Patient Account Representative Resume Samples

HIGH QUALITY

The best examples from thousands of real-world resumes

EXPERT APPROVED

Handpicked by resume experts based on rigorous standards

DIVERSE EXAMPLES

Tailored for various backgrounds and experience levels

Patient Account Representatives are responsible for ensuring that a patient's account is up to date, especially when payments are involved. Their main job responsibility involves collecting on past due accounts. Highlighted skills on example resumes of Patient Account Representatives include requesting and reviewing insurance claims and denials, and organizing and sorting out disputed claim requests and forwarding them to the appropriate department. Resumes of Patient Account Representatives display a high school diploma as an educational background, along with at least two years of experience in medical collections or claim processing.

Looking for job listings? Check out our Patient Account Representative Jobs page.

Want personalized resume advice? Get a FREE Resume Review

1

Patient Account Representative

Managed Account Receivables for 40+ providers

  • Maintained accurate and timely collections of balances to ensure a balanced deposit each day
  • Communicated with patients, faculty, students, insurance companies and other departments to resolve patient accounts
  • Resolved system reports such as aged accounts receivable and unallocated payments reports
  • Answered patient questions, inquires and concerns regarding their accounts
  • Trained new employees on all aspects of Patient Account Representative responsibilities
Candidate Info
8
years in
workforce
1
year
at this job
HS
High School Diploma
2

Patient Account Representative

Maintained all patient account balances within required time frame

  • Monitored all delinquent accounts and managed collection activities
  • Assisted to resolve billing issues for customers through regular inquiries
  • Performed medical collection activities as per established guidelines
  • Ensured compliance to HIPPA laws and federal regulations
  • Administered credit balances for all patients and players
  • Coordinated with customers to answer patient payment plans
Candidate Info
5
years in
workforce
5
years
at this job
3

Patient Account Representative

  • Billed and collected Medi-Cal claims on UB92; contacted Insurance payers to facilitate efficient cash collections; appeals and follow up on all outstanding revenue over 45 days; reconciled accounts using EOB's and processed adjustments when needed.
  • Reduced aged A/R under 120 days in 3 months
  • Increased Medi-Cal revenue by 40 % in 3 months
  • Selected as staff trainer for Premis
Candidate Info
4
years in
workforce
4
years
at this job
BS
Management
4

Patient Account Representative

Using a telephone, collected payment from delinquent medical self-pay accounts.

  • Arranged for payments to be made by debtors via telephone, sending statements to debtors, insurance companies, and attorneys in accordance with established policies and procedures.
  • Worked with third party payers to ensure timely recovery of outstanding delinquent accounts.
  • Following Federal and State regulations in a manner that ensured positive patient and client relations.
  • Prepared and distributed patient billings on a weekly basis.
  • Analyzed and discussed disputed patient accounts with senior management.
Candidate Info
15
years in
workforce
4
years
at this job
5

Patient Account Representative

Rebilled claims to either primary or secondary insurance companies.

  • Appealed when necessary for underpayment and/or no pre-certificates and authorizations.
  • Completed all related requests and correspondences from insurance companies.
  • Assisted Self Pay team members in resolving patient's account balances.
  • Researched and responded to all insurance inquiries received by telephone, fax and mail.
  • Updated patient's insurance information and initiated account adjustments.
  • Metrix, Epremis (Relay Health), Paragon, Med Assets (Contract Manager).
Candidate Info
6
years in
workforce
2
years
at this job
C
Medical Billing And Coding
AS
Medical Billing And Coding
Radiology Medical Group
6

Patient Account Representative II

Resolved complex patient account issues.

  • Collect and follow up on all accounts assigned prior to, during, or after admission and discharge. Communicated financial policies to all patients.
  • Verified, researched, and completed all paperwork to billed Medicare and Medicaid claims for reimbursement.
  • Served as patient advocate during the entire cycle of the account through telephone, mail, and research efforts. Medicare Collector/Billing.
  • Working reports for Credit balances, refunds, bad debt, and IME billing. Re-billed Inpatient/Outpatient claims, updated insurance information.
  • Work (RTP) Return to provider claims and issues using resources and DDE/FSS Medicare/Medicaid GAMMIS system.
Candidate Info
6
years in
workforce
1
year
at this job
HS
High School Diploma
AS
Associate of Science
7

Patient Account Representative

Responsible for reviewing commercial and government insurance payments on hospital inpatient/outpatient (UB04) and professional fee (CMS 1500) claims utilizing Meditech software.

  • Contact commercial and government payers regarding underpaid and denied claims as well as contacting patients regarding claim issues.
  • Handle correspondence from insurance companies regarding billing questions, billing issues, and medical claim denials. Identify and correct any coordination of benefit problems identified on patient accounts.
  • Process refund requests for insurance overpayments and patient overpayments and confirm claim underpayments/overpayments by analyzing the insurance explanation of payments and insurance contracts.
  • Identify authorization, cash posting, and registration errors on patient accounts and route to the appropriate department for correction.
  • Submit unbilled or corrected UB04 and CMS 1500 claims by utilizing Quadax/Xpeditor software.
Candidate Info
21
years in
workforce
1
year
at this job
Allied Health Science
Pre-health Sciences
8

Patient Account Representative

  • Performed and facilitated claims processing with third party payors for coordination of benefits.
  • Managed claim denials by contacting clinical department, patient, payor or fiscal intermediary by phone, email or appropriate website
  • Initiated appeals on denied hospital claims requiring detailed research for claim resolution
  • Communicated to and advised appropriate staff of changing payor policies, denial trends and policies
  • Maintained patient accounting files requiring detailed notes, manual logs and on-line functions for submission to third party payors
  • Assisted with claim edits.
Candidate Info
30
years in
workforce
3
years
at this job
9

Patient Account Representative

Mastered cardiology billing rules and utilized this knowledge to work aging accounts. Promoted to Medicare Team Leader position and was responsible for a team of four employees. Trained current staff and new hires in effectively working Medicare claims in this specialty.

  • Followed up on unpaid claims for all insurance types.
  • Set up patient accounts/encounter visits and entered charges for billing.
  • Answered patient billing questions and addressed patient complaints.
Candidate Info
19
years in
workforce
10
years
at this job
BS
Healthcare Administration
10

Patient Account Representative

Managed electronic records, indexed, and managed workflow using BAR and LSS Document Management Systems.

  • Facilitated release of information (ROI) and medical records requests to all Centura hospitals for fulfillment.
  • Data entry to include attaching all electronic correspondence to patient accounts and notating accounts for further processing within internal Centura departments.
  • Documented CHPG databases and Retail Lock Box queues when needed.
  • Used knowledge of true technical denials, coordinated EOB's.
Candidate Info
9
years in
workforce
3
years
at this job
C
Certificate
AAS
Medical Practice Management
Medical Coding

Upload Your Resume for a Free Critique

  • Get personalized feedback on improving your resume to land more interviews.
  • See how you resume performs in automated scanners most employers use.
  • Delivered in 48 hours
In partnership with
Browse
Upload Resume File
Privacy Protected