This document provides a summary of Mary Linyard's experience and qualifications as a Patient Account Representative. She has over 25 years of experience in healthcare billing and claims processing. Her experience includes working at Emory Healthcare, Sharp Health Care, and Southern California Physician Managed Care in various patient account and claims processing roles. She is proficient in medical billing systems, coding, and ensuring compliance with healthcare regulations. She is currently pursuing an MBA with an expected graduation date of October 2016.

1. Mary Linyard
5220 North Henry Blvd. Apt N-1
Stockbridge, GA 30281
Telephone: (404) 483-0867, Email: Linya2@aol.com
PATIENT ACCOUNT REPRESENTATIVE
Patient Account Representative with over 25 years of experience in the Health Care/Consumer
Industry. Highly experienced in handling and processing of patient-account related activities and
issues. Profound knowledge of medical terminology, insurance terminology, third party payers,
third-party reimbursement and Medicare and Medicaid claims. Outstanding knowledge of
HIPPA Guidelines, Fair Credit and Collections Act, HCPC, CPT and ICD-10 coding and
healthcare credit and collections. Proficient with medical terminology and coding. Excellent
customer service skills, phone etiquette, customer service delivery and patient relations services.
Proficient in using Microsoft office, Experian Health Eligibility (MVP) and health care patient
accounting systems. Remarkable ability to work with team members, in a collaborative and
productive manner. Strong ability to prioritize, manage and complete multiple work-
assignments, efficiently and in a time-bound manner. Immense ability to communicate with
various individuals orally and in writing, in a clear and professional manner.
AREAS OF EXCELLENCE
• Highly experienced in direction, supervision and management of Patient Account staff
work
• Outstanding knowledge of MediCal, Medicare and health insurance programs and related
government rules, laws and regulations
• Familiarity with personnel management, labor relations handling and budgeting practices
• Proficient in using MS Office suite. practice management system, internet, e-mail, and
data processing and billing systems
• Remarkable ability to create and deliver official correspondence, reports and financial
records, properly
• Strong ability to plan develop and implement policies for billing and collection teams,
efficiently
• Immense ability to deal with all patients, professional health care staff, and external
agencies
PROFESSIONAL EXPERIENCE
EMORY HEALTHCARE 03/2009-Present
Patient Account Representative III – Atlanta, GA
• Communicated with patients and clients to obtain mandatory information for registration of
patients for healthcare services.
• Conducted verification of medical insurance coverage for available benefits.
• Collects and follows up on all accounts assigned prior to, during or after admission and
discharge.

2. • Interpret, communicate and advise patients and coworkers of hospital's financial policies
• Provide early financial intervention to patients who require financial assistance.
• Serves as patient advocate during the cycle of the account.
• Substantiate and evaluate all documentation to ensure completion for proper billing of claims
for reimbursement.
• Reviewed financial status of delinquent accounts and initiated appropriate collection
activities.
• Assisted with processing of refunds, AR adjustments, and appeals.
• Performed follow-ups on all assigned account-related issues and patient claims, efficiently.
• Documented, maintained and retrieved accurate electronic medical records, in a proper
manner.
• Ensured confidentiality of all information related to scheduling, registration and admission of
patients.
• Maintained compliance with ICD-9, CPT coding and HIPPA regulations and other related
internal and governmental regulatory requirements.
SHARP HEALTH CARE 06/2004-12/2007
Claims Processor-San Diego, CA
• Processes, pays claims and provides assistance to customers and administrative staff for one
of Southern California’s largest healthcare billing services companies.
• Confirmed patient’s information using state-of-the art IDX system.
• Verified diagnosis, procedures codes, billed amount, date of service, and facility name and
Tax Identification Number of provider for approximately 15,000 claims.
• Consulted with Doctors and hospital staff to resolved and interpreted codes and diagnoses
with conflicting, missing, or vague information.
• Examined, processed, calculated and pay claims insuring filings, documentation and reports
etc.
• Complied with state laws, policy and company procedures.
• Assisted claimants, providers, and clients with problems or questions regarding their claims
and/or policies.
• Entered codes and verifies data for computer processing.
• Prepared and prints drafts for payment of claims and verifies that payments have been made.
• Compiles and prepares statistical data and reports.
SOUTHERN CALIFORNIA PHYSICIAN MANAGED CARE 05/2002-06/2005
Claims Analyst, San Diego, CA (Various Positions Held. See Duties)
• Completed and oversaw a variety of professional assignments to review, evaluate, authorize
and monitor services provided and received insurance claims.
• Implement and apply medical cost containment procedures and guidelines to providers of
medical care and utilization practices.
• Reviewed all medical/surgical billings for reasonable and necessary charges.
• Examined coding of operative reports, procedures, and multiple and complicated surgeries.
• Recommends appropriate payments of dispute of billing, as necessary.

3. • Provided second review of bills on which providers question the appropriateness of payments
authorized.
• Evaluated claims referred for medical management and makes recommendations for follow-
up, further investigation or documentation as necessary.
• Interpreted applicable healthcare policies and regulation for individual claimants
• Responded to questions, telephone calls, and letters regarding cost.
• Assisted and advised claims examiners concerning the monitoring of claimants' medical
treatments.
• Established channels of communication with providers to familiarize them with agency
guidelines.
• Maintained records and prepares reports and correspondence related to the work.
• Processed and paid all Commercial, Medical and Senior claims for various IPA.
• Confirmed billed amounts, date of service HCPC and CPT codes for accuracy.
SOUTHERN CALIFORNIA PHYSICIAN MANAGED CARE
Claims Assistant
• Verified billed amounts, date of service HCPC and CPT codes for accuracy.
• Generated daily and weekly reports for each IPA, Medical Group and all health plans.
• Prepare and types official documents
• Develop and implemented new report as needed by the claims department and updates any
changes to existing reports using the Arpeggio report writer for the EZ-CAP system that were
distributed to the Claims Analyst and Claims Manager.
• Perform comprehensive telephone investigations
• Recorded all claims in the database after verifying accuracy of the data
• Communicated with adjusters in order to ensure smooth claims support
• Documented claims information so that customers can benefit from smooth customer
services
• Worked on reassigned claims as and when necessary
• Managed general office tasks including; maintaining supplies for staff, looking through
incoming mail, preparing outgoing
EDUCATION
MBA, UNIVERSITY OF PHOENIX, PHOENIX, AZ
Master Degree in Business Management/HCM, (Expected date of Graduation 10/2016)
BSBM, UNIVERSITY OF PHOENIX, PHOENIX, AZ
Bachelor Degree in Business Management
AAB, WESTERN INTERNATIONAL UNIVERSITY
Associate Degree in Business
CERTIFICATIONS

4. HFMA
Certified Financial Counselors
Certified Patient Account Representative