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

Experienced Pt Access Representative bringing 10 plus years of Revenue Cycle/Healthcare experience. Strong emphasis on Patient Access, Insurance verification, billing, customer service and patient support. Skills on being Efficient and accurate while handling patient accounts.

Skills
  • Epic
  • Meditech
  • Pbar
  • Ace Star
  • Microsoft Office
  • VI WEB
  • Citrix
  • Portico
  • Amisys
  • Microstrategy.
  • Problem Solving
  • Documentation and Recordkeeping
  • Data Entry
  • Written and Verbal Communication
  • Interpersonal and organizational skills.
  • Medical Records Maintenance
  • Decision Making
  • Information Gathering
  • Patient Relations
Experience
08/2019 to Current
PT ACCESS SPECIALIST Cuyuna Regional Medical Center Crosby, MN,
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Determined patients financial needs and referred eligible patients to proper agencies to obtain financial assistance.
  • Completed full registration, while verifying patient's information and obtaining signatures for financial responsibility and treatment procedures from patient's.
  • Performed patient scheduling functions for add on patient's and have directed to main scheduling department for future testing or office visits.
  • I have followed document protocols to safeguard confidentiality of patient records.
03/2007 to 03/2021
Admitting Clerk Aero Components Llc Haltom City, TX,
  • Checked patient information and insurance coverage.
  • Coordinated patient paperwork and charts.
  • Determined charges and collected co-pays.
  • Managed patient admissions and discharge from hospital to home care, extended care facility or self-care.
  • Verified schedules and arrival times.
  • Completed registrations for laboratory work, surgical procedures and radiology.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Managed incoming telephone calls, took messages and directed callers to personnel.
  • Transcribed physicians' notes and entered data into electronic chart management software.
  • Assisted with hospital admissions and paperwork.
  • Helped patients complete paperwork and explained processes and procedures.
  • Updated patient financial information to promote accurate record keeping.
  • Communicated with patients to gather intake data and verify chart information.
04/2017 to 06/2019
Business Analyst St. Charles Health System Myrtle Point, OR,
  • Manipulated data using pivot tables, pivot charts and macros in Excel.
  • Pinpointed inefficiencies in business processes and recommended improved policies.
  • Reconciled and reported record discrepancies to prepare for annual audit.
  • Diminished project gaps to facilitate smooth inventory workflow while reducing task duplication.
  • Identified and analyzed business strategies to increase company longevity.
  • Computed, recorded and proofread data in preparation of records and reports.
03/2011 to 04/2017
Patient Admitting Representative SSM St. Louis University Hospital City, STATE,
  • Reviewed patient admissions to determine medical necessity as directed by department criteria.
  • Scheduled and implemented patient admissions and discharges.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Responded to patient concerns and inquiries professionally and efficiently.
  • 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.
  • Called insurance companies and verified patient coverage.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Obtained health, financial and religious information from patients at time of admission.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Trained facility volunteers on guest relations procedures and patients' rights.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
  • Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
  • Explained policies, procedures and services to patients.
  • Used sliding payment scale to assess fair charges for patient healthcare.
Education and Training
Expected in 05/2000
High School Diploma:
O'fallon Township High School - O'Fallon, IL,
GPA:
Expected in
:
Lindenwood University - Saint Charles, MO
GPA:

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Resume Overview

School Attended

  • O'fallon Township High School
  • Lindenwood University

Job Titles Held:

  • PT ACCESS SPECIALIST
  • Admitting Clerk
  • Business Analyst
  • Patient Admitting Representative

Degrees

  • High School Diploma

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