Customer Service Patient Care

TM

TRACEY MURPHY

****************@*****.*** 615-***-**** Hendersonville, TN 37075

Versatile and solutions-oriented health care professional with valuable education and training in healthcare administration, accustomed to ensuring compliance with prevailing healthcare regulations and corporate policies and procedures. Skilled in analyzing administrative needs and creating effective solutions that result in maximized efficiency and improved patient care. Strong team builder and facilitator; fosters an atmosphere that encourages talented professionals to apply skill sets to achieve maximum productivity. Excellent analytical skills

Strong research skills

Computer proficient

MS Office proficiency

Team management

Patient Records Management

Health Insurance eligibility eligibiity determination Planning/Coordinating

Leadship abilitie

Quick learner and Self-Starter

Prioritizing/managing deadlines

Customer Service

Problem resolution

Medical terminology

CPT Codes, ICD-9 Codes

Trainer/Coach

TouchChart, Cerner, RealMed, Passport, ProMed and

Ascension Health portal

Heritage Medical Associates Nashville,

TN

Patient Account Representative

08/2014 - Current

Applied organizational policies and complied with regulations for patient privacy.

Resolved inquiries from patients, families and external payers. Processed refunds, disbursements and payments.

Accepted and processed customer payments and applied toward account balances.

Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.

Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions. Generated detailed reports outlining billing, flagged items and other important data.

Organized and maintained office supplies to promote team productivity. Interfaced with customers to bring accounts current with suitable repayment plans.

Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.

Covenant Partners Nashville, TN

Patient Service Representative

11/2012 - 08/2014

Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.

Resolved inquiries from patients, families and external payers. Applied organizational policies and complied with regulations for patient privacy.

Summary

Skills

Experience

Reviewed flagged items daily and resolved issues.

Submitted electronic bills following facility and legal compliance standards.

Generated detailed reports outlining billing, flagged items and other important data.

Compared statements against patient files.

Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.

Saint Thomas "The Heart Group"

Nashville, TN

Patient Account Representative

03/2008 - 10/2012

Managed Calls for medical office for over 60 cardiac specialist Updated patient accounts information on a daily basis. Obtained and verified patient demographic information Loaded and completed insurance verification process. Handled, processed and distributed confidential patient information Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and procedures

Contacted insurance provider to verify benefit information Obtained authorizations and/or referrals for patients Scanned documents such as reports, clinical notes, orders, referral, autorizations, correspondences and explaination of benefits (EOB) Pearl Cohn Comprehensive High School Nashville, TN High School Diploma

05/1990

Completed professional development in Computer Sciences Education and Training

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