Patient Access Representative II Resume Example Scripps Health Care, ER/ Trauma

PATIENT ACCESS REPRESENTATIVE II

Summary

Highly-motivated community service professional skilled at networking, relationship development and analyzing community cultural, educational, social and demographic data to develop local programs. Flexible and versatile team player with excellent written and verbal communication skills, extraordinary attention to detail, creative and resourceful at quickly mastering new skills and processing new information. Diplomatic and highly personably with a desire to deliver exceptional customer service.

Highlights

Excellent interpersonal skills
Strong communicator
Culturally-sensitive
Certified Covered CA Enrollment worker
Certified ADAP/ OAHIPP Enrollment Worker

Detail-oriented
Fast learner
Skilled multi-tasker
Self-starter

Experience

Scripps Health Care, ER/ Trauma February 2012 to December 2015Patient Access Representative II
San Diego , CA

Verification of patient demographics, insurance eligibility and benefit coverage for all patients admitted to the hospital or elsewhere.
Ensure all patient registration and documentation is obtained and recorded, then sent to appropriate departments and facilities.
Perform account audits when needed, registration and triage of all walk-in and medic presented patients
Interpret and communicate patient financial responsibility to patient, explain hospital forms and protocols for treatment.
Knowledge of all appropriate protocols and procedures in the hospital and ER and of all forms and laws regarding paperwork signed by each patient for each visit.
Daily notification of out/in-network patient admissions and treatments to insurance companies, IPA and medical groups, use of all insurance websites and Passport One Source insurance database to verify and interpret patient insurance coverage and responsibility, use of Ecypsis and Centricity medial information programs to coordinate patient demographics and clinical treatments, use of Virtual Merchant to process patient co-pays and payments in the ER as well outpatient procedures.

The San Diego LGBT Community Center February 2013 to September 2015Database Manager, Behavioral Health Services
San Diego , CA

- review and maintenance of BHS database to ensure accuracy, consistency and timeliness of data

- upload and maintain client chart information into Kaleidacare

- assist therapists with maintenance of client information, assignments, closures and review therapist reports for accuracy

- improve reporting processes and update process directions

- maintenance of therapy rooms and daily room schedules

- bill outside organizations, organize departmental meetings and events

- train new employees in Kaleidacare and client information processes, provide office orientation

Sharp Rees - Stealy Medical Group, Urgent Care March 2010 to January 2012Business Service Representative
San Diego , CA

Update and verify patient demographics, insurance and benefit coverage and eligibility, ensure all appropriate paperwork and registration documentation is completed and filed into patient medical records
billing of patient visit charges and co-pays, basic triage of patients, patient registration with IDX, Centricity, Patient Secure, MPV and tracking board computer systems
Knowledge of other urgent care and community clinic facilities for patient reference, scheduling patient appointments in urgent care, occupational medicine, internal medicine and specialty offices, main reception for urgent care, verification of medical transmittal to pharmacies and patient authorization from outside medical groups
Maintain patient medical records including demographics, insurance, medical treatment and payment responsibilities for services.

UCSD Medical Center, Emergency MedicineJuly 2005 to November 2009Medical Administrative Assistant II
San Diego , CA

Preparation of check requests for patient refunds, monitor quarterly faculty attendance, circulate and compile emergency department rotation evaluations, use of Web Charts to complete patient charts and set up new accounts
maintain Ultrasound/ Radiology database, Toxicology on-call schedules, program coordinator for Undersea and Hyperbaric Medicine, Ultrasound Medicine and Medical Toxicology elective resident and fellow rotations, establish block schedules and evaluations in New Innovations, direct administrative support of Undersea and Hyperbaric Medicine department including journal clubs.
Coordination of special projects, meeting scheduling, medical staff privileges, licensure and reappointments, travel and reimbursements
provide direct administrative support for nine ED physicians including personal projects, research and individual program support.

Education

Grossmont College2008AA: Nursing El Cajon , CA

University of California, Chico BA: SociologyChico , CA

Sociology

Interests

Volunteer experience at Rady-Children's Hospital ER (2006-2008)

Volunteer experience at Planned Parenthood Clinics (2010)

Additional Information

Skills

administrative support, basic check, billing, Charts, database, documentation, emergency medicine, fax, financial responsibility, forms, insurance, internal medicine, network, preparation of patient, protocols, Radiology, receptionist, reception, research, scheduling, collecting urine, phone, triage, Ultrasound, Urgent Care, websites

Resume Overview

Companies Worked For:

Scripps Health Care, ER/ Trauma
The San Diego LGBT Community Center
Sharp Rees - Stealy Medical Group, Urgent Care
UCSD Medical Center, Emergency Medicine

School Attended

Grossmont College
University of California, Chico

Job Titles Held:

Patient Access Representative II
Database Manager, Behavioral Health Services
Business Service Representative
Medical Administrative Assistant II

Degrees

AA : Nursing
BA : Sociology

Patient Access Representative II Resume Example

Resume Score: 90%

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