Patient Access Coordinator Resume Sample
Shannon Smith
6492 Daugherty Keys,
Chicago,
IL
+1 (555) 213 0490
Work Experience
Lead Patient Access Coordinator
02/2017
-
PRESENT
San Francisco, CA
- Inpatient and outpatient departments/floors
- Responds to telephone and/or walk-in requests for psychiatric assistance
- Assesses new transfer request to determine if appropriate for admission
- Manages all incoming referrals to ensure they are being reviewed and assessed in timely manner
- Coordinates between the units and intake on all necessary paperwork and information
- Maintains daily log of all incoming and pending Intake calls and Assessments
- Maintains a good working relationship and ongoing communication with referral sources
- Completes the vitals, paperwork, labels, pictures, and admission forms of patients
Patient Access Coordinator
08/2010
-
11/2016
Dallas, TX
- Assists with getting clients onto the units and transitioned from intake to the units as needed
- Performs team’s processes with respect to patients with an inability to pay
- Registers eligible patients by obtaining and verifying demographic information through interaction with patients, and then enters this information in clinic’s database. Instructs and assists patients in completing necessary documents and appropriate sign in logs
- Schedules appointments with United States Army Health Clinic (USAHC) providers; often requires coordinating directly with physicians, dentists, nurses, physician assistants (PA), medics and other medical personnel
- Initiates and maintains military personnel medical/dental records in accordance with Army regulation 40-66, the Privacy Act if 1974, and HIPAA
- Assist in training new personnel on these procedures
- Coordinates closely with clinic staff, Medical Service Supervisor
- Demonstrates knowledge of the revenue cycle
- Performs complex charge entry on a daily basis, requiring CPT coding knowledge
Lead Patient Access Coordinator
06/2003
-
04/2010
Philadelphia, PA
- Performs follow up on claims for professional fees. Maintains files and contacts appropriate parties to determine correct status and follow up of unpaid accounts. Processes and follows up on all assigned patient accounts until paid in full, managing accounts receivable for professional service billing
- Updates receivable system with any new, corrected or pertinent information in relation to resolution of receivable accounts, and insures that proper information for follow up is shown in both GE and Meditech
- Responds timely to requests for information from coding department, finance department and compliance audits as required
- Assists physicians in determining approved regimens for treatment. Familiar with NCCN guidelines and insures that regimens are approved according to same
- Understands and accurately applies requirements for pre-authorization of chemotherapy drug regimens; pre-authorizes or meets predetermination requirements for treatments as indicated by private insurers, and sets up peer-to-peer as necessary
- Reviews and works daily lists of future scheduled ambulatory visits to confirm the accuracy of insurance coverage
- Verifies the validity of insurance coverage via the NEHAN database and POS devices. Sets the insurance flag in the Siemens system when complete
- Creates referrals for scheduled specialty visits for all managed care In-IPA patients. Enters the referral number and the number of approved visits into the Referral Tracking system
- Contacts Out-of-IPA primary care physicians to provide notification of the patient's scheduled visit and to obtain the necessary referral in order to secure payment
Education
University of Phoenix - Oregon Campus
1998 - 2002
Bachelor's Degree in Healthcare
Professional Skills
- Excellent written, verbal communication and interpersonal skills. Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment
- Excellent organizational skills required with attention to detail. Ability to prioritize work and be flexible with work assignments
- Demonstrated typing and basic computer skills, including Internet Explorer, Microsoft Outlook, Word, Excel and other Microsoft Office programs
- Patient registration experience in a hospital or physician office setting or 1+ year experience in an office/customer service setting
- Well developed problem solving and communication skills
- Perform accurate data entry with basic word-processing skills
- Billing and Accounts recieveable experience required
How to write Patient Access Coordinator Resume
Patient Access Coordinator role is responsible for customer, health, interpersonal, software, basic, medical, finance, training, database, security.
