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patient access representative ii resume example with 9+ years of experience

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

Career driven professional actively seeking healthcare career opportunities within an organization promoting positive workplace culture, innovation, continued education, professional growth and development. Equipped with the knowledge, skills, experience and capabilities to exceed the expectations of all stakeholders.

Skills
  • Data analysis/abstraction
  • DRG assignment
  • EMR Software
  • ICD-10/ CPT/HCSPC
  • Ambulatory Surg./ EC Coding
  • OP/IP, Facility/PROFEE, and RAD
  • Time/ Productivity management
  • Claims/Chart analysis
  • Chart Reconciliation
  • Regulatory/Guideline CPL.
  • Critical and Analytical thinking
  • NCCI Edits, OPPS, and CMS
  • Various Payor Group Knowledge
  • Extensive Anatomy Knowledge
  • Technical and Leadership skills
Work History
11/2019 to Current Patient Access Representative II Tenet Healthcare Corporation | Williston, ND,
  • Manage work queue, answer high volume in-bound calls pertaining to reconciliation of delinquent accounts, effectively access phone queues to ensure minimum dropped calls
  • Located, checked in and pulled medical records for patient appointments and incomplete charts.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Utilize Allscripts and Centricity systems to manage and confirm patient data, such as insurance, demographic and medical history information
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
09/2019 to 11/2019 Remote Patient Communication Spc. University Of Chicago Medical Center | New Lenox, IL,
  • Researched relevant resources to assist members as needed, identified member representation needs, and trouble-shot next steps to provide optimal support for member
  • Collected complete and accurate financial including consent data during new patient intake and registration
  • Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes
  • Contributed substantially to successful department Joint Commission accreditation by consistently operating to highest standards of care
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Verified vendor accounts by reconciling monthly statements and related transactions.
04/2014 to 07/2019 Patient Access Specialist Us Oncology, Inc. | Portland, OR,
  • Conflict resolution
  • Utilized various EMR Software (Epic, Cerner, Care, etc..)
  • Compiled and reviewed medical charts.
  • Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
  • Interprets and coordinates physician ordering ensuring daily accuracy
  • Collected and validated patient demographics and insurance information.
  • Performed patient pre-admission, admission, transfer and discharge activities.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Prepared patient identification band and completed admissions papers.
  • Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
  • Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes.
  • Assisted patients in filling out check-in and payment paperwork.
02/2012 to 04/2014 Patient Service Coordinator The University Of Texas MD Anderson Cancer Center | City, STATE,
  • Inputted accurate patient insurance, billing and payment information utilizing EMR software
  • Checked claims for errors, corrected discrepancies and resubmitted for maximum reimbursement
  • Ran daily credit card batches and balanced deposits, maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status
  • Verified signatures and checked medical charts for accuracy and completion
  • Documented activities and recorded information in various EMR/EHR systems
  • Maintained current accounts through aged revenue reporting
  • Liaised between patients, insurance companies and billing office
  • Provided diversified services, including hospital switchboard, clinic after-hours answering service and patient scheduling
Education
Expected in 06/2019 to to MED. CODING CERT | HIT AM. ACAD. of Coding Professionals, Houston, TX, GPA:
Expected in 05/2019 to to Associate of Applied Science | Bus. Administration/Management Lone Star College System, Spring, TX GPA:
  • Member of Phi Theta Kappa
  • Member of INTL. Honor Society
  • Graduated Magna Cum Laude
  • President's List-2016,2017,2018
Expected in 05/2019 to to Business Operation Certification | Business Management Lone Star College System, Spring, TX GPA:
Certifications

Certified Professional Coder

AAPC MEMBER#:01714441

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Resume Overview

School Attended

  • AM. ACAD. of Coding Professionals
  • Lone Star College System
  • Lone Star College System

Job Titles Held:

  • Patient Access Representative II
  • Remote Patient Communication Spc.
  • Patient Access Specialist
  • Patient Service Coordinator

Degrees

  • MED. CODING CERT
  • Associate of Applied Science
  • Business Operation Certification

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