Helpful Patient Service Representative with 10+ years of experience. Adept at collecting patient information, maintaining efficient office and coordinating with medical professionals. Extensive knowledge of insurance authorizations and commitment to patient happiness.
Skills
Administrative and Office Support
Providing Information and Resources
Helpful and Service-Oriented
Explaining Policy and Procedures
Resolving Problems
Microsoft Office
Database Search and Data Entry Skills
Registration and Scheduling
Building Rapport and Credibility
Gathering Information from Patients
Calm and Effective Under Pressure
Patient Needs Assessment and Referral
Patient Confidentiality and Data Security
Quality Standards and Protocols
Communicating to Patients and Families
Caring and Empathetic
Verbal and Written Communication
Organized and Efficient
Documenting and Recording Information
Comfort with Technology and Databases
Spreadsheet Tracking
50 WPM Typing Speed
Clerical and Filing Support
Medical Services Administration
Multi-Line Telephone Systems
Records Management
Professional Bedside Manner
Collections Management
Reliability and Dedication
Attention to Detail
Technical Troubleshooting
Claims Handling and Coverage Verification
Time Management and Prioritization
Medical Terminology
Forms and Spreadsheet Creation
Payment Calculation
Spanish Fluency
Outbound Calling
Satisfaction Assessment and Tracking
Report Preparation
Punctual and Hardworking
Conflict Resolution
HCPCS Compliance
Insurance Authorizations
Benefits Explanation
Bilingual Spanish and English
Patient Registration
Insurance Forms Processing
Vital Statistics Documentation
Safety Monitoring
Word Processing
Education
Austin Community CollegeAustin, TXExpected in 05/2020 – –Certificate:Medical Coding And Billing - GPA:
Plainview High SchoolPlainview, TXExpected in 04/1996 – –High School Diploma: - GPA:
Work History
Maine Health - Access Service Representative II Topsham, ME, 04/09/2 - Current
Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Resolved patient financial and authorization/referral problems with guidance from documented guidelines and procedures.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
Received patient deductibles, co-pay amounts and self pay estimates and discussed options to satisfy remainder of patient financial obligations.
Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Took copayments and compiled daily financial records.
Reviewed and corrected claim errors to facilitate smooth processing.
Balanced deposits and credit card payments each day.
Generated monthly statements to check outstanding balances.
Explained plans for treatment and payment options.
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