Patient Access Rep Resume Samples

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KS
K Stamm
Kaelyn
Stamm
78809 Mante Drive
Phoenix
AZ
+1 (555) 274 5043
78809 Mante Drive
Phoenix
AZ
Phone
p +1 (555) 274 5043
Experience Experience
Houston, TX
Patient Access Rep
Houston, TX
Veum-Windler
Houston, TX
Patient Access Rep
  • Indexes incoming radiology physician orders using fax queue application (Freedom Imaging)
  • Maintain a working knowledge of policies and procedures pertaining to registration
  • Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies
  • Supports the training of Department new hire staff including volunteers
  • Supports departmental changes, demonstrating flexibility and a positive attitude in a fast paced, changing environment
  • Schedule patients for future and same day basic radiology services using Cerner Enterprise Scheduling applications
  • Responsible for scheduling STAT appointments, block appointments and obtaining department approvals for complex procedures
Philadelphia, PA
Patient Access Rep-transplant
Philadelphia, PA
Stehr Group
Philadelphia, PA
Patient Access Rep-transplant
  • Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting
  • Process patient accounts and deploy established policies to resolve insurance issues with patient accounts
  • Works with patients, their families and team members when possible to help address insurance coverage gaps via alternative funding options
  • Assists patients and their families with questions concerning insurance and other financial issues
  • Facilitates resolution of patient billing issues
  • Ensures payers are listed Accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payers listed on an account
  • May function as team lead to ensure smooth operation of daily activities. This may include assisting with coverage, scheduling, providing feedback, and quality assurance
present
Philadelphia, PA
Patient Access Rep Lead
Philadelphia, PA
Boyle Group
present
Philadelphia, PA
Patient Access Rep Lead
present
  • Scanning of all patients’ (demographic) paperwork to patient chart and assist with batch scan filing
  • Establish and maintain effective working relationships with patients, employees, and the public
  • Creates staff schedules, reviews time off requests, and facilitates team huddles & department meetings
  • Perform other duties as assigned
  • Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes
  • Schedule new and existing patients
  • Complete check in and check out tasks
Education Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
Central Michigan University
Bachelor’s Degree in Business
Skills Skills
  • Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard
  • Excellent communication and strong customer service skills
  • Strong organizational skills; attention to detail
  • Skill and ability to communicate effectively both verbally and in-writing.  Skill and ability to handle multiple priorities and deadlines. 
  • Knowledgeable of business office terminology / procedures
  • Ability to receive and express detailed information through oral and written communications
  • Working knowledge and ability to perform accurately and efficiently on computer
  • Detail oriented with ability to remain focused
  • Basic knowledge of insurance billing and collection procedures
  • Ability to meet or exceed targeted customer service, productivity and quality standards
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15 Patient Access Rep resume templates

1

Patient Access Rep-pace-hour Days Resume Examples & Samples

  • One year medical records experience, preferred
  • One year experience in medical or related field, preferred
  • 6-12 months experience with patient registration, preferred
  • Experience with basic computer skills and software such as Microsoft Office
  • Medical Terminology Certificate highly preferred
2

Patient Access Rep-iowa Heart Center Resume Examples & Samples

  • Greets, instructs, and directs all incoming patients and visitors
  • Assists with completion of registration forms
  • Answers incoming calls and provides routine information and directs calls to appropriate area
  • Monitors patient waiting time and maintains patient flow
  • Assures completion of all appropriate documents upon check out
  • Attempts to contact all “no show” patients, documents in patient’s record and reschedules patient
  • Notifies patient of future scheduled appointment
  • Educates and instructs patients of upcoming procedures and tests under the nurse’s guidelines
  • Maintains accurate balance of petty cash
  • Utilizes answering service at appropriate times and retrieves messages from answering service and responds appropriately
  • May cover other Iowa Heart Center locations as directed
  • Provides coverage at all front office positions to include Account Counselor
  • Assists in maintaining front lobby
  • Computer experience required
  • Prefer at least one year of experience in the medical office setting
3

Patient Access Rep for Evening Shift Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
4

Patient Access Rep 3 Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
5

Patient Access Rep for PRN Shift Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
6

Patient Access Rep Resume Examples & Samples

  • Completes comprehensive bedside or telephone interviews with Patient, relative, or their representative to obtain pertinent demographic information, insurance data and/or third party liability information
  • Revenue Collection: Determines and collects cost-shares, and partial payments for services to be received. Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits per cash handling policies
  • Appointing: May schedule and/or cancel right type of appointment based on member's needs and regional protocol
  • If applicable, makes return appointments
  • Regulatory/Organizational Compliance: Completes regulatory or policy required forms, to include payor requirements such as Medicare, L & I requirements and some commercial payors, and obtains all necessary signatures via mail, pre-admit, pre-op visit or upon admission/registration
  • Understands and adheres to the rules and regulations of Medicare, Medicaid, Managed Care and Commercial payers regarding referrals, preauthorization and pre-certification requirements
  • General Services: Stocks appropriate forms and supplies; takes out used supplies. Demonstrating responsibility in handling supplies and equipment in a cost-effective manner and according to standards such as policies, procedures, and infection control guidelines
  • Assist patients by providing specialty phone numbers, facility directions and office layouts; directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy
  • One (1) year healthcare financial AND one (1) year office environment customer service OR two (2) years post high school related education OR combination of education and experience
  • Must obtain training and Medical Terminology certificate within 180 days if existing Patient Access Employee or has proof of completed Medical Terminology course, outside applicant must have upon hire
  • Ability to type minimum 35 wpm with above average accuracy
  • Excellent communication skills with all types of individuals
  • Job requires continuous reading skills and the ability to handle a heavy volume of work
  • Knowledge of department procedures and established confidentiality policies
  • Knowledge of communication techniques with ability to listen actively and respond to fellow employees/customers in a timely, competent manner both verbally and non-verbally
  • Previous experience with EPIC applications preferred
  • One (1) year higher education preferred
  • Certification by HFMA or NAHAM preferred
7

