Patient Access Rep Resume Sample
Theron Hirthe
948 Sporer Village,
San Francisco,
CA
+1 (555) 699 7179
Work Experience
Senior Patient Access Rep
04/2016
-
PRESENT
New York, NY
- Attempts to contact all “no show” patients, documents in patient’s record and reschedules patient
- Educates and instructs patients of upcoming procedures and tests under the nurse’s guidelines
- Demonstrated working knowledge of software/system/equipment/PCs
- High level working knowledge of all Software, programs and equipment, including PCs
- Understand the Authorization Policy and works with leadership and physician’s office to determine if the patient’s procedure is urgent/emergent for possible service deferral
- Close cash drawers and make deposits
- Educates patient, physician and staff in HMO, PPO and Caloptima protocols and benefits
- Responsible for participation in, Quality Management, Utilization Management, and Peer Review Committee meetings
Patient Access Rep
08/2013
-
01/2016
Boston, MA
- Generate, log and file assigned QM/UM reports within established deadlines
- Identify and communicates through established protocols, the trends/patterns that adversely impact flow
- Generate and track all patient and physician correspondence related to referrals
- Identify and communicate through established protocols, non-compliance with Utilization guidelines
- Completes disability forms for patients, as needed
- Responsible for the obtainment of all relevant materials and information to make informed referral decisions
- Timely response and appropriate communication with the SJHH- Customer Service Department for the quick and complete resolution of patient issues
- Research and initiate resolution of patient complaints, as appropriate (with in scope of knowledge and certification)
- Assist as appropriate in health plan audits
Patient Access Rep for Rotating Shifts
12/2010
-
04/2013
Phoenix, AZ
- Obtain/confirm and enter demographic and other financial and clinical information necessary for financial clearance of scheduled patient accounts
- Contact patient’s family or physician offices to obtain missing insurance information which can include policy number, group number, date of birth, and insurance phone number if patient does not have insurance cards during emergent/urgent admission
- Verify insurance using online electronic verification system or by contacting payor directly
- Confirm and document insurance eligibility of patient coverage benefits, including coverage limits, number of days, patient responsibility, effective dates, and follow-up with patient and/or referring physician office in the event of failed eligibility
- Collaborate with scheduling departments to identify add-on patients (patients scheduled for services less than two days from booking date)
- Obtain authorization, pre-certification, referral, and/or notification as necessary
- Notify patients of their liabilities prior to date of service as determined by insurance benefits and coverage limits; collect liabilities per department guidelines
- Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate
Education
Johnson & Wales University
2005 - 2009
School's Degree in Related Area Desired
Professional Skills
- Excellent decision making skills; good analytical skills with a strong attention to detail are necessary
- Concise written communication skills and keyboarding skills required
- Demonstrate skills associated with Admitting and answering telephones
- Demonstrated typing and basic computer skills, including Internet Explorer, Microsoft Outlook and Microsoft Office programs
- Skills to effectively present information and respond to questions from patients and customers, with proficiency
- Intermediate math skills acquired through classroom work or through work experience
- Experience with personal computer based applications and other various office equipment with proficient typing skills
How to write Patient Access Rep Resume
Patient Access Rep role is responsible for computer, customer, basic, medical, patient, registration, typing, insurance, negotiation, access.