To write great resume for patient access coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Access Coordinator Resume
The section contact information is important in your patient access coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Patient Access Coordinator Resume
The section work experience is an essential part of your patient access coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous patient access coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular patient access coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Access Coordinator resume experience can include:
- Effectively handles information, requests and questions while adhering to confidentiality guidelines. (20%)
- Completion of a medical terminology class, ROP or two (2) years of experience that demonstrates knowledge of CPT and ICD-9 coding
- Requests of patient/referring physician notes and any imaging/other studies needed for new patient visit prior to scheduling outside referrals
- Experience operating PC and using software and various website applications
- Experience healthcare patient registration, scheduling, pre-registration, insurance verification, demographic data entry
- Use good judgment to keep manager informed of problems or issues, following department practice
Education on a Patient Access Coordinator Resume
Make sure to make education a priority on your patient access coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your patient access coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Patient Access Coordinator Resume
When listing skills on your patient access coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical patient access coordinator skills:
- Excellent customer service skills including verbal, written, telephone and interpersonal communication skills
- Excellent patient service skills
- Excellent customer service and communication skills
- Excellent customer service skills and ability to always put the needs patient first
- Analytical and problem solving sills; basic math skills
- Computer Literacy/Data Entry Skills, with proficiency in word processing programs
List of Typical Experience For a Patient Access Coordinator Resume
1
Experience For PPS Patient Access Coordinator Resume
- Two (2) years of experience specific to one or more of the following
- Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)
- Performs administrative support such as scheduling/coordinating meetings, activities, events and/or travel. (30%)
- Requests of patient/referring physician notes and any imaging/other studies needed for new patient visit
- Assists with scheduling patient appointments for other specialty areas within the department as needed
- Full working knowledge of various software and spreadsheet applications (MS Excel, MS Visio, MS PowerPoint) required
- Concentrate and pay close attention to detail for up to 100% of work time when performing computer data entry
- Participates in the scanning of outside medical records into the patient’s chart
- Enters the referral number and level of services authorized into the designated fields in the Siemens patient management system
2
Experience For Lead Patient Access Coordinator Resume
- Verifies Medicare coverage via NEHEN noting the eligibility date. Screens to ensure that Medicare is active. Identifies senior replacement products as verified through NEHEN and updates insurance plan codes per procedure
- Contacts patients by telephone to confirm the accuracy of patient data and insurance subscriber information. Reconciles any conflicting information and enters updates into the Siemens system during the patient telephone interview
- Updates all future scheduled cases when any patient or insurance data is changed. Changes/Updates insurance plans codes for all future scheduled cases
- Verifies the accuracy of primary care physician data for NEHEN payers and cross-references in the Siemens system for a match. When necessary, advises patients to contact their insurance company when this data conflicts
- Contacts the patient and specialty physician's office when the required referral is not secured 48 hours prior to the visit. Advises the physician's office to reschedule the visit after all efforts are exhausted
- Maintains contact with the physician's office when the insurance cannot be verified and the patient cannot be reached by telephone. Advises the physician's office to reschedule the visit after all efforts are exhausted
3
Experience For Patient Access Coordinator Resume
- Refers cases to Financial Coordination for resolution when patients are uninsured and wish to be seen. Refers cases to Financial Coordination when patients wish to be seen without a referral
- Enters Medicare Secondary Payer questionnaire data appropriately including the detail obtained via the patient telephone interview
- Reviews and responds to denials related to no referral/authorization, wrong insurance billed, and not eligible date of service
- Maintains collaborative team relationships with peers in the Walk-in Centers, PreAuth Center, Admitting and Patient Finance departments in order to effectively achieve goals of continuous improvement in all processes