Patient Access Rep Shift Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
8

Patient Access Rep for Hour Day Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
9

Patient Access Rep-vascular Surgery Resume Examples & Samples

  • Verifies patient insurance coverage and effective dates, and determines need for authorization prior to office visit and enters information on patient account and also on computer
  • Documents in computer global charges and insurance co-pay
  • Accesses, inputs, and retrieves information via the computer and ten-key adding machine. Verifies demographics and updates information as needed. Verifying information for diagnosis changes and procedures
  • Does pre-registration on all new patients for office and outreach clinics
  • Verifies all orders and charges are complete
  • Obtains referrals for Nuclear or CT testing appointments
  • Calls all patients with $200+ balance to arrange payment plan
  • Schedules appointments. Instructs patients on preparation for tests
  • Cardiac Medical Terminology class within 6 months of hire
10

Patient Access Rep Position Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
11

Patient Access Rep Resume Examples & Samples

  • Perform full duties and task of a Patient Access Representative
  • Verifies patient demographics and activate patients in the system of record upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility
  • Read and understand patients insurance, eligibility and benefits
  • 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
  • Ensure required/applicable forms and documents are presented, signed and explained during the time of registration (e.g., Patient Rights and Responsibilities, Advance Directives, Important Patient Information, etc.)
  • Calculates patients liability, provides estimates, collect patient portion and perform cashiering functions
  • Obtain all information necessary to perform benefits verification for unscheduled visits
  • Collect, log, and store patient valuables in accordance with SJHS security policies prior to patient service
  • Act as a knowledgeable resource on Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.)
  • Understand and implements appropriately the ministry’s policies on discounts, patients payments plans, and global services
  • 5 years registration experience preferred
  • Knowledge and demonstrated proficiency in CPT and ICD-10 coding systems
  • Previous experience with Meditech systems
  • Associates Degree in Healthcare or Business Administration
12

Senior Patient Access Rep Resume Examples & Samples

  • Perform full duties and task of an Patient Access Representative
  • Act as an expert resource on Registration and Financial Clearance functions for department staff. (e.g., answer account questions, assist with new staff training, etc.)
  • Has a deep knowledge of insurance benefits and understands fully intricacies of third party liability abd workers compensation
  • Identifies and makes recommendations on new approaches to enhance performance and productivity when appropriate
  • Participates actively in all education opportunities provided by department manager
  • A minimum of 5 year’s healthcare experience within Patient Access or Business office setting
  • Advanced knowledge of medical terminology in job setting
  • Knowledge of medical billing codes
  • Knowledge in federal regulations including HIPAA, AB1025/1627, Fair Debt Collections Practices and Medicare guidelines
  • Knowledge in applicable rules/regulations/guidelines governing Managed Care and Government sponsored coverage and reimbursement
  • Bachelor’s Degree in Healthcare or Business Administration or Certification as a Certified Revenue Cycle Representative (CRCR) by the Healthcare Financial Management Association (HFMA), or related certification preferred
13

Patient Access Rep Resume Examples & Samples

  • Primary Responsibilities Include: registration, insurance verification, cash collections, phone management, customer service, problem solving and workflow management
  • Minimum Education Requirements
  • Minimum Experience Requirements
  • CPR Certification (as required by facility)
  • Position Duties
14

Patient Access Rep for Hour Night Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
15

Patient Access Rep for Hour Day Shift Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
16

Patient Access Rep-ksmc Resume Examples & Samples

  • Greets & registers patients for various medical services in the hospital setting potentially in a 24 hour, 7 day a week environment & in a highly active fast paced setting such as the Emergency dept
  • Completes comprehensive bedside or telephone interviews w/ Patient, relative, or their representative to obtain pertinent demographic information, insurance data and/or third party liability information
  • Verifies the patient demographic & insurance information w/ the patient consistent w/ CMS regulations, the National Registration Standards & regional policies
  • For Medicare, using approved system to determine eligibility, co-insurance days, lifetime reserve days etc& notify Utilization Mgmt when a patient will be utilizing his/her lifetime reserve days
  • For other governmental payers such as Medicaid, use the state's approved system to check for eligibility & benefit information
  • Completes admission protocol for allied hospitals
  • Maintains recurring/series patient files & preforms co-preadmission functions
  • Determines & collects cost-shares, & partial payments for services to be received
  • Provides patient liability information & collects the point of service cash from patients based on guidelines and/or systems provided by the dept
  • Completes regulatory or policy required forms & obtains all necessary signatures via mail, pre-admit, pre-op visit or upon admission/ registration
  • Fully understands & adheres to the rules & regulations of Medicare, Medicaid, Managed Care & Commercial payers regarding referrals, preauthorization & pre-certification requirements
  • Two (2) years of health care financial setting to include one (1) hospital setting Including one (1) year of office environment customer service OR two (2) years of post-high school related education OR combination of education and experience
  • Previous hospital or ambulatory clinic registration experience
17

