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Patient Access Representative Resume Example

Resume Score: 80%

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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
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

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

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