Patient Accounting Resume Sample

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Brown Feil
839 Yasmin Walk,  New York, NY
+1 (555) 442 5342

Work Experience

Director, Patient Accounting
11/2016 - PRESENT
Los Angeles, CA
  • Performs audit of staff’s work to ensure policies and procedures are followed
  • Assists in the professional development of supervisors and strives to ensure they can work autonomously and assist in his/her absence
  • Check the status and balance on patient accounts
  • Obtain information to accept payments by telephone for self-pay portion of the patient account
  • Set up payment arrangements on self-pay portion of the patient account
  • Create estimates for services
  • Adjust patient account based on prompt pay discount or appropriate charity code
  • Proficient in service recovery, focusing on the patient experience
  • Telephone insurance carrier/patient to seek resolution on account
Patient Accounting Representative
08/2010 - 05/2016
Los Angeles, CA
  • Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts
  • Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer
  • Coordinate duplicate billings, coordination of benefits, medical records or clinical resumes as needed to expedite payment of insurance claims
  • Identify trends in payer non-compliance and inform management if not able to resolve with payer
  • Negotiate within specified guidelines with payers
  • Identify trends in payer non-compliance and inform managed care liaison if not able to resolve
  • Efficiently and accurately utilizes the computer system to enter appropriate information
  • Attempt collection for the hospital and related care as necessary
  • Work closely with training preceptors in educating staff on Mentor issues and other educational issues
Patient Accounting
08/2003 - 06/2010
San Francisco, CA
  • Demonstrate a positive attitude, professional appearance, and effectively communicate with the patient and outside vendors in a professional manner
  • Demonstrates a thorough knowledge of all third party reimbursement requirements and/or thorough knowledge of collection agency procedures and FDCPA
  • Exhibits competency in the utilization of hospital based PC accounting system, Excel and Word programs
  • Schedules work periods and time frames for employees. Assigns, prioritizes and distributes work to be completed
  • Holds staff accountable for attendance and productivity standards. Interviews prospective applicants for open positions
  • Responsible for the orientation and training of new employees
  • Responsible for conducting performance evaluations to include coaching, counseling and guidance to staff
  • Maintains required records, files, reports and statistics
  • Ensures that the department operates within established budget limits and justifies any variances to Manager


DeVry University's Keller Graduate School of Management
1998 - 2002
School's Degree in Accounting

Professional Skills

  • Good communication skills. Can communicate with patients, employees and manager
  • Utilize administrative and mathematical skills
  • Experience with testing Cerner Patient Accounting, including test plans/scripts development
  • One (1) year experience in a related field (medical billing/collections/managed care)
  • Responds to and resolves customer inquiries providing excellent customer service
  • Experience with training IT support staff and end users for Cerner Patient Accounting
  • Previous collection experience. Technical knowledge of billing and collections for Medicare, Medi-Cal, local MediCal entities

How to write Patient Accounting Resume

Patient Accounting role is responsible for insurance, training, software, word, research, education, design, reporting, credit, finance.
To write great resume for patient accounting job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Patient Accounting Resume

The section contact information is important in your patient accounting resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Patient Accounting Resume

The section work experience is an essential part of your patient accounting resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous patient accounting responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular patient accounting position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Patient Accounting resume experience can include:

  • Seek to gain needed knowledge and experience to promote to Patient Accounting Rep II position
  • Managing team of 8.5 FTEs
  • Monitors the ACD Line including reporting and assisting with answering the incoming calls as needed
  • Maintains ongoing knowledge of UB04, and other mandatory state billing forms and filing requirements
  • Assist Patient Accounting Rep II/III with ongoing projects and departmental activities as needed
  • Facilitate out of State Medicaid Licensing with contractor to facilitate billing

Education on a Patient Accounting Resume

Make sure to make education a priority on your patient accounting resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your patient accounting experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Patient Accounting Resume

When listing skills on your patient accounting resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical patient accounting skills:

  • Communicates effectively with employees, as well as internal and external customers related to departmental operations
  • Billing experience in hospital, clinic or medical business office
  • Two (2) years collections experience in healthcare field
  • Six (6) months collection/medical office experience
  • Processing dental claims, insurance payments, month-end reports, A/R, data entry and filing
  • Safeguarding and reconciling daily remittances from Insurance Companies and Patients

List of Typical Experience For a Patient Accounting Resume


Experience For Patient Accounting Representative Resume

  • Retrieves assigned data and prioritizes based on AR department guidelines: 5%
  • Supervises specific billing and collection units, hires and trains new employees, assigns work, disciplines and
  • Telephone insurance carrier and/or patient to seek resolution on account
  • Determine patient’s ability to pay and seek additional assistance either through optional payment plans or uncompensated care
  • Exhibit competency in the utilization of computers, telephones, calculators, fax machines and insurance verification devices-level of competency 70%
  • Maintain files and logs as assigned
  • Utilize specialized knowledge of contracts, regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer

