Patient Account Specialist Resume Example: 4 Templates 

The patient account specialist is in charge of reviewing the patient records to make sure they are correct and comprehensive in every aspect. Managing patient accounts for documentation purposes, performing tasks related to patient care or third-party reimbursements, receiving medical records and reviewing the same, gathering necessary documents for auditing files and proofreading, resolving errors with patients, employees, and referral sources, and maintaining accuracy. 

Knowledge of medical terminology, medical billing, and medical software, expertise in managing administrative records and medical field records, and a solid history in customer service are desired attributes for this position. Anyone who has high school graduation and billing reimbursement expertise is qualified to apply for this position.

Resume Template: 1

Patient Account Specialist Resume

Richard D. Harding

Laguna Beach, Los Angeles 

(123) 4567890

[email protected]


Summary

Patient account specialist with outstanding interpersonal, written, and verbal communication abilities. Possesses effective communication skills and the ability to handle billing inquiries and problems. Has more than eleven years of experience as a patient account specialist, as well as an associate’s degree in medical billing and coding.


Experience

Company A, Patient Account Specialist 

  • I answered the phone and evaluated the calls’ urgency.
  • Welcomed patients at the door.
  • Answered inquiries regarding billing, insurance, and policies.

Company B, Patient Account Specialist

  • Greeted patients as they entered the building.
  • Answered the phone and provided information or sent callers to the right party.
  • Examined billing-related queries and issues.

Company C, Patient Account Specialist

  • Appealed to insurance companies and resubmitted amended claims.
  • Analyzed the age of patient accounts on a monthly basis.
  • Helped patients complete paperwork.
  • Monthly bills for patient accounts were sent.

Education

Florida State University

Masters in Computer science 


Certifications

  • Certified Public Patient Account Specialist
  • Certified company Patient Account Specialist

Skills

  • Generation of reports
  • [Software]-savvy
  • Coordination of files
  • Administrative assistance
  • Interviewing expertise
  • Operations at hospitals
  • Management of time
  • Healthcare billing
  • Collections knowledge
  • Understanding HIPAA

Resume Template: 2

Patient Account Specialist Resume

Richard D. Harding

Laguna Beach, Los Angeles 

(123) 4567890

[email protected]


Summary

Relationships with insurance providers are established and maintained by patient account specialists. Examples of resumes in the industry list responsibilities including obtaining payment from insurance providers, monitoring patient accounts, achieving performance targets for collection, determining the root of unpaid claims, and upholding good relationships with coworkers. Employers look for resumes that highlight talents like accuracy, attention to detail, collaboration, medical coding expertise, and computer proficiency. High school graduation or GED is the minimum requirement.


Experience

Company A, Patient Account Specialist 

  • Filling out Cerner Millennium and Series forms with patient and insurance data in line with departmental protocol.
  • Making required contacts with other hospital staff to gather data to aid in the timely and proper filing of claims.
  • Keeping up-to-date with the information and techniques that are evolving in order to create assertions that are truthful.

Company B, Patient Account Specialist

  • Due to insurance overpayment, a refund request is created and forwarded to the finance department.
  • Due to an improper payment to the wrong account, a payment transfer is recorded and sent to the cashier department.
  • Patient transfers are also noted as upheld patient refunds, which can be applied to one or more accounts if the patient has additional service dates. These accounts are then sent to the credit department for processing.

Company C, Patient Account Specialist

  • Contacted providers again when claims required further coding or information.
  • Collected, processed, and transmitted any decreased payments to be posted together with the patient family payments.
  • A prompt review and decision were made on each law firm’s reduction request.
  • Using awareness of team priorities, and managing personal responsibilities while helping less seasoned coworkers.

Education

Florida State University

Masters in Computer science 


Certifications

  • Certified Public Patient Account Specialist
  • Certified company Patient Account Specialist

Skills

  • When calling payers directly, patients were greeted and given help; authorized scripting was used.
  • Receipts were issued using accurate patient information, and patient accounts were audited to verify accuracy and prompt payment.
  • Reviewed account agings on a regular basis, reported any discrepancies and fixed the mistakes as needed.
  • Established mutually agreeable payment arrangements after contacting the patients about past-due invoices.