To write great resume for patient access rep job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Access Rep Resume
The section contact information is important in your patient access rep 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 Rep Resume
The section work experience is an essential part of your patient access rep 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 rep 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 rep position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Access Rep resume experience can include:
- Uses effective verbal and written skills, understanding of privacy requirements, remain calm in all situations
- Exhibits sophisticated interviewing, communication and negotiation skills
- Possesses intermediate math and business writing skills
- Skills in using computers and computer applications
- Proficiency in basic MS computer programs, telephone skills, general knowledge of printers, fax, copier, scanner, and credit card machines required
- Able to communicate effectively with patient at bedside / booth for up-front collection
Education on a Patient Access Rep Resume
Make sure to make education a priority on your patient access rep 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 rep 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 Rep Resume
When listing skills on your patient access rep 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 rep skills:
- Ensures strong organizational skills in order to manage multiple tasks simultaneously combined with ability to effectively prioritize
- Demonstrates well-developed interpersonal skills to deal tactfully and effectively with sensitive financial and diagnostic manners
- Proven clear, effective written and oral communication skills
- Communicate effectively both orally and in writing, excellent telephone etiquette required
- Good organizational, time management, and conflict resolution skills
- Intermediate math skills aquired through classroom work or through work experience
List of Typical Experience For a Patient Access Rep Resume
1
Experience For Senior Patient Access Rep Resume
- Prior home health agency/home infusion experience
- Communication skills required to interview patients and families, to gather and
- Opportunities for advancement in the Hospital's Revenue Cycle. A career ladder is in place to reward high productivity, quality and skills
- Experience: At least 2 years of related experience
- Demonstrates the importance of quality and integrity of capturing patient information with regards to patient confidentiality
- Collects patient portion from patients prior to or at time of service (following MSE)
- Five years general office experience with public interaction
2
Experience For Patient Access Rep-riverside Rehab Resume
- Data entry, medical terminology and insurance experience
- Two (2) years of previous experience in patient registration, hospital insurance, collection department or related position is required
- HS Diploma or equivalent education/experience required
- Office experience in a healthcare environment, medical terminology
- Insurance Authorization Experience
- Insurance Verification Experience
3
Experience For Patient Access Rep Shift Resume
- Registration Experience
- Demonstrated proficiency in all Patient Access registrar verifier functions
- Assure all billing system parameters are completed
- Prepare billing/collection financial files as needed
- AHIQA monitoring Outpatient Surgery, Special Procedure & Cath Lab Registration
- Act as preceptor for new hires on-going in-services for staff
- Answers telephones in a timely manner using AIDET principles; accurately identifies the best way to meet or exceed the caller’s expectations
- Complete and/or attend mandatory training and education sessions within approved organizational guidelines and time frames
4
Experience For Patient Access Rep for Hour Day Shifts Resume
- Navigate multiple technical systems including (IDX, Allscripts, Meditech, Passport, etc.)
- 2: Staffing significantly below MGMA benchmark for provider productivity for specialty
- Process all registrations accurately and timely for scheduled cases to ensure a clean bill which includes the following but is not limited to
- Where appropriate, participates in Performance Improvement activities, including team membership
- Utilizes technology to verify and document insurance eligibility of patients accurately, efficiently, and timely according to established standards
- Prints patient's results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations
5
Experience For Patient Access Rep 7am-4pm Resume
- 45 wpm typing required
- Be responsible for ensuring all Self Pay and or Insured Patients have been screened for the appropriate level of coverage or access to coverage
- Basic understanding of web-based systems, proficiency in data entry
- Remain calm and courteous while working under stressful situations
- Maintain appropriate records, files, and timely and accurate documentation in the system of record
- Act as a knowledgeable resource on Pre-Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.)
- Determination of all payor types policy provision for accurate reimbursement
6
Experience For Patient Access Rep for Nights Shifts Resume
- Determination of responsibility party payment responsibilities
- Prepare / send cost letter agreements
- Interpret provider contracts
- Re-Verification of patient policy benefits monthly
- Obtain authorizations/re-authorizations on a timely basis and scan documentation into Electronic Medical record
- Inpatient & Observation Registration
- Outpatient Surgery, Special Procedure & Cath Lab Registration
7
Experience For Patient Access Rep With Benefits Overnights Resume
- Assists with QA and peer development
- Proficient in multiple patient access functional areas
- Leads the department in the absence of a manager on-site and has ability to make temporary operational and staffing adjustments as needed based on guidelines provided by management
- Leads the department in the absence of a manager on-site and has ability to make temporary operational and staffing adjustments as needed
- Greets and directs patients and visitors in person and over the phone utilizing AIDET principles. Provides information regarding services, JPS location information and additional assistance as required
- Accurately identifies patient and registers JPS patients while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing
- Explains and secures consent for all registration forms including general consent forms, MSPQ, notice of privacy practices, patient rights and responsibilities, MyChart enrollment etc
- Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter
