SEARCH

Patient Access Representative III Resume Example

Resume Score: 65%

Love this resume? Build Your Own Now
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
    Build Your Own Now

    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 ,

    Advertisement

    Similar Resumes

    View All

    PATIENT ACCESS REPRESENTATIVE III

    HUNGTINGTON MEMORIAL HOSPITAL

    Los Angeles, California

    Posted 2047 days ago