- Triages calls to the clinical social workers, providers, administrative assistant staff per Division policy
- Prescription Refill Requests: Following Department and Epic guidelines, takes prescription refill requests from callers and enters the request into Epic as a prescription refill request. Routes to the appropriate neurologist. Has a low threshold for making call outs to patients and pharmacies to validate medication details
- Prescription and procedure prior authorizations: Gathers all necessary information needed to obtain prior authorizations per Department and payer procedures for those medications and procedures scheduled
4
Experience For PPS Patient Access Coordinator Resume
- Works collaboratively with practice-based colleagues to ensure all pre-and post-visit work is completed for a patient
- Administration: Keeps inventory of access center supplies. Requests supplies to the Manager. Assists with the process of sorting and distributing faxes, mail, and documents that are printed to access center colleagues
- Other tasks as requested by the Patient Access Center Manager
- Aptitude for / familiarity with patient access tools, systems, and technologies
- 2) Obtains accurate patient information and enters into the meditech computer system
- Chooses correct medical record number
- Verifies and updates all demographical information/date of birth-address-maiden name-social security number
5
Experience For Lead Patient Access Coordinator Resume
- Verifies and updates all insurance information
- Accurate reason for visit
- Accurate locations and status
- 3) Obtains all regulatory data
- Health Care Proxy/advance directives
- Medicare secondary payor questions
- Medicare rights/secure horizon/blue cross 65/secure horizons
- Race and ethnic background
6
Experience For Patient Access Coordinator Resume
- Obtains accurate insurance name/address/telephone number and identification number
- Verifies insurance in the computer
- General consent of treatment
- Hipaa receipt of privacy notice
- 6) Checks quality of own registrations daily
7
Experience For PPS Patient Access Coordinator Resume
- Runs revenue log daily- corrects and passes into assigned lead
- Keeps current census and accurate admission log
- Performs transfers and activations in a timely manner
- 8) Shows respect for confidentiality at all times
- 9) Answers phones with name and department within 3 rings
- 10) Knows all down time procedures
- 11) Is knowledgeable on death process
8
Experience For Lead Patient Access Coordinator Resume
- Reports to Team Leaders/ Supervisor and Managers of Patient Access
- Reports to Administrative Director of Patient Access
- Effective interpersonal skills to interact appropriately with nursing staff, patients, families/visitors, physicians, and other hospital staff in a dynamic and challenging environment
- Conducts scheduling and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order
- Acts as liaison between company, patients, Insurances, Pharma and Provider’s office primarily via phone, along with fax and e-mail communications
9
Experience For Patient Access Coordinator Resume
- Explains all company programs and services to patients and physician’s office staff including what to expect with Diplomat's specialty services for assisting in securing financial assistance
- Transcription of Provider’s orders
- Pre-Service and Point of Service Collection
- Acts as a liaison between the company, patients, insurances, pharma and provider’s office primarily via phone, along with fax and e-mail communications
- Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (20%)
- Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)
- Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)
- Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)
10
Experience For PPS Patient Access Coordinator Resume
- Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)
- Communicates team barriers, process flow or productivity issues to team lead. Assists team members with operational support and training. Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required. (10%)
- Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)
- Fields telephone inquiries from patients and referring physician offices, helps patients to select the right physician to meet their needs, advises on insurance, payment and visit concerns
- Develops relationships with referring physicians and prioritizes queues/lists for requests for appointments
- If applicable, keeps abreast of new faculty members scheduling within scheduling system profiles
- Obtains, reviews and updates patient demographic and insurance information within the practice management billing system
- If applicable, processes referral requests within the practice management system and contacts appropriate parties to schedule requested appointments
- Adheres to scripts and protocols for handling various types of appointment requests. Exercises some independent judgment when dealing with patients and special requests
List of Typical Skills For a Patient Access Coordinator Resume
1
Skills For PPS Patient Access Coordinator Resume
- Organizational skills necessary to implement several tasks simultaneously and to coordinate work within the department
