Patient Access Specialist I Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
I am a strong team leader with extensive background in Office Management, Insurance Processing, Policies and Procedures and Continuing Education programs. I have training in many software programs specific to previous employment history to include working with Medicare ADMC, Medical/Medicaid authorization process, Team DME, Atlas, Optimis PT and Epic. I have also trained in ICD 10 coding.
  • Medicare, Medicaid, Medical, Computer software knowledge of Team DME, Atlas, Tricare, Epic, Optimis PT and other contracted private insurances. I have also trained in ICD 10 Coding.
04/2016 to Current
Patient Access Specialist I Wellstar Health System Roswell, GA,
As Patient Access Specialist l with Tri Rivers Musculoskeletal group my depth of responsibility included scheduling of Physician appointments for 22 Providers to include areas of practice under Rheumatology, Physiatry, Sports Medicine, and Specialized Orthopedic Physicians to include Knee-Hip, Upper Extremity, Foot and Ankle and Spine Specialists within the Epic system. This also included physician messaging and prescription refill requests.The expansion of responsibilities include treating all patients with respect and demonstrates the behaviors learned in the Patient Ambassador Program.   Take incoming calls demonstrating the essential skills documented in the Telephone Courtesy Standards.   Review, verify and enter the patient's demographic information to ensure data integrity.   Review and verify the patient's insurance information.   Answer multi-line telephone system.  The number of calls taken must be within 90% of the daily average calls per day per agent.   Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.   Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares (single specialty phone room or front desk environment).   Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met.   Obtain chief complaints in order to schedule appropriately.   Coordinate access to care for patients within own department or location.   Monitor patient wait list report.   Knowledgeable about various reasons for patient calls such as prescription refills, how to triage clinical issues, participating insurances, questions about physicians, etc.   Take responsibility to escalate to appropriate clinical or supervisory personnel when needed, including thorough and accurate documentation of telephone encounter for messaging.   Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.).   Work the overflow call list and Audiocare report.   Compile and send new patient packets or flags patient if needs to be completed upon arrival.   Give basic information to patients (directions, parking information, and required preparation for appointment).   Function at multiple sites as requested by supervisor.   Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.
07/2015 to 02/2016
Office Manager Planet Propaganda Madison, WI,
As store Manager of Youcan Toocan Home Medical Supply, my responsibilities were all management duties to include employee workflow, knowledge of all medical products to include Daily Living Needs, Wound Care, Oxygen, and Durable Medical Equipment specifically electronic and manual wheelchairs.I was also responsible for inventory and ordering of all products working with many different manufacturers in regards to contracting and product flow.I eagerly worked on continuing education programs for all employees and contributed to any administrative needs including front desk operations, customer service and human resource activities.
06/2013 to 07/2015
Office Manager Planet Propaganda Madison, WI,

As office Manager of Academy Medical Equipment, my responsibilities included maintaining employee workflow.  All administrative tasks to include Human Resource Activities, Customer Service Tasks, and providing Continuing Education Programs for all employees.  I was responsible for obtaining required paperwork, for submitting ADMC packets for authorization for high end rehab equipment to include manual and electronic wheelchairs.  I also aided employees with all front end procedures to include Insurance Verification, Authorization processing for Medicare, Medical and all contracted private insurances
09/2008 to 06/2013
Office Manager Planet Propaganda Madison, WI,
Office Manager, 09/2008 to 07/2013 Edge Rehabilitation and Wellness Physical Therapy Clinic – 2150 Hollowbrook Drive Colorado Springs, CO 80918 As Office Manager of Edge Rehabilitation and Wellness Physical Therapy Clinic, I was responsible for maintaining employee workflow and all aspects of office management to include working closely with therapists on scheduling and daily charges for billing, continuing education programs and updating insurance policies and procedures. I have had extensive knowledge of working with Medicare, Tricare and other contracted private insurances.  I also participated with all front end procedures to include insurance verification, phone scheduling and aiding in patient needs regarding billing and insurance concerns
Education and Training
Expected in 1987
High School Diploma:
Highland High School - Natrona, PA
Community Involvement
 I have an extensive background within the medical field to include Administrative Responsibilities, Billing, Customer Service, Human Resource, ICD 9 and ICD 10 Coding, Insurance Policies and Procedures, Inventory Management, Physical Therapy Policies and Procedures.

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Resume Strength

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Resume Overview

School Attended
  • Highland High School
Job Titles Held:
  • Patient Access Specialist I
  • Office Manager
  • Office Manager
  • Office Manager
  • High School Diploma