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patient access representative resume example with 17+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Experienced professional focused on meeting or exceeding objectives seeking Claim Representative Associate- Remote position. Offers advanced training and knowledge of industry best practices. Recognized for leadership, planning abilities and clear, direct communication style.

Skills
  • Excellent medical administrative abilities
  • Good Telephone Etiquette
  • Great mathematical skills
  • Research and due diligence
  • Eligibility Determinations
  • Referral Verification
  • Authorization Verification
  • Patient Data Management Systems
  • Past Due Balance Management
  • Compensation and Benefits
  • Billing system and software
  • Account updates and monitoring
  • EMR / EHR
  • Understanding of Medicare Regulation
  • Understanding of Medical Terminology, ICD-10, CPT coding
Work History
12/2012 to Current
Patient Access Representative Mercy Healthcare Nixa, MO,
  • Performed over 75 patients' scheduling and registration functions to serve as initial contact point for medical office visits.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients
  • Resolved patient financial problems with guidance from documented guidelines and procedures.
  • Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
10/2008 to 12/2012
Patient Service Representative Centura Health Longmont, CO,
  • Assisted patients both in Spanish and English by scheduling and registration.
  • Used EPIC to schedule appointments.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Took co-payments and compiled daily financial records.
  • Facilitated communication between patients and various departments and staff.
  • Managed over 100 patients' calls per day.
  • Organized patient records and database to facilitate information storage and retrieval.
  • Compiled and reviewed medical charts.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Followed document protocols to safeguard confidentiality of patient records.
01/2005 to 09/2008
Bilingual Customer Service Representative Taskus Harlingen, TX,
  • Built and strengthened customer relationships both in Spanish and English by leveraging excellent interpersonal and communication skills.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Processed over 65 customer transactions promptly, minimizing wait times.
  • Provided customer records, account statements and copies of checks.
  • Answered customer inquiries regarding account balances, transaction history, services charges and interest rates.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Answered telephone inquiries on checking and savings accounts, loans and lines of credit.
  • Reconciled cash drawer and resolved discrepancies.
  • Counted and packaged currency and coins.
  • Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
  • Removed mutilated currency from circulation.
  • Turned in excess cash to maintain drawer security.
  • Audited fellow teller currency to contribute to dual-control procedures.
  • Logged cashier's checks and other transactions to maintain accurate account records.
  • Sold and cross-sold bank products to new and existing customers.
  • Learned about customer's financial needs, established trust and optimized sales opportunities resulting in quality customer service.
  • Recognized needs and referred to appropriate representative or line of business for cross-sell or service opportunities.
Education
Expected in 05/2015 to to
Bachelor of Science: Health Sciences
Aurora University - Aurora, IL,
GPA:
  • Member of Mu Sigma Pi: Mind. Body. Spirit.
  • Minor in Biology
  • Minor in Chemistry
  • Minor in Physiology
  • Magna cum laude
Languages
Spanish:
Native or Bilingual
Negotiated:

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Resume Overview

School Attended

  • Aurora University

Job Titles Held:

  • Patient Access Representative
  • Patient Service Representative
  • Bilingual Customer Service Representative

Degrees

  • Bachelor of Science

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