Experience For Director, Patient Accounting Resume

  • Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims
  • Ensure secondary carrier is appropriately billed or self-pay portion is pursued
  • Determine an individual’s ability to pay and seek additional assistance either through governmental programs or uncompensated care program
  • Participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts
  • Supervises the day-to-day activities of the team

Experience For Supervisor, Patient Accounting Resume

  • Performs special research, develops new policies and procedures, implements process improvements and
  • Initiates collection follow up of all denials with insurance payer to ensure re-imbursement on claims. Researches, appeals, resolves claim 40% rejections and underpayments with the payer based on payer terms
  • Responds to written payer communications with appropriate action in timely manner; Processes claims, re-bills and appeals; Requests medical documentation from facilities; Types, scans (files in electronic claims library by payer) and mails appeal
  • Validates and requests insurance changes through the A/R system as required 10% during collections process
  • GED/HS Diploma required
  • Audits, abstracts, and summarizes pertinent data from patient medical records, nurse/doctor notes and other documents; processes insurance claims and reports in compliance with state/federal regulations, laws, guidelines and Client's Plan policies; obtains physician signature and/or signs as provider representative; prepares service charge letters and invoices referring to fee schedule
  • Analyzes history of delinquent accounts; determines whether account is collectible; prepares write-off accounts; attaches pertinent information to assist outside attorney; submits to supervisor for review; summarizes monthly write-off report (e.g. breakdown of amounts, service locations, date of service, H.P./N.P. and over-all reason for assignment to collection agency)
  • Prepares accounts for referral to collection agency by documenting previous attempts to collect unpaid claims. Follow-up on all accounts placed with collection agency until advised that all collection efforts have been exhausted. Prepares listing of efforts exhausted accounts to be written off to bad debt. Provide documentation of all efforts previously taken to resolve claim
  • Processes and submits requests to appropriate third-party payers for authorization to provide homecare and hospice services, according to and in compliance with, established organizational policies and procedures; and according to payer requirements. Reviews patient record and provides additional documented supporting information needed for authorization when requested

List of Typical Skills For a Patient Accounting Resume


Skills For Patient Accounting Representative Resume

  • Identifying and reconciling unmatched items (those without proper identifiers)
  • Diligent about keeping patient confidentiality
  • Compiles accounting, program revenue, and statistical reports for departmental review or as required by State and
  • Basic working knowledge of Microsoft Office Suite, specifically Word and Excel
  • Knowledge of Epic’s Single Billing Office (SBO)module
  • Investigates, interprets and responds to inquiries pertaining to accounts from patients and third-party intermediaries

Skills For Director, Patient Accounting Resume

  • Employee Management-Direction, motivation, mentoring
  • Responsible for accounts receivable, meeting AR goals, days in AR, cash collections, audits, accounts payable and percentages related to the AR
  • Finish LEARN assignments on time
  • Leads or assists with the implementation of information system projects and applications that improve internal
  • Communicate with patients, employees and manager in a courteous and professional manner
  • Work with state provided dental insurances via web and phone
  • Utilize Microsoft Excel for monthly summary report
  • Monitor statewide dental insurance changes
  • Ensure daily batch posting of cash and patient advice to Patient Accounting System working with General Accounting to ensure correct balances are used in monthly cash reconciliations

Skills For Supervisor, Patient Accounting Resume

  • Expert knowledge of self pay collection techniques
  • A good working knowledge of Patient Accounting and Revenue Cycle and experience with CMS billing and reimbursement guidelines, CPT codes, qualifiers and venue-specific code appropriateness
  • Understands reimbursement methodologies for all acute care facilities and physician offices
  • Work as an effective member of the Finance leadership team to ensure that physician affiliations are represented in developing and monitoring the system’s mission values, strategic plans, policies, decision-making instructions and processes
  • Participates in the development of patient accounting goals and objectives, develops action
  • Establishes, analyzes, monitors, and responds to statistical reports related to productivity
  • Develops, submits, and monitors annual budgets
  • Develops and maintains documentation pertaining to unpaid or rejected claims; specifically reasons for rejection, course of action taken, and final disposition of the disputed claim

