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Patient Advocate Resume

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SUMMARY

  • To be seen by subordinates as an ally for their professional development; by colleagues as a collaborative counterpart; by superiors as a trustworthy delegate; and by patients as an unyielding advocate.
  • Leadership acting with the courage to shape a better future
  • Alliance building an alliance of collective genius
  • Integrity earning trust through consistent honesty
  • Objectivity addressing all challenging situations diplomatically
  • Equality creating an atmosphere of all - inclusive camaraderie

AREAS OF EXPERTISE

  • Adaptable Data Analysis
  • Analytical Mentoring
  • Conceptual Cost Reduction
  • Deliberate Leadership
  • Determined Researching
  • Disciplined SWOT Analysis
  • Independent Auditing
  • Introspective Root Causing
  • Perfectionist Staff Retention
  • Responsible Report Writing
  • Strategic Healthcare Law
  • Structured Pareto Principle

PROFESSIONAL EXPERIENCE

Confidential

Patient Advocate

Responsibilities:

  • Facilitated communication with doctor's offices
  • Verified Diagnosis codes Medical Necessity on prescriptions
  • Helped with issues pertaining to healthcare costs for procedures

Confidential, Ca

Home Health Aide

Responsibilities:

  • Obtained financial resources to assist in covering the patient's care
  • Provided therapeutic communications and patient education.
  • Received coverage for medically necessary DME under patient's insurance

Confidential

Revenue Cycle Analyst

Responsibilities:

  • Functioned as internal consultant for process and quality improvement projects
  • Combined revenue cycle knowledge with technology to empower decision makers
  • Initiated investment in PDF to 835 conversion service virtually eliminating paper

Confidential

Billing Manager

Responsibilities:

  • Responsible for managing full-cycle billing team of 11 people
  • Increased employee productivity by over 50% by automating secondary billing
  • Reduced denial rate from 14% to 4% within 30-days with Clean Claim Initiative

Lead Medical Biller

Confidential

Responsibilities:

  • Programmed Real Time Eligibility accelerating production by 60%.
  • Introduced Direct Connect to the organization increasing production 35%.
  • Implemented statement auditing procedures reducing call volume by 90%

Confidential

EDI Coordinator

Responsibilities:

  • Monitored, investigated and recommended improvements to EDI production
  • Liaison between IT department and billing staff to ensure error free EDI transactions
  • Maintained EDI Enrollment of 14 separate TINs throughout CO, MT, KS, and WY.

Patient Account Rep

Confidential

Responsibilities:

  • Provided guidance to over 200 employees relating to payments and refunds
  • Investigated misapplied payments and improper payments allocation
  • Executed high-visibility project to address one -year correspondence backlog

Patient Account Rep

Confidential

Responsibilities:

  • Reviewed claim denials for corrective action and prevention in the future.
  • Resolved denials and EOB rejections within standard billing cycle time frame.
  • Promoted to a level II based on demonstrated analytical skills

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