- Experience in physician practice billing
- At least one (1) previous year of related healthcare Revenue Cycle experience, preferably within a financial clearance setting
- Demonstrates professional work behavior by following Service Standards and Success factors
- Experience operating a PC and using software applications required
- Healthcare experience
- Ecretarial/administrative experience
2
Skills For Lead Patient Access Coordinator Resume
- Previous insurance authorization and verification experience
- Patient access/healthcare experience
- Strong ability to recognize problems, think creatively, and devise innovative solutions
- Registration or Healthcare Leadership experience
- Healthcare experience
- If bilingual, capabilities such that accurate and effective communications exists
- Dedication to treating both internal and external constituents as clients and customers, maintaining
- Actively seeking new ways to grow and be challenged, using both formal and informal development
3
Skills For Patient Access Coordinator Resume
- Successful completion of the Patient Access Training modules within ninety (90) days of obtaining position
- Scans outside medical records for upcoming pending new patient appointments per Hospital and Department guidelines
- Accurate physicians-primary care-attending-referring
- Provides counseling to patient, participant or their representative regarding pre-service requirements and instructions
- Patient Access Coordinator update patient accounts with registration, insurance, demographic, scheduling, and billing data
- Thorough knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers
- Thorough understanding of Medicare and Medicaid programs with the ability to identify primary payers
- Accountable for getting appropriate signatures and paperwork generated /Consent of treatment.
4
Skills For PPS Patient Access Coordinator Resume
- Accountable to cross train to scheduling/pre certification/ patient access
- Accountable for all quality checks including the revenue improvement logs
- Able to keep a positive attitude and problem-solving stance in difficult circumstances
- 7) Assigns beds for patients according to service and diagnosis
- 4) Obtains accurate insurance information according to policies
- Checks eligibility for several insurances according to policies
- 5) Obtains signatures according to policies
- Supports programs and/or processes specific to the operating unit served. (15%)
- Serves as liaison with others, within and outside the company, regarding administrative and secretarial issues. (10%)
5
Skills For Lead Patient Access Coordinator Resume
- Accountable to follow all policies and procedures of the department and medical center
- Maximize available resources to achieve performance measures; reduce waste, rework, and work-arounds consistent with one’s role
- Recognize actual and potential problems and take appropriate action towards a solution
- Offer assistance, as needed, when a potential problem situation is observed
- Fluency in a second language is helpful
- Accountable for exceptional customer service
6
Skills For Patient Access Coordinator Resume
- Accountable for accurate data entry and verification/along with requirements
- Accountable for all policies and procedures of the department and medical center
- Responsible for outreach to patients assigned to particular clinics
- Identifies new members to notify them of their initial health assessment
- 16 Hours, Evenings, with every other Holiday, and occasional weekend coverage
- Superb communication skills (written, oral, and listening) combined with intellectual curiosity: the demonstrated ability to elicit and synthesize complex medical and scientific information to create articulate and compelling cases for support
- Identify specific information needed to clarify a situation or to make a decision
7
Skills For PPS Patient Access Coordinator Resume
- 1) Scheduling: Following Departmental and Hospital scheduling guidelines, schedules, reschedules, and cancels new and return patient appointments, Neurology procedures, and Radiology exams across all Neurology divisions
- 2) Mails out appointment specific new patient packets to patients
- 3) Generates a soft transfer to the appropriate practice when specific neurology appointments need to be scheduled
- 4) Verifies patient demographics and insurance information at the beginning of each scheduling call. If there is an update required, transfer s the caller to the Patient Service Center at the conclusion of the call
- Work with computer software
- At least one (1) previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment. Excellent customer service and communication
- At least one (1) previous year of related healthcare Revenue Cycle experience, preferably within a financial clearance setting. Excellent customer service and communication skills
8
Skills For Lead Patient Access Coordinator Resume
- A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment
- At least one (1) previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment
- At least one (1) previous year of related healthcare Revenue Cycle experience, preferably within a financial clearance setting required
