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Citadel Outsource Group - Patient Account Specialist Resume Example

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Benjamin Taylor
XXX XXXXXX XXXXX, Nashville, TN 37211
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
Professional Summary:

CMS certified Billing/Collections Specialist dedicated to achieving exceptional results.

Skills:

Proficient in Microsoft Office Suite. Comprehensive knowledge of billing and collections procedures. Familiar with medical terminology and healthcare operating procedures. Effective problem solving and critical thinking skills. Extensive knowledge of hospital billing  systems such as SSI and CPSI. Familiar with Meditech, Artiva, and FSS.Certified Medicare Specialist

Experience:
Patient Account Specialist Apr 2013Feb 2014 Citadel Outsource Group Hendersonville , TN

> Reviews paper insurance claims to ensure accuracy of information and appropriate attachments prior to submission to insurance carriers.

> Communicates with insurance company (either written or verbal) concerning patient's account.

> Reviews Explanation of Benefits (EOB's) to ensure appropriate reimbursement.

> Reconciles disputed and delinquent accounts and make necessary corrections and adjustments.

> Follow-up on open insurance claims.

> Maintains reports and files that pertain to patient accounts.> Maintain patient accounts through above duties to determine that claims have been paid or denied appropriately before forwarding to collector if appropriate.>Daily billing of all facility and professional claims

Collections Specialist-Artiva Unit Jun 2012Apr 2013 Parallon Business Performance Group Hendersonville , TN > Researched claims to determine Medicare discrepancies> Reviewed and corrected all billing errors> Maintained contact with Fiscal Intermediaries to update and ensure all claims processed correctly
Collections Specialis-COB Unit/Mentor May 2009Jun 2012 Parallon Business Performance Grop Hendersonville , TN > Researched claims, both billed and unbilled for compliance with Medicare guidelines> Regularly updated patient records with Medicare Coordination of Benefits Department>Verified all insurance related information with commercial insurance companies regarding primary/secondary payment to avoid erroneous payments
COB Unit-Mentor Nov 2010 Parallon Business Performance Group Hendersonvile , TN >Trained new hires on COB specific duties>Provided assistance with special projects assigned by management staff> Responded to staff inquiries regarding problem accounts or issues
Education:
Select Your Degree : Business Management University of Phoenix Nashville , TN
Select Your Degree : Accounting Nashville State Technical College Nashville, TN
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Resume Details

This is a real resume for a Patient Account Specialist in Nashville, Tennessee with experience working for such companies as Citadel Outsource Group, Parallon Business Performance Group, Parallon Business Performance Grop. This is one of the hundreds of Patient Account Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Patient Account Specialist resume.

Previous Companies:

  • Citadel Outsource Group
  • Parallon Business Performance Group
  • Parallon Business Performance Grop

Previous Job Positions:

  • Patient Account Specialist
  • Collections Specialist Artiva Unit
  • Collections Specialis COB Unit
  • Mentor
  • COB Unit Mentor

Schools:

  • University of Phoenix
  • Nashville State Technical College

Level of Education:

  • Select Your Degree

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