Patient Access Rep-transplant Resume Examples & Samples

  • Extended knowledge of HMO’s , PPO’s, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers
  • Extended knowledge of HIPPA and EMTALA
  • Obtains detailed patient insurance benefit information
  • Discusses benefits and other financial issues with patients and/or family members during initial evaluation
  • Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family members on financial matters
  • Coordinates all necessary payer authorizations
  • Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting
  • Assists patients and their families with questions concerning insurance and other financial issues
  • Identifies and effectively communicates financial information team members, patients and their families with emphasis on identifying any potential patient out-of-pocket liability
  • Works with patients, their families and team members when possible to help address insurance coverage gaps via alternative funding options
  • Facilitates resolution of patient billing issues
  • Ensures payers are listed Accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payers listed on an account
  • Process patient accounts and deploy established policies to resolve insurance issues with patient accounts
  • Initiate pre-cert for in-house patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number
  • Notify hospital Case Managers on all in-house patients regarding insurance plan changes/COB order, out of network plans, and Medicare supplemental plans that require pre-certification
  • Contact physician’s on scheduled patients, to notify them of authorization requirements and any possible financial holds
  • Analyze reports to ensure admission dates for patient type changes are accurate in order for the account to appear on insurance verification reports
  • Maintain and update reference notebooks on insurance companies, employers, pre-certification requirements, etc to stay current on changes within the insurance industry
  • May function as team lead to ensure smooth operation of daily activities. This may include assisting with coverage, scheduling, providing feedback, and quality assurance
18

Patient Access Rep-heart Rhythm Center Resume Examples & Samples

  • Reviews and corrects rejected claims
  • Prints eligibility reports for office and outreach and verifies insurance
  • Assists in educating and updating patients and staff on new policies and Medicare billing guidelines
  • Runs encounter not billed list on a weekly basis
  • Attends meetings and committees as requested
  • Backs up Patient Service Rep as needed
  • Assists in maintaining supplies for the department
19

Patient Access Rep-texas Regional Medical Center Resume Examples & Samples

  • Computer skills: MS Word, Excel, and Outlook; knowledge of Tenet systems a plus
  • Good interpersonal skills
  • Strong customer service attitude and ability to work independently as well as in a team
  • Well organized and attentive to detail
  • Good math, analytical and problem solving skills
  • Data entry and 10-key by touch
  • 2-3 years of related experience; payment posting a plus
20

Patient Access Rep-cardiology Resume Examples & Samples

  • Answers, resolves, and responds to all incoming calls as well as all voice messages
  • Audits accounts
  • Directs follow-up to account reps as necessary
  • Updates patient information via computer
  • Prepares adjustments to patient accounts
  • Sorts and distributes departmental mail
  • Researches and updates returned mail
  • Contacts insurance companies for claims status
21

Patient Access Rep-fte-valley Baptist Resume Examples & Samples

  • Computer skills: MS Word, Excel, and Outlook; knowledge of Tenet systems a plus
  • Strong customer service attitude and ability to work independently as well as in a team
  • Well organized and attentive to detail
  • Good math, analytical and problem solving skills
22

Patient Access Rep-riverside Rehab Resume Examples & Samples

  • Serves as patient advocate in promoting clarity and understanding of account status
  • Maintains accounts receivable (i.e. accurately codes, posts charges and/or payments, requests refunds, etc.)
  • Reconciles charges, payments and/or deposits daily and monthly
  • Maintains strong and open communication with PBO to ensure accurate and timely maintenance of accounts receivable
  • Follows clinic procedure/protocol for the organization and management of the electronic medical record (i.e. test results, retrieval, filing, creation, repair, charging of electronic medical record)
  • Assists with insurance denials for correction and re-filing. Appropriately corresponds with PBO via email
  • Maintains functional knowledge of insurance terminology and ensures the accuracy of registration data
  • Acts as resource for billing system functionality
  • Follows prescribed system to locate patients with undeliverable address
  • Makes recommendations for disposition of accounts (i.e. financial assistance)
  • Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities
  • Appropriately uses ICD-9/10 and CPT-4 codes
  • Participates in daily bank deposits
  • Misc. office duties (i.e. greeting patients, answering phones, filing or retrieving medical records, scheduling patient, verifying authorizations, sorting and distributing mail, updating demographic and insurance information)
  • Specialized or technical training such as would be ac­quired in a college or technical school (i.e. coding, medical assistant)
  • A minimum of one-year current experience with ICDM 9/10, CPT coding, and health insurance provider rules and regulations
  • Knowledge of: Medical office practices and proce­dures, mathematics, office equipment, medical terminology, clinic policies and procedures, data entry and basic computer experience
  • Proof of completion of Mandatory Reporter abuse training specific to population serve within three (3) months of hire
23

Patient Access Rep for Nights Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
24

Patient Access Rep With Benefits 7pm to 7am L&D Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology preferred
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
25

