Elisabeth Smith
Philadelphia,PA
Summary
Dedicated Patient Revenue Cycle Representative with over 26 years of experience in healthcare administration. Skilled in managing patient billing inquiries and collaborating with insurance providers to streamline claims processing. Committed to enhancing operational efficiency while maintaining patient confidentiality.
Overview
32
32
years of professional experience
Work History
Patient Revenue Cycle Representative
Jefferson University Physicians
Philadelphia, PA
02.2000 - Current
- Managed patient billing inquiries to ensure accurate account resolution.
- Coordinated insurance verifications and authorizations for timely reimbursements.
- Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
- Trained new staff on registration protocols and software systems for improved operational efficiency.
- Oversaw data entry into electronic health record systems, maintaining confidentiality and compliance with regulations.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Maintained patient confidentiality by adhering to HIPAA regulations and securing sensitive information.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Participated in departmental meetings to discuss areas of improvement, identify solutions for challenges faced, and contribute to ongoing professional development.
- Supported the hospital''s commitment to outstanding patient care by adhering to all policies and procedures related to registration processes.
Patient Service Representative
Modern Dental Concepts
Philadelphia, PA
10.1994 - 02.2000
- Managed patient scheduling and appointment confirmations to enhance operational efficiency.
- Facilitated effective communication between patients and dental team, improving service delivery.
- Resolved patient inquiries and concerns promptly, ensuring a positive experience.
- Maintained accurate patient records in electronic health systems for compliance and access.
- Trained new staff on customer service protocols and office procedures for consistency.
- Coordinated with insurance providers to verify coverage and streamline claims processing.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Skills
- HIPAA compliance
- Claim submission
- Patient registration
- Insurance verification
- Revenue cycle management
- Claims review
- Verifying insurance
- Analytical problem solving
- Medical billing
- Insurance collaboration
- Analyzing claims
- Organization skills
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Reliability
- Creative problem solving
- Proactive and Self-motivated
Timeline
Patient Revenue Cycle Representative
Jefferson University Physicians
02.2000 - Current
Patient Service Representative
Modern Dental Concepts
10.1994 - 02.2000