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Patient Access Representative Resume Samples
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10+ years of experience
Responsible for in-person and telephone scheduling of patient appointments as well as department to department communication to assist in patient scheduling
- Created patient accounts for billing purposes
- Collected co-pays, dues and cost shares and ensured deposit balanced at the end of shift
- Served as pharmacy cashier and was responsible for over-the-counter pharmacy sales.
- Completed additional duties as assigned by clinic manager
6-10 years of experience
Obtained authorizations for medical admissions from insurance companies for review
- Ran daily activity reports to capture and process all admissions/surgeries/patient levels
- Assigned ICD-9 and CPT codes for surgical and procedure authorizations
- Managed the insurance company website for peer to peer review and usage
- Created a pending folder system to increase office efficiency and customer service
0-5 years of experience
Coordinated all ER and outpatient admission and registration processes
- Verified patients’ insurance eligibility and collected patient responsibility payments.
- Maintained patient charts for Business Office and Medical Records.
- Responsible for medical necessity coding for Medicare patients.
- Efficiently expedited patient records between Business Office, Medical Records, and Registration in a 24-hour window of completion.
- Established appropriate methods of reception for the Emergency Room and Outpatient Services.
- Promptly and compassionately greeted and assisted all patients in a timely manner.
- Performed as stand-in switchboard operator as needed.
- Improved admission processes and through innovative observation, implemented a new intake procedure that saved hospital staff time and liability in document security.
0-5 years of experience
Responsible for pre-registration of scheduled accounts, verifying insurance coverage, benefits, and obtaining pre-certification, referral or authorization as needed per insurance company requirements.
- Obtained complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments.
- Performed required pre-certification, credit referral or deposit collection. Entered data in computer and thoroughly documented any incomplete admissions/registrations in manner prescribed. Obtained pre-certification, referral or authorization number and updated patients’ file.
- Gave demographic information to insurance companies and called physicians’ offices if clinical information is needed for pre-certification and verified the information obtained.
- Notified patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction. Notified patients of co-payments, deductibles or deposits needed, when applicable, documenting all information in computer system.
- Completed compliance checker process in accordance with regulatory and Conifer guidelines.
- Maintained positive customer service at all times, referring unresolved issues to appropriate supervisor.
- Answered telephone calls. Followed pre-established script and provided assistance to callers.
- Assisted with scheduling and bed management
0-5 years of experience
Scheduled all internal and external referrals accurately within the scheduling system
- Completed follow up reminders for scheduled patients by phone or mail
- Initiated pre-registration process for patients with third party payer source
- Conducted interviews of inpatients with third party payer source and updated all patient demographic and insurance information
- Documented third party payer, pre-certification and treatment authorization information into the patient accounting system
- Registered patients for the Emergency Room and the Clinics
0-5 years of experience
Registered patients for hospital services.
- Maintained 99% accuracy rating.
- Collected co-pays and deductibles.
- Verified insurance benefits through Passport.
- Ensured HIPAA compliance.
- Completed registration quickly and cordially for all new patients.
- Prepared patient charts, pre-admissions and consent forms as necessary.
0-5 years of experience
Interviewed up to 75 Emergency Room patients per day to complete documents, case histories, intake and insurance forms
- Coordinated communication between patients, family members, medical staff, and administrative staff
- Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations
- Completed insurance and other claim forms
- Compiled and recorded medical charts and reports
- Explained policies, procedures and services to patients
- Calculated and collected patient copayments
- Entered patient and insurance data into hospital computer software program
- Documented and reported observations of patient behavior, complaints, or physical symptoms to nurses
- Educated patients in regard to office policies, medical procedure steps, recovery measures and medication instructions
- Explained treatment procedures, medication risks
6-10 years of experience
Responsible for securing, managing, and reconciling patient valuables
- Facilitated the bank deposit process and reconciliation of cash collections
- Reconciled cash and prepared cash transaction balancing sheet daily
- Demonstrated proficient knowledge of internal cash controls and money handling.
- Trained others in the department to perform Patient Access responsibilities, as necessary
- Assisted with various administrative tasks within the department
- Demonstrated ability to be dynamic and learn new processes and procedures in a quick and efficient manner
0-5 years of experience
Collected and copied all necessary documents to ensure that all information was received at the point of service (insurance cards, identification cards, referrals and authorizations).
- Accurately obtained and processed all patient demographic/Insurance information into the computer systems.
- Reviewed computer edit checks and screens to verified accuracy and completeness.
- Compared existing demographic/Insurance information to current data to verify if information has changed and adjusted the data as necessary.
- Maintained the confidentiality, security and integrity for the management of patient information according to hospital policies and procedures.
- Reviewed and verified of all applicable patients documentation for federal/state program compliance.
- Worked with all management to ensure that the front-end process enhances and streamliners the workflow in all related departments process.
0-5 years of experience
Worked in the patient accounting field primarily involving billing for services rendered
- Served as a liaison between patients and insurance providers, and responded to inquiries from both parties
- Verified insurance plans and collected any necessary co-payments
- Read scripts from doctors to properly register patient into the system with all information up to date
- Checked Bed Board to see if bed is ready for patient occupancy
- Admitting patient into hospital in properly assigned bed
- Registrations for Lab and all Radiology Departments
0-5 years of experience
- Completed registrations for inpatient, outpatient and direct admission services.
- Prepared Medicare, Self-Pay and International surgical estimates.
- Collected monies and documented patient’s account for Self-Pay and International patients.
- Insurance verification including collection of appropriate co-pays.
0-5 years of experience
Greeted patients and entered all relevant patient data into computer and note modality.
- Reviewed patient’s medication list to ensure accuracy.
- Have patients change into hospital gowns in preparation for exams.
- Protocol patients with various diagnoses for appropriate modalities.
- Ensured that specific exams were appropriately authorized from an insurance standpoint
- Responded to patients’ inquiries regarding procedures and exams.
0-5 years of experience
Register/Admit patients using Sunrise/Gateway/Availity/REV RUNNER.
- Medical terminology – Specialty areas: Cardiology, Radiology, Pulmonary, Nutrition, Obstetrics.
- Insurance verification/eligibility; enter physician’s diagnosis/procedure codes, co-pays, self pays, and deductibles.
- Top collector for seven consecutive months. Individually collected $16,400 of the $19,500 department goal.
- Excellent time management skills, maintain 100% quality assurance according with HIPAA.
- Register/Admit patients having nutrition classes and pulmonary services using Sunrise/Gateway/Availity.
- Conduct insurance verifications by telephone for nutrition patients. Generate financial reports and patient charts for the Weight Loss Management Center.
10+ years of experience
Managed front office; scheduled appointments; verified and processed patient referrals
- Processed insurance claims; collected co-payments; maintained medical records and statistical data
- Completed accounts payable and purchase order requisition; performed medical billing
- Operated standard office equipment (fax, copier, telephones and computers)
- Maintained adequate inventory and office supplies