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0-5 years of experience
Highly experienced in all phases of medical billing: Medicare, Medicaid, Champus, HMO’s, PPO’s and private insurance carriers, including secondary claims
- Maintained a highly above-average billing ratio and patient collections
- Reduced returned claims from Medicare/Medicaid by nearly 95%
- Significantly reduced outstanding account receivables over 90 days
- Promoted to Quality Assurance Analyst enhancing productivity and higher performance standards of the Admission Department
- Developed and implemented highly successful strategic plans for employee training and education on the proper identification of insurance for billing purposes
0-5 years of experience
Responsible for overseeing patient accounts, including charges, payments, coordinating financial arrangements, and collections.
- Advised patients in compliance with company’s policies and procedures.
- Followed proper insurance protocol, which included verifying eligibility and benefits, obtaining pre-certification, and billing as directed.
- Analyzed patient financial data to determine eligibility of financial aid and assistance programs.
- Developed and distributed patient correspondence and notification protocols that increased business profits.
- Created successful training programs that were used across teams to increase company – wide communication and effectiveness.
6-10 years of experience
Provided education on the mechanics and management of consumer credit to individuals
- Conducted HUD required HECM reverse mortgage counseling
- Provided available loss mitigation options available dependent on specific individual situation
- Created customized budget and financial plans
- Participated in community outreach regarding housing, budget and credit education
0-5 years of experience
Monitored reports to determine financial responsibilities of payors and patients
- Prepared medical care proposals for physicians to be approved by head directors
- Reviewed patients’ medical records to determine services medically necessary
- Communicated discrepancies to payors and patients to correct billing errors
- Read medical notes to summarize patients immediate health needs and clarify areas of anatomy affected medical condition and/or medical treatment suggested
- Researched patients with similar diagnoses and courses of treatment to acquire information needed for medical/financial proposal
0-5 years of experience
Conducted case by case financial evaluation of self-pay admissions assigned to determine if reimbursement was available through various Governmental and non-Governmental programs or other third party sources
- Reviewed patient financial reports daily and performed follow-up with patients and coworkers as necessary
- Provided the approval for continuation of care services for patients that were pending medical coverage
- Assisted patients and families in applying for charity care and other state funded programs
- Trained other financial counselors in the Emergency Department as well as the Care Centers
- Provided financial approval to the infusion departments for patients suffering chronic illnesses
- Selected to be apart of the Rapid Improvement Team to assist with developing a new process flow for the registration department to decrease denials from Medicare
10+ years of experience
Member of former Focus Group, organized to promote employee engagement and recognition, and encourage collaboration and team building within the department.
- Helped design and launch the ER Financial Counselors in 2000 which has expanded from 3 positions to 8 positions at this current time.
- Extensive knowledge of insurance eligibility and benefit verification, procedure authorization, notification for surgery admits, observation stays, ER admits, and radiology exams including Breast Center MRI’s and various exams and procedures.
- Trained and familiar with EPIC ADT, authorization/certification, and referral work flows.
- Experience with general billing practices and coordination of benefits.
0-5 years of experience
Provided individual counseling to families in the areas of pre-purchase, post-purchase, mortgage default, rental and homeless counseling
- Originated loans for the Tennessee Housing Development Agency’s (THDA) Hardest Hit Program
- Assessed loan attributes and documentation for Hardest Hit loan program for soundness and accuracy
- Counseled individuals on a case by case basis to help prevent foreclosure by looking at all tools and programs available
- Evaluated debt ratio, loan-to-value ratios, credit score, property valuation and various other factors
- Cut loan processing time by fifteen minutes using existing technology
6-10 years of experience
- Daily practice of front end cash collection practices for both JHU & JHH and evaluated past due accounts from billing and assisted patients in paying off balances through payment plans, government or internal assistance.
- Opportunity to help inform and influence financial policy changes at the institutional level while being recruited to be 1 of 28 to train as a Certified Application Counselor (CAC) for the Affordable Health Care Act institution wide.
- Submitted weekly reports of progress as well as meeting monthly required 20% collection goal.
- Provided strong customer service excellence, such as detailed instructions on proceeding with billing or referral/authorization issues.
- Calculated estimates for surgery or procedures for Department of Surgery, Plastic Surgery and Avon Breast Center.
0-5 years of experience
- Managed over 1000 client accounts while maintaining the second highest account in the portfolio.
- Advised customers in budget positioning as well as budget balancing to help with their financial needs.
- Met or exceeded my team goals as well as individual goals every month.
- Increased productivity within my own team by 10%.
6-10 years of experience
Work as Team Lead providing leadership, direction and training for Financial Counselor I, II and Senior
- Assisted in implementing processes for expanding Practices for the Financial Counselors and Revenue Cycle staff positions
- Monitored SOX controls audits on claims and insurance processes
- Implements policies, procedures in regards to Financial Counselors
- Collaborated with all levels of Managements and Corporate for effective Best Practices
0-5 years of experience
Developed extensive knowledge of state Medicaid program and assisted uninsured patients enroll in Medicaid programs
- Developed problem solving skills by establishing payment plans and determining feasible solutions for underinsured population
- Obtained exemplary customer service skills
- Expanded knowledge on hospital’s revenue cycle by performing cash collections and intervention lists
10+ years of experience
Responsible for assessing and coordinating payment resources and assist the patient/ responsible adult in obtaining resources for healthcare services while adhering to customer service standards.
- Assisted patients with sufficient and immediate resources in identifying funds for healthcare services.
- Provided support for patients prior to or at the point of service s by assisting with specific account problems.
- Coordinated and respond to patient request for information on charges, payment plans and non covered services.
- Analyzed and determine appropriate eligibility for financial assistance.
- Received CARE awards for excellence in teamwork.
10+ years of experience
Interviewed patients for the purpose of obtaining payment for hospital stay.
- Gathered documents to submit Medicaid and or Charity Care Application.
- Answered patient questions and provided additional information or resources.
- Provided positive and effective customer service that supported department and hospital operations
- Entered data in systems, Eagle, Ontrac, Cerner, MEMS.
- Utilized Outlook, Microsoft Word, Excel
- Made & answered calls, scheduled appointments, sent notices, filing, and faxing, made copies.
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Financial Counselor
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