8
Experience For Patient Access Rep, Days Resume
- Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting
- Responsible for practicing AIDET in all customer/patient related encounters
- Monitors the daily work activities of the department, ensuring patient flow is not compromised and registrations are completed in a timely manner
- Maintains orders and dispersing of needed supplies for the department
- Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
- Verification and review of insurance benefits and financial clearance for all payors at each encounter
- Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
- Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols
9
Experience For Patient Access Rep With Benefits 7pm to 7am L&D Resume
- Obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered
- Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
- Performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports, completes departmental operational reports based on team performance accountability, leads shift Patient Access Operations, and collaborates with Department leaders in process and operational excellence
- One year experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service
- Understand and implements appropriately the ministry’s policies on discounts, patients payments plans, and global services
- Contact physician’s on scheduled patients, to notify them of authorization requirements and any possible financial holds
10
Experience For Patient Access Rep for Evening Shift Resume
- Performs manual and electronic posting functions for all Managed Care, Commercial and Government payors for all patient accounts, including cash balancing and reconciliation of bank deposits
- Post payment corrections, payment transfers, NSF’s, inter-facility transfers, Payroll deductions and any other cash transactions for A/R accounts according to established guidelines
- Understands ministry’s policies on discounts, patient payments plans and global services
- Interact with internal and external customers in a courteous manner in person and via telephone
- Verify insurance and complete pre-authorizations and/or precertification of procedures
- Answer back-line telephone calls, re-direct calls as appropriate, assist callers with questions or concerns and take messages as needed. Sorting of documents received via facsimile and distribution of incoming postal mail
- Accurately completes the registration process for any procedure/admission as outlined by the department’s policy and procedure manual
- Responsible for accurate order entry for Lab or Radiology
List of Typical Skills For a Patient Access Rep Resume
1
Skills For Senior Patient Access Rep Resume
- Sound interpersonal, organizational, decision~making and problem~solving skills necessary to comfort patients and significant others
- Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism
- Sophisticated interviewing, communication and negotiation skills
- Refined communication skills, both written and oral
- Refined organization skills with a well-developed style of diplomacy
2
Skills For Patient Access Rep-riverside Rehab Resume
- Demonstrates a working knowledge of office procedures, e.g. typing, filing,medical terminology, etc
- Demonstrates a working knowledge of computers, especially productivity software, e.g. spreadsheets, word processing, etc
- Experience with Patient Access/Accounting – Billing/Collections/Customer Service
- Experience working in customer service role
- Three years of experience in a hospital or medical business office setting
3
Skills For Patient Access Rep Shift Resume
- Two (2) years experience in an admitting department required
- Experience within a healthcare and/or insurance carrier setting
- Experience training new employees in all of the above
- Assure all required billing forms ABN, Financial Responsibility letters are appropriately completed and valid
- Demonstrates an understanding of system interfaces and can troubleshoot problems/issues
- Medical setting experience
- Experience in medical facility, health insurance, or related area
4
Skills For Patient Access Rep for Hour Day Shifts Resume
- 1: 4+ years' experience (recommended) in healthcare related field with point of service knowledge including
- Reviews departmental policies annually for continued appropriateness and effectiveness
- Works in conjunction with the Centralized Referral Center to ensure prior-authorizations have been obtained
- Ensures proper utilization of computer systems to facilitate efficient and effective work flow processes
- Review scheduled Outpatient visits prior to service for authorization processes and procedure requirements
- Serves as preceptor, mentor, and resource to less experienced staff
- Scanning of all patients’ (demographic) paperwork to patient chart and assist with batch scan filing
5
Skills For Patient Access Rep 7am-4pm Resume
- Willing to assist with other assignments as they arise in order to keep the department functioning efficiently
- Typing at least 35 wpm
- Independent in opening and closing office at designated hours of operation. Process incoming calls efficiency
- Responds to patient questions regarding routine billing and insurance matters
- An incumbent is located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly
- Collaborate with nursing, and medical staff in assessing patient needs and appropriate placement of individual patients
6
Skills For Patient Access Rep for Nights Shifts Resume
- Facilitates daily bed meeting and identifies issues at bed meeting
- Exercise sound judgment in handling/escalating difficult situations
- Employee is regularly exposed to noise associated with working around others in an office setting
- Successful completion of the Patient Access Training modules within nine (90) days of obtaining position
- Maintains daily cash log within excel tracking payment posting completion level
- Maintain physician’s schedules ensuring that patients are scheduled properly. Rescheduling of patients as necessitated due to schedule changes
- The Patient Access Rep communicates with patients and staff using multiple advanced communication tools, including phone calls, emails, faxes or mail
7
Skills For Patient Access Rep With Benefits Overnights Resume
- Responsible for keeping financial information up to date and for collecting monies due for co-pays or elective procedures
- Independent decision making. Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays
- Enter patient billing and clinical data
- Capacity for conducting new patient intake interviews
- Be flexible and patient with patients when fielding their concerns
- 9 hour shifts, 4 days a week. Come join our amazing team!
