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Patient Access Representative Resume Example

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RM
PATIENT ACCESS REPRESENTATIVE
Summary

Efficient Patient Service Representative with over 9years of experience working in various hospital settings, extensive training in the ED. Extensive knowledge of medical record organization and patient advocacy. Successful at helping patients through every step of the healthcare process.

Skills
  • Regulatory compliance
  • Appointment scheduling
  • Payment processing
  • Insurance company knowledgeable
  • Recording histories
  • Medical billing
  • Sterilization procedures
  • Medical filing
  • Patient interviewing skills
  • Appointment confirmation
  • Problem resolution
  • Team building
  • Project organization
  • Team management
  • MS Office
  • Customer service
  • Communications
  • Organization
  • Planning and coordination
  • Supervision
  • Administrative support
  • Relationship development
  • Inventory management
  • Business operations
  • First Aid/CPR
Experience
Partners Healthcare System | Concord , MAPatient Access Representative07/2018 - 10/2019
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Verified demographics and insurance information to register patients in computer system.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Assembled registration paperwork and placed identification bands on patient.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Checked claims for errors, corrected issues and mailed out promptly.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Checked daily doctor schedules and verified insurance.
  • Worked closely with ED staff to provide continued comfort and care to patients and their families.
  • Worked closely with EMS services to provide and obtain up-to-date demographine and insurance information.
Partners Healthcare System | Amherst , MAPatient Access Representative11/2014 - 06/2015
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Checked claims for errors, corrected issues and mailed out promptly.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Assembled registration paperwork and placed identification bands on patient.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • 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.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Worked closely with ED staff to ensure patient safety, health, comfort, and care.
Partners Healthcare System | Pembroke , MAPatient Access Representative11/2011 - 03/2012
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Verified demographics and insurance information to register patients in computer system.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Assembled registration paperwork and placed identification bands on patient.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Checked daily doctor schedules and verified insurance.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
Education and Training
West High School | City, StateHigh School Diploma05/2008
Pellissippi State Community College | City, StateSome College (No Degree)
North Georgia College & State University | City, StateSome College (No Degree)
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Howthis resume score could be improved?

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79Average
Resume Strength
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Resume Overview

School Attended

  • West High School
  • Pellissippi State Community College
  • North Georgia College & State University

Job Titles Held:

  • Patient Access Representative

Degrees

  • High School Diploma
    Some College (No Degree)
    Some College (No Degree)

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