Patient Service Representative Resume Example

· Identified patients that need to be tested- create a ‘target list' following the guidelines. Made target list available for other staff members, to help assure all patients being prescribed opiates are tested.

· Check ILPMP to confirm medications being prescribed to patient

· Ensured consent forms were signed

· Ran insurance and contacted payer for benefits eligibility

· Collected each Specimen under specific guidelines incompliance with OSHA, and HIPPA

· Ran samples on the Viva Pro E analyzer, prior to being sent to Essential Testing (offsite lab) from both Rush pain center locations- Oak Park and Downtown

· Tested 50-100 patients daily

· The Analyzer Reagents used were, OPI, BAR, BZO, AMP, COC, METH, THC, BUP

· Packaged sample and filled out Daily Specimen Log

• Monitored and tracked samples using Eclinical works while notifying supervisors and clients of any missing samples or database errors.
• Managed departmental inventory and supply ordering.
• Maintained clean and fully operational laboratory equipment.

• Answered phones, responded to customer inquiries and transferred calls to appropriate staff members.
• Greeting clients as they come in and out the office.
• Aiding callers with any questions or concerns,.
• Scheduled, canceled, rescheduled and confirmed patient appointments.
• Insurance verification and Completing Patient registration.
• Fax, copy, and scan patient information to patient file in EclinialWorks.
• Order supplies.
• Cross-trained and provided back-up for other customer service representatives when needed.
• Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax.
• Kept abreast of rapidly evolving technology.
• Managed customer complaints and rectified issues to complete satisfaction.
• Handled payment processing duties and provided customers with receipts and proper bills and change.

• Answer multi-line phones and either direct the patient to the appropriate party or handle the patient's needs yourself.
• Electronically sign patients in, and obtain insurance information and any other necessary data.
• Contact insurance companies to initiate authorization for authorized referrals and pre-authorization.
• Obtain Patients Plan Of Care/Patient Summary, Dr's NPI #, ICD 10 codes, and CPT Codes prior to contacting payer.
• Familiarized myself with each payers preferred method of contact when initiating authorization, from online to calling insurance company directly.
• Provide patients with intake and new patient forms as well as copies of our office policies and legally required documents.
• Process payments from patients for co-pays and uninsured visits.
• Schedule appointments for new and recurring patients based on Dr's availability.
• Maintain a hard copy of patient records as well as the files stored in our EHR.
• Call patients to remind them of upcoming appointments and assist them scheduling testing for off-site services.
• Maintained inventory in administrative building supply closet to prevent shortages of supplies