Patient Access Manager Resume Sample
Work Experience
- Ensure QA on registrations for all areas of Registration
- Provide continuous training for and communicates changes to existing employees
- Prepare payroll and completes monthly work schedules as needed to ensure adequate staffing levels
- Follow-up on patient complaints promptly
- Work closely and professionally with outside agencies on special projects developed by the corporate office
- Interview, hire, evaluate, and counsel Patient Access staff members
- Perform evaluations in a timely manner
- Review the quality of patient registration documents on a daily basis
- Work closely with fellow managers to ensure all procedures regarding patient accounts are completed in a thorough and timely manner
- Complete monthly reports to the Director (ARMAP, Clear Access, etc.)
- Responsible for Dept. Operations Report, FTEs and Operating budgets
- Ensure all personnel policies are followed
- Develop and maintain a Patient Access Policy and Procedure Manual
- Effectively manage and direct all areas of registration to ensure quality, productivity, and customer service
- Maintain a clean MPI on Meditech and works closely with Medical Records on a daily basis
- Maintain QA statistics and reports
- Monitor and maintain Daily Preservice Log, BILL45, and Alpha Census according to established Business Office standard
- Act in the capacity of Director in his/her absence
- Contribute to A/R goals for patient registration
- Conduct monthly staff meetings and inservices for all responsible areas
- Work closely with Market Financial Coordinator for updates and testing for Meditech
- Assume on-call responsibilities to ensure adequate staff and problem solving
- Update collection system and requests rebill if appropriate
- Work closely and professionally with Nursing and Ancillary Departments in an effort to maintain teamwork approach
- Policies & Procedures - articulates knowledge and understanding of organizational policies, proceduresand systems
Education
Professional Skills
- Strong problem-solving, priority-setting and project management skills
- Experience and skills in problem solving, relationship and network building, and educational programming
- Drive projects and cases to completion, be self-directed, have excellent verbal and written communication skills
- Proven leadership abilities/experience in extracurricular activities, volunteer work, coursework, internship and/or work experience required
- Detail oriented ideally with Programs Data Mining background using analytical and problem solving skills
- Proven track record for consistently meeting or exceeding qualitative, as well as any relevant quantitative, targets and goals
- Cross-functional working / Matrix working experience
How to write Patient Access Manager Resume
Patient Access Manager role is responsible for government, training, customer, collaboration, reporting, mainframe, finance, database, auditing, payroll.
To write great resume for patient access manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Access Manager Resume
The section contact information is important in your patient access manager 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 Manager Resume
The section work experience is an essential part of your patient access manager 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 manager 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 manager position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Access Manager resume experience can include:
- Efficient typing and computer skills
- Have overall supervision of representatives to effectively meet or exceed productivity and revenue cycle goals as established by the Director
- Supervisory experience, healthcare/medical experience, and proficient with computers/information technology
- Broad experience in the pharmaceutical/pharmacy industry with a strong Patient Programs background
- Participants satisfactorily completes field training assignments, specifically designed to perfect management and technical skills
- Good understanding of revenue cycle including registration, insurance regulations, and financial counseling
Education on a Patient Access Manager Resume
Make sure to make education a priority on your patient access manager 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 manager 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 Manager Resume
When listing skills on your patient access manager 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 manager skills:
- Excellent verbal/written communication and interpersonal skills-collaborates effectively with external and internal stakeholders
- Have strong project leadership, management skills and extensive cross-functional collaboration experience
- Strong customer service skills and complaint resolution experience
- Work effectively in a fast-paced environment with initiative, collaboration and great organization skills
- Prior management experience or three years’ experience in medical office
- Strong computer skills and knowledge of Microsoft Office required
List of Typical Experience For a Patient Access Manager Resume
Experience For Patient Access Manager Sweden & Finland Resume
- Demonstrate “service excellence” and a commitment to team working day to day activities
- Model AIDET guidelines in all interactions with the patient and ensure staff are adhering to the patient experience expectations
- Assist staff in dealing with customer service issues, provide mentoring as needed to staff and invene as needed with customers
- Support the Optimization of Program Reimbursement Operations by providing Assistance to Supervisors/APMs/PMs Regarding Reimbursement Strategies
- Functions as Resource in Providing Technical Expertise to Operational Management Regarding Reimbursement Matters
- Ensure appropriate staffing coverage in the Service Center at all times
Experience For Patient Access Manager, Krystexxa Resume
