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patient access representative resume example with 10+ years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Professional Summary

Organized Patient Service Representative with 10 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.

Skills
  • Bilingual (english/spanish)
  • Appointment Scheduling
  • Insurance Knowledge
  • Scheduling
  • Patient Care
  • Patient Assistance
  • Appointment Setting
Work History
02/2020 to Current Patient Access Representative Mary Bird Perkins Cancer Center | Gonzales, LA,
  • Scheduling and registering patients for appointments within the University of Miami Health System
  • Provide general information about University of Miami Health System services to patients and community health care providers.
  • Provide support to University of Miami Health System departments and clinics for information inquiries and problem resolution.
  • Maintain direct communication with providers and staff in the Medical Center and Satellite Offices.
  • Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
  • Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
  • Ensure that the appropriate appointment and registration information is documented at time of scheduling.
  • Adhere to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards.
  • Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality.\
  • Provide patients with all required information regarding appointments and payment policies (e.g. parking, cash policies, anticipated charges, required ancillary services, cancellation policy).
  • Assure patient registration demographic and insurance information is accurate, complete and up to date.
  • Initiate pre-registration process and coordinate with the Central Insurance Verification and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment.
  • Provide verification of enrollment and deductible status for persons enrolled in the School's special contract programs.
  • Notify patients of their financial responsibility prior to visits for costly ancillary tests or surgical procedures.
  • Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
  • Verification of private patient insurance information for same day appointments or by request. This includes:
  • Verification of insurance information, verification of benefits and insurance referral information.
  • Assurance all demographic insurance information is accurate, complete and up to date on patient’s screen.
  • Contact insurance company through telephone; inquire about patient information and benefits.
  • Inquire via insurance companies and HMO’s about referral, authorization information and letters.
  • Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care. Assist in identifying trouble spots and problem patterns in the provision of care.
  • Intercede for the patient as needed to obtain prompt, efficient, effective care (e.g. medical explanations, reduced waiting, billing inquiries, cost estimates)..
  • Performs all above-mentioned tasks by paying attention to detail and providing excellent customer service skills with Patients, Physicians and other related members by following the Standard of Excellence and Accountability policy mandated by the University of Miami Miller School of Medicine.
11/2015 to 01/2020 Appointment Clerk Starkey Inc. | Wichita, KS,
  • Handled complaints and questions, and re-directed calls to other team members as appropriate.
  • Acted as first point of contact and set appointments for prospective clients.
  • Set appointments with customers based on individual convenience.
  • Documented all calls and inquiries in computer system.
  • Scheduled and confirmed appointments
11/2010 to 11/2015 Customer Service Representative Walman Optical Company | Saint Paul, MN,
  • Monitored self-checkout systems and provided assistance or intervention where required.
  • Restocked, arranged and organized merchandise in front lanes to drive product sales.
  • Monitored areas for security issues and safety hazards.
  • Quickly and accurately counted drawers at start and end of each shift.
  • Trained, mentored and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.
  • Performed store opening, closing and shift change actions, including completing accurate shift change logs, to keep operations efficient and current.
  • Worked extra shifts during busy periods and covered for call-in employees to maintain service levels.
  • Maintained stock within optimal levels to meet expected customer and sales levels.
  • Helped customers complete purchases, locate items and join reward programs to promote loyalty, satisfaction and sales numbers.
Education
Expected in 06/2018 to to High School Diploma | Eugenio Espejo, Ecuador, GPA:

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Resume Overview

School Attended

  • Eugenio Espejo

Job Titles Held:

  • Patient Access Representative
  • Appointment Clerk
  • Customer Service Representative

Degrees

  • High School Diploma

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