervisor II, 12/1992 to 06/1998
    University Physicians Inc. – Tucson, AZ
    • Interviewed, hired, mentor, coached and trained front office team members.
    • Identified inefficiencies and made recommendations for process improvements.
    • Increased revenue by ensuring collection of co-payments and self pay balances.
    • Oversight of Team Leader, Teleservices, Check-In/Check-Out, Coding, Pre-Visit, Medical Records, Administrative Assistant, Provider Schedules and Facilities Management.
    Medical Assistant, 03/1987 to 12/1992
    Marquez Medical Clinic – Tucson, AZ
    • Hired upon completion of internship.
    • Performed all front office and back office duties.
    • Covered for the Office Supervisor as needed.
    Education
    Pre-requisites: Nursing, Pima Community College - Tucson, AZ
    Nursing Prerequisites
    Certificate: Medical Assistant, 1987
    Pima Medical Institute - Tucson - Tucson, AZ

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