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patient services specialist resume example with 9+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Proficient professional with 10+ years of experience in the medical field including all aspects of medical practice office procedures and management. Result oriented, high achiever that has an upbeat personality. Excellent interpersonal and communication skills. Respectful, knowledgeable and conscientious. Diligently serves patient needs with high-quality, skilled medical care. Dedicated patient advocate promotes streamlined resolution and assistance. Genuine desire to positively impact patient wellbeing and satisfaction.

Office Qualifications
  • Insurance Authorizations
  • Insurance Portal Experience
  • Insurance Billing/Collections/Claims
  • CPT and ICD9
  • Physician Credentialing
  • Patient Coordination/ Surgical Packets / Education
  • OR Scheduling and Orders
  • Provider / Patient / Surgical Scheduling
  • Sales
  • Marketing
  • AR/AP
  • EMR
  • Microsoft Office
  • Inventory Control
  • Medical Office Management
  • Prescription Refills
  • Lab and Image Order

CLINICAL QUALIFICATIONS

  • Post Op Care (see below)
  • Suture removal
  • Catheter Removals
  • Drainage Tube Removal
  • Surgical bandages
  • Sterile Surgical Office Procedure Assistant MOHS
  • Sterile Surgical Office Procedures Assistant Minimal Reconstruction
  • Reconstructive Saline Fills
  • Wound Care
  • Specimen Collections
  • Specimen Packaging
  • Vitals
  • Autoclaving
  • Room Sterilization
  • Patient Post OP Care Education
Experience
12/2004 to 08/2013
Patient Services Specialist Amerisourcebergen Corporation - Corporate Concord, OH,

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 solve productivity 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.
03/2007 to 11/2009
Office Manager /Medical Assistant Technician Dr. James Kadi, Reconstructive Surgeon City, STATE,
  • 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.

01/1999 to 02/2000
Physician Emergency Department Scheduler Physician Staffing Resources City, STATE,
  • 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
Expected in 2013 to to
Associate of Applied Science: ADN
Trinity Valley Community College - Kaufman, Texas,
GPA:

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.)

Expected in 2013 to to
Associates of Applied Science:
North Central Texas College - Corinth, Texas,
GPA:
Expected in 1992 to to
Medical Office Management Certificate:
Tucson Medical Business College - ,
GPA:
Certifications
Advanced Cardiac Life Support (ACLS)CPR Certification

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Resume Overview

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

  • Associate of Applied Science
  • Associates of Applied Science
  • Medical Office Management Certificate

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