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Clint Lee
Patient Resources and Reimbursement Agent
Summary
Highly motivated and results-oriented Patient Resources and Reimbursement Agent with over 5 years of experience in healthcare billing, reimbursement, and patient advocacy. Proven ability to manage large volumes of patient accounts, resolve billing disputes, and ensure timely payment for healthcare services. Excellent communication and interpersonal skills, with a strong understanding of HIPAA regulations and medical billing and coding principles.
Education
Bachelor’s degree in Health Administration or a related field
October 2017
Skills
- HIPAA Compliance
- Medical Billing and Coding
- Insurance Verification and Authorization
- Patient Advocacy
- Patient Education and Counseling
- Negotiation and Dispute Resolution
Work Experience
Patient Resources and Reimbursement Agent
- Collaborated with insurance companies to verify coverage and process claims
- Prepared and submitted reimbursement requests to insurance companies and government agencies
- Managed patient accounts and tracked outstanding balances
- Utilized healthcare software systems to manage patient data and billing information
Patient Resources and Reimbursement Agent
- Processed over 1,000 patient accounts per month, ensuring accurate billing and reimbursement
- Assisted patients with financial assistance programs, helping them access necessary medical services
- Resolved patient billing disputes and ensured timely payment for healthcare services
- Educated patients on insurance benefits, copays, and deductibles
Accomplishments
- Analyzed reimbursement records and identified discrepancies leading to a recovery of $250,000 in unclaimed reimbursements.
- Established relationships with key insurance providers, resulting in improved reimbursement rates and reduced denials.
- Developed and implemented a streamlined process for patient billing, reducing processing time by 30%.
- Provided exceptional customer service to patients, resolving insurance and billing issues with a 98% satisfaction rate.
- Trained new staff on reimbursement regulations and best practices, ensuring adherence to industry standards.
Awards
- Received the Patient Advocate of the Year award for exceptional patient support and advocacy.
- Recognized as a Top Performer for consistently exceeding reimbursement targets and providing outstanding customer service.
- Received a Certificate of Recognition for outstanding contributions to patient financial assistance programs.
- Recognized as a Rising Star in the healthcare reimbursement field by industry experts.
Certificates
- Certified Patient Resources and Reimbursement Specialist (CPRRS)
- Certified Medical Reimbursement Specialist (CMRS)
- Certified Professional Coder (CPC)
- Certified Coding Associate (CCA)
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How To Write Resume For Patient Resources and Reimbursement Agent
- Highlight your experience and skills in patient resources and reimbursement.
- Showcase your ability to manage large volumes of work and resolve billing disputes.
- Demonstrate your knowledge of HIPAA regulations and medical billing and coding principles.
- Emphasize your communication and interpersonal skills.
Essential Experience Highlights for a Strong Patient Resources and Reimbursement Agent Resume
- Process patient billing and reimbursement accurately and efficiently
- Assist patients with financial assistance programs and other resources
- Resolve patient billing disputes and ensure timely payment
- Educate patients on insurance benefits, copays, and deductibles
- Collaborate with insurance companies to verify coverage and process claims
- Prepare and submit reimbursement requests to insurance companies and government agencies
- Manage patient accounts and track outstanding balances
Frequently Asked Questions (FAQ’s) For Patient Resources and Reimbursement Agent
What is a Patient Resources and Reimbursement Agent?
A Patient Resources and Reimbursement Agent is responsible for managing patient billing and reimbursement, assisting patients with financial assistance programs, resolving billing disputes, and educating patients on insurance benefits.
What are the key skills required for this role?
Key skills for a Patient Resources and Reimbursement Agent include: medical billing and coding, insurance verification and authorization, patient advocacy, patient education and counseling, and negotiation and dispute resolution.
What is the average salary for this role?
The average salary for a Patient Resources and Reimbursement Agent is around $50,000 per year.
What are the career prospects for this role?
With experience, Patient Resources and Reimbursement Agents can advance to roles such as Patient Financial Services Manager or Healthcare Billing Manager.
What are the common challenges faced by Patient Resources and Reimbursement Agents?
Common challenges faced by Patient Resources and Reimbursement Agents include: managing large volumes of work, resolving billing disputes, and staying up-to-date on changes in healthcare regulations.
What are the top companies that hire Patient Resources and Reimbursement Agents?
Top companies that hire Patient Resources and Reimbursement Agents include: Optum and UnitedHealth Group.
What are the frequently asked interview questions for this role?
Frequently asked interview questions for Patient Resources and Reimbursement Agents include: Tell me about your experience in patient billing and reimbursement, How do you resolve billing disputes, and What are your strengths and weaknesses?