Patient Access Rep-riverside Rehab Resume Examples & Samples

  • Selecting the correct Corporate Patient Index (CPI)number
  • Knowledge of Coordination of Benefits
  • Knowledge of liability information
  • Maintain knowledge of confidentiality laws and third party liability laws
  • Stay updated on contract payors – additions and deletions
  • Work independently and make appropriate decisions within hospital and department guidelines with management assistance as needed
  • Interacts both in person and on the telephone to register and schedule patients and clients
  • Maintains outpatient records and documentation following department procedures
  • Greets and check-in patients according to department policy
  • Registers and schedules patients on-line or via enterprise wide scheduling system; completes template management dictated by Clinical Supervisors and or Office Coordinator
  • Inputs data into outcome based database
  • Uses mainframe computer to enter charges; ensures all charges and modifiers have been entered for all treating therapists scheduled in the clinic for a particular day; and collects and organizes all charge sheets for storage; identify and rectify charge entry errors or omission; reports errors, omissions, and unusual or unapproved charging practices to supervisory staff
  • Transports patients as needed
  • Transports medical records, equipment, and/or supplies between rehab the main hospital
  • Delivers monies to the hospital cashier
  • One (1) year previous experience in OPT/Admitting or in the medical field preferred
26

Patient Access Rep-accredo Resume Examples & Samples

  • High
  • 2-3
  • Extensive
  • Demonstrated
27

Patient Access Rep Resume Examples & Samples

  • Analytical ability to effectively and efficiently resolve registration, scheduling and insurance issues
  • Demonstrated knowledge of the Revenue Cycle processes, components and terminology
  • Exceptional interpersonal communication skills to effectively communicate with patients, team members, clinical colleagues, medical staff, external agencies and contacts
  • Exceptional customer services skills and positive personality attributes
  • Patience in dealing with ordinary, arduous or emotional patients
  • Use of telephones and call center technology
  • Ability to type at 35-40 WPM
28

Patient Access Rep-quakertown H&V Resume Examples & Samples

  • Communicate effectively with all departments to meet customer needs
  • Answer the telephone in a timely manner, assist and/or direct the caller to the appropriate person or department, and accurately record verbal orders
  • Promptly resolve minor issues and inform manager, other department manager or nursing supervisor of any significant patient and visitor complaints
29

Patient Access Rep-iowa Heart Center Mercy Medical Center Resume Examples & Samples

  • Accesses, inputs, and retrieves information via the computer, updates information as needed
  • Assists with pre-certification process
  • Performs billing processes as identified
  • Utilizes appropriate auditing tools according to IHC guidelines
  • Collects payments and compiles daily payment log
  • Travels to other Iowa Heart Center locations as directed
30

Patient Access Rep Float Resume Examples & Samples

  • Individual may be required to travel to other locations for coverage as dictated by need
  • Collection of applicable co-payments and collections of outstanding balances as documented by the Revenue Cycle from patients upon check-in per company protocol. Posting of patient payments in computer system
  • Maintain physician’s schedules ensuring that patients are scheduled properly. Rescheduling of patients as necessitated due to schedule changes
31

Patient Access Rep-pcp Walk Resume Examples & Samples

  • Check for any special type appointment and obtain any eligibility requirements needed
  • Registers incoming new/established patients by verifying or entering current demographic/insurance information into the computer system. Obtain the required signatures on paperwork
  • Schedules future appointments for BMA Providers or Resources via telephone and/or in person from AVS, pools or staff messages
  • Verifies patient appointment time, physician they are scheduled to see and insurance to be billed; updates patient appointment status
  • Work Charge work queues. Collect copays. Enter all payments into UPAY and print receipts for all monies collected. Balance following policy at end of each day
  • Work Encounters without Charges report
32

Patient Access Rep-logan Medical Center Resume Examples & Samples

  • Answers telephones, directs and handle calls as needed
  • Assists patients with questions about insurance and UPMC/BMA policies
  • Communicate effectively with patient to understand their AVS
  • Work on Wait/Rescheduling lists for providers and resources and schedules patients accordingly
  • Work with patients on utilization of Welcome Kiosks
33

Patient Access Rep-fps Resume Examples & Samples

  • Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.)
  • Collect appropriate documentation for managed care programs regarding referrals and authorizations
  • Generate and complete all applicable forms and necessary communications
  • Interview and pre-register patients at the time of or prior to the visit date. Input patient information into the computer to initiate a medical record and a bill
  • Obtain and update demographic, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed
  • Obtain signature of patient or family member for consent to treatment and financial responsibility following the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations
  • Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements
  • Experience with a personal computer based applications and other various office equipment with proficient typing skills
  • Excellent interpersonal, written and communication skills
  • Initiative to work productively with minimum supervision
34

Patient Access Rep 3 Resume Examples & Samples

  • Demonstrated working knowledge of software/system/equipment
  • Advance Customer service skills and experience
  • Advanced Understanding of Third Party Payor requirements preferred
  • Advanced Understanding of Compliance standards preferred
  • Advanced Patient Liability Collection performance and high achievement in productivity
  • Must be crossed trained in three Patient Access service areas including ED
  • 2-4 years experience in medical facility, health insurance, or related area
  • 2+ years in Patient Access preferred
35

Patient Access Rep Resume Examples & Samples

  • Proficient in software and computer systems
  • Knowledgeable of business office terminology / procedures
  • Ability to multi task and work under stressful situation
  • 1+ year of customer service experience required
  • Experience with medical office terminology preferred
36

Patient Access Rep Resume Examples & Samples

  • Registers, pre-registers, and admits all patient types, specific to the assigned Presence Health facility/department while pushing Workstation on Wheels and bending to assist and push patients in wheelchairs. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographic and insurance information. Completes all required legal documents, and obtains and scans all other related documents
  • Performs cash collection functions, patient pricing estimation, admission, and discharge and transfer functions
  • Ensures that financial protocols and requirements are met while providing access to service at Presence Health facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management
  • Communicates with service delivery and other departments to resolve issues that impact patient services and schedules and escalates patient service issues that cannot be resolved in accordance with departmental guidelines
37