- Provide Bridging Escalation Support/Coverage
- Propose Solutions to Major Market Events/ Listing Changes
- Maintain routine and proactive contact with patients while reactively responding to specific requests
- Respond immediately to patient and patient family questions and concerns; providing resources to resolve patient/caregiver issues
- Responsible for training of all new staff
- Responsible for ensuring that all Customer Service functions are conducted as appropriate
Experience For Patient Access Manager Needed Resume
- Responsible for completing all reports as assigned by Patient Access Director by the date as assigned
- Adheres to all policies of hospital and Revenue cycle
- Works with Director to update KPIs and reviews them monthly with Director
- Provide timely and accurate communication to staff, managers and physician's office when necessary
- Maintains and updates as needed the departmental policy and procedure manual
- Conducts with supervisors' monthly staff and education meetings for all staff
- Works with staff to insure FCC are correct and policies are adhered to
Experience For Patient Access Manager, Procysbi Resume
- Works with staff to insure patient estimations are correct and obtained per Revenue Cycle policy
- Work closely and professionally with outside agencies on special projects developed by the corporate
- Continuously streamlines processes/systems to achieve maximum efficiencies
- Ensures the accuracy and completeness of patient information entered into the database system
- Maintains payroll reports to ensure accuracy of man-hours. Enforces various organizational policies consistently
- Manages the daily activities of the registration departments (Hospital Registration, ED Registration, and Pre-Op) to ensure good customer service is maintained and accurate patient data is collected
- Operates the departments in a cost-effective manner by monitoring man-hours, supply expenses, and volume. Ensures adequate staffing levels are maintained to provide good customer service
Experience For Regional Patient Access Manager Resume
- Performs or assigns tasks as needed in the absence of employees so work flow is maintained
- Works closely with Health Information Systems (HIS), Patient Accounting (PA), Compliance, Inpatient Case Coordination (IMPCC) and Information Technology (IT) departments to optimize coding, billing and documentation efforts. Facilitates technological changes and analysis by working closely with IT to improve system processes
- Performs customer service recovery as needed and assures high quality customer service from all areas of responsibility
- Maintains active involvement in all regulatory compliance functions by maintaining up to date working knowledge of latest healthcare trends in coding, reimbursement and clinical care management
- Manages the day to day operational processes to facilitate maximum productivity levels
- Ensures streamlined processes are established for registration, scheduling, pre-registration and all Patient Access functions to enhance patient access and insurance verification. Assists with completing Medicare Secondary Payer forms to optimize Medicare reimbursement
Experience For Patient Access Manager PA / PFS Altamonte Resume
- Responsible for establishing and ensuring a high level of excellent customer service
- Supervise proper answering of calls, scheduling of appointments, patient registration, benefit verification, authorizations and communications
- Ensure proper staffing levels are maintained
- Ensures Quality Assurance on registration for all areas involved
- Work collaboratively with Operations Team to ensure Customer Service and Communication processes support the clinic practice teams
- Educate staff on process changes including, appointment scheduling software, scheduling guidelines, benefit verification software, and authorization procedures and master scheduling
- Work closely and professionally with Nursing and Ancillary Departments in an effort to maintainteamwork approach
Experience For Patient Access Manager LSD / HAE Resume
- Work closely with Market Financial Coordinator for updates and testing for HIS Systems
- Hire, train, and develop staff to achieve department quality and productivity goals
- Determines staff qualifications and competence. Develops and maintains accurate initial and annual
- Maintain a clean MPI on Meditech and works closely with HIM on a daily basis
- Complete monthly reports for the Director
- Monitor and maintain Daily Preservice Log, BILL45, and Alpha Census according to established SSC standards. If daily reports are worked by a centralized unit, the manager is responsible for working with the reports unit to ensure accounts are worked timely
- Partner with HR to ensure front office employees’ records are up to date
- Ensure all Patient Access personnel policies are followed
Experience For Admitting / Patient Access Manager Resume
- Ensure all Patient Access Policies and Procedures are adhered to
- Attends in-service presentations, and complete mandatory education including, but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA Standards
- Provide reimbursement education and support to sites of care/treatment centers if requested or necessary, with specific emphasis on One Path and Shire’s reimbursement support services Reimbursement conflict resolution with assigned accounts Provide claims tracking and troubleshooting expertise to treating site
- Provide reimbursement education and support to sites of care/treatment centers if requested or necessary, with specific emphasis on One Path and Shire’s reimbursement support services
- Conducts annual performance evaluations for staff, including goal setting and counseling where appropriate
Experience For Patient Access Manager Resume
- Reimbursement conflict resolution with assigned accounts
- Assists in preparation for both short and long range planning recommendations for all Registration Process area including; Admitting, Tenet Care, Centralized Scheduling, and Patient Account departments
- Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training
- Assesses the individual needs of the patient and develops an appropriate education plan of action, taking into account the patient’s family and team of healthcare providers
- Works closely with the Horizon Pharma case management team and also Horizon’s regional business management representatives
- Ensure a smooth process for drug access, the team works with the patient to help obtain authorization prior to treatment. Sometimes services are performed without a pre-authorization and the PAM and the case manager’s work together to resolve any related issues
Experience For Patient Access Manager Sweden & Finland Resume
- Recruit, train, manage, coach and contribute to retention efforts of employees
- Plans, organizes, and directs day to day activities for Access 360 team to ensure 100% case fulfillment with 100% customer satisfaction
- Provide reimbursement education and support to physician’s offices with specific emphasis on HorizonCares/RaptorCares® reimbursement support services
- Partner with Safety and PV. Report AE’s and product complaints through medical information
- Provide reimbursement education and support to physician’s offices with specific emphasis on TranscendRare/HorizonCares reimbursement support services
- Ensures appropriateness of clinical information or data when required
List of Typical Skills For a Patient Access Manager Resume
Skills For Patient Access Manager Sweden & Finland Resume
- Experience of cross functional working across departments and experience of dealing with multiple levels of stakehlders
- Demonstrated expertise in medical coding/medical necessity and compliance regulations; certifications in coding, compliance and other areas strongly desired
- Experience working with patients in a hospital setting
- In good standing and in territory one full year
- Experience supervising multiple direct reports
- Market access experience and an understanding of the pharmaceutical manufacturers’ business models is an asset
- Excellent working knowledge of Reimbursement Landscape in Canada
- Experience with HIPAA policy, patient access data and analytics
- Patient Access/Market Access experience managing the South Wales territory
Skills For Patient Access Manager, Krystexxa Resume
- Direct or indirect leadership experience or with sales teams, service projects and or commissioning customers within the pharmaceutical region
- Direct or indirect leadership experience or with pharmaceutical sales teams, service projects and or commissioning customers
- Direct or indirect leadership experience with pharmaceutical sales teams, service projects and or commissioning customers
- Nice to have: experience working with biologics or high cost drugs
- Experience monitoring hospital registration performance
Skills For Patient Access Manager Needed Resume
- Key Account Management/Project Management experience
- Project Management Functional Experiences
- Market Access and Service Development experience
- Nice to have: experience in dermatology or rheumatology
- Patient Access/Business Office management experience
- Experience in healthcare or a contact center environment
- Or demonstrated ability to supervise and build teams
Skills For Patient Access Manager, Procysbi Resume
- Patient access work experience
- People management work experience
- Be a subject matter expert in HTA (health technology assessment) and EbM (evidence-based medicine) recommendations on BGM and CGM
- Proven ability to conceptualize and articulate science-based policy goals
- Management experience
- Experience in a Patient Access Department
- Successful experience in achieving results in a highly complex matrix organization
- Routing and problem solving relating to incoming individual patient reimbursement issues
Skills For Regional Patient Access Manager Resume
- Billing/ Coding background in buy and bill and Specialty Pharmacy markets
- Working understanding of Managed Care Plan principles, indemnity insurers, and government insured
- Developing the Malaysian value recognition messages, pricing models, pharmaco-economic analysis, financial impact analyses, quality-of-life research, , etc
- Understanding of health care delivery systems
- Understanding of various types of insurances
- Representing Shire at Regional and National Conventions
- Nursing, or other clinical background
- Ongoing review and optimization of reimbursement programs
Skills For Patient Access Manager PA / PFS Altamonte Resume
- Management of staff including hiring, training, scheduling, performance evaluations, disciplinary action, and quality control
- Responsible for statistical reporting and other reporting required in Admitting, information, Scheduling, Pre-Registration, Pre-Certification, Verification
- Dedicated to providing organization or enterprise-wide common systems for designing and measuring work processes
- Provide ongoing management of NPA programs, including maintenance of existing programs and implementation of new programs (e.g. new products)
- Develop cutting edge marketing programs with the internal Shire marketing team
Skills For Patient Access Manager LSD / HAE Resume
- Responsible for ensuring that the Financial Counseling functions are conducted according to policy and that the functions are helpful to all patients fairly
- Provide organization systems for designing and measuring work processes
- Cross-functional working / Matrix working
- Key contributor to meeting and exceeding A/R goals for Patient Registration
- Manages and or oversees the orientation and training process for all staff performing Patient Access functions
- Performs department audits to identify billing errors. Provides continuous feedback to staff and management regarding audit outcomes
- Expertise in using Word, Excel and PowerPoint
- Can design practices, processes, and procedures which allow managing from a distance
