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Patient Access Specialist Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records. Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Patient-focused patient access tech equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Flexible hard worker ready to learn and contribute to team success. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference.

Skills
  • Solution implementation
  • Co-payment collection
  • Insurance information collection
  • Authorization verification
  • Specialist referrals
  • Patient reimbursements
  • Medical terminology expertise
  • Patient scheduling
  • Insurance company knowledgeable
  • Payment processing
  • Regulatory compliance
  • Appointment scheduling
  • Sterilization procedures
  • Routing lab results
  • Appointment confirmation
  • Medical filing
  • Patient interviewing skills
  • Bookkeeping support
  • Medical billing
  • Recording histories
  • cpr certified
  • data entry
  • putting orders in for labs, xrays, ct, and
  • etc.
Experience
Patient Access Specialist, 12/2020 to Current
Boston Medical Center Boston, MA,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Responded to patient concerns and inquiries professionally and efficiently.
  • Assembled registration paperwork and placed identification bands on patient.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Called insurance companies and verified patient coverage.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Obtained health, financial and religious information from patients at time of admission.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Received and stored patients' valuables and other belongings, as requested.
  • Managed patient admissions and hospital discharges to various settings, including home care, rehabilitation or self-care.
  • Scheduled and implemented patient admissions and discharges.
  • Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Helped patients obtain health care services by setting up referrals.
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
  • Maintained knowledge of community services and resources and referred patients to appropriate organizations.
  • Explained policies, procedures and services to patients.
Pharmacy Technician, 10/2019 to 01/2021
Heartland Health Saint Joseph, MO,
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Interpreted and processed medication orders under supervision of pharmacist.
  • Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Transmitted claims to insurance companies for payment and reconciled EOBs.
  • Transmitted daily bulk orders to maintain inventory levels.
  • Prepared prescription transfers to other pharmacies.
  • Participated in prescription pharmaceutical and over-the-counter product inventory audits.
  • Improved drug inventory management procedures to reduce overhead and eliminate backorders or overstock.
  • Flagged potential drug interactions and allergies to prescribed medications for patients with different health conditions.
  • Used 8-point check system to verify labeled prescriptions.
  • Cross-promoted supplement and nutritional products to maximize add-on sales.
  • Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
  • Maintained clean and organized pharmacy shelving and work areas.
  • Verified patients' identities at pickup to prevent sale of wrong medications.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information.
  • Prepared prescription labels, promoting accuracy in medication administration and dosing.
  • Adhered to regulatory guidelines for workplace safety and customer confidentiality.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Established and updated patient profiles, including lists of medications and insurance details.
  • Supervised inventory levels to maintain adequate supply of medications and medical supplies.
  • Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
  • Adhered to infection control policies and procedures to prevent spread of disease.
  • Prepared pricing and instruction labels for placement on prescriptions.
  • Compiled customer demographic, allergy and medical history background.
  • Closely inspected medications to determine accuracy of identities, strengths and purities.
  • Processed prescription transfer requests from competitors.
  • Educated patients on prescription instructions and answered questions regarding drug side effects.
  • Verified labeled prescriptions using 8-point check system to maintain accuracy and efficiency.
  • Requested scripts from doctors and verified insurance and coding.
  • Merchandised related products to drive pharmacy department sales.
Sales Associate, 04/2014 to 12/2019
Lifted Trucks Glendale, AZ,
  • Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
  • Sold various products by explaining unique features and educating customers on proper application.
  • Built and maintained relationships with peers and upper management to drive team success.
  • Answered incoming telephone calls to provide store, products and services information.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Assisted teammates with sales-processing tasks to meet daily sales goals.
  • Retained product, service and company policy knowledge to serve as resource for both coworkers and customers.
  • Offered product and service consultations and employed upselling techniques.
  • Acted as initial contact in addressing customer concerns.
  • Coordinated activities with other departments to ensure quality customer service.
  • Met merchandise processing standards and maintained organized and accessible work area.
  • Built trusting relationships with customers by making personal connections.
  • Trained all new sales employees on effective sales, service and operational strategies to maximize team performance.
  • Facilitated timely product launches and delivered exceptional customer service to enable account retention and growth.
  • Negotiated and closed deals with minimal oversight.
  • Mentored team members in mastering sales techniques to consistently exceed objectives.
  • Processed orders through company system and coordinated product deliveries.
  • Worked with fellow sales team members to achieve group targets.
  • Coached team members on security risks and loss prevention to aid in mitigating store theft.
  • Recorded and resolved daily transactions to promote revenue generation and customer satisfaction.
  • Acted as point of contact for internal and external customers across departments.
Sales Associate, 08/2017 to 04/2019
Lifted Trucks Glendale, AZ,
  • Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
  • Sold various products by explaining unique features and educating customers on proper application.
  • Built and maintained relationships with peers and upper management to drive team success.
  • Answered incoming telephone calls to provide store, products and services information.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Assisted teammates with sales-processing tasks to meet daily sales goals.
  • Retained product, service and company policy knowledge to serve as resource for both coworkers and customers.
  • Offered product and service consultations and employed upselling techniques.
  • Acted as initial contact in addressing customer concerns.
  • Coordinated activities with other departments to ensure quality customer service.
  • Met merchandise processing standards and maintained organized and accessible work area.
  • Built trusting relationships with customers by making personal connections.
  • Trained all new sales employees on effective sales, service and operational strategies to maximize team performance.
  • Facilitated timely product launches and delivered exceptional customer service to enable account retention and growth.
  • Helped average of 230 customers per day by responding to inquiries and locating products.
  • Negotiated and closed deals with minimal oversight.
  • Mentored team members in mastering sales techniques to consistently exceed objectives.
  • Processed orders through company system and coordinated product deliveries.
  • Worked with fellow sales team members to achieve group targets.
  • Coached team members on security risks and loss prevention to aid in mitigating store theft.
  • Recorded and resolved daily transactions to promote revenue generation and customer satisfaction.
  • Acted as point of contact for internal and external customers across departments.
Education and Training
Associate of Science: Emergency Medical Technology, Expected in 09/2021
to
Tidewater Community College - Norfolk, VA
GPA:
High School Diploma: , Expected in 06/2017
to
Western Branch High School - Chesapeake, VA
GPA:

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Resume Overview

School Attended
  • Tidewater Community College
  • Western Branch High School
Job Titles Held:
  • Patient Access Specialist
  • Pharmacy Technician
  • Sales Associate
  • Sales Associate
Degrees
  • Associate of Science
  • High School Diploma