Patient Access Representative Resume Example Mary Black Health System

PATIENT ACCESS REPRESENTATIVE

Professional Summary

Accomplished and energetic Patient Access Representative with a solid history of achievement in providing admission and registration services to patients in a polite and courteous manner. Proficient in interviewing patients and families and gathering complete and exact data to complete the admission and registration process. Demonstrated ability to respond and resolve all kinds of inquiries and concerns.Motivated leader with strong organization skills and prioritization abilities. Helpful Patient Service

Representative with 7 years of experience. Adept at collecting patient information, maintaining efficient office and coordinating with medical professionals. Extensive knowledge of Medical Billing and coding .

Skills

Customer and Personal Service Clerical
Active Listening Coordination
Social Perceptiveness Computers and Electronics
Critical Thinking Time Management
Judgment and Decision Making Management of Personnel
Resources
Administration and Management
Administrative
Benefits
Clerical
CPT
Credit
Critical Thinking
Customer service
Decision Making
Electronics

Financial
ICD-9& 10
Insurance
Listening
Medical terminology
Network
Personnel
Policies
Processes
Radiology
Scheduling
Script
Supervisor
Time Management
Fee Collection
Regulatory Compliance

Work History

01/2019 - 07/2019Patient Access Representative | Mary Black Health System - Spartanburg, SC

Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits
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
Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services
Received patient deductibles, co-pay amounts and [Type] and discussed options to satisfy remainder of patient financial obligations
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
Assisted patients in filling out check-in and payment paperwork
Generated monthly statements to check outstanding balances
Explained plans for treatment and payment options
Took co-payments and compiled daily financial records
Used [Software] to appointments.( Epic & Centricity )
Balanced deposits and credit card payments each day
Took copayments and compiled daily financial records

09/2016 - 12/2018Patient Access Representative | Spartanburg Regional Healthcare Systems - SPARTANBURG - Spartanburg, SC

Responsible for pre-registration of scheduled accounts, verifying insurance coverage, benefits, and obtaining pre-certification, referral or authorization as needed per insurance company requirements
Obtained complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments
Performed required pre-certification, credit referral or deposit collection
Entered data in computer and thoroughly documented any incomplete admissions/registrations in manner prescribed
Obtained pre-certification, referral or authorization number and updated patients' file
Gave demographic information to insurance companies and called physicians' offices if clinical information is needed for pre-certification and verified the information obtained
Notified patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction
Notified patients of co-payments, deductibles or deposits needed, when applicable, documenting all information in computer system
Completed compliance checker process in accordance with regulatory and Conifer guidelines
Maintained positive customer service at all times, referring unresolved issues to appropriate supervisor
Followed pre-established script and provided assistance to callers.Assisted with scheduling and bed management

08/2015 - 05/2016Patient Access Representative | ROBERT HALF OFFICE TEAM - SPARTANBURG, SC

Coordinated all ER and outpatient admission and registration processes Refer patients to appropriate health care services or resources
Explain policies, procedures, or services to patients using medical or administrative knowledge
Wide knowledge of insurance-plan codes and managed care contract
Ability to ensures patients are aware of medical policies and procedures
Good knowledge of medical terminology
Resolve any problems that may affect the progression and efficacy of care plans
Good understanding of outpatient ICD-9& 10 codes, CPT, HCPC codes
Registered patients for the Emergency Room and the Clinics
Completed registration quickly and cordially for all new patients
Registrations for Lab and all Radiology Departments
Served as a liaison between patients and insurance providers, and responded to inquiries from both parties
Ensured HIPAA compliance

Education

2011SPARTANBURG COMMUNITY COLLEGE, Spartanburg, SCSome College (No Degree): CNA Certificate

BOILING SPRINGS HIGH SCHOOL, BOILING SPRINGS, SC

Resume Overview

Companies Worked For:

Mary Black Health System
Spartanburg Regional Healthcare Systems - SPARTANBURG
ROBERT HALF OFFICE TEAM

School Attended

SPARTANBURG COMMUNITY COLLEGE
BOILING SPRINGS HIGH SCHOOL

Job Titles Held:

Patient Access Representative

Degrees

Some College (No Degree) : CNA Certificate

Patient Access Representative Resume Example

Resume Score: 80%

DISCLAIMER

Resume Overview

Create a job alert for [job role title] at [location].

Similar Resumes