Skills For Admitting / Patient Access Manager Resume
- Business acumen; knowledgeable in current and possible future policies, practices, trends, technology and information affecting Access Services programs
- Knowledge of Medicare/Medicaid Guidelines, JCAHO guidelines as it relates to registration/admitting
- Knowledge of insurance verification procedures and payor guidelines regarding notification and pre-authorization
- Policies & Procedures - articulates knowledge and understanding of
- Extensive knowledge of relationship between Admitting, Clinical Areas, Financial Areas, and pre-service and point-of-service financial clearance activities
- Budget & accounting background required
- Develop, recommend, and oversee the implementation and administration of policies and procedures of patient admissions and bill auditing services
Skills For Patient Access Manager Resume
- Evaluate process and procedures and coordinate with the management team to ensure efficient patient processing, bed
- Provide expertise in coordination of care, working with internal case managers, RBM’s, sites of care, and payors
- Develop an indepth understanding of national/local policy with the ability to influence and shape the local health economy
- Coordination and development of training internally and externally related to reimbursement programs
- Participate in negotiation of contracts with vendors pertaining to reimbursement programs
Skills For Patient Access Manager Sweden & Finland Resume
- Manage ongoing relationships with vendors for all active reimbursement programs
- Responsible for ensuring any projects assigned by the Patient Access Director are completed by the date assigned
- Works with supervisors to monitor results of work q review and can work with staff to insure compliance with the process of correcting errors
- Exhibits competency in the use of computer software: Microsoft Word, Excel
- Hire, train, manage, coach and retain staff
- Dedication to continuous improvement through empowerment and management by data and market research
List of Typical Responsibilities For a Patient Access Manager Resume
Responsibilities For Patient Access Manager Sweden & Finland Resume
- Differentiate our products adapting and a global value story to local healthcare context in order to avoid price erosion and get preference. Develop appropriate communication platforms to reinforce the value messages for our products (e.g. workshops, payer info material)
- Experience directly supporting patients
- Field-based experience in patient services or reimbursement
- Experience in healthcare or customer service related field
- Field-based experience in patient services/reimbursement
- Extensive knowledge of relationship between Admitting, Clinical Areas, Financial Areas, and Centralized Scheduling
- Access Related Reporting
Responsibilities For Patient Access Manager, Krystexxa Resume
- Train and keep entire Local ADC organization updated
- Promote Information Specialists in LLS’s Information Resource Center as an essential point of initial contact, inside and outside of LLS, for disease, treatment and support information
- Collaborate and partner with internal stakeholders including Executive Directors, Patient Access Managers, Volunteer Development Managers, Campaign, Chapter and Home Office staff to ensure joint planning, mutually beneficial support, and effective advancement toward LLS’s overarching goals and strategies
- Work in collaborative with the full APC team, BUs, Medical and any other relevant department(s) to prepare analyses, develop and implement strategic operational plans to achieve optimal access / reimbursement for existing and launch products in both public and private sector (including APF, AMP and ABP)
- Optimizes reimbursement for designated products, including launch products, by providing strategic advice on market access and reimbursement environment opportunities. Scope includes
- Develops and implements reimbursement/health economics strategy
- Research projects strategy and programs for new and marketed products within defined therapeutic areas,
- Develops and/or leads development and manages therapeutic specific health economics and health services assessments to support outcomes research and programs
- Accountable for and leads team-based Performa submissions to state and national formularies, third party payers (private insurance), and other customers as required
Responsibilities For Patient Access Manager Needed Resume
- Leads and develops the strategy and positioning for the submission to payers; including determining and developing (where required) the pharmacoeconomic analysis, financial impact analysis, inputting into the clinical portions, and overall accountability and writing of the overarching components / arguments
- Analyze, develop and lead reimbursement research or policy projects as required (e.g. reimbursement environment analysis private payer analysis, RPAP evaluations)
- Assists in preparation for both short and long range planning recommendations for all Registration Process areas including: pre-service and point-of-service financial clearance activities and Patient Access functions. Actively practice budget/cost management. 10%
- Develop and implement action plans as identified. 10%
- Manages all operational metrics to ensure the department meets client and Conifer goals including, but not limited to Service Level Agreements and budgetary guidelines. 30%
- Enforces departmental policies, practices, procedures and work rules in accordance with approved hospital policies and assists in the development of new policies according to hospital and corporate guidelines. 10%
- Consistently communicates appropriate information to staff and provides feedback to Director and CFO. Communicates deficits and problems to supervisor with recommended solutions for improvements. 10%
Responsibilities For Patient Access Manager, Procysbi Resume