8
Skills For Patient Access Rep, Days Resume
- Maintain efficient patient placement in the inpatient bed setting based on scripted criteria for type of bed, service and/or firm assignment
- Instruct and educate physician’s office staff on proper procedures for booking admissions and levels of care classifications
- Ensures payers are listed Accurately, pertaining to primary, secondary,
- Escorts patients to changing areas as needed
- Availability and flexibility within life schedule to accommodate a 24/7 department with scheduled weekends and rotating holidays
- Work in all patient registration areas including the Atrium, Medical Office Center and Emergency Services
- Able to carry and lift objects up to 25 pounds and push/pull supply carts, gurneys, and/or wheelchairs weighing in excess of 200 pounds on occasion
9
Skills For Patient Access Rep With Benefits 7pm to 7am L&D Resume
- Establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies
- In a Patient Access or medical office setting
- Certified Healthcare Access Associate (CHAA or its equivalent), issued by the National Association of Healthcare Access Management, obtained or ongoing
- Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and follow-up activity
- Research and clear Unapplied Accounts (bank, MCare, MCaid) using established Identification function/process
10
Skills For Patient Access Rep for Evening Shift Resume
- Contacts patient’s family or physician office to obtain missing insurance information and authorizations
- Performs cash collection functions, patient pricing estimates, admission, and discharge and transfer functions
- Maintain all necessary / required tracking logs / tools, per department guidelines
- Utilize follow-up systems within the billing systems to assist in daily work management
- Prepares patient ID band and places band on patient wrist during registration process
- Extensive authorization or referral processing
List of Typical Responsibilities For a Patient Access Rep Resume
1
Responsibilities For Senior Patient Access Rep Resume
- Demonstrate efficiency and familiarity with hospital systems including Pathways, Lab, PHS scheduler, Epic, Patient Management System, Precision, Patient Tracking Board, Navinet, PIM, and Microsoft Word
- Build excellent reciprocal customer relationships with patients, staff, family and all ancillary departments served
- Adopt and demonstrate the Advocate Health Care MVP and all principals associated with the patient satisfaction service excellence program
- Obtain physician’s Medical License via appropriate websites and complete appropriate form for processing
- Handles the training of Information Desk volunteers
2
Responsibilities For Patient Access Rep-riverside Rehab Resume
- Quality Assurance and Training
- Provide other hospital departments and physician offices with information or materials related to Bethlehem Registration processes
- Patient registration to include all new patient data entry and updates to existing patient accounts. Relay necessary messages to clinical staff with regards to patient’s appointment
- Verification of patient insurance coverage to include eligibility and benefits. Documentation of benefit verification in patient’s electronic file as appropriate. Confirmation of active referral on file for scheduled appointment
- Follow all workflows related to your department
- Maintains & troubleshoot problems that arise with computers, printers, scanners, label printers and Welcome Kiosks. Reports malfunctioning equipment by ticket submission
- Act as a resource to other PAS reps when appropriate
3
Responsibilities For Patient Access Rep Shift Resume
- Knowledge of Managed care, Commercial, Medicare and Medi-Cal verification
- Able to explain financial options to patient/family
- Obtain insurance pre-certification and authorizations
- Answers telephones; takes and relays messages; greets and directs patients and visitors. Handles routine requests for information from other departments
- Completes the registration process, obtaining accurate patient demographic and financial information. When applicable, utilizes the EVS, Blue Cross and/or Medicare by use of the Internet to verify insurance coverage
- Obtain complete, accurate demographic and history from the patient, family and staff in
- Determine and carry out various payer requirements specifically related to different types of services
- Frequently review all Inpatient Accounts or any new Self Pay Admission
- Interact and communicate and collaborate with various departments on a regular basis
4
Responsibilities For Patient Access Rep for Hour Day Shifts Resume
- Accountable for multiple scopes of service as assigned
- Assembles all data and documents required for complete patient registration, including, pre-admission, admission, pre-registration and registration Functions; completes all insurance verifications and authorizations
- Enters all patient demographic information; uses other department applications for eligibility and authorization
- Assesses patient financial responsibility and collects co-pays and deductibles at time of admission
- Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered
- Obtains and documents funding information from patients and Provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned
- Uses payer resources and website to explore and assess eligibility; Initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care
- Works in collaboration with all areas of the revenue cycle to identify and resolve issues and or barriers
- Enters a variety of fiscally related information into databases; Maintains fiscal records and files
5