Patient Access Rep-franciscan Medical Clinic Resume Examples & Samples

  • Continually monitors and reconciles issues prior to patient visit
  • Processes referral orders and/or pre-authorizations
  • Coordinates patient instructional/educational activities
38

Patient Access Rep Resume Examples & Samples

  • Performs receptionist duties as assigned
  • Performs data entry where assigned
  • Phone calls and appointment scheduling
  • Obtains authorizations for appointments when needed
  • Obtains authorizations for outpatient procedures
  • Education: High School diploma required some college helpful
  • Experience 1-3 years clerical experience preferred. Experience with medical terminology and insurance plans preferred
  • Other: Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. Strong organizational skills; attention to detail. Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy. Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard
39

Patient Access Rep-lead Resume Examples & Samples

  • A minimum of 3 years related experience required
  • Computer literacy and data entry skills, keyboard 45 wpm, and able to operate many open applications on a computer. Must have excellent customer relations, communication, organizational skills, ability to lead staff in a fast paced, and unpredictable work environment
  • Must have an extensive knowledge of assigned Patient Access area and registration policies
40

Patient Access Rep-lead Resume Examples & Samples

  • Computer literacy and data entry skills, keyboard 45 wpm, and able to operate many open applications on a computer
  • Must have excellent customer relations, communication, organizational skills, ability to lead staff in a fast paced, and unpredictable work environment
  • Working Conditions, Mental and Physical Requirements: Requires high energy, flexible availability, optimistic attitude with the ability to handle multiple demands
  • Must be able to walk and push patients in a wheelchair throughout the Health System
  • Physical demands are attached plus push, pull, and grip up to 25 lbs., pinch up to 10 lbs., kneel, crouch, and crawl minimally
  • Must have vision capable of viewing computer monitors and forms for prolonged periods
  • Must have hearing capable of interviewing patients in a surrounding including background noises while ensuring confidentiality and privacy laws
  • Equipment Used: multi-line telephone, laser printers, fax machine, copier, medifax, computer, scanner, pagers, and credit card machine
41

Patient Access Rep Float Prn-arlington Resume Examples & Samples

  • 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
  • Balance receipts daily and reconcile daily work processes. Completion of bank deposit slips to correspond with daily receipts. Immediate notification to supervisor of any discrepancies in balancing procedures
42

Patient Access Rep-nd Ave S Resume Examples & Samples

  • All experience required within prior five (5) years
  • Ability to organize and prioritize work
  • Demonstrated ability to consistently achieve a high level of accuracy and be detail-oriented, good organizational skills, analytical,
  • Completion of Healthcare Business Insight’s Patient Access Certification Program within 6 months of start date preferred
43

Patient Access Rep-miller Dwan Medical Center Resume Examples & Samples

  • These positions will be required to float to other locations of Essentia Health such as St. Mary's Hospital in Superior, WI, St. Mary's Medical Center, the Duluth Clinic, Polinsky and Center Therapy as needed.*
  • Knowledge of Encompass (Epic)
  • Knowledge of state and federal regulation as they pertain to patient access processes and procedures
  • Skill in good oral, written and interpersonal communication, grammar and spelling
  • Ability to work as a team member
  • Demonstrated ability to consistently achieve a high level of accuracy and be detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, make independent judgments, and ability to be self-directed, as well as contribute to a team effort
44

Patient Access Rep-prn Hours Vary Monday Resume Examples & Samples

  • Obtain all necessary patient signatures and information at time of arrival
  • Ensure that financially cleared patients go directly to the area of service in order to receive treatment
  • Maintain reception desk/work areas
45

Patient Access Rep-surgery Resume Examples & Samples

  • 1 Independently schedules procedures for Surgery and Endoscopy, utilizing individual departmental grids,
  • 12 Utilizes and keeps a current working knowledge of all reference manuals in the department
  • 13 Maintains the confidentiality of patient records and information
  • 14 Attends meetings, participates in Continuous Quality Improvement, and performs other duties as assigned
  • 15 Performs other duties as required by manager
46

Patient Access Rep-moorhead Clinic Resume Examples & Samples

  • One (1) year customer service experience preferred Healthcare setting and face to face
  • Insurance verification experience and/or registration
  • Demonstrates ability to cope with interruptions, remember pertinent guidelines, policies and procedures
  • Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g.,
47

Patient Access Rep With Benefits Overnights Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology preferred
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
48

Patient Access Rep Lead Resume Examples & Samples

  • Must be available to work hours and days as needed based on departmental/system demands
  • The Patient Access Representative Lead is responsible for the supervision of Patient Access Representatives/admitting representatives for their role with the guidance from the Patient Access Services management team to include orientation, training, scheduling, and insuring that the employees maintain established departmental standards
  • Advance Customer service skills and experience. Ability to work in a fast paced environment
  • Medical, dental, vision insurance
49

Patient Access Rep for Positions Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
50

Patient Access Rep Lead-resolute Resume Examples & Samples

  • Must be crossed trained in all Patient Access service areas
  • 2 – 4 years of experience in medical facility, health insurance, or related area
  • 3– 5 years of experience in Patient Access preferred
51

Patient Access Rep for Nights Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
52