- Improves and maintains good communication among all staff to achieve the goals and objectives set forth for the office and the hospital
- Trainer of Patient Access staff
- Collaborating with the Business Leader and team to create and implement a local access plan incorporating both commissioning and service activities and informing the Key Account plans
- Customer facing account management responsibility for NHS decision makers
- Adhere to professional standards, compliance guidance, policies and procedures, federal, state, and local requirements
- Coordinate with reimbursement managers and home office commercial team
- Work in team environment and manage communication with reimbursement and sales representatives
- Development of customer/patient materials to support reimbursement programs
Responsibilities For Regional Patient Access Manager Resume
- Monitoring and reporting to the Sr. Market Access Manager and Executive Management on the performance of reimbursement programs relative to performance, objectives and targets
- Liaise with Senior Biopharmaceutical Representatives (SBR) on individual patient access issues
- Provide in-service support for SBR’s as required in the field
- Responsible to maintain reimbursement data feed and report/analyze reimbursement trends
- Maintain detailed knowledge of all available patient support program vendors across Canada
- Responsibility for adequate staffing for all areas of the Patient Access Departments. Schedules and staffs to allow consistent and efficient workflow to minimize patient processing delays
- Provides training and ongoing job development of all employees
- Reports clerical and computer issues originating from or related to the patient registration process which delays patient wait time or other hospital areas
- Enters weekly payroll for the department accurately and timely
Responsibilities For Patient Access Manager PA / PFS Altamonte Resume
- Expertise in registration routines
- Develop, maintain and monitor department standards, processes and procedures to ensure efficient, accurate and measurable service levels and to meet goals
- Use metrics to analyze team performance; actual vs planned call volume, staff requirements, and customer satisfaction
- Gather necessary scheduling and triaging information and help develop protocols and workflows for staff. Work with Training and others to develop training material and ongoing resource guides for managing the business
- Collaborating with the Business Leader and Account Team to create and implement a locality access plan incorporating both commissioning and service activities and informing the Key Account plans
- Assist in Leading Team Training Session for Access Related Topics (in collaboration with Program Management Team)
- Leadership - guides individuals and groups toward desired outcomes, setting high
Responsibilities For Patient Access Manager LSD / HAE Resume
- Collaborating with the Business Leader and Account Team to create and implement a local access plan which is aligned to both franchise and team objectives incorporating both commissioning and service activities
- Support Program Managers in Access Related Process Changes
- Work Collaboratively with the Client to Streamline Reimbursement Related Processes
- Identify Opportunities and Risks Associated with Changes in the External Access Environment
- Acts as Patient Access Manager for the client when they are absent
- Educate patients about insurance options when necessary to ensure continuity of care for the patient
- Connect patients with and warm transfer to appropriate financial assistance programs, if eligible and appropriate
- Responsible for overall management of ED Registration
Responsibilities For Admitting / Patient Access Manager Resume
- Responsible for all quality assurance measures
- Maintain, create and analyze QA statistics and reports
- Completed bi-weekly and monthly reports for Corporate Director, PFS and RCC as required
- Promptly report any system changes or enhancement to I.S. and/or Corporate Director, PFS as appropriate
- Direct Reports (titles): Supervisor, PA
- Indirect Reports (titles): Rep, PA I-IV
- Reports to (titles): Director I or II onsite
Responsibilities For Patient Access Manager Resume
- Access to transportation to attend various meetings/events held in proximity to the Horizon offices and meetings
- Strong organizational, leadership, customer relations, oral and written communication skills and the ability to prioritize, multi-task and delegate are required for effective communication with patients, physicians, public, staff and administration. Ability to adapt and respond effectively to a constant changing service environment
- Extensive (more than 5 years) experience in pharmaceutical industry with significant time spent in Commercial role (sales & marketing and/or business development)
- Communication- communicates clearly and concisely
- Bilingual: fluent in English and Spanish nice to have, not required
- Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division, Facility and Group Executives
- Endorsement of current Manager to apply for role
Responsibilities For Patient Access Manager Sweden & Finland Resume
- High level of empathy and compassion for patients
- Learn product and disease information
- Work in team environment and manage communication with case managers and clinical sales associates
- Respond immediately when necessary to prevent lapses in treatment
- Promote Information Specialists in LLS's Information Resource Center as an essential point of initial contact, inside and outside of LLS, for disease, treatment and support information
- Collaborate and partner with internal stakeholders including Executive Directors, Patient Access Managers, Volunteer Development Managers, Campaign, Chapter and Home Office staff to ensure joint planning, mutually beneficial support, and effective advancement toward LLS's overarching goals and strategies
- PSP and /or market access experience