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Patient Services Specialist Resume Example

Resume Score: 80%

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LT
PATIENT SERVICES SPECIALIST
Professional Summary

Ethical, analytical and proficient professional with 20 years of experience in office administration procedures. Results-oriented, high achiever that has an upbeat personality. Known as a quick learner that is easily trained. Excellent interpersonal skills that forges strong partnerships and alliances. Excellent communication skills and accuracy. Responsible, reliable, and caring professional with a positive attitude. Team player that possesses excellent problem resolution skills.

Core Qualifications
  • Medical Office Management
  • Medical Records Management
  • Insurance Verification / Collections
  • Insurance Authorizations
  • Insurance Billing
  • Physician Credentialing
  • Patient Education
  • OR Scheduling and OR Order Communications
  • Team ER Physician Scheduling
  • Physician Office Scheduling
  • Surgery Packets
  • Report & Document Preparation
  • Expense Reduction
  • Sales
  • Marketing
  • QuickBooks
  • EMR
  • Microsoft Office
  • Centricity
  • Planning and coordination
  • Process improvement
  • Problem resolution
  • Business operations
  • Communications
  • Invoice generation
  • Operational improvement
  • Team management
  • Organization
  • Patient service
  • Administrative support

CLINICAL QUALIFICATIONS

  • Pre/Post Op Care
  • Sutures
  • Catheter Removals
  • Drainage Tubes
  • Injections
  • Surgical Office Procedures
  • Prescription Refills
  • Labs / Lab Orders
Experience
Patient Services Specialist / Intermedix Corp. (Part-Time Home Based) - Dallas, TX12/2004 - 08/2013

PSR / Mededge / Intermedix (Company was sold several times.)

  • Responsible for ER patient follow up calls statewide.
  • Conducts accumulation of responses from patients regarding the quality of care they received from attending physician.
  • Duties include collection of data, data entry and generation of reports for administrative review.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Utilized company software to compile data gathered from various sources.
  • Monitored project progress and presented status to leaders to solveproductivity issues.
  • Performed site evaluations, patient customer surveys and ER team audits.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Troubleshot and resolved department issues to maintain patient satisfaction and keep optimal patient flows.
Office Manager /Medical Assistant Technician / Dr. James Kadi, Reconstructive Surgeon - Denton, TX03/2007 - 11/2009
  • Answered general questions and prepared patients for physician by explaining surgery process.
  • Collected information, verified insurance and collected co-payments for average of 30 to 40 patients each day.
  • Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
  • Registered patients and scheduled appointments.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Handled a busy phone system, functioned as primary liaison to customers and ensured a consistently positive customer experience.
  • Patient pre and post-op surgical care.
  • Managed and assisted two separate office locations.
  • Additional responsibilities included but were not limited to the production of company procedure handbooks and training of all new employees.
  • Ordered, marketed and sold office products to patients.
  • Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
  • Scheduled appointments for patients via phone and in person.
  • Maintained confidentiality of records relating to clients' treatments.
  • Organized and managed medical supply inventory to foster continuous availability of required items.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
  • Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
  • Scheduled patient surgeries with patient and hospital or day surgery center, and physician.
  • Assisted with surgery OR orders and follow up.
  • Cultivated partnerships with managed care organizations, hospitals and insurance carriers to ensure swift payment and issue resolution.
  • Educated patients about medications, procedures and physician's instructions. Assisted with referrals and prepared medical records for patients.
  • Collected forms, copied insurance cards to coordinate patient information for billing and insurance processing.
  • Mentored new employees on understanding of job duties.
  • Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
  • Improved operational efficiencies, managing work requests, new orders, pricing and changes while coordinating logistics to verify delivery dates.
  • Coordinated office activities and operations to secure efficiency and compliance with company policies.
  • Handled supply purchases and inventory management for office operations and equipment maintenance.
  • Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
  • Streamlined back office services for clients to promote proper functionality and positive user experience. Supported functions for diagnostic and technical treatment procedures, including setting up and operating special medical equipment and apparatuses.
  • Completed clinical documentation in accordance with agency guidelines. Completed clinical procedures and gathered patient data for interpretation by physician. Interviewed and engaged patients to obtain medical history, chief complaints and vital signs. Prepared prescription refill requests on behalf of physician to prevent lags.
  • Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions. Sterilized instruments and disposed of contaminated supplies in adherence to OSHA regulations. Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare. Resolved and clarified issues with patient medications and collaborated with local pharmacies.

I worked for Dr. Kadi again for about a year in 2015. I resigned to be with my special needs son more and try to start my own business.

Physician Emergency Department Scheduler / Physician Staffing Resources - Flower Mound, TX01/1999 - 02/2000
  • Responsible for scheduling over 3 to 7,000 hours a month for hospital ER departments. Contracts included nationwide hospitals. I had constant contact with ER physician team members regarding schedule requests. On call rotation for this position was required for . Assistance with credentialing requirements performed when found necessary.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Improved operations by working with team members and physicians to find workable solutions.
Education
Trinity Valley Community College - Kaufman, Texas2013Associate of Applied Science: ADN

RN Program Honor Society, Deans List

(Withdrew due to my son being diagnosed with a major medical disability my first semester of RN school. Willing to discuss at time of interview.)

North Central Texas College - Corinth, Texas2013Associates of Applied Science
Tucson Medical Business College1992Medical Office Management Certificate
Certifications
Advanced Cardiac Life Support (ACLS)
CPR Certification
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Intermedix Corp. (Part-Time Home Based)
  • Dr. James Kadi, Reconstructive Surgeon
  • Physician Staffing Resources

School Attended

  • Trinity Valley Community College
  • North Central Texas College
  • Tucson Medical Business College

Job Titles Held:

  • Patient Services Specialist
  • Office Manager /Medical Assistant Technician
  • Physician Emergency Department Scheduler

Degrees

  • Trinity Valley Community College - Kaufman, Texas 2013 Associate of Applied Science : ADN
    North Central Texas College - Corinth, Texas 2013 Associates of Applied Science
    Tucson Medical Business College 1992 Medical Office Management Certificate

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