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Access Supervisor Resume Example

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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Professional Summary

Eleven years experience with Oncology Financial Clearance, Financial Counseling and Registration. I spent the last four years as the Access Supervisor. Relocating to Atlanta January 2015.

Education and Training
Expected in 1980 High School Diploma | Business Pershing High School, Detroit, MI GPA:
  • 1982 graduated with honors from United States Air Force Training in Biloxi, MS for USAF- Flight Commanders Administrator/Certified
  • 2009 Completed Medicare Boot Camp
  • 2010EPIC SuperUser-Certified
  • 2011 Diversity Training
  • 2014 Certified Lean Leader


Skill Highlights
  • Patient Oriented
  • Self Motivated
  • Sound decision making
  • Claims analysis and review specialist
  • Problem Solving
  • Patient and self-disciplined
  • Conflict Resolution
  • Personal and professional integrity
  • Staff Training and development
Professional Experience
04/2004 to Current Access Supervisor Seattle Cancer Care Alliance | City, STATE,
  • Supervise three areas of the Revenue Cycle Department.
  • 13 PFS Coordinators, 4 Patient Access Specialist and two Financial Counselors.
  • Supervise 13 PFS Coordinators responsible for confirming benefits, eligibility and requesting authorizations from Insurance Companies for General oncology and Bone Marrow/Stem Cell Transplant services.
  • Served as liaison between management, clinical staff and the community.
  • Provide written documents and benefit information to patients as needed.
  • Monitor DSHS, Cobra and month to month eligibility on a monthly basis.
  • Meet with patients upon arrival and throughout treatment to clarify benefits and answer questions.
  • Prioritize daily duties with patient meetings.
  • Dept resource for nursing, physicians, team schedulers and PA's regarding Transplant and General Oncology clearance process.
  • Responsible for identifying potential financial risk issues and notifying Access Manager.
  • Receive patient complaints, assess needs and refer if unable to resolve.
  • Maintain clear understanding of new treatment protocols and financial clearance requirements for transplant and General oncology.
  • Obtain insurance prior authorization approval for clinic administered medications and chemo drugs as needed.
  • Initiate Advanced Beneficiary Notice process with patients as appropriate.
  • Refer patients to Patient Assistance Program as appropriate.
  • Train staff on new Financial Clearance Policy and Procedures for Transplant, General Oncology and Research.Evaluated patient care procedural changes for effectiveness.
  • Carefully selected, developed and retained qualified staff, as well as trained [number] new staff annually.
  • Organize and delegate work for daily general oncology services.
  • Audit transplant financial files each week to make sure all patients are clear for arrival.
  • Experienced in all aspects of medical/Oncology/Bone Marrow/Stem Cell Transplant financial clearance.
  • Screen all new patients on Med Advantage plans to verify if accepted at SCCA.
  • Provide support and guidance to all Revenue Cycle Team members.
  • Diversity Council Member since 2010
11/2014 to 09/2014 Patient Finance Rep II Puget Sound Blood Center Business Office | City, STATE,
  • Process Claims for DSHS, Tricare, Molina and Medicare.
  • Monitor accounts for insurance payments.
  • Track down missing account information.
  • Post insurance and patient payments.
  • Process monthly statements Worked insurance denials or more information requests.
  • Follow up on claim status over 30 days.
  • Answer phones.
10/2014 to 10/2014 Patient Finance Representative II Seattle Cancer Care Alliance Patient Financial Services | City, STATE,
  • Report benefits, eligibility and approval issues to other institutions.
  • Provide written documents to patients as needed Monitor DSHS eligibility on a monthly basis Meet with patients upon arrival and throughout treatment to clarify benefits and answer questions.
  • Prioritize daily duties with patient meetings.
  • Resource to nursing, physicians, team schedulers and PA's regarding clearance process.
  • Responsible for identifying potential risk issues and notifying supervisor and or manager appropriately.
  • Receive patient complaints, assess needs and refer if unable to resolve.
  • Maintain clear understanding of new treatment protocols and financial clearance requirements for transplant and medical oncology.
  • Obtain insurance prior authorization approval for clinic administered medications as needed.
  • Initiate Advanced Beneficiary Notice process with patients as appropriate.
  • Refer patients to Patient Assistance Program as appropriate.
01/1 to 10/2014 Member Services Rep II Pacific Medical Center | City, STATE,
  • Answer 70-90 calls per day for USFHP and other managed care programs.
  • Assist members and providers with benefits, eligibility, referrals and claim status.
  • Handled claim payment reviews to verify is providers were paid according to Contract.
  • Processed prescription reimbursements for USFHP members.
  • Handled all patient and provider complaints.
Skills
  • Epic Super User/IDX experience (4 years)
  • Experienced with interacting with insurance customer service and case managers.
  • Strong knowledge of medical terms for routine patient care and Oncology.
  • Training staff
  • Great Multi-Tasking Skill
  • assisting patients and families

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Resume Strength

  • Length
  • Personalization
  • Target Job

Resume Overview

School Attended
  • Pershing High School
Job Titles Held:
  • Access Supervisor
  • Patient Finance Rep II
  • Patient Finance Representative II
  • Member Services Rep II
Degrees
  • High School Diploma