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Officeteam - Revenue Cycle Specialist Resume Example

Michael Moore
XXXX XX XXXXX XXXX XXX XXX X, Cincinnati, OH 45224
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary
Patient account representative with significant experience in health insurance and medical billing industry. Proficient in reducing accounts receivable and increasing net collections. Adaptable with great customer service,  communication, multi-tasking, and problem solving skills.  Proficient with Microsoft Word, Excel, and Outlook.  High level of knowledge HIPPA.CPT/ICD-9 Coding, and insurance Explanation of Benefits data.
Skills
  • Active Listening
  • Customer and Personal Service
  • Monitoring
  • Judgment and Decision Making
  • Computers and Electronics
  • Clerical
  • Troubleshooting
  • Active Learning
  • Complex Problem Solving
  • ICD-9, CPT Coding
  • Medical Terminology
  • HIPPA
  • High level of knowledge regarding insurance Explanation of Benefits.
  • Proficient with Microsoft Word, Excel, and Outlook

Experience
Revenue Cycle Specialist Mar 2014Present OfficeTeam/St. Elizabeth Physicians Cincinnati, OH

My duties included working electronic zero pays, that consist of me going through all insurance files checking files for errors. If errors are preventing claims from passing through the system electronically, I  printed them off  to post manually.

I  also posted payments received from the insurance companies manually.

I'm also responsible for working web exceptions, this consist of me working in rev link, verifying  account numbers and checks. On Fifth Third Direct Website.

Front Desk Receptionist Feb 2014Present The Beechwood Home Cincinnati, OH

This position consist of  Answering Phones, Watching Security Cameras, Opening front doors.

I also handle petty cash.

Make reservations for residents on the Access Bus

Other duties as assign

Front Desk Receptionist Aug 2013Feb 2014 Officeteam/Beechwood Home Cincinnati, OH

Answering Phones

Watching Security Camera

Opening Front Door

Handled Petty Cash

Make Reservations for residents on the Access Bus

Other duties as assigned.

Revenue Cycle Follow up Rep May 2011Dec 2013 UC Physicians Cincinnati, OH

Maintained the United Health Care Work File

Monitored activity on non-paid claims, initiating action when necessary to facilitate payment.

Followed up and processed re bills/appeals with insurance companies in a timely manner.

System used were Last Word, IDX, Access Anywhere and Epic.

Patient Account Specialist Sep 2010Jan 2011 OfficeTeam/Mercy Medical Associates Cincinnati, OH

Maintained the Humana and United HealthCare Work Que

Monitored activity on non-paid claims, initiating action

 when necessary to facilitate payment.

Followed up and processed rebills/appeals with insurance companies in a timely manner.

System I worked on were Epic, HBO,HPF, Eprimis and Medrx

Took customer service calls

Patient Account Representative Mar 2007Jul 2010 Medisync Cincinnati, OH

Maintained assigned practice accounts receivable and worked towards reduction of A/R resulting in increased net collections.

Monitored activity on non-paid accounts, initiating action when necessary to facilitate payment of claims.

Resolved issues on claims quickly by creating letters and explanation of benefits.

Conducted quarterly meetings with upper management and office manager.

Developed high rapport with the office manager and staff which reduced in-house errors.

Followed up and processed rebills/appeals with insurance company in a timely manner, resulting in increase of accounts receivable.

Systems used Prisim, and Touch Works also know as All Scripts

Customer Service Representative Dec 2006Mar 2007 Pharmacare Fairfield, OH

Handled  customer service calls from retail pharmacies and Medicare Part D members regarding prescription drug coverage and refills

Provided explanations to pharmacies and members on denied prescription claims; advised customers on authorization process for requesting coverage of a declined prescription

Patient Account Specialist Apr 2005Nov 2006 Deaconess Hospital Cincinnati, OH
  • Billed medical claims to insurance companies through Meditech and Perse systems.

  • Followed up on unpaid claims with insurance customer service representatives.

  • Processed appeals on claims and handled customer service calls regarding patient bills, resolving questions and concerns in a satisfactory manner.

Financial Service Representative Mar 2000Jan 2005 Child Health Administration Services(CCHMC) Cincinnati, OH
  • Maintained assigned practice accounts receivable; managed reduction of outstanding amounts through effective, swift collections.
  • Contacted outside organizations (insurance companies, collection agencies, employers and other health care providers) to negotiate resolutions to patient accounts.
  • Processed calls regarding patient/parent/practice questions and concerns, maintaining strict level of patient confidentiality and resolving matters in timely, professional way.
Customer Service Representative Mar 1997Mar 2000 Anthem Blue Cross and Blue Shield Cincinnati, OH
  • Answering calls from members of the Federal Employees Benefits Plan benefits, claim denials, or payments.

  • Answering calls from physician's offices regarding benefits, claims payment or denial.

Education
High School Diploma: General Education Jun 1982 Forest Park High School Forest Park , OH
Health and Information Management Cincinnati State Technical and Community College Cincinnati, OH
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Resume Details

This is a real resume for a Revenue Cycle Specialist in Cincinnati, Ohio with experience working for such companies as Officeteam, St Elizabeth Physicians, The Beechwood Home. This is one of the hundreds of Revenue Cycle Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Revenue Cycle Specialist resume.

Previous Companies:

  • OfficeTeam
  • St Elizabeth Physicians
  • The Beechwood Home

Previous Job Positions:

  • Revenue Cycle Specialist
  • Front Desk Receptionist
  • Revenue Cycle Follow up Rep
  • Patient Account Specialist
  • Patient Account Representative

Schools:

  • Forest Park High School
  • Cincinnati State Technical and Community College

Level of Education:

  • High School Diploma

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