Resume Template: 3

Patient Account Specialist Resume

Richard D. Harding

Laguna Beach, Los Angeles 

(123) 4567890

[email protected]


Summary

The management of the billing and insurance claims process for healthcare organizations is the responsibility of patient account experts. They are a crucial member of any healthcare team since they are responsible for making sure that patients are quickly and appropriately paid for the treatments they receive.


Experience

Company A, Patient Account Specialist 

  • Volunteered to take responsibility for resolving customer complaints.
  • In charge of a workers’ compensation claim’s prescription process.
  • Helped with the payment of invoices and checked the claimant’s demographic data.
  • The control and support of daily administrative tasks.
  • Surpassed the benchmark for service quality each review cycle.

Company B, Patient Account Specialist

  • Physician notes were examined to confirm benefit explanations.
  • In EPIC, live insurance claim scenarios may be created by importing documents.
  • Recorded patient account information using Microsoft Excel.
  • Maintaining patient accounting files that were to be sent to third-party payers required thorough notes, handwritten records, and online features.
  • ICD-9 numbers from the International Classification of Diseases (ICD) were used to confirm acceptable billing and medical codes.

Company C, Patient Account Specialist

  • Submit out-of-state Medicaid invoices for hospitals with contracts.
  • Send enrollment forms to Medicaid programs for hospitals with contracts.
  • Monitor the status of the accounts and invoice payments for Medicaid accounts from out of state.

Education

Florida State University

Masters in Computer science 


Certifications

  • Certified Public Patient Account Specialist
  • Certified company Patient Account Specialist

Skills

  • Knowledge of the following standards: CPT, ICD-9, ICD-10, HIPAA, CMS 1500, EOB, and EMR
  • Google Analytics, Google AdWords, Facebook Ads Manager, LinkedIn Ads, Microsoft Office Suite
  • Communication, customer service, focus, multitasking, phone etiquette, and conflict resolution are examples of soft skills.

Resume Template: 4

Patient Account Specialist Resume

Richard D. Harding

Laguna Beach, Los Angeles 

(123) 4567890

[email protected]


Summary

You will interact daily with patients and insurance providers as a patient account professional to collect payments and sort out payment-related problems. Additionally, you’ll be in charge of gathering patient data and putting it into electronic medical records, which calls for precision and close attention to detail.


Experience

Company A, Patient Account Specialist 

  • In a timely way, processed payments, insurance authorizations, and denials, and called patients to follow up on their accounts.
  • By swiftly returning calls and emails from people asking about the status of their accounts, I gave them exceptional customer service.
  • Helped with the creation of monthly financial statements, which included analyses of payer mix, collections, and revenue estimates.

Company B, Patient Account Specialist

  • Maintained up-to-date knowledge of state laws and regulations pertaining to healthcare providers, HIPAA privacy requirements, and healthcare regulations relevant to billing procedures.
  • Carried out additional tasks as instructed, such as duplicating documents as necessary or filing medical records.
  • Created and mailed out patient statements with their insurance details, co-pay sums, and remaining balance.
  • Greeted patients who called with billing inquiries or worries about their account balances.

Company C, Patient Account Specialist

  • Throughout the entire process, maintaining a high standard of customer service guarantees satisfaction.
  • After receiving complaints from consumers, resolved all outstanding issues on accounts within 24 hours.
  • Following each engagement, provided outstanding follow-up to guarantee full client satisfaction.

Education

Florida State University

Masters in Computer science 


Certifications

  • Certified Public Patient Account Specialist
  • Certified company Patient Account Specialist

Skills

  • Kept tabs on demographics and patient charts.
  • Aided patients with their insurance-related questions or sent them to the proper department.
  • Processes were examined, and improvements to increase work efficiency were suggested.
  • Refunds to patient accounts and collection accounts were prepared.
  • Regularly reviewed the data and kept track of the receivables.

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