Patient Access Rep-evenings & Weekends Resume Examples & Samples

  • Greets and directs patients and visitors for the entire facility to provide friendly and courteous services at all times
  • Responsible for identifying, collecting, and recording self pay, or co pay and/or deductibles when applicable prior to or at time of registration. Online posting of credit card payments
  • Maintain a working knowledge of policies and procedures pertaining to registration
53

Patient Access Rep, Days Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
54

Patient Access Rep Resume Examples & Samples

  • General office experience preferred
  • Obtains complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments
  • Performs required pre-certification and deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre-certification, referral or authorization number and updates the patient's file
  • Provides demographic information to insurance companies and calls physician's offices as needed for pre-certification
55

Patient Access Rep Resume Examples & Samples

  • Ability to type 50 wpm with minimal errors
  • Competent in computers
  • Read, write, and communicate clearly in English
  • Computer proficiency
56

Patient Access Rep Resume Examples & Samples

  • Confirm/verifies insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries
  • Demonstrate the ability to operate and efficiently utilize all systems and office equipment
  • Document and communicate all contacts and relevant clinical information to appropriate Agency staff, physicians, families, and/or insurance providers
  • Function as a central resource to Agency staff to educate them on programs and services offered
  • Notifies patient and/or appropriate family member of schedules when requested
  • Receives incoming calls, triage and assess the needs of the caller and initiate the appropriate action
57

Patient Access Rep for Afternoon Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
58

Patient Access Rep-prn Resume Examples & Samples

  • Excellent written, verbal communication and interpersonal skills
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
  • Ability to prioritize and effectively anticipate and respond to issues as they arise
59

Patient Access Rep Resume Examples & Samples

  • Clear understanding of the impact registration services have on Revenue Cycle operations and financial performance
  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment
  • Skill and ability in Microsoft Office applications
60

Patient Access Rep Resume Examples & Samples

  • One year medical office preferred
  • Demonstrates skills associated with admitting and answering telephones
  • Must have proficient typing skills
  • Demonstrates ability to speak clearly
  • Good skills in spelling, grammar and dealing with the public
  • Previous registration experience preferred
61

Patient Access Rep-phy Partner Resume Examples & Samples

  • Critical thinking and problem solving
  • Organize and prioritize work, work independently, meet deadline
  • Excellent internal and external customer service
62

Patient Access Rep 7am-4pm Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology preferred
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
63

Patient Access Rep-logan Medical Resume Examples & Samples

  • Carries out alternative workflows during system(s) downtime
  • High School Degree or equivalent is required
  • Graduate of an accredited Medical Secretarial School preferred
  • Minimum of six months related experience and/or training; or equivalent combination of education and experience preferred
  • Ability to apply commonsense understanding to carry out instructions furnished in written, oral or diagram form; Must have the ability to effectively communicate information to patients and physicians in one-on-one situations
64

Hchfl Patient Access Rep Resume Examples & Samples

  • At least 2 years of experience/knowledge in registration process in a hospital based Patient Access or Patient Financial services area. Meditech experience preferred
  • Should possess extensive knowledge of intake and eligibility requirements for third party payors, Medicare, Medicaid and Managed Care providers
  • Must be able to use DDE system for Medicare eligibility, Availity System for commercial payors, Medifax system for Medicaid eligibility and HDX eligibility systems
  • Pre-requisite typing test required
65

Patient Access Rep Resume Examples & Samples

  • High School Education, Bachelor's Degree preferred
  • 2-3 years of job related experience preferred
  • Knowledge of Third Party payers, billing requirements, and reimbursement methods
  • Excellent written and communication skills
  • Knowledge of multi-registration and front-end processing
  • Handle incoming calls professionally and timely
66

Patient Access Rep Resume Examples & Samples

  • 50% Registration and Scheduling
  • Communication - Expresses ideas clearly and constructively (written and spoken, upward and downward, one-on-one and with groups)
  • Initiative - Looks for opportunities to improve performance; manages time, work, and relationships effectively and efficiently
  • Professionalism - Treats others with respect; abides by the institutional values; displays a positive and cooperative attitude; adheres to the workplace Code of Conduct and compliance policies
67

Patient Access Rep Lead Resume Examples & Samples

  • 40% Team Lead
  • 20% Registration and Scheduling
  • 5% Miscellaneous Duties
  • Customer Service - Seeks to understand customer needs and works to exceed customer expectations (internal and external)
  • Stewardship - Identifies efficiencies to reduce redundancy and/or elimination of tasks resulting in savings of cost, resources, and or/time
  • Teamwork - Works proactively and collaboratively with others to streamline work and achieve mutual goals
68

Associate Patient Access Rep-ed Services Resume Examples & Samples

  • Ability to cordially, professionally and effectively interact with patients, family members, physician and other Medical Center personnel in a fast-paced environment
  • Ability to maintain a cooperative working relationship with staff and clinical departments and work in a team environment
  • Typing and basic computer skill to include
69

Assoc Patient Access Rep Resume Examples & Samples

  • Verify patient insurance by confirming 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. Referrals to Financial Counselor, when appropriate
  • Contacts patient’s family or physician office to obtain missing insurance information and authorizations
  • Obtain all necessary patient signatures at time of arrival
  • Ensure financially cleared patients go directly to the area of service in order to receive treatment; refer patients to Financial Counseling when appropriate
70

