SUZAN PAIGE
Saint Clair
Summary
Detailed oriented and quality focused, with a strong work ethic. Successful track record of handling complicated assignments and clerical requests. Highly experienced in posting deposits/payments and reconciling accounts with a high degree of accuracy, Strong knowledge of insurance plans, excelling in the Medicare, Medicaid and Tricare billing processes: proven to be a quick learner. I bring an exuberance of knowledge from working in the medical field for over 38 years
Overview
44
44
years of professional experience
Work History
Patient Account Representative II
SSM Health Revenue Cycle St Louis
12.2023 - Current
- Refunding insurance payments when needed on websites or initiating refund letters with EOBs.
- ·Work over posts and undistributed insurance payments that are on assigned reports and in assigned Work Ques.
- Work special reports that Management requests me to work.
- Report trends that are causing over posts or undistributed insurance payments.
- Cancel Medicare part A claims in the RTP/DDE when there are Medicare Part A credits.
- Transfer HB payments back to HB accounts that were posted to PB accounts in error.
- Assist co-workers with questions and research.
- Research and resolves payment errors and other issues pertaining to outstanding accounts for Medicare, Medicaid, and Tricare.
Patient Account Representative II
Optum
02.2022 - 12.2023
- Refunding insurance payments when needed on websites or initiating refund letters with EOBs·
- Work over posts and undistributed insurance payments that are on assigned reports and in assigned Work Ques
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Work special reports that Management requests me to work.
- Report trends that are causing over posts or undistributed insurance payments.
- Cancel Medicare part A claims in the RTP/DDE when there are Medicare Part A credits.
- Transfer HB payments back to HB accounts that were posted to PB accounts in error.
- Assist co-workers with questions and research.
- · Research and resolves payment errors and other issues pertaining to outstanding accounts for Medicare, Medicaid,Tricare and all insurance payors.
Patient Account Representative II
SSM Health
09.2011 - 02.2022
- Refunding insurance payments when needed on websites or initiating refund letters with EOBs
- Work over posts and undistributed insurance payments that are on assigned reports and in assigned Work Ques
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Work special reports that Management requests me to work.
- Report trends that are causing over posts or undistributed insurance payments.
- Cancel Medicare part A claims in the RTP/DDE when there are Medicare Part A credits.
- Transfer HB payments back to HB accounts that were posted to PB accounts in error.
- Assist co-workers with questions and research.
- Serve as mentor and trainer to new employees.
- Communicate with the Hospital regarding payment discrepancies to reconcile accounts.
- Research and resolves payment errors and other issues pertaining to outstanding accounts for Medicare, Medicaid, and Tricare.
Insurance Follow Up Specialist
SSM Health
04.2003 - 09.2011
- Accurately post and reconcile denials for Provider Base Billing (PBB) claims
- Communicate with the Hospital regarding payment posting discrepancies to reconcile accounts
- Research and resolves payment errors, claim rejections and other issues pertaining to outstanding accounts for Medicare, Medicaid and Tricare plans
- File claims on websites and work spreadsheets to get claims paid
- Refund Insurance payments when needed by website or initiating refund letters with EOB's attached
- Post payments, adjustments and enter insurance and patient demographics
- Claims follow up, tracking and customer service
- Assist co-workers with questions and research
- Serve as mentor and trainer to new employees
- Review insurance news letters and e-mails, sharing this information with co-workers
- Attend Super User calls and relay information to co-workers
- Communicate with physician office staff, patients or insurance companies regarding insurance set up, billing and coding
- Knowledge of various computer software applications
- Develop specific goals and plans to prioritize, organize and accomplish my work.
Medical Secretary
SSM Healthcare Northway Internist
04.1995 - 04.2003
- Answer patient phone calls and scheduled appointments for a seven physicians practice
- Received pharmacy information over the phone and called in prescriptions
- Handled receptionist duties including assisting in cashiering, filing, faxing and obtaining records and test results for physicians
- Issued referrals and scheduled testing to be performed at the hospital and outpatient facilities.
ICU Technician
DePaul Health Center
05.1990 - 04.1995
- Phlebotomy, administer EKG's, setup and performed Sterile technique for procedures
- Assist Physicians with medical preparation and procedures, Critical patient transport for departmental relocation, Heart and arrhythmia monitoring, and specialized patient care
- Monitoring and providing care for ventilated patients
- Covered and worked as ICU secretary and was fully responsible for ICU Unit Administration
- Entering all Physicians orders for the whole Unit and answering phone calls.
PCA II
St Ann's Rehabilitation Center and Geriatrics Facility
06.1980 - 05.1990
- Responsible for patient care, assisted daily living, monitoring and tracking of vital signs
- Extensive patient lifting, bed rotation, Decubitis care, and dressing changes
- Patient feeding, assist with patient prosthetic devices and hand splints, and patient preparation for rehabilitation
- Primarily responsible for providing quality daily care to residents and terminally ill patients.
Education
Phlebotomy Training -
01.1991
Heart Monitoring and Arrhythmia Training -
01.1990
ICU Medical Procedure Training -
01.1990
Certified Medical Assistant training -
01.1982
Associate Nursing Pre requisite Classes -
01.1980
High School Diploma -
Pattonville Sr. High School
Maryland Heights, MO06.1979
Skills
- MS Excel
- Electronic Medical Records
- OnBase System
- MS Word
- Keyboarding
- Medical Billing
- Medicare DDE (in process of learning)
- Excellent communication skills
- Ability and willing to learn
- Team player
- Excellent customer service skills
- Initiative-continually going above and beyond
- Adaptability/excepting to change
- Organized/good planner
- Good work ethic/positve
- Ability to handle high levels of stress
- Resourceful
- Dependable/reliable
- Self motivated/proactive
- Strong self confidence
- Multi-skilled
- Ability to multi task
- Self disciplined
- Skills, knowledge and desire to grow
- Computer skills-Epic, excel, word, etc
References
Available on request
My Attributes
- Excellent communication skills
- Ability and willing to learn
- Team player
- Excellent customer service skills
- Initiative-continually going above and beyond
- Adaptability/except change
- Organized/good planner
- Good work ethic/positive
- Ability to handle high levels of stress
- Resourceful
- Dependable/reliable
- Self motivated/proactive
- Strong self confidence
- Multi-skilled
- Ability to multi task
- Self disciplined
- Skills, knowledge and desire to grow
- Computer skills- Epic, excel, word, etc.
Timeline
Patient Account Representative II
SSM Health Revenue Cycle St Louis
12.2023 - Current
Patient Account Representative II
Optum
02.2022 - 12.2023
Patient Account Representative II
SSM Health
09.2011 - 02.2022
Insurance Follow Up Specialist
SSM Health
04.2003 - 09.2011
Medical Secretary
SSM Healthcare Northway Internist
04.1995 - 04.2003
ICU Technician
DePaul Health Center
05.1990 - 04.1995
PCA II
St Ann's Rehabilitation Center and Geriatrics Facility
06.1980 - 05.1990
Phlebotomy Training -
Heart Monitoring and Arrhythmia Training -
ICU Medical Procedure Training -
Certified Medical Assistant training -
Associate Nursing Pre requisite Classes -
High School Diploma -
Pattonville Sr. High School
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