senior patient care representative resume example with 8+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Supportive Patient Service Representative with 10 years of experience. Dedicated to efficient office administration and comprehensive assistance. Adept at scheduling and patient education.

  • Ability to Work Under Pressure
  • Decision Making
  • Time Management
  • Conflict Resolution.
  • Self-motivation
  • Leadership
  • Adaptability
  • Auditing
  • Communication
  • Conflict Resolution
  • Critical thinking
  • Decision Making
  • Financial
  • Insurance
  • Leadership
  • Managing
  • Medical Billing
  • Problem-solving
  • Time Management
  • Medical billing
  • Appointment confirmation
  • Patient interviewing skills
  • Organization
  • Invoice generation
  • Communications
  • MS Office
  • Operational improvement
  • Relationship development
  • Team building
  • Project organization
  • Customer service
  • Problem resolution
  • Planning and coordination
Senior Patient Care Representative, 06/2016 - 06/2020
Dean Health Belleville, IL,
  • Demonstrate analytical, problem-solving, critical thinking, and conflict resolution skills.
  • Medical Billing with ICD-10 Codes.
  • Also meeting tax obligations; using business tax law.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Checked daily doctor schedules and verified insurance.
  • Checked claims for errors, corrected issues and mailed out promptly.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • 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.
  • Scheduled patient appointment and procedures with CCN Software.
  • Collaborated with others to discuss new work opportunities.
  • Recognized by management for providing exceptional customer service.
  • Dialed out 200 calls per 8 hour day to answer customer questions and schedule appointments.
  • Handled all delegated tasks, including special projects and recurring decisions and action others can't handle.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Improved operations by working with team members and customers to find workable solutions.
  • Maintained/ improved knowledge through problem solving and judgement.
  • Created agendas and communication materials for team meetings.
Patient Access Representative L, 12/2015 - 08/2016
Jbs Usa Sauk Rapids, MN,
  • PRN Shift I would interviewing patients and/or other sources to obtain demographic and financial data, accessing patients to clinical and financial systems of the hospital.
  • Communicates health benefit regulations and patient financial obligation to responsible parties.
  • Responsibilities include; verifies financial and insurance information, obtains appropriate pre-certification and authorization for referrals, collects co-pays; completes all admission/registration paperwork; makes bed assignments, transfers and discharges patients.
  • Verified demographics and insurance information to register patients in computer system.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Assembled registration paperwork and placed identification bands on patient.
  • Coordinated between patients and healthcare professionals to meet patient needs.
Quality Assurance, 07/2011 - 03/2015
Amg Services City, STATE,
  • I was responsible for auditing all medical billing specialist functions, managing relationships across our auditing teams and monitoring team’s progress against monthly goals for audit completeness.
  • Reviewed configuration files, logs and sections of code to complete debugging and locate breakdown sources.
  • Strengthened program outreach by managing marketing communications, public relations and government affairs to maximize branding initiatives.
  • Initiated change management practices that created new revenue streams and streamlined operational efficiencies.
  • Collaborated with management to discuss effective plans for resolving major quality problems.
  • Performed frequent QA product quality evaluations for AMG Services, including Data Conversion Testing and Regression Testing.
  • Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues.
  • Secured positive customer experiences while executing effective quality assurance practices.
  • Enhanced customer satisfaction ratings by building client rapport and timely resolving crises and issues through completion.
Education and Training
: Business Healthcare Management, Expected in
Western Governor University - Salt Lake City, UT,
Status -
High School Diploma: , Expected in 05/2009
Raytown South High School - Raytown, MO
Status -

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Resume Overview

School Attended

  • Western Governor University
  • Raytown South High School

Job Titles Held:

  • Senior Patient Care Representative
  • Patient Access Representative L
  • Quality Assurance


  • Some College (No Degree)
  • High School Diploma

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