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New York Presbyterian Hospital - Patient Financial Advisor Resume Example

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Luke Young
XXXX XXXXXXXXX XXXXXX , Bronx , NY 10473 | (H) XXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXX
Professional Summary

Highly organized Patient Financial Adviser with 14 years' experience managing billing and insurance relations in a hospital environment. Meticulous and accurate accounting with proven expertise in benefits, appeals, and
collections. Excellent written and oral communication alongside a positive attitude.

Skills
  • Patient-focused care
  • Insurance benefits procedures
  • Insurance and collections procedures
  • Knowledge of HMOs, Medicare, and Medicaid
  • Insurance carrier knowledge
  • Managed care contract knowledge
  • Research and data analysis
  • Medical terminology
  • Trained in Medical Coding
  • Microsoft Office Suite, OMNI-PRO, E-PREMIS, EAGLE, I-SUITE, Huron AEOS and IDX Web proficient
Experience
Patient Financial Advisor 09/2002 to Present
New York Presbyterian Hospital NY, NY
  • Submits first level appeals to both contracted and non-contracted carries to secure full reimbursement.
  • Reviews hospitals managed care contracts to determine appropriate application of rates, provisions and terms.
  • Notifies appropriate third party of potential underpayment or contract violation.
  • Identifies potential underpayments through comparison of managed care contracts to claim data. 
  • Reviews patients' accounts and ensures their accuracy and completeness. Determines appropriate billing distributions and processes statements.
  • Responsible for billing both inpatient and outpatient claims, for all carriers (Medicare, Medicaid, Blue Cross and Commercial). 
  • Performs general accounts receivable maintenance, through the use of the department's electronic aged trial balance. 
  • Works on credit balance reconciliation and charge entries
  • Submits first level appeals to both contracted and non-contracted carries to secure full reimbursement.  
  • Posted and adjusted payments from insurance providers and patients, inputting relevant data into Eagle.
Emergency Department Registrar 11/2007 to 01/2009
Montefiore Medical Center NY, NY
  • Interviewed patients to obtain demographic, employment, insurance and financial information
  • Maintained and updated databases containing client information.
  • Composed confidential data reports comprised of patient admissions, discharges, deaths, births, and types of treatment provided.
  • Specialized in 3rd party insurance, Medicare, Medicaid, HMO, and PPO billing procedures.
  • Performed general clerical tasks such as faxing, photocopying, and scanning documents.
  • Efficiently fielded phone calls on a multi-line system.
Unit Clerk 06/1998 to 09/2002
New York Presbyterian Hospital NY, NY
  • Managed medical records, updating Eagle database and maintaining detailed and accurate patient charts.
  • Prepared and managed all correspondence, responding to requests from patients, physicians, and insurance companies.
  • Greeted patients in a polite courteous manner, providing prompt assistance to expedite intake process.
  • Scrutinized patient charts and medical records to establish and process billable services.
  • Handled medical records with sensitivity and confidentiality while maintaining strict adherence to all HIPAA Privacy and Security Regulations.
  • Verified patient insurance coverage, determined deductibles, processed carrier payments, and billed for any balance remaining.
  • Assisted  physicians by handling administrative tasks, managing schedules, and maintaining office records.
Education
Bachelor of Science: Behavioral Science May 2014 Mercy College - Dobbs Ferry, NY
Masters : Education Mercy College - Dobbs Ferry, NY
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Resume Details

This is a real resume for a Patient Financial Advisor in Bronx, New York with experience working for such companies as New York Presbyterian Hospital, Montefiore Medical Center. This is one of the hundreds of Patient Financial Advisor resumes available on our site for free. Use these resumes as templates to get help creating the best Patient Financial Advisor resume.

Previous Companies:

  • New York Presbyterian Hospital
  • Montefiore Medical Center

Previous Job Positions:

  • Patient Financial Advisor
  • Emergency Department Registrar
  • Unit Clerk

Schools:

  • Mercy College

Level of Education:

  • Bachelor of Science
  • Masters

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