LiveCareer-Resume

patient service representative resume example with 8+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Motivated Patient Service Representative with background supporting patient medical needs by verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, strong attention to detail and upbeat mentality. Advanced abilities in healthcare billing and scheduling software. .

Skills
  • Verbal and Communication Written
  • Ability To Solve Problems Efficiently
  • Strong Verbal And Interpersonal Skills
  • EPIC Software
  • Proficient In Microsoft Office Suite
  • Collection Management
  • Patient Intakes
  • Insurance Information Collection
  • Medical Insurance
  • Chart Pulling
  • Patient Care and Confidentiality
  • Benefits Explanations
  • Medical Services Administration
  • Delinquent Accounts Monitoring
  • Patient Admitting
  • Insurance Form Processing
  • Financial Needs Determination
  • EMR Systems
  • System Updates
  • Demographics Information
  • Patient Registration
  • Appointment Scheduling
  • Insurance Billing
  • CPT Coding
  • HIPAA Regulations
  • Medical Records Management
  • Patient Privacy
  • File and records management
  • Strong Interpersonal Skills
  • [Type] coding understanding
Education
Community College of Philadelphia Philadelphia, PA Expected in 05/2023 ā€“ ā€“ Associate : Criminal Justice - GPA :
LANKENAU HIGH SCHOOL Philadelphia, PA Expected in 06/2017 ā€“ ā€“ High School Diploma : - GPA :
Certifications
Certified First Aide Safety, CPR, AED
Work History
Mercy Healthcare - Patient Service Representative
Kingfisher, OK, 10/2022 - Current
  • Responsible for collection of patient information and performs several administrative functions, from verifying insurance to executing admissions, transfer and discharge procedures.
  • Required patience and efficiency, work is performed in a fast-paced environment where time is of the essence.
  • Worked as a liaison between insurance companies, patients, and Insurance Representatives to ensure timely, accurate payments for confidential medical services.
  • Prepared electronic and paper claims daily, followed multiple Third Party Payer rules and regulations according to individual contracts, and posted cash to individual accounts.
  • Assigned beds and carried out procedures to admit, transfer or discharge patients.
  • Input patient information into a computer system and verify necessary physician referrals and insurance authorizations.
  • Performed with close adherence to both hospital rules and regulatory compliance.
  • Validated that all patients properly fill out and sign all relevant insurance and hospital release forms.
  • Explained financial options to patients when needed and make necessary co-pay collection and processing of payments.
Christus Health - Patient Access Representative
Coushatta, LA, 08/2018 - 10/2022
  • Welcomed patients and visitors by greeting patients and visitors, in person or on the telephone, answering or referring inquiries.
  • Optimized the patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
  • Kept patient appointments on schedule by notifying the provider of the patient's arrival, reviewing service delivery compared to schedule, reminding the provider of service delays.
  • Comforted patients by anticipating patients' anxieties, answering patients' questions, maintaining the reception area.
  • Ensured availability of treatment information by filing and retrieving patient records.
  • Maintained patient accounts by obtaining, recording, and updating personal and financial information.
Eau Claire County - Correctional Officer
Eau Claire, WI, 07/2021 - 04/2022
  • Observed and supervised inmates throughout visits, mealtime, recreation, phone calls and showers
  • Booked new inmates into facility and processed inmates for release and completed intake paperwork, fingerprints, and searches
  • Tracked inmates through head counts, visitor logs and scheduled activities
  • Identified facility openings and designated inmates to housing units
  • Escorted inmates to and from cells, court, hospitals, and medical appointments
  • Identified needed updates to correctional plans and assigned inmates to appropriate housing.
  • Prepared, processed and maintained forms, reports, logs, records, and activity journals
Mercy Healthcare - Patient Service Representative
Mountain View, MO, 03/2015 - 06/2019
  • Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
  • 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.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.

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Resume Overview

School Attended

  • Community College of Philadelphia
  • LANKENAU HIGH SCHOOL

Job Titles Held:

  • Patient Service Representative
  • Patient Access Representative
  • Correctional Officer
  • Patient Service Representative

Degrees

  • Associate
  • High School Diploma

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