Responsibilities For Patient Access Rep 7am-4pm Resume
- Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems
- Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payors listed on an account
- Process patient accounts and deploy established policies to resolve insurance issues with patient accounts with/without supervision i.e. conference calls with employer, payor and physician office staff
- Attendance – adheres to departmental attendance policies which includes, but it not limited to clocking in and out appropriately, timely submission of requests for time off, proper notification of absence and punctuality
- HIPAA and Compliance – Adheres to Palmetto Health HIPAA and Compliance policies ensuring patient confidentiality is maintained at all times
- Communication – Communicates in a professional manner at all times with patients, visitors, co-workers, medical staff and ancillary departments. Promotes open lines of communication within and outside the department Teamwork – Acts as a team member. Supports and promotes team efforts and activities in a positive and productive manner
- Communication – Communicates in a professional manner at all times with patients, visitors, co-workers, medical staff and ancillary departments. Promotes open lines of communication within and outside the department
- Teamwork-Acts as a team member. Supports and promotes team efforts and activities in a positive and productive manner
6
Responsibilities For Patient Access Rep for Nights Shifts Resume
- Review pharmacy activity logs daily
- Scan all patient medical / financial documentation into the electronic patient chart
- Handle daily correspondence expeditiously
- Software knowledge ( Excel, Word )
- Knowledge of HCPCS, ICD-9 and CPT codes
- Receive and process requests for all direct admissions and Aultman Access transfers
- Answers inbound & outbound phone calls, performs private branch exchange (PBX) telephone system operator functions in adherence to Hospital policies & protocols
7
Responsibilities For Patient Access Rep With Benefits Overnights Resume
- Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services
- Teamwork – Acts as a team member. Supports and promotes team efforts and activities in a positive and productive manner
- Registers patients in a prompt, efficient and courteous manner. Greets all patients and identifies self
- Identifies patient appropriately at registration
- Obtains signatures on all necessary insurance forms, Consents, Medicare Rights, and Health Care Proxy etc
- Utilizes established department guidelines to ensure patients issues are addressed in a timely manner and when necessary, transfers the call to the appropriate person in the department for additional consultation
8
Responsibilities For Patient Access Rep, Days Resume
- Sustains proficiency in Department downtime procedures and patient tracking system
- Collect copays or deductibles as required
- Provides accurate and detailed information and updates patients’ records, using the various management information systems used at BMC: IBEX, EWS, SDK and others
- Demonstrates highly developed interpersonal skills in order to relate to patients of all ages, staff members, physicians, and visitors, negotiate effective working relationships, and develop positive resolutions to conflict. Maintains a strong customer service orientation
- Ensures the ability to be discrete and protect integrity of confidential information
- Confirms patient’s insurance coverage eligibility and plan requirements utilizing the electronic verification system and / or insurance company websites. Communicates with physician offices and ancillary departments as necessary to determine eligibility. Updates hospital information system with appropriate insurance plan codes
- Verifies patient’s co-payments and deductible responsibilities and ensures collection. Provides treatment estimates and approximate balances from patients prior to service and documents all interactions into the patients account
- Responsible to ensure that the work environment remains neat, clean and tidy, including the ED waiting room
9
Responsibilities For Patient Access Rep With Benefits 7pm to 7am L&D Resume
- Responsible for securing payment of accounts
- Exhibits objectivity and openness to others’ views, contributes to building a positive team spirit
- Advises patients on insurance and billing issues and options. Serves as a
- Basic understanding of patient privacy
- Use of proper intake procedures including
- Basic medical terminology for interpreting clinicals
- Procedure and/or surgery scheduling
- The position is very detail oriented
10
Responsibilities For Patient Access Rep for Evening Shift Resume
- Able to explain financial options to patient / family
- Acts as liaison for patient access team members in the absence of Patient Access leadership. Attends and participates in workgroup, committees, special projects and team meetings as required
- Oversees ordering of supplies, running regular reports, and maintains equipment in a resourceful manner
- Demonstrates the ability and responsibility to handle any job responsibility of the Patient Access Representative III to include pre-registering, registering and scheduling all patient types
- Makes independent decisions based on policy and/or consultation with co-workers/team members. Has the ability and responsibility to handle audits and reviewing access problems, research potential solutions and suggest procedural changes to prevent the problem in the future when applicable
- Monitors staff productivity metrics on a daily basis, weekly, monthly basis
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