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patient services specialist resume example with 20+ years of experience

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

- Patient Services Specialist with exceptional communication skills offering patient-centric approach to comprehensive administrative support in healthcare clinics and facilities.

- Demonstrated to deliver outstanding customer service and leverage technology to manage patient scheduling and registration processes to facilitate patient care. Skilled in fostering positive patient experiences while maintaining cost-efficiency and compliance.

- Organized Patient Service Representative with 35 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.

- Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 35 years of relevant work experience to your team.

- Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach.

- Proficient in Allscripts, Athena, Excel, and Electronic Medical Records.

- Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements.

- Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

- Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Skills
  • Database Search and Data Entry Skills
  • Documenting and Recording Information
  • Knowledge of Community Services and Programs
  • Call Transfers
  • Interpreting Physician Orders
  • Insurance Verification
  • Issue Triaging
  • Patient Interviewing Skills
  • Gathering Information From Patients
  • System Updates
  • Appointment Confirmation
  • Patient Engagement
  • Patient Confidentiality and Data Security
  • Explaining Policy and Procedures
  • Calm and Effective Under Pressure
  • Communicating to Patients and Families
  • Reminder Calls
  • Caring and Empathetic
  • Resolving Problems
  • Medical Billing
  • Building Rapport and Credibility
  • Providing Information and Resources
  • Patient Greeting
  • Administrative and Office Support
  • Quality Standards and Protocols
  • Insurance Information Collection
  • Patient Account Reviews
  • Telephonic Triage
  • Patient Needs Assessment and Referral
  • Chart Pulling
  • Registration and Scheduling
  • Routing Lab Results
  • Obtaining Authorizations
  • Demographics Information
  • Financial Documentation
  • Patient Flow
  • Reading Comprehension
  • Creative Solutions
  • Insurance Form Processing
  • Referral Tracking
  • Patient Appointment Management
  • Balancing Daily Deposits
  • Clinical Messaging
  • Patient Health Information Access
  • Outbound Calling
  • Spreadsheet Tracking
  • Informed Consent
  • Time Management
  • Medicaid Application
  • Benefits Explanations
  • Multi-Line Telephone Systems
  • Billing Issue Resolution and Support
  • Patient Admission
  • Medical History Documentation
  • System Verification
  • 50 WPM Typing Speed
  • Comfort with Technology and Databases
  • Claims Handling and Coverage Verification
  • Clerical and Filing Support
  • Forms and Spreadsheet Creation
  • Reliability and Dedication
Work History
03/2015 to Current Patient Services Specialist Amerisourcebergen Corporation - Corporate | Orlando, FL,
  • Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
  • Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
  • Assisted patients in filling out check-in and payment paperwork.
  • Took copayments and compiled daily financial records.
  • Collected patient co-pay and issued receipt to confirm payment.
  • Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients.
  • Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
  • Contacted insurance company to verify patient coverage before visit.
  • Verified patient availability during appointment scheduling process to reduce reschedules and cancellations.
  • Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
  • Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
  • Inputted accurate patient insurance, billing and payment information in Athena and Allscripts.
  • Explained plans for treatment and payment options.
  • Balanced deposits and credit card payments each day.
  • Used Athena to schedule appointments.
  • Collect surgical pre-payment for patients prior to surgery.
04/2014 to 03/2015 Patient Registration Representative Good Shepherd Hospice | Stony Brook, NY,
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Interpreted physician's orders accurately to input correct testing information and verify admissions criteria.
  • Scheduled 50+ daily appointments using computerized calendars.
  • Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
  • Accurately inputted patient and insurance information into company's computer system using available software.
  • Distributed informational materials, necessary forms and procedures to patients.
  • Imaged and scanned patient and registration documentation into electronic patient records.
  • Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Registered and verified patient records before triage with most up-to-date information.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments.
10/2007 to 06/2014 Patient Services Representative Elmhurst Memorial Healthcare | Warrenville, IL,
  • Took copayments and compiled daily financial records.
  • Assisted patients in filling out check-in and payment paperwork.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Used Allscripts to schedule appointments.
  • Balanced deposits and credit card payments each day.
  • Explained plans for treatment and payment options.
  • Generated monthly statements to check outstanding balances.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Recommended service improvements to minimize recurring patient issues and complaints.
  • Offered simple, clear explanations to help clients and families understand policies and procedures.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Organized patient records and database to facilitate information storage and retrieval.
  • Facilitated communication between patients and various departments and staff.
  • Participated in team-building activities to enhance working relationships.
03/1988 to 03/2004 Health Services/Care Management Coordinator United Healthcare | City, STATE,
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
  • Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
  • Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
  • Communicated with patients and family members to assist with information, provide literature and direct to community resources.
  • Worked with insurance carriers to obtain authorization approvals for medications, supplies and equipment.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Communicated with patients, ensuring that medical information was kept private.
  • Entered information received and sent to the appropriate case manager for review.
Education
Expected in 05/1982 to to Bachelor of Arts | Elementary Education University of North Carolina At Greensboro, Greensboro, NC, GPA:
Expected in 06/1979 to to Associate of Arts | Early Child Development Rockingham Community College, Wentworth, NC, GPA:
Expected in 06/1978 to to High School Diploma | Madison-Mayodan Senior High School, Madison, NC, GPA:

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Resume Overview

School Attended

  • University of North Carolina At Greensboro
  • Rockingham Community College
  • Madison-Mayodan Senior High School

Job Titles Held:

  • Patient Services Specialist
  • Patient Registration Representative
  • Patient Services Representative
  • Health Services/Care Management Coordinator

Degrees

  • Bachelor of Arts
  • Associate of Arts
  • High School Diploma

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