- At least two (2) previous years of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment
- Knowledgeable of a demonstrated proficiency of the application of CPT and ICD coding systems
- Two previous years of related experience, preferably within a medical setting, financial services
- One previous year of related experience, preferably within a medical setting, financial services
- Demonstrated competency in word processing, spreadsheets, database, e-mail, and Microsoft Windows/Office applications
9
Skills For Patient Access Coordinator Resume
- Previous appointment scheduling experience
- Functioning as a front office representative in the healthcare/medical field
- Work with patients of all ages and explain payers benefits, while respecting the dignity, confidentiality and privacy of patients
- Knowledgeable of billing codes (DRG, ICD-9, CPT and HCPCS code)
- Knowledge of diagnostic imaging exams and procedures and medical terminology
- Able to relay complicated information from patient or family to members of clinical staff, including Radiologist
10
Skills For PPS Patient Access Coordinator Resume
- Understand scheduling of CT scans, MR scans and PET scans
- Type 50 WPM and use 10-key accurately
- Bilingual - fluent in English and Spanish
- Gains a deep knowledge of insurance benefits and understands fully the intricacies of third party liability and Worker's Compensation
- Able to build and maintain a cooperative working relationship with staff and clinical departments; able to work as part of a team, as well as able to work independently, be self-directed and work effectively with individuals that have a wide diversified background
List of Typical Responsibilities For a Patient Access Coordinator Resume
1
Responsibilities For PPS Patient Access Coordinator Resume
- Verifies insurance coverage prior to the patient’s appointment
- Oversees and provides technical feedback regarding work performed by billing associates. (10%)
- Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%)
- Scans all related documentation into patient electronic medical records
- Documents patient interactions and notes within the practice management system
- Provides suggestions and recommendations to improve workflows, communication and overall protocols
- Participates in pilot programs
- Fields telephone inquiries from patients & referring physician offices, helps patients select physician(s) to meet their needs, advises on insurance, payment & visit concerns. Exercises some independent judgment; escalates difficult or unusual situations
2
Responsibilities For Lead Patient Access Coordinator Resume
- Uses practice management and scheduling systems, to complete registration and eligibility verification for new and established patients. Identifies and corrects registration errors and eligibility verification requirements prior to services being rendered
- Ensures that patients provide any pre-visit documentation, pre-certifications or authorizations for medical services as needed, and/or a referral, if required. Resolves referral/precert requirements prior to patient arrival
- Routes calls or messages to appropriate clinical staff for proper triage. Initiates telephone encounters for all clinical matters. Initiates prescription refill requests as needed
- Serves as the primary assistant to clinical physicians. Maintains physician’s clinical and administrative calendars; reschedules patients as necessary
- Facilitates direct communication & specific patient care-related activities relevant to assigned physician’s needs. Communicates with practice team regarding updates to physician’s workflow, specific patient instructions or other relevant information
- Provides back-up coverage for other staff members as needed
- Gathers necessary demographic, insurance and clinical information from patient and enters into appropriate database. Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures
3
Responsibilities For Patient Access Coordinator Resume
- Schedules patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinates and communicates schedules
- Patient Access Coordinator schedule patient examination, procedure, and surgery appointments for hospitals and physician clinics
- Patient Access Coordinator verify patient insurance benefit coverage via phone and online insurance payer portals
- Patient Access Coordinator provide superior high volume patient customer service in a fast paced environment
- Patient Access Coordinator use Microsoft Office Suite (Word/Excel/Outlook/Power Point), medical software, and type 40+WPM
- Interacts as needed with hospital physicians, ancillary departments, nursing units, Central Scheduling, Case Management and other health care entities as needed or assigned by manager/director
- Register patients, schedule patient appointments, verify insurance, enter demographic data, collect co-payments, etc
- Identifies payer authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, scheduling/registration departments, case management department and/or payers regarding authorization/referral deficiencies. (15%)
4
Responsibilities For PPS Patient Access Coordinator Resume
