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Patient Access Representative Resume Example

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

Objective: Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records. Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Motivated Respiratory Therapy student seeking internship in Respiratory Clinical Field to gain hands-on experience. Outgoing and friendly with strong drive to succeed. Ambitious student pursuing Respiratory Therapy degree eager to contribute developed knowledge in clinical role. Skilled in problem solving and working independently in clinical fast paced settings. Adaptable and driven with strong work ethic and motivation to thrive in team-based or individually motivated settings.

Skills
  • Insurance company knowledgeable
  • Appointment scheduling
  • Regulatory compliance
  • Payment processing
  • Sterilization procedures
  • Recording histories
  • Medical filing
  • Patient interviewing skills
  • Bookkeeping support
  • Appointment confirmation
  • Medical billing
  • Conflict resolution
  • Flexible
  • Computer skills
  • Problem resolution
  • Collaboration
  • People skills
  • Great work ethic
Experience
09/2020 to Current Patient Access Representative San Antonio Regional Hospital | Upland, CA,
  • As a patient access representative I provide front desk as well as bedside support by preforming a variety of administrative and insurance billing duties in support of daily patient services within all clinical areas.
  • These duties include but are not limited to greeting patients as they enter our facility/department and checking patients in and out of their scheduled or unscheduled appointments and procedures.
  • I had the opportunity to be cross trained in multiple departments such as the operating room, breast imaging, admissions, and emergency room just to name a few.
  • In multi-specialty clinics I had the responsibility of scheduling patients for appointments and procedures, insurance authorization verification, updating patient demographics, audit billing documents, disposition appointments, co-pay collection, managing/monitoring petty cash drawer, working closely center physicians, nurses, staff and other UC San Diego Health departments.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Assembled registration paperwork and placed identification bands on patient.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Managed patient admissions and hospital discharges to various settings, including home care, rehabilitation or self-care.
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
  • Helped protect providers and facility from legal liabilities by proactively assessing risks.
  • Responded to patient concerns and inquiries professionally and efficiently.
04/2019 to 10/2020 Behavioral Therapist Chi Health | Roseburg, OR,
  • As a registered behavioral therapist (RBT) I worked under the Behavior Analyst Certification Board (BACB) under the supervision of a Board Certified Behavior Analyst (BCBA) working with children who suffer from autism spectrum disorder.
  • My responsibilities as an RBT while working with my clients included but not limited too providing direct client care in 1:1 setting while using a combination of intensive teaching and natural environment training arrangements, following the prescribed behavioral skills acquisition and behavior reduction protocols provided by the BCBA, recording data from all trials provided to my clients if they were successful or not, and providing parent/caregiver training and feedback regarding my client’s progress.
  • As a RBT I maintained client/patient confidentiality by abiding by HIPPA laws, during sessions maintaining and protecting my clients dignity and respect throughout the process of their therapy, and collaborating treatment plans with my BCBA based on my assessment of my clients that I witnessed in our sessions.
  • Throughout my time with Centria Health Care I maintained my license as a RBT by completing the standard intensive training and successfully passing the board exam that is required to obtain this license.
  • My clients learned motor skills that due to their developmental disability they were unable to learn at the “normal” level.
  • Clients were able to learn coping skills, learn what behaviors are acceptable and which are not, learning how to advocate for themselves and communicating with others effectively with family and peers, family outings and how to cope when external sources become to much for them and how to effectively and calmly communicate to caregiver in the moment and avoiding tantrum behaviors.
  • Encouraged clients to express feelings and discuss life events in order to help each person develop personal and relational insights.
  • Maintained and completed required documentation and reports to comply with clinical programming.
  • Maintained objective session notes and accurate records to organize, model and review behavior as well as progress information.
  • Maintained safe, organized and therapeutic environment to enhance patient comfort.
  • Liaised with colleagues and staff to understand client case history, identify specific treatment needs and coordinate implementation of treatment related activities.
  • Obtained authorization for services from utilization review organization and monitored status of authorizations to track approval or complete re-authorization requests.
  • Educated patients, families, and caregivers on diagnosis, treatment, and disease management, equipping them with tools to achieve and maintain optimal psychiatric and mental health.
  • Interacted with clinical staff and external resources such as school or community personnel.
  • Responded to crisis situations when severe mental health and behavioral issues arose.
  • Implemented behavior intervention plans to motivate and help clients reach highest potential.
11/2016 to 03/2019 Patient Access Representative Self Regional Healthcare | Greenwood, SC,
  • I am expected to work closely with clinical in communicating what needs to be done as far as patient registration.
  • In the triage area of the hospital I am required to identify and select the correct patient based on what the parent is giving me as far as name and date of birth.
  • I then am responsible for identifying if the patient has allergies so that clinical can identify what they need to specifically abide by.
  • With in the registration process i am then responsible to update demographics, emergency contacts, insurance, and preferred pharmacy to keep the hospitals records up to date.
  • It is very vital that I run insurance for the patient, not just so the hospital gets payment, but in the event there is no coverage for the patient for the date of service, we can see if there is any available options to help.
  • During the registration process I am responsible to retrieving consent forms for the hospital as well as being able to explain to the families in detail what they are signing.
  • After getting my consents if applicable I am responsible for collecting copays or deposits depending on the situation.
  • Depending on the family’s preference in language I use resources for employees in our translating system with either the phone or a “Marti”, but when the family prefers Spanish I typically translate for myself to get my consents and demos updated within the registration process.
  • All of these tasks are completed with in the RCHSD policies and procedures.
  • When needed I also train the new hires and help collaborate with co-workers in how to handle specific situations.
  • I work independently and am capable to reacting quickly to high stressful situations while giving exceptional customer service to patients and their families.
  • Upon completing my registration I documented what happened in the conversations with the families when applicable.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Helped protect providers and facility from legal liabilities by proactively assessing risks.
  • Scheduled and implemented patient admissions and discharges.
01/2016 to 09/2016 Patient Access Representative Self Regional Healthcare | Ninety Six, SC,
  • As an Access Representative in the Emergency Room, I am responsible for establishing the Emergency Room visit for all patients and for assigning the medical record when appropriate.
  • I take care of the accuracy of the billing process and make sure patient care is my number one priority.
  • I verify insurances of all sorts and even help care for patients with no insurance.
  • I register “Traumas” and “Codes” in a timely manner as the medics bring them in to help identify the patient so they can receive the right kind of care.
  • I also come into contact with patients in their rooms verifying demographics, updating personal information as well as getting signatures for paper work such as a consent for care form and a notice of privacy form.
  • After speaking with the patients I into our system (Eclipsys) which I am proficient in, and close out the account if needed to discharge.
  • I also collect copays and deposits for ER visits from $30.00- $1050.00.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Responded to patient concerns and inquiries professionally and efficiently.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Helped protect providers and facility from legal liabilities by proactively assessing risks.
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
Education and Training
Expected in 01/2023 Associate of Applied Science | Respiratory Therapy Pima Medical Institute, San Marcos, CA, GPA:
Activities and Honors

Receiving PAR (patient access representative) of the month nominated by co-workers and management.

Certifications
  • Licensed Registered Behavioral Therapist - April 2019
  • Certified Applied Behavioral Technician Centria Healthcare- May 2019
  • Hospital Presumptive Eligibility (HPE MCAL) , Rady Children's Hospital- December 2016

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Resume Overview

School Attended
  • Pima Medical Institute
Job Titles Held:
  • Patient Access Representative
  • Behavioral Therapist
  • Patient Access Representative
  • Patient Access Representative
Degrees
  • Associate of Applied Science