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Patient Access Representative Resume Example

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PATIENT ACCESS REPRESENTATIVE
Professional Summary

Over 6 years experience in hospital settings working in urgent, fast pace, and high patient volume settings in Laboratory and Emergency room.

Core Qualifications
  • Extensive ER experience
  • Computerized charting specialist
  • Extensive medical terminology knowledge
  • Blood Withdrawal certification
  • Qualified in specimen collection/processing
  • Employee training and development
  • Health insurance processing
  • Insurance eligibility verification
  • Strong organizational skills
  • Fluent in Spanish/ English
  • Knowledge of HMOs, Medicare and Medicaid
  • Electronic Medical Record (EMR) software





  • ICD-9 coding
  • HIPAA compliance
Experience
Patient Access Representative04/2014 to CurrentConifer Health Solutions Palmetto General Hospital Miami, FL
  • Worked in high volume, high pace environment in Emergency room including adults and pediatrics
  • Greet patients and visitors
  • Handle high-volume incoming calls
  • Pre-registering walk in patients
  • Re-register recurring patients
  • Pre-register outpatient patients
  • Data entry in registration system of demographic, clinical, and financial information
  • Inform patients of coverage limitations and financial responsibility for treatment
  • Medical insurance verification
  • Pre-certification/ authorization for ER visits, Outpatient procedures, Outpatient/ Inpatient admissions
  • Explain a variety of admission forms and policies, get signatures, hold discussions on financial responsibility and obtain payments.
Physician Practice Patient Representative- Neurosurgery 08/2013 to 04/2014Baptist Health Miami, FL
  • Responsible for day-to-day clerical functions in the practice
  • Check in and check out
  • Insurance verification
  • Ensures patient charts are ready for clinic
  • Retrieve diagnostic test results
  • Read diagnostic test result and give appointments according
  • Ensured HIPAA compliance
  • Scheduled patient appointments.
  • Completed registration quickly and cordially for all new patients.
Patient Access Representative02/2012 to 08/2013Conifer Health Solutions Palmetto General HospitalHialeah, FL
  • Worked in high volume, high pace environment in Emergency room including adults and pediatrics
  • Greet patients and visitors
  • Handle high-volume incoming calls
  • Pre-registering walk in patients
  • Re-register recurring patients
  • Pre-register outpatient patients
  • Data entry in registration system of demographic, clinical, and financial information Inform patients of coverage limitations and financial responsibility for treatment
  • Medical insurance verification
  • Pre-certification/ authorization for ER visits, Outpatient procedures, Outpatient/ Inpatient admissions
  • Explain a variety of admission forms and policies, get signatures, hold discussions on financial responsibility and obtain payments.
Phlebotomist05/2008 to 01/2011Baptist HealthMiami, FL
  • Worked in Emergency room and Laboratory Performed lab tests and communicated results
  • Ensured HIPAA compliance
  • Followed infection control procedures
  • Maintained patient privacy and confidential patient information
  • Collected blood, tissue and other laboratory specimens and prepared them for lab testing
  • Performed clerical and specimen duties at the front desk
  • Documented patient lab work in a timely manner on permanent record/charts
  • Daily interaction with patients, nursing staff, medical staff and visitors
  • Performed charges and credits so that patients are charged appropriately
  • Check physician orders
  • Worked in fast-paced & stressful environment.
Sales Associate05/2006 to 05/2008Tous LLCMiami, FL
  • Provided customer service for an average of 60 calls per day, answering customer inquiries, solving problems, and providing new product information
  • Earned management trust by serving as key holder, responsibly opening and closing store
  • Greeted customers entering the store to ascertain what each customer wanted or needed
  • Described product to customers and accurately explained details and care of merchandise
  • Conducted weekly walkthroughswith the General Manager to discuss all interior visual displays including store window presentation
  • Maintained cleanliness and presentation of stock room and production floor
  • Accurately balanced cash drawer after every shift Maintained positive attitude to make customer's shopping experiences memorable and pleasant
  • Responsible for ringing up customers in timely manner and guaranteeing high level of customer service
  • Ensured superior customer experience by addressing customer concerns, demonstrating empathy, and resolving problems on the spot.
Sales Associate03/2006 to 05/2006Express IncMiami, FL
  • Greeted customers entering the store to ascertain what each customer wanted or needed
  • Responsible for ringing up customers in timely manner and guaranteeing high level of customer service
  • Organized store merchandise racks by size, style and color to promote visually appealing environment
  • Answered questions regarding store and products, while maintaining knowledge of current sales and store promotions
  • Maintained up-to-date knowledge of store policies regarding payments, returns and exchanges
  • Worked as a team member performing cashier duties, product assistance and cleaning while providing excellent customer service.
Lead Sales Associate05/2004 to 03/2006Sanrio IncMiami, FL
  • Earned management trust by serving as key holder, responsibly opening and closing store
  • Worked as a team member performing cashier duties, product assistance and cleaning while providing excellent customer service
  • Maintained cleanliness and presentation of stock room and production floor
  • Accurately balanced cash drawer after every shift
  • Compiled daily monetary reports and records for store managers
  • Greeted customers entering the store to ascertain what each customer wanted or needed.
Education
Bachelor of Arts: Health Services Administration2012Florida International UniversityMiami, FL

Medical Terminology, Values, Ethics & Conflict Resolution, Health Care Organizational Behavior

Associate of Arts: Health Services Administration2009Miami Dade CollegeMiami, FL
Phlebotomy Technician Certificate2008Miami Dade CollegeMiami, FL
High School Diploma2006Miami Sunset Sr. HighMiami, FL
Certifications
  • Associate in Health Services Administration
  • Bachelors in Health Services Administration
  • Phlebotomist Technician
Accomplishments
  • HIPAA Compliance Documentation Ensured charting accuracy through precise documentation.
  • OSHA Compliance Properly disposed of daily biohazard waste in compliance with federal and local regulations.
  • Great Catch Awards Given award multiple times for finding mislabeled specimens.
Languages
Bilingual (Spanish/ English)
Skills

cashier, charts, clerical, closing, color, Conflict Resolution, draw, excellent customer service, Customer Service, Data entry, English, fast, financial, forms, General Manager, Insurance, Medical Terminology, window, nursing, Organizational, Phlebotomy, policies, sales, Spanish, Technician

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Resume Overview

Companies Worked For:

  • Conifer Health Solutions Palmetto General Hospital
  • Baptist Health
  • Tous LLC
  • Express Inc
  • Sanrio Inc

School Attended

  • Florida International University
  • Miami Dade College
  • Miami Sunset Sr. High

Job Titles Held:

  • Patient Access Representative
  • Physician Practice Patient Representative- Neurosurgery
  • Phlebotomist
  • Sales Associate
  • Lead Sales Associate

Degrees

  • Bachelor of Arts : Health Services Administration 2012
    Associate of Arts : Health Services Administration 2009
    Phlebotomy Technician Certificate 2008
    High School Diploma 2006

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