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patient access representative resume example with 5+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Knowledgeable and compassionate Patient Access Representative and back office management experience with 6-year track record of successfully handling busy medical office tasks to serve diverse populations. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance claims. Familiar with medical and clinical terminology coupled with Epic software.

Skills
  • Skills
  • ICD-9 Coding Experience
  • Epic Systems
  • Medical Billing Processing
  • Patient Medical Records Maintenance
  • Medical History Recording
  • Clerical Functions
  • Patient Data Coding
  • Medical Transcription
  • Past Due Account Management
  • Demographics Information
  • Protected Health Information
  • Multitasking and Organization
  • Post-Discharge Care Coordination
  • Problem-Solving
  • Financial Procedures Adherence
  • Customer Service
  • Insurance Company Knowledgeable
  • Documenting and Recording Information
  • Registration and Scheduling
  • Helpful and Service-Oriented
  • Patient Needs Assessment and Referral
  • Data Entry Skills
  • Administrative and Office Support
  • Gathering Information from Patients
  • Appointment Scheduling
  • Payment Processing
  • Medical Terminology
Experience
Patient Access Representative, 11/2018 - 05/2019
St Luke's University Health Network Tamaqua, PA,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Assembled registration paperwork and placed identification bands on patient.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
  • Optimized provider time and treatment room utilization with appropriate appointment scheduling.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Explained policies, procedures and services to patients.
  • Collaborated with clinical and administrative staff to meet patient needs.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Intake Rep, 05/2008 - 03/2011
I/Health Net Federal Services City, STATE,
  • Enter specific data/information from physicians' requests into a medical management authorization system, achieving required production quota/quality standards
  • Adaptation is vital, although you are working in a singular environment, your quota/quality standards are a team effort.
  • Validating patient and medical provider demographic information including correcting referrals and authorizations provided by all physicians per necessity.
  • Thorough research of the patient’s medical provider by specialty, determining status and eligibility, assuring it’s on the appropriate path.
  • Made sure contractual guidelines for urgent or standard referrals and authorizations is met for timeliness standards.
  • Calling patient’s and different providers when necessary to update authorization or referral and notating all changes made in patient’s chart.
  • Preparing correspondence in business letter format for patients.
  • I received several awards for overtime, exceeding in quota/quality and customer service care.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Compiled and coded patient information or data in appropriate computer system.
  • Communicated with patients with compassion while keeping medical information private.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Transcribed recorded practitioners' diagnoses and recommendations into medical records.
  • Bonuses succeeding in both individual and team quota/quality standards.
Office Manager/Backs, 12/2005 - 05/2008
Motion ChiroSpa City, STATE,
  • Opened a doctor/spa office.
  • Managed the office.
  • Roomed the patients.
  • Helped market the complete spa with a Chiropractor, Esthetician, Permanent Make-up artist and two Massage Therapists.
  • Taught myself the new software and ran all five of their appointment scheduling.
  • Trained the doctor and later two other assistants on software and procedures I created.
  • Worked as the doctors’ assistant as well, rooming patients, working the TENS Units, sonogram and other aftercare medical equipment.
  • Managed office inventory and placed new supply orders.
  • Monitored payments due from clients and promptly contacted clients with past due payments.
  • Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
  • Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
  • Reviewed files and records to obtain information and respond to requests from lawyers, patients, and providers.
  • Used judgment and initiative in handling confidential matters and requests.
  • Coded and entered daily invoices with in-house accounting software.
  • Implemented and maintained company protocols to facilitate smooth daily activities.
  • Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
  • Interpreted and communicated work procedures and company policies to staff.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Delegated work to staff, setting priorities and goals.
  • Recruited and trained new employees to meet job requirements.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
  • Created and maintained medical records.
  • Communicated with insurance companies for deductible, co-pays, co-deductibles, lawyers and other providers.
  • Prepared personal injury cases.
  • Posted payments, checked and submitted insurance for claims, and electronic health records.
  • Created records, some patients having a variety of insured cases. i.e. private insurance as well as personal injury with car insurance cases, at the same time.
Education and Training
Certificate In Medical Billing & Coding: Billing & Coding , Expected in 05/2006
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Herzing College - Milwaukee, WI
GPA:
Status -
  • 2006 - Dean's List
: , Expected in 01/0001
-
Heald College - Salinas, CA
GPA:
Status -
Accomplishments
  • Recognized as Employee of the year for outstanding overtime performance and team contributions. Exceeding 800 hours of overtime to help the company renew their military contract.
  • Helped create a policy and procedures book for a brand new office.
  • Created a step by step training book on how to check patients in and out with Epic.
  • Became an Indie author and created a fiction trilogy published on Amazon.
  • Learned to do research on the web, put together a website for my author pen name. Threw myself out there for promotions and public relations work, and to challenge myself in running this type of business.
Languages
Spanish :
Professional:
Negotiated :
:

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Resume Overview

School Attended

  • Herzing College
  • Heald College

Job Titles Held:

  • Patient Access Representative
  • Intake Rep
  • Office Manager/Backs

Degrees

  • Certificate In Medical Billing & Coding

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