Organized Patient Access Representative with over 20 years experience in a hospital setting. Advanced knowledge of all insurance processes at verifying insurance coverage, pre-authorization, billing and collection procedures. Patient-oriented with strong attention to detail, professional telephone etiquette and organization skills with the ability to readily adapt to changing environments and demands.
Exceptional interpersonal communication
Independent judgment and decision making
Insurance and collections procedures
Billing and collection procedures
Knowledge of CPT, ICD-9/10 codes
Type 50 Wpm
Effective problem solver
Adherence to high customer service standards
Word and Excel
Quality improvement competency
Resourceful and reliable worker
Patient Access Representative III, 02/2014 to 05/2015 Hilo Medical Center – Hilo, Hawaii
Performed complex billing and collection duties, determine credit status, arranged for payment for
self-pay and for all insured patients estimated portions.
Verify insurance benefits, obtain prior authorizations and for scheduled procedures.
Assist with registering walk-in, Outpatient and Emergency room patients.
Assisted in the maintenance of medical charts and/or electronic medical records.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Precisely completed appropriate claims paperwork, documentation and system entry.
Prepared patient charts, pre-admissions and consent forms as necessary.
Assisted coverage for PBX operator when needed.
Patient Access Supervisor, 10/1999 to 04/2013 Sierra Vista Regional Medical Center – San Luis Obispo, CA
Responsible for overall supervision and daily operations of all Admitting/Registration and PBX.
Registered patients and/or provided coverage as needed.
Liaison between physicians, office staff, community, Business Office, Administration, hospital staff and
the Registration Departments.
In conjunction with the Patient Access Director, ensures adherence to hospital financial and admitting