Patient Access Rep Resume Examples & Samples

  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. 
  • 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. 
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality. 
  • Skill and ability to communicate effectively both verbally and in-writing.  Skill and ability to handle multiple priorities and deadlines. 
  • Ability to work as a member of a team. 
71

Patient Access Rep Resume Examples & Samples

  • Assist in the sorting and distribution of referrals within the department
  • Responsible for all referral requests (HMO, EPO, PPO and Caloptima) to outside providers. Check
  • Basic MS Word, Excel, and Windows experience
  • Ability to work independently and self-prioritize workload
  • Good organizational, documentation and communication skills
  • Exhibit courtesy/respect for co-workers; willing to help co-workers
  • A minimum of 3- years of experience in a managed cares setting strongly desired
  • Bilingual English/Spanish communications skills preferred
  • Must be able to type 45 WPM, accurately
  • Intermediate level of MS Word, Excel, and Windows experience
  • IDX experience is preferred
72

Associate Patient Access Rep-per Diem Resume Examples & Samples

  • Activate patients in the system of record upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility
  • Verify patient insurance; read and understand responses from automated financial clearance tool and take appropriate action, including referrals to Patient Access Specialist or Financial Counselor, as appropriate
  • Ensure that required/applicable forms and documents are presented and explained at time of registration (e.g., Patient Rights and Responsibilities, Advance Directives, Important Patient Information, etc.)
  • Perform collections and cashiering functions when appropriate
  • Ensure that financially cleared patients go directly to the area of service in order to receive treatment; refer patients to Financial Counseling when appropriate
73

Patient Access Rep Resume Examples & Samples

  • Handle patients requests, over the phone, for multiple Medical Group/Hospital departments while applying correct workflows and protocols
  • Promote key initiatives for Patient Access Center and NorthShore (i.e. online services)
  • Adhere to strict HIPAA guidelines when speaking with patients and families
  • Route calls to correct administrative and clinical departments after assessing patients needs
  • Supports departmental changes, demonstrating flexibility and a positive attitude in a fast paced, changing environment
  • High School Diploma or equivalent. Associates or Bachelor's Degree preferred
74

Associate Patient Access Rep Resume Examples & Samples

  • Coordinate discharge processing with financial counseling, Case Management, and clinicians
  • Assist patients with on-site customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other revenue cycle functions and departments
  • Bilingual English/Spanish highly preferred
75

Patient Access Rep Resume Examples & Samples

  • Interviews patients and physician office staff to obtain information and appropriately
  • Schedule patients for future and same day basic radiology services using Cerner Enterprise Scheduling applications
  • Interviews patients and gathers information to assure accurate and timely scheduling, registration, insurance verification and claims submission
  • Interprets information collected to determine and create comprehensive patient and visit specific medical and billing records
  • Determines need for authorization for treatment/procedures and coordination of benefits as required
  • Utilizes multiple system applications simultaneously to complete the scheduling, order management, pre-registration and insurance verification processes including but not limited to Cerner Scheduling, Healthquest Patient Management and Patient Accounting, Powerchart, Freedom Imaging, Pathways Compliance Advisor, Emdeon Real Time Eligibility, Excel (was/is lists – order translation documents), Avaya CMS
  • Provides information to patients concerning hospital policies and regulatory requirements utilizing exceptional interpersonal skills
  • Obtains dates of previous services to determine eligibility for future services using Powerchart
  • Uses prior study physician recommendations from Powerchart to determine appropriate next test to schedule
  • Translates clinical information on physician orders to clinical order terminology to appropriately schedule patients for future services
  • Responsible for scheduling STAT appointments, block appointments and obtaining department approvals for complex procedures
  • Processes internet requests for scheduling services
  • Ensures appropriate communication to patient requesting services
  • Indexes incoming radiology physician orders using fax queue application (Freedom Imaging)
  • Provides assistance to other Health System or physician offices staff regarding registration information and procedures
  • Determines appropriate payment required at point of registration (deposits and minimum charges for non-covered services). Using HealthQuest, pre-registers patients prior to clinical services. (Refer to job description for Patient Service Representative.)
  • Verifies insurance coverage using Real Time Eligibility for selected services to facilitate cash collection. Performs medical necessity screening for applicable services for Medicare patients
  • Follow-up with patients and ordering physicians appropriately to communicate responsibility related to services found to be not medically necessary
  • Responds to problems and questions from Medical Records, Clinical Departments or PFS Teams. Reviews, analyzes and corrects report entries to ensure accurate scheduling and registration, and makes sure insurance and billing requirements are met prior to services being rendered. Demonstrates understanding of prevailing regulatory and 3rd party requirements (MSP, authorizations, PCA, consent forms, ABN, etc.)
  • Assists patients or physician office staff by referring them to the appropriate sources of information. Identifies opportunities to improve the quality of scheduling, registration and/or verification processes
  • Responds to patient questions concerning their scheduled services, registration, insurance eligibility and payment requirements as related to services they are scheduled to have
  • Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their appointment and/or account
  • Knows where to obtain information to assist PFS team members, patients, and internal or external customers
  • Demonstrates team-player abilities and seamless service to patients. Maintains good rapport and cooperative relationships
  • Approaches conflict in a constructive manner. Helps to identify problems, offer solutions, and participate in their resolution
  • Behaves in accordance with the Mission, Vision, and Values of Saint Joseph Mercy Health System
76