- Maintains strict adherence to and compliance with all internal and external policies, procedures, rules, regulations, patient confidentiality and HIPPA privacy. Remains current on all regulations, policies and procedures and process changes that are essential to completing assigned daily tasks. (10%)
- Cooperates with and maintains excellent working relationships with patients, WPAHS leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts. (10%)
- Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission
- Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies
- Provide Partners Medicaid ACO patients with the highest level of customer service as they establish care with BWH Primary Care Physician
- In this brand new position, serves as the primary point of contact for Medicaid ACO patients, through both telephone calls and electronic communications, for patients who are interested in establishing care with a BWH Primary Care Physician
5
Responsibilities For Lead Patient Access Coordinator Resume
- Work collaboratively with each patient to help him/her select the BWH Primary Care Physician/Practice that best matches his/her preference, and ultimately to schedule that patient for the appropriate new patient appointment with the Physician/Practice of his/her choosing
- Assist patient discharging from Emergency Department or Inpatient Services at BWH and other healthcare systems in coordinating follow up care with BWH Primary Care Physician and/or Specialists
- Maintain the highest level of communication to foster productive and collaborative relationships with the Practice Managers and/or New Patient Coordinators at each of our Primary Care Practices (currently 14, soon to be 15 in number)
- Utilize customer service and sales skills to provide resolution to caller’s needs
- Generates weekly, monthly, annual and various reports on call volume and systems utilization
6
Responsibilities For Patient Access Coordinator Resume
- Coordinate the organization and distribution of New Patient Welcome Packets for each new patient appointment scheduled
- Answer questions about Partners Medicaid ACO and BWH Primary Care, as needed, from prospective patients, BWHC Specialist offices and other healthcare systems
- Serve as a key member of BWH Primary Care’s central administrative team and BWH Medicaid ACO team
- Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials. Performs reconciliation of payments. Prepares and deposits payments received. (20%)
- Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges). (20%)
- Assists customers with patient billing inquiries and takes appropriate actions. Addresses and resolves patient complaints. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (20%)
7
Responsibilities For PPS Patient Access Coordinator Resume
- Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner. (10%)
- Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to physician practice billing. Ensures compliance with regulatory requirements. (10%)
- 1) Restocks desk and area working in as needed for next shift
- Knowledge of billing codes
- 2) Clears off printers and faxes daily
- 3) Consistently assures department areas are neat
- Leads, supervisors and managers of patient access department
- Administrative Director of Patient Access
8
Responsibilities For Lead Patient Access Coordinator Resume
- Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements
- 5) Demogaphical Information: Obtains accurate information
- Interpersonal skills necessary in order to communicate effectively with patients, patient’s families, physicians, and other health care providers when assisting in Pet scan
- Excellent knowledge of applicable rule/regulations/guideline governing Managed Care and government sponsored coverage and reimbursement, to include in-network vs. out-of-network benefits
- Knowledge of the financial requirements of insurances, HMO and PPO organizations and state and federal programs
- Knowledge of medical terminology and hospital processes required
9
Responsibilities For Patient Access Coordinator Resume
- Gains a deep knowledge of insurance benefits and understands fully the intricacies of third party liability and Workers’ Compensation
- Understands screening patients for MR safety, contrast allergy and renal function and appropriately documents and relays information to clinical staff including Radiologists
- Has a deep understanding of insurance authorization, insurance benefits, insurance verification, and intricacies of third party liability and Worker's Compensation
- Pre-register and register patients
- Able to maintain organization, employee and patient confidentiality at all times
- Work independently, under minimal supervision
10
Responsibilities For PPS Patient Access Coordinator Resume
- Five or more years in a healthcare or service industry role
- Two years in a lead or supervisory role
- Access and enter computerized data/information
- Adept at creating partnerships and working collaboratively with all areas of the patient revenue side, and clinical and administrative teams to meet shared objectives and goals
- Someone that can work independently and handle difficult interactions
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