LiveCareer-Resume
JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Enthusiastic Patient Access Registrar/Hospital Associate eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Registrations and Healthcare and training in various hospital websites.Motivated to learn, grow and excel in Medical Field. Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Advanced abilities in Epic, Cerner, Citrix and Meditech software.

Skills
  • Data Entry
  • Problem Solving
  • Patient Eligibility Requirements
  • Insurance Authorizations
  • Epic Systems
  • Verbal and Written Communication
  • Customer Service
  • Administrative Tasks
  • Patient Billing
  • Cash Handling
  • Computer Proficiency
  • Flexible Schedule
  • HIPAA Compliance
  • Medical Records Verification
Work History
08/2020 to 04/2021 Patient Access Registrar-Telecommuting MEDNAX | City, STATE,
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
10/2007 to 07/2020 RCM-Registration Associate Mednax | City, STATE,

Initial Admission:

Placed registration on hold for all patients admitted to PEDS, PICU or Observation/Outpatient (per hospital face sheet) on hold at the registration level until status had been confirmed as inpatient or outpatient.

Within 5 calendar days of admit, confirmed admission type as inpatient or outpatient.

If the status had changed from the initial Admission

deleted charges and billed with correct CPT code based on Medical Records review.

New Patient Registrations:

For all new registrations, required to obtain complete accurate insurance and demographic information and register information into OBR system.

Verified the following:

Authorization Number when applicable.

Patient's Legal Name

Primary Policy Number

Group Number

Patient and Subscriber Information

Subscriber DOB

03/2005 to 10/2007 Hospital Associate/Medical Biller Mednax | City, STATE,

Prepared Billing and Registrations:

Gathered and verified current demographic information by speaking with the parents or hospital.

Obtain correct Insurance/Medicaid information from parents.

Contacted Insurance companies to verify insurance data on accounts.

Completed registration and billing of all accounts within the

designated timeframe.

Obtained authorization numbers as requested by the insurance companies.

Updated accounts in regard to changes in insurance or demographic information.

Prepared and submitted daily census and monthly statistics. Obtained daily census by unit for each facility.

Compared census to OBR daily and made corrections.

Ran report and balanced charges entered daily.

Ran report to resolve unbilled registrations.

Ran report to resolve missing charges.

Provided support services to Corporate/Regional Office

Prepared and submitted all payments and disbursements along with check requests to Accounts Payable Dept.

Assisted the Credentialing Dept. in obtaining hospital privileges and medical credentials for both newly hired and currently employed physicians and nurse practitioners.

Provided billing and/or census to Regional Auditor within the timeframe requested.

Attended Patient Account Meetings via telephone or web access.

Submitted Medical Record requests from the hospital medical records department .

Maintain strict confidentiality in accordance with HIPAA regulations.

Performed other job-related duties in a positive professional demeanor.

10/1997 to 03/2005 Hospital Associate/Office Associate Harlingen Neonatology | City, STATE,

Registered Patients from hospital census.

Verified insurance and demographic information.

Registered patients via American Medical software.

Billed insurance and Medicaid for services rendered.

Submitted Medical Records to Insurance companies and Medicaid for denials.

Posted insurance and Medicaid payments to registered accounts.

Bookkeeping

Bank Deposits

Payments

Worked accounts that were 60 days old by calling insurance companies or parent contact.

Helped parents with billing questions.

Education
Expected in High School Diploma | Edcouch-Elsa High School, Edcouch, TX GPA:
Expected in 03/1996 | Medical Office Specialist CBM, SAN BENITO, GPA:
Certifications
  • Health Insurance Portability and Accountability Act Mednax 9/26/2017
  • Records Management, Mednax 9/26/2017
  • Healthcare Regulatory Environment, Mednax - 9/26/2017
  • General Compliance, Mednax - 8/28/2017
  • Fraud, Waste and Abuse, Mednax - 8/28/2017
  • Cybersecurity Awareness, Mednax - 8/28/2017 - ]
  • Compliance Program Overview, Mednax - 8/28/2017

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Resume Overview

School Attended

  • Edcouch-Elsa High School
  • CBM

Job Titles Held:

  • Patient Access Registrar-Telecommuting
  • RCM-Registration Associate
  • Hospital Associate/Medical Biller
  • Hospital Associate/Office Associate

Degrees

  • High School Diploma

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