Patient Access Specialist resume example with 16+ years of experience
JessicaClaire
, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Summary
Personable Patient Access Specialist who brings experience in balancing problematic administrative and clinical duties to achieve patient satisfaction. Proficient in EPIC and MS Office. Thorough understanding of medical registration process, insurance, multi modality imaging scheduling, and procedures to streamline patient experience.
Skills
Authorization verification
Solution implementation
Medical terminology expertise
Insurance information collection
Patient scheduling
Specialist referrals
Co-payment collection
Insurance company knowledgeable
Regulatory compliance
Payment processing
Appointment scheduling
Cross-discipline communication
Image-guided procedures
Safety procedures
EHR documentation
HIPAA standards
Time management
Collaboration
Computer skills
Critical thinking
Understands medical procedures
EPIC expertise
Organizational skills
Active listening
Communication
Friendly, positive attitude
Analytical
Experience
10/2020 to CurrentPatient Access SpecialistAssistrx | Boston, MA,
Called insurance companies and verified patient coverage.
Responded to patient concerns and inquiries professionally and efficiently.
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.
Verified demographics and insurance information to register patients in computer system.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Documented and managed patient information using EPIC.
Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
Scheduled patient appointment and procedures with EPIC.
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Coordinated between patients and healthcare professionals to meet patient needs.
Scheduled and confirmed patient appointments with patients and healthcare professionals.
Answered appointment calls to streamline office operations.
Completed clinical procedures and gathered patient data for interpretation by physician.
Coordinated services with medical and office staff to improve patient satisfaction, engagement and compassionate care.
Identified operational improvements to drive efficiency and quality of care.
Conducted patient interviews to gather health history, vital signs and information about current medical issues.
Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
Completed and submitted clinical documentation in accordance with agency guidelines.
Improved patient care and daily task efficiency resulting in smoother operations.
02/2018 to 10/2021Patient Access RepresentativeBoston Medical Center | Boston, MA,
Obtained necessary signatures for privacy laws and consent for treatment.
Verified demographics and insurance information to register patients in computer system.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Documented and managed patient information using EPIC.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Processed patient responsibility estimate determined by insurance at pre-registration.
Scheduled patient appointment and procedures with EPIC.
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.
Checked daily doctor schedules and verified insurance.
07/2010 to 11/2016Quality Assurance SpecialistWebstaurantstore | Aberdeen, MD,
Analyzed, created, and implemented company policies and procedures.
Consulted with management and personnel to educate on QA standards.
Collaborated with management to discuss effective plans for resolving major quality problems.
Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues.
Secured positive customer experiences while executing effective quality assurance practices.
Increased process improvement initiatives by troubleshooting problems for corrective action to boost functionality and workflow.
Avoided litigation and negative licensing reviews by managing confidential healthcare documentation to ensure 100% accuracy.
03/2004 to 07/2010Quality Assurance and Training SpecialistCommunity Reach Center | Broomfield, CO,
Facilitated training classes for all current and new hire staff members.
Created and implemented medical support plans and medical protocols/procedures.
Consulted with management and personnel to educate on QA standards.
Collaborated with management to discuss effective plans for resolving major quality problems.
Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues.
Secured positive customer experiences while executing effective quality assurance practices.
Increased process improvement initiatives by troubleshooting problems for corrective action to boost functionality and workflow.
Avoided litigation and negative licensing reviews by managing confidential healthcare documentation to ensure 100% accuracy.
Education
Expected in | Clackamas Community College, Oregon City, OR, GPA:
Expected in 06/1998High School Diploma | Colton High School, Colton, ORGPA:
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