Patricia Burney

Detail-oriented Medical Insurance Claims Representative with over 15 years of experience in claims processing, A/R follow-up, and medical billing across hospital systems, radiology groups, and specialty services. Proven track record of reducing denials, ensuring compliance with Medicare/Medicaid regulations, and securing accurate reimbursement from HMO and commercial payers. Recognized for strong analytical skills, attention to detail, and the ability to manage high claim volumes while maintaining accuracy and confidentiality.

Skilled in payment posting, EOB reconciliation, and navigating payer contracts to drive revenue cycle efficiency.

Patient Account Specialist - Hartford Healthcare - Hartford, CT

(2014-05 - 2024-09)

• Processed and followed up on high-volume medical claims, ensuring clean submission and accurate reimbursement per payer contracts.
• Resolved complex claims issues through research, contract review, and payer communication, reducing aged A/R and minimizing write-offs.
• Ensured compliance with Medicare, Medicaid, and commercial payer billing regulations, avoiding penalties and denials.
• Monitored and reconciled aged receivables, resubmitted claims prior to deadlines to maximize revenue recovery.
• Posted and balanced patient and insurance payments both manually and electronically, maintaining accuracy for monthly financial close.
• Maintained strict confidentiality of patients and organizational information while supporting Finance Department in accurate monthly reporting.

Medical Insurance Specialist - Raytel/Philips Remote Cardiac Services - Windsor, CT

(2007-04 - 2013-08)

• Researched and processed overpayments and refunds, ensuring compliance with payer and organizational policies.
• Verified insurance eligibility, benefits, and authorizations to prevent claim rejections.
• Posted payments and adjustments to accounts, balancing EOBs for accuracy and timely revenue recognition.
• Handled inbound inquiries from patients and providers, delivering high-quality customer service and clear billing resolutions.
• Partnered with collections department to resolve outstanding balances and support revenue recovery.

Certificate - Pharmacy Technology - Manchester Community College (2025-05)

High School Diploma - Weaver High School