Skills For Manager Patient Accounting Resume

  • Initiates billing processes to assure timely submission of all patient account claims according to established billing schedules and procedures
  • Remains current in knowledge of third party payment policies, procedures and reimbursement rates
  • Verifies patient eligibility for coverage by their respective third-party payor
  • Payer relationships established in order to resolve issues related to the delay/denial of payment
  • Work with internal and external departments to streamline processes and elimination of issues related to payment delays and denials
  • Protect patient confidentiality
  • And standards of work
  • Develops, implements, maintains, and monitors departmental policies and procedures
  • Maintains and manages use of departmental automated systems

Skills For Application Analyst, Patient Accounting Resume

  • Resources policy and procedure
  • Establishes, analyzes, monitors, and responds to statistical reports related to productivity and standards of work
  • Participates in the development of patient accounting goals and objectives, develops action plans to support the goals, and is accountable for meeting the goals
  • Coordinates sub-department activity with all other areas within patient accounting to assure continuity and the most effective accounts receivable processes
  • Meet with all new patients to establish correct insurance information and discuss financial ability to pay co-pays and deductables
  • Receives, reviews, and controls requests for medical information, visit records, nurse/doctor notes and other pertinent documents; verifies completeness and accuracy; ensures efficiency in processing of claims; obtains medical charts and other data pertaining to request

Skills For Supervisor Patient Accounting Resume

  • Performs follow-up with insurance companies, agencies, and/or patients; researches and takes action as required
  • Prepares and audits visit records and nurse/doctor notes using various fee schedules; prepares documents (e.g. charges, payments, adjustments) with Charge Description Master codes, required billing coding conventions, and batch totals
  • Communicates and corresponds effectively with insurance carriers, intermediaries, members, doctors, outside providers and patients; provides in-service orientation to other departments/personnel; obtains complete and valid information; ensures collectability and maximum reimbursement of revenues
  • Maintains familiarity and open communication with state, federal and community agencies, insurance carriers, intermediaries and others within Client's organization; ensures proper and adequate exchange/interpretation of data and information; ensures maximization of payments
  • Contacts debtor by telephone and/or correspondence; arranges for collection of monies owing; abides by state and federal collection and credit rules and regulations; schedules interviews with debtors; maintains positive customer relationships through effective communication and follow-up
  • Generates appropriate adjustments; researches documents and all other available sources to determine validity of adjustment; submits back-up to data entry for key punching function

Skills For Hcs Manager Non Governmental Follow Up Patient Accounting Resume

  • Documents and records on HPMS computer system all collection action taken on individual accounts (e.g. data collection contact made, data of promised payment, credit arrangements, insurance filing date and all other pertinent information); maintains tickler system to monitor promised payment
  • Skip traces all mail returns; researches internal and external documents and all other sources to determine whereabouts of debtor; generates file maintenance to update patient demographics for re-billing when different address obtained
  • Operates standard office equipment; refers difficult problems to supervisor
  • Medical Office experience required
  • Management experience is a +
  • Patient Accounting and or General Accounting

Skills For Patient Accounting Audit & Appeals Supervisor HBO Resume

  • Accountable for securing information over the phone from patient or insurance company including precollection and preregistration on accounts
  • Monitors AR variance and trends. Implementing changes as needed
  • Controls all billing functions for patients with commercial insurance
  • Processes, reviews, and transmits claim for service ensuring accuracy and compliance
  • Ensure Daily reconciliations are performed by team and identify outstanding items are cleared and corrected
  • Complete team member evaluations and bi-weekly timekeeping

Skills For Manager, Patient Accounting Resume

  • Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication
  • Conducts immediate and effective follow-up activities on all unpaid or rejected claims, and implements corrective action in order to permit prompt resubmission of claims for payment
  • Manages timely filing of claims
  • Provides direction and guidance in monitoring and creation of policies and procedures
  • Member of committees, six sigma teams, and all such teams in order to promote, communicate, and protect the compliance and financial viability of our organization
  • Investigates and corrects claim rejections
  • Identify problems and promptly report issues to the directer and systems liaison

Skills For Patient Accounting Strategist Resume

  • Conducts formal performance reviews and provides feedback to team members in accordance with Human Resource Personnel Assessment guidelines. Provides timely and appropriate counseling of personnel when they deviate from department standards. In conjunction with Manager, assists in the development of measures to improve performance
  • Conducts team meetings on a regular basis. Communicates effectively in a timely manner with associates regarding policy and procedure changes, news, problems, changes, etc. through meetings and informal discussions. Provides team members with opportunities for learning, creativity and personal growth
  • Facilitates the identification of issues and solutions by team members. Works in conjunction with Manager to resolve outstanding system, departmental, interdepartmental issues and concerns. Provides feedback to
  • Manager via a monthly report on issues, accomplishments and goals for upcoming months
  • Hires and retains appropriate and qualified personnel to perform the functions and services of the department. Demonstrates appropriate interviewing skills and knowledge of employment laws

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