PATIENT ACCESS REPRESENTATIVE III Resume Example
Responsibility of collecting patients' demographic, employer's and health insurance information. Verification of health insurance eligibility and coverage. Ensuring the collection and scanning of patients' documents. Searching for patients' medical group as well as primary care physicians for previous medical history and relevance to the patients' visit. For workmen's compensation patients, employer is contacted via telephone to obtain employer's demographics, workmen's compensation insurance information and release work status of the patient upon request.
Preparing patients' pertinent information for transferring facilities and ensure accurate accepting facility and location. Ensure that correct information is collected for trauma patients and expedite the same for surgical operating room and hospitalization. Collect emergency room co-payments and deposits whenever applicable.
Responsible for processing pre-admissions for urgent hospitalization referred by physicians or near by urgent care facilities, maternity, surgery, and timely notification to bed coordinator for room assignments by phone or tele-tracking system. Also the processing of ancillary services such as: laboratory specimens; x-rays; computer tomography scans and magnetic resonance imaging.
Ensure correct data entry information for hospitalized patients such as admitting and attending physicians to have priviledge to treat at the hospital; patients are admitted with the correct diagnoses; correct medical type and services; ensure to scan and send physician's orders to the appropriate unit.
Responsible for prompt notification of hospitalization of patients' to medical group to obtain HMO authorization, Notification of physicians' to admit and attending; and notification to corresponding health insurance of patients' hospitalization via telephone and facsimile.
Assist physicians, nurses, social workers as Spanish - English interpreter whenever needed.
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Customer Care:
* Explain in detail to Spanish speaking patients of their health insurance eligibilities, coverage and restrictions, and assist them when they require information of their health status, hospitalization and after care instructions.
Policy Development:
* Helped by flow charting and helped implementing a scheduling system for higher number of patient treated, and better quality time for each patient with physician.
Implementation:
* Implemented a better system which reduced scheduling time and registration. Implemented an out-patient registration system and procedure.
Compliance:
* Maintained compliance with regulatory standards indicated in the Policy and Procedure Manual.
Collect patients' demographic and insurance information. Verify insurance eligibility and coverage. Ensure to collect and scan patients' documentation. Obtain or search for patients' medical group and primary care physicians. Collect patients' pertinent information for transferring facilities and ensure health insurance eligibility for prompt billing. Obtain or follow-up in collecting correct information for trauma patients and expedite the same for surgical operating room and hospitalization. Expedite the admission process for patients referred by physicians or nearby urgent cares for hospitalization, ancillary and surgical procedures. Notify hospital bed coordinator of incoming admission via teletracking, and upon patient's arrival, promptly notify the admitting physician of patient's arrival to the corresponding medical unit.
Pre-admit maternity patients and upon admission, immediately pre-admit newborn. English - Spanish translations for patients, nurses and physicians upon request.
Obtained demographic, employer, and insurance information from patients in the emergency room. Collected co-payments for emergency out-patient services and deposits for hospitalization when applicable. Admitted patients for emergency hospitalizations. Notified and requested emergency hospitalization authorizations for HMO patients. Expedited documentation for patients' transfers to designated hospital upon HMO gatekeeper request. Collected deposit from International self-pay patients. Implemented Registration-Admission coordination for prompt access to medical treatment or preparation. Collaborated in the implementation of out-patient registration procedure in the Steven Spielberg building. English-Spanish translation for physicians, nurses and patients upon request.
Collected patients' demographic, parent's information as well as employer's. Collected and verified health insurance information and eligibility. Collected medical services co-payment as indicated by health insurance. Expedited HMO authorization request for emergency treatment.
Improved registration by coordinating the access of patients' health screening and prompt communication with HMO Primary Care Physician for all emergency registrations. Implemented a better access to pertinent patients information for medical screening and prompt registration and medical treatment. English-Spanish translation for parents, nurses, physicians and social workers upon request.
Collected patient's demographic, employer and health insurance information. Front office registration and back office discharge. Scheduled following visits. Implemented a better method of scheduling which increased physician to patient quality time. Implemented registration process which accelerated scheduling and registration process.
COMPUTER OPERATING SYSTEMS
OPERATIONAL SKILLS:
DOSVSE with POWER; VMSP; VMDOS; CMS; MPE V.0.
HARDWARE:
Console Memorex 3278; HP 300; Disk Drive IBM 3350;
Tape Drive IBM 34; Card Reader IBM 2540; CPU IBM 4341;
Printer IBM 103; HP 1000; Xerox Copy Machines; Scanners and Facsimile Machines.
SOFTWARE: DOSCSE Concepts; POWER JECL; DOS JCL and
OS JCL Utilities; JES2JES3; CICS Applications
Coursework in Medical Records and Medical Transcription.
Coursework in Chemistry, Physics and Mathematics.
Focus in completing pre-requisite to transfer to a higher learning institution.
Medical Records and Medical Transcription - Diploma
Computer Operation and Management - Diploma
None
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Resume Overview
School Attended
- COMPUTER LEARNING CENTER LOS ANGELES
- ABRAM FRIEDMAN OCCUPATIONAL CENTER
- LOS ANGELES CITY COLLEGE
Job Titles Held:
- PATIENT ACCESS REPRESENTATIVE III
- MEDICAL REGISTRATION CLERK
Degrees
- Associate of Science : COMPUTER OPERATIONS AND MANAGEMENT 1988
MEDICAL RECORDS AND TRANSCRIPTION 1984
Associate of Science : LOWER DIVISION CHEMICAL ENGINEERING
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