Patient Access Manager Resume Example
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PATIENT ACCESS MANAGER
Summary
Seasoned healthcare professional with 26 years' experience in healthcare. Ability to apply management concepts advocate for patient and healthcare organization needs. Highly skilled in working within collaborative environments, utilizing effective problem-solving techniques, and Patient Access Revenue Cycle Management. Demonstrated leadership skills that guides the teams towards achievement of positive outcomes and drive organizational performance.
Skills
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Experience
Patient Access ManagerAstrazeneca Plc | Nashville , TN | February 2012 - Current
- Manages multiply sites and leads the daily operations of the Patient Access Department and Staff (FTE's 16); which includes Outpatient Registration, Scheduling, Insurance Verification/Pre-Registration, Billing/Collections/Charge Capture and PBX/Greeter
- Communicate and works collaboratively with other departments heads
- Facilitate monthly departmental meetings, maintain daily reports, audits, review contracts, correct and adjust accounts, payment reconciliation, prepares staff schedules, and approve all time-cards in Kronos
- Revised policies, job addendum's in accordance with the laws, and implement procedures/processes.
- Communicate and train all patient access staff to ensure accurate, efficient demographic and financial information for registration/insurance verification, claim reimbursement and financial clearance.
- Maintains knowledge about local, state and federal regulations
- Knowledge of basic ICD 9 & 10 coding, CPT, medical terminology, commercial, managed care, Medicare and Medicaid contracts/reimbursements
- Investigate and Resolve all patients and visitors complaints or concerns
- Recruitment for potential hires, complete annual performance evaluations, develop and mentor staff.
- Increase patient satisfaction scores from 50% to 98% by utilizing customer service skills, training and education to support hospital and clinic operations.
Patient Access SupervisorBaylor Scott & White Health | Georgetown , TX | March 2007 - February 2012
- Supervised the daily operations of the Patient Access Department and Staff (FTE's 32); which includes 24hr ER, Main Admitting ,Outpatient Registration, Insurance Verification/Pre-Authorization, Billing/Collections, Scheduling, and PBX/Greeter
- Trained all patient access staff to ensure accurate and efficient patient demographic and financial information for registration, insurance verification and claim reimbursement
- Updated policies and processes/procedures
- Maintained an exceptional level for patient's satisfaction
- Maintained knowledge about local, state and federal regulations
- Knowledge of basic ICD 9 &10 coding, CPT, medical terminology, commercial insurance, managed care, Medicare contracts/payments
- Investigate and Resolve all patients and visitors complaints or concerns
- Communicate with management to relay any problems or situations
- Conducted annual evaluations, counseling, assisted with the hiring process
Insurance Verification Specialist/Registration SpecialistCypress Fairbanks Medical Center | City , STATE | March 2004 - March 2007
- Registered, pre-registered, verified inpatient and outpatient
- Maintained a QA score of 97% and provided excellent customer service
- Obtained and confirmed pre-certification, authorization, referrals, and denials
- Interpreted medical terminology, procedure codes, CPT codes as required to inform insurance companies
- Sent insurance company's predetermination and clinical information
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Case Manager Coordinator/Patient Registration SpecialistDoctors Hospital Tidwell | City , STATE | May 1994 - March 2007
- Performed psychosocial assessments and evaluations of current needs.
- Arranged for medical, mental health or substance abuse treatment services according to individual needs or court orders
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Facilitated concurrent appeals that resulted in potential denials
- Collaborated with payers/providers to coordinate all approved/denied days
- Transcribed doctors' orders verbal and written, including medication and lab test requests.
- Obtained bed assignments for inpatient and observation patients
- Facilitated transfers and secure appropriate authorization
- Managed unit call reception and routed calls to correct department.
- Provided patient information to facilitate timely admissions and discharges.
- Assembled, abstracted charts, filed charts, reported incomplete charts
- Set up patient charts and documented information in various company software.
- Traveled to different clinical sites to review procedures.
Education and Training
Bachelor of Science: Business Administration And ManagementAmerican InterContinental University | | City | Expected in May 2020
- 3.85 GPA
Some College (No Degree): Business AdministrationTexas Southern University | City, State
- Minor in Psychology
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Resume Overview
School Attended
- American InterContinental University
- Texas Southern University
Job Titles Held:
- Patient Access Manager
- Patient Access Supervisor
- Insurance Verification Specialist/Registration Specialist
- Case Manager Coordinator/Patient Registration Specialist
Degrees
- Bachelor of Science : Business Administration And Management
Some College (No Degree) : Business Administration
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