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Patient Access Representative Resume Example

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PATIENT ACCESS REPRESENTATIVE
Summary

Motivated to support patient medical needs by efficiently verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, a strong attention to detail and a positive and upbeat mentality. Advanced abilities in Sorian and Allscripts.

Skills
  • Insurance company knowledgeable
  • Regulatory compliance
  • Payment processing
  • Appointment scheduling
  • Patient interviewing skills
  • Appointment confirmation
  • Relationship development
  • Operational improvement
  • Customer service
  • Problem resolution
  • Administrative support
  • Insurance billing
Experience
Patient Access Representative | 01/2018 to Current
Northwell Health - Jacksonville, FL
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Scheduled patient appointment and procedures with Sorian.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Verified demographics and insurance information to register patients in computer system.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Checked daily doctor schedules and verified insurance.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Recognized by management for providing exceptional customer service.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Improved operations by working with team members and customers to find workable solutions.
  • Earned reputation for good attendance and hard work.
Customer Service Representative | 04/2017 to 01/2018
INCOMM - JACKSONVILLE, FL
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • Delivered high level of service and support to each customer, paving way for future business opportunities.
  • Documented conversations with customers to track requests, problems and solutions.
  • Answered 100+ inbound calls per day and directed to designated individuals or departments.
  • Consulted with customers to determine best methods to resolve service and billing issues.
  • Set up and activated customer accounts.
  • Worked with managers to develop service improvement initiatives.
  • Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
  • Evaluated customer account information to assess current issues and determine potential solutions.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Insurance Agent | 03/2014 to 08/2016
ALLSTATE - Charlotte, NC
  • Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
  • Cultivated professional relations to establish long-term profitable partnerships.
  • Analyzed customer needs and provided best options, upselling products and services.
  • Provided quick turnaround time when customers called with questions, usually within 24-48 hours.
  • Engaged customers and provided high level of service by carefully explaining details about documents.
  • Drove client retention by increasing savings opportunities and identifying premium discounts.
  • Delivered outstanding customer service and built rapport with clients.
  • Increased client retention through loyalty rewards and incentivization program.
  • Maintained pleasant and cordial attitude at all times, even when issues arose.
  • Received underwriting approvals after accurately completing applications for insurance coverage.
  • Reviewed coverage plans and strategic initiatives, determining how best to align new offerings with business goals.
  • Monitored clients' insurance coverages to ensure changing needs were met.
  • Reviewed insurance inquiries, working effectively to accommodate various requests to build agency's reputation as service provider.
  • Improved data collection accuracy by structuring systems for desktop spreadsheets.
  • Coordinated appointments and consultations with clients to identify individual needs and gain better understanding of overall financial situations.
Insurance Agent | 03/2008 to 05/2014
Allen Tate Company - Charlotte, NC
  • Cultivated professional relations to establish long-term profitable partnerships.
  • Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
  • Analyzed customer needs and provided best options, upselling products and services.
  • Engaged customers and provided high level of service by carefully explaining details about documents.
  • Drove client retention by increasing savings opportunities and identifying premium discounts.
  • Delivered outstanding customer service and built rapport with clients.
  • Increased client retention through loyalty rewards and incentivization program.
  • Maintained pleasant and cordial attitude at all times, even when issues arose.
  • Received underwriting approvals after accurately completing applications for insurance coverage.
  • Reviewed coverage plans and strategic initiatives, determining how best to align new offerings with business goals.
  • Diligently filed and followed up on third party claims.
Education and Training
ST AUGUSTINE'S UNIVERSITY - Raleigh, NC
Bachelor of Arts
Sociology, 06/1990
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Resume Overview

Companies Worked For:

  • Northwell Health
  • INCOMM
  • ALLSTATE
  • Allen Tate Company

School Attended

  • ST AUGUSTINE'S UNIVERSITY

Job Titles Held:

  • Patient Access Representative
  • Customer Service Representative
  • Insurance Agent

Degrees

  • Bachelor of Arts

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