Patient Access Rep Resume Examples & Samples

  • Six months prior clerical or customer service experience preferably in a hospital or medical office
  • Excellent communication and strong customer service skills
  • Working knowledge and ability to perform accurately and efficiently on computer
  • Typing skills of 30 wpm
  • One (1) year prior experience in admissions or related field
  • Prior collections experience in a medical setting
  • Associates degree in Business Administration
  • Prior healthcare experience and knowledge of medical terminology
  • Basic knowledge of insurance billing and collection procedures
  • Typing 40 wpm
  • CPAR or CHAA certified
77

Patient Access Rep Lead for Evening & Weekend Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • High level working knowledge of all Software, programs and equipment
  • Knowledge of function and relationships within a hospital environment preferred
  • Advance Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Advanced Understanding of Third Party Payor requirements preferred
  • Advanced Understanding of Compliance standards preferred
  • Advanced Patient Liability Collection performance and high achievement in productivity
  • Must be crossed trained in all Patient Access service areas
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Identifies opportunities to improve patient relations and shorten the time it takes to handle registration processes
  • High School Diploma or GED required
  • 2-4 year college degree in Business, Accounting, Medical Administration or related area preferred
  • 2 – 4 years experience in medical facility, health insurance, or related area
  • 3– 5 years experience in Patient Access preferred
  • 1 – 2 years in supervisory or lead role preferred
78

Patient Access Rep Resume Examples & Samples

  • Inpatient, ED & Outpatient Pre-registration/Registration
  • Explains insurance benefits
  • Collects patient responsibility amounts
  • Verifies the COB of insurance
  • Sends patient reasonability letters, when applicable
79

Patient Access Rep Resume Examples & Samples

  • College degree in finance or healthcare field
  • Previous registration or scheduling experience
  • Strong third party billing background
80

Patient Access Rep-prn-central Schedule Resume Examples & Samples

  • Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability
  • Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter
  • Verifies eligibility and obtains necessary authorizations for services rendered
  • Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances
  • Performs financial assessment for appropriate program assistance
  • Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents
  • Represents the Patient Access department in a professional, courteous manner at ALL times
  • Required to assist the hospital in the event of an internal or external disaster
  • Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change
  • Supports the department in achieving established performance goals
  • Completes required training as needed
81

Patient Access Rep for Shift Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
82

Patient Access Rep-riverside Rehab Clinic Resume Examples & Samples

  • Perform registration functions for designated departments utilizing hospital/department policies, procedures and computer system. Must maintain a high degree of accuracy in collecting patient demographics and insurance information from various sources; i.e., patient, physician, physician clinics and hospital personnel. The registration function includes but is not limited to the following
  • Pre-cert requirements for all types of registrations
  • Knowledge in areas of third party payors, insurance, and regulatory requirements
  • Be able to verify all insurances through appropriate resources..i.e. calling, audio, Blue Cross, FSS
  • Assists in maintenance of inventory record and ordering of supplies/DME
  • One (1) year experience with personal computer use preferred
  • Familiar with word-processing and spreadsheet software preferred
  • Anatomy/Physiology, Medical Terminology experience preferred
  • Current knowledge of third party payer, insurance and regulatory requirement preferred
  • Must achieve and maintain average of 70% data entry accuracy and not less than 70% accuracy level for three (3) consecutive months as outlined by the department
83

Patient Access Rep for Rotating Shifts Resume Examples & Samples

  • Minimum typing skills of 35 wpm
  • Demonstrated working knowledge of PC/CRT/printer
  • Knowledge of function and relationships within a hospital environment preferred
  • Customer service skills and experience
  • Ability to work in a fast paced environment
  • Ability to receive and express detailed information through oral and written communications
  • Course in Medical Terminology required
  • Understanding of Third Party Payor requirements preferred
  • Understanding of Compliance standards preferred
  • Must be able to perform essential job duties in at least two Patient Access service areas including ED
  • Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
  • Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
  • Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
  • High School Diploma or GED required
  • 0 – 1 year in a Customer Service role
  • 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
  • Some college coursework is preferred
  • Must be able to sit at computer terminal for extended periods of time
  • Occasionally lift/carry items weighing up to 25 lbs
  • Frequent prolonged standing, sitting, and walking
  • Occasionally push a wheelchair to assist patients with mobility problems
  • Hospital administration
  • Can work in patient care locations which include potential exposure to life-threatening patient conditions
  • Must be available to work hours and days as needed based on departmental/system demands
  • Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients
84

Patient Access Rep Resume Examples & Samples

  • Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures
  • Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues
  • Six (6) months prior experience in a medical business office, physician office or hospital preferred. Minimum two (2) years of experience in a position involving public contact and basic accounting practices required
85

Patient Access Rep Resume Examples & Samples

  • Provides on-going communication with clinical staff regarding patient status
  • Accountable for one particular scope of service as assigned
  • Protects financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility
  • May be required to be "on-call."
86

Patient Access Rep Resume Examples & Samples

  • Basic computer skills with a typing speed
  • Ability to gain information from individuals/customers by asking appropriate questions
  • Ability multitask in a fast paced environment
  • Good communication skills in person and via telephone
  • Detail oriented with ability to remain focused
  • Strong collections skill in obtaining patients responsibility via phone
87

Patient Access Rep Resume Examples & Samples

  • Basic Computer Knowledge and experience; Medical Terminology; Ability to add, subtract, multiply and divide
  • Ability to apply commonsense understanding to carry out instructions furnished in written, oral or diagram form
  • Must have the ability to effectively communicate information to patients and physicians in one-on-one situations