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Patient Access Specialist Resume Example

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JE
PATIENT ACCESS SPECIALIST
Summary

Hands-on individual boasting a career spent managing administrative tasks in fast-paced offices with relative ease. A well-trained Insurance Verification Specialist offering a background in contacting insurance companies for critical information and crafting patient documents for billing purposes.

Skills
  • Insurance information collection
  • Authorization verification
  • Patient scheduling
  • Co-payment collection
  • Customer service
  • Insurance terminology
  • Insurance plan verification
  • Organization
  • Communications
  • Planning and coordination
  • Problem resolution
  • Medicaid knowledge
Experience
Alliance Community Hospital | Navarre , OHPatient Access Specialist07/2019 - Current
  • Called insurance companies and verified patient coverage.
  • Scheduled patient appointment and procedures with Paragon.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • 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.
  • Improved operations by working with team members and customers to find workable solutions.
  • Recognized by management for providing exceptional customer service.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Earned reputation for good attendance and hard work.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Res-Care, Inc. | Key Largo , FLInsurance Verification Specialist12/2010 - 06/2018
  • Obtained authorizations for surgical patients
  • Entered patients into medical programs (Carecloud, EMA, Comulink)
  • Collected and posted payments for clinical and surgical patients
  • Answered phone calls and answered insurance questions for patients and employees
  • Corrected and refiled insurance claims
  • Handled billing related activities focused on medical specialties.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Improved operations by working with team members and customers to find workable solutions.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Recognized by management for providing exceptional customer service.
  • Earned reputation for good attendance and hard work.
Brigham And Women's Hospital | Lynn , MAMedical Assistant05/2009 - 09/2010
  • Recorded vital signs and medical history for 30 patients each day.
  • Maintained and calibrated lab instruments and equipment.
  • Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.
  • Contributed to efficient office operations by triaging patients by severity of medical complaint.
  • Promoted continuity of care by accurately and completely communicating patient status to fellow caregivers.
  • Furnished necessary supplies, support and assistance to medical staff and patients for unit specific procedures.
  • Kept facility stocked with necessary supplies, equipment and instruments.
  • Obtained and recorded patient vital signs; escorted patients to examination rooms and documented medical histories.
  • Resolved and clarified issues with patient medications and collaborated with local pharmacies.
  • Communicated with patients by phone and via written correspondence.
  • Coordinated and executed proper medical waste disposal.
  • Improved patient care and daily task efficiency resulting in smoother operations.
  • Performed routine tests such as urine dip stick, vision and hearing tests.
  • Secured patient information and maintained patient confidence by completing and safeguarding medical records.
  • Sterilized medical equipment after each procedure.
  • Positioned patients for optimal comfort before procedures.
  • Performed preliminary physical tests, such as taking blood pressure, weight and temperature, accurately recording results in patient history summary.
  • Assisted physicians in providing care to infants, children and adolescents.
  • Maintained clean and organized work area with adequate supplies and reagents.
  • Assisted with technical treatments and entered information in patient records and charts.
  • Educated patients about medications, procedures and physician's instructions.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
  • Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
  • Contacted pharmacies to submit and refill patients' prescriptions.
Education and Training
Remington College | City, StateDiploma in Medical Assisting2002
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How this resume score could be improved?

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Resume Overview

School Attended

  • Remington College

Job Titles Held:

  • Patient Access Specialist
  • Insurance Verification Specialist
  • Medical Assistant

Degrees

  • Diploma in Medical Assisting

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