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patient access representative resume example with 7+ years of experience

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

Efficient Patient Service Representative with 8 years of experience working in different types of offices. Extensive knowledge of medical record organization and patient advocacy. Successful at helping patients through every step of the healthcare process. Adaptable and driven with strong work ethic and ability to thrive in team-based or individually motivated settings.

Skills
  • Insurance company knowledgeable
  • Medical billing
  • Supervision
  • Organizational skills
  • Friendly, positive attitude
  • Computer skills
  • Troubleshooting
  • Medical filing
  • Appointment confirmation
  • Appointment scheduling
  • Payment processing
  • Regulatory compliance
  • HIPAA compliance
  • Understands medical procedures
  • Customer Service
  • Data entry
  • Bilingual in Spanish
Education and Training
APPC Fort Worth, TX, Expected in Certified Professional Coder : CPC Certification - GPA :

Currently working on certification

Kaplan College Fort Worth, TX, Expected in 10/2013 Nationally Registered Certified Coding Specialist (NRCCS) : - GPA :
Success High School Fort Worth, TX, Expected in 05/2007 High School Diploma : - GPA :
Experience
Medical Clinic Of Houston - Patient Access Representative
Houston, TX, 07/2019 - Current
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • 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.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Documented and managed patient information using NextGen.
  • Scheduled patient appointment and procedures with NextGen, Myhealthteam, Myhealthdirect .
  • Reduced process gaps by effectively training new hires on best practices and protocols.
  • Trained newly hired top talent to fill key positions and maximize productivity.
  • Proactively identified and solved complex problems related to employee training, management and business direction.
  • Identified areas of concern uncovered during training sessions and suggested methods to reduce risk.
  • Tested trainees on materials to determine levels of understanding and areas requiring further instruction.
  • Developed and coordinated trainings to help individuals learn company policies and procedures and job tasks.
  • Delivered in-depth, valuable training sessions to 4 employees both in-person and via teleconferencing systems.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Verified demographics and insurance information to register patients in computer system.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Assembled registration paperwork and placed identification bands on patient.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Checked daily doctor schedules and verified insurance.
George Mason University - Office Assistant
Fairfax, VA, 09/2017 - 05/2019
  • Patient registration and check in.
  • Medical records (requesting/releasing).
  • HST set up downloads.
  • Verified operation of office equipment by completing preventive maintenance requirements and calling for repairs.
  • Received and screened high volume of internal and external communications.
  • Routed agreements, contracts and invoices through signature process.
  • Collected payments, issued receipts and updated accounts to reflect new balances.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Updated group medical records and technical library to support smooth office operations.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Compiled physical and digital documents, charts and reports to meet business and patient need.
  • Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Informed patients of financial responsibilities prior to rendering services.
  • Collected information, verified insurance and collected co-payments for average of 50 patients each day.
  • Scheduled appointments by telephone or in person.
  • Gathered patient records for provider.
  • Greeted approximately 50 patients daily by telephone, email or in person.
  • Coordinated patient appointments, maintained files and received incoming phone calls.
  • Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
  • Registered patients and scheduled appointments.
  • Assisted with referrals and prepared medical records for patients.
  • Successfully managed receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
  • Scheduled and confirmed appointments, organized files and answered phones.
Common Spirit - Referral Authorization Specialist
Columbus, IN, 01/2015 - 05/2017
  • Correctly identify and update patient information.
  • Patient registration and check in.
  • Verification of benefits and authorization obtained.
  • Contacting of patients for (updates, scheduling, appointment reminders.
  • Etc.).
  • Coordination of patient care through providers.
  • Maintained scheduling of providers depending on their schedule.
  • Point of reference for providers on referrals.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support.
  • Called applicants to set up appointments and explain benefits processes.
  • Analyzed information from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to assess clients' abilities, needs and eligibility for services.
  • Reviewed criteria for different aid programs to determine eligibility for various applicants.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Identified possible issues with credit systems and monitoring by streamlining processes ahead of time.
  • Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Compiled physical and digital documents, charts and reports to meet business and patient need.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Prepared and sent financial statements to support bookkeeping functions.
  • Updated group medical records and technical library to support smooth office operations.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Delivered high-quality administrative and customer service to sustain patient and work flows.
  • Informed patients of financial responsibilities prior to rendering services.
  • Handled all office supply ordering including ink cartridges, toner and paper
  • Set up appointments for physician visits and procedures using calendar software.
  • Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants.
  • Entered patient information including insurance, demographic and health history into the system to keep all records up-to-date
  • Took messages from patients and promptly relayed to appropriate staff.
  • Observed strict HIPAA guidelines at all times according to company policy.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Straightened up the waiting room so that it remained neat and organized.
  • Processed patient payments and scanned identification and insurance cards.
Wsp - Administrative Assistant
Rifle, CO, 08/2013 - 12/2014
  • Oversaw clinic administration, including financial management, recruitment and human resources.
  • Managed scheduling for staff, monitoring resource allocation to provide optimal coverage and service.
  • Directed customer communication to appropriate department personnel and offered information to resolve inquiries, boosting customer satisfaction.
  • Managed building access by supplying key cards to employees and visitors.
  • Conducted and initialized background checks for potential employees.
  • Tracked and submitted employee timesheets to accounting department for payroll processing.
  • Organized and maintained filing and document management systems by coordinating, archiving and purging files.
  • Reviewed and suggested improvements for diverse range of documentation, including interoffice correspondence, reports and presentations.
  • Developed administrative processes to achieve organizational objectives and improve office efficiency.
  • Maintained inventory in administrative building supply closet to prevent shortages of supplies.
  • Coordinated project materials by managing physical and digital files, monitoring spreadsheets and updating reports.
  • Collected, calculated and reported on expenditure and statistical data to inform senior management.
  • Greeted visitors or callers daily to handle inquiries or direct to appropriate persons.
  • Handled management of communication to executives by taking and making telephone calls, reviewing and prioritizing mail and composing and typing correspondence.
  • Verified operation of office equipment by completing preventive maintenance requirements and calling for repairs.
  • Prepared packages for shipment by generating invoices and setting up courier deliveries.
  • Initiated training and education programs for supporting healthcare staff.
  • Implemented new hire training to further develop skills and initiate discussions on task prioritization.

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Resume Overview

School Attended

  • APPC
  • Kaplan College
  • Success High School

Job Titles Held:

  • Patient Access Representative
  • Office Assistant
  • Referral Authorization Specialist
  • Administrative Assistant

Degrees

  • Certified Professional Coder
  • Nationally Registered Certified Coding Specialist (NRCCS)
  • High School Diploma

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