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Patient Access Representative Sr Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Motivated to support patient medical needs by efficiently verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, a strong attention to detail and a positive and upbeat mentality. Advanced abilities in MS4, Experian, Cerner, Excel and Word.

Skills
  • Regulatory compliance
  • Insurance company knowledgeable
  • Appointment scheduling
  • Payment processing
  • Appointment confirmation
  • Relationship building
  • Flexible
  • Active listening
  • Teambuilding
  • Computer skills
Experience
Patient Access Representative Sr, 12/2020 to Current
Virginia Commonwealth University Health System South Hill, VA,
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Assembled registration paperwork and placed identification bands on patient.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Documented and managed patient information using MS4, Cerner, Experian, Excel, and Word.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Verified demographics and insurance information to register patients in computer system.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Checked daily doctor schedules and verified insurance.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Scheduled patient appointment and procedures with Cerner.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Patient Access Representative Sr, 06/2018 to 02/2020
Virginia Commonwealth University Health System Tappahannock, VA,
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Assembled registration paperwork and placed identification bands on patient.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Documented and managed patient information using MS4, Cerner, Experian, Excel and Word.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Verified demographics and insurance information to register patients in computer system.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Checked daily doctor schedules and verified insurance.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Ran statements each month to review outstanding balances and identify accounts in need of collection processing.
  • Scheduled patient appointment and procedures with Cerner.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Patient Access Representative, 10/2015 to 06/2018
Mass Eye And Ear Providence, RI,
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Verified demographics and insurance information to register patients in computer system.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Assembled registration paperwork and placed identification bands on patient.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Documented and managed patient information using MS4, Cerner, Experian, Excel and Word.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Checked daily doctor schedules and verified insurance.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Ran statements each month to review outstanding balances and identify accounts in need of collection processing.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Scheduled patient appointment and procedures with Cerner.
General Manager, 02/2008 to 12/2013
Wyndham Worldwide Pittsburgh, PA,
  • Directed safety operations and maintained clean work environment to adhere to FDA and OSHA requirements.
  • Maximized time and manpower by consolidating data, payroll and accounting programs into one centralized system.
  • Diminished financial discrepancies by monitoring quotes, production and material planning and bank reconciliations.
  • Liaised with cross-functional teams to develop product positioning strategies.
  • Facilitated monthly workshops to share best practices to optimize productivity.
  • Built and maintained loyal, long-term customer relationships through effective account management.
  • Oversaw all corporate communications to streamline data and information sharing initiatives.
  • Delivered exceptional client experiences through hands-on leadership of associates and managers.
  • Coached and developed 3 internal candidates for promotion to general management.
  • Designed sales and service strategies to improve revenue and retention.
  • Trained, managed and motivated employees to promote professional skill development.
  • Established clear performance goals and metrics for revenue, P&L, customer service and customer retention.
  • Trained over 25 employees on business principles, best practices, protocol and system usage.
  • Participated in organizational transformation and implementation activities to monitor corporate restructures.
  • Enhanced operational performance by developing effective business strategies, systems and procedures.
  • Managed and improved requirements, gaps analysis, training and development and new program rollout resulting in [Result].
Education and Training
Associate of Applied Science: Paralegal Studies, Expected in 05/2018
to
Maricopa Community Colleges - Rio Salado Community College - Tempe, AZ
GPA:
High School Diploma: , Expected in 05/2008
to
Buena High School - Sierra Vista, AZ
GPA:

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Resume Overview

School Attended
  • Maricopa Community Colleges - Rio Salado Community College
  • Buena High School
Job Titles Held:
  • Patient Access Representative Sr
  • Patient Access Representative Sr
  • Patient Access Representative
  • General Manager
Degrees
  • Associate of Applied Science
  • High School Diploma

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