Patient Accounts Representative
Audubon Surgery Center
Colorado Springs, Colorado, United States
Experience health care professional with a solid history and background in healthcare and healthcare insurance industry Organize, motivate and lead in training a team of 6 new employees as part of the merger of 2 companies – Audubon Surgery Center & Premier Surgery Center Master the contracts of different insurance companies & process payments based on their contracts Extensive experience processing Work Comp disputes Adjudication of appeals based on coverage as well as medical necessity denials Consistently show the ability to identify problem accounts with payers/ investigate and correct errors, follow-up on missing account information and resolve past-due accounts Answer inquiries by phone regarding past-due accounts and insurance guidelines; research incorrect addresses for past-due accounts Contact responsible party to resolve delinquent accounts; prepare payment plans and monitors adherence to plans by responsible party; direct accounts to outside collection agencies when necessary. Produce daily reports to identify and resolve accounts receivable and referral problems Complete timely posting of the revenue on a consistent basis to achieve monthly goal of $2M Knowledgeable in performing receptionist/clerical duties such as answering phones, checking in patients, preparing patient’s charts and processing payments Identify and perform duties which is need to be performed although not directly assigned to assist as part of cross-training Demonstrate ability to tactfully handle difficult situations with customers and with insurance companies Promote a high degree of morale and spirit of motivation within the office including the degree of cooperation, communication and coordination between this function and other employees