Patient Access Representative III Resume Example Hilo Medical Center

PATIENT ACCESS REPRESENTATIVE III

Professional Summary

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.

Skills

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

Data Entry

Customer Service

Skilled trainer

Effective problem solver

Adherence to high customer service standards

Word and Excel

Quality improvement competency

Accomplished leader

Medical terminology

Resourceful and reliable worker

Work History

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 policies.
Monitored staff performance, attendance, payroll systems, and required Patient Access compliance metrics.
Prepared department staffing schedules.
Initiated policies and procedures relevant to the hospital registration process and staff; implemented new programs and procedures to improve services, operations and efficiency.
Participated in appropriate multi-disciplinary committee, revenue cycle, conduct interviews, completed probationary and yearly employee evaluations.
Adhered to all confidentiality requirements at all times.
Assumed ownership over team productivity and managed work flow to meet or exceed quality service goals.
Facilitated inter-departmental communication to effectively provide customer support.
Managed work flow to exceed quality service goals.
Trained staff on operating procedures and company services.
Strong leader of customer support staff.
Investigated and resolved customer inquiries and complaints in an empathetic manner.

Education

Associate of Arts: General Studies, Fresno City College -
General Studies

Resume Overview

Companies Worked For:

Hilo Medical Center
Sierra Vista Regional Medical Center

School Attended

Fresno City College

Job Titles Held:

Patient Access Representative III
Patient Access Supervisor

Degrees

Associate of Arts : General Studies ,

Patient Access Representative III Resume Example

Resume Score: 65%

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