Patient Access Resume Samples

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S Koepp
402 Rocky Forges
+1 (555) 660 9050
402 Rocky Forges
p +1 (555) 660 9050
Experience Experience
Dallas, TX
Patient Access Supervisor
Dallas, TX
Dallas, TX
Patient Access Supervisor
  • Maintaining daily workflow in order to expedite processing while ensuring quality, accuracy, and customer service
  • Manage daily operations of multiple levels of staff and multiple functions / departments across one or more business units
  • Enforces departmental policies, practices, procedures and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies according to hospital and corporate guidelines
  • Maintains positive customer service at all times, assisting staff in resolving issues
  • Assists in preparation for both short and long range planning recommendations for all Registration Process areas including; Admitting, Centralized Scheduling, Emergency Department and any on or offsite clinics
  • Works in accordance with corporate and organizational security policies and procedures. Understands personal role in safeguarding corporate and client assets
  • Assists Patient Access Manager with monitoring and gathering of data and completion of quality control reporting and payroll oversight as it relates to Patient Access personnel
Phoenix, AZ
Supervisor, Patient Access
Phoenix, AZ
Wolf Group
Phoenix, AZ
Supervisor, Patient Access
  • Reviews and records employee attendance, time keeping, coaching, and disciplinary actions
  • Responsible for training new associates and provide ongoing education and communication to staff
  • Ensures excellence in customer service through employee development, according to hospital standards and utilizing performance improvement techniques
  • Provides on call support to staff in the event of problems and/or staffing concerns
  • Proven expertise in collection processes and securing solutions for uninsured patients
  • Works with Director to establish and manage staff scheduling (daily, weekly, monthly)
  • Foster an environment that encourages associate growth and development
Detroit, MI
Manager, Patient Access
Detroit, MI
Detroit, MI
Manager, Patient Access
  • Manage ongoing training programs for staff development
  • Provide assistance/resolution to client inquiries
  • Maintain work standards, KPI's and productivity for all activities under the Managers control
  • Monitor staff performance and quality and address any training or performance issues on a regular basis
  • Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
  • Creates office harmony and positive morale
  • Assists with internal control failure remediation efforts
Education Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
Howard University
Bachelor’s Degree in Business
Skills Skills
  • Demonstrated working knowledge of PC/CRT/printer
  • 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
  • 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
  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
  • Strong analytical and problem solving skills
  • Excellent decision making skills
  • Sound judgment in handling/escalating difficult situations
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15 Patient Access resume templates


Patient Access Associate Resume Examples & Samples

  • Verify insurance coverage and eligibility; respond to patient inquiries regarding basic insurance questions
  • Collect and process co-pays, co-insurance, deductibles, and balances on patient accounts
  • Must have 3 to 5 years work experience in a medical office setting
  • Must have minimum of a high school diploma or GED equivalent
  • Must have excellent written and verbal communication skills
  • Must be able to work collaboratively and seamlessly with all Dell and Oakwood personnel alike
  • Must be willing to travel between all OPi healthcare centers if required/requested

Lead Patient Access Oakwood Physicians Resume Examples & Samples

  • Is a subject matter expert and provides problem resolution
  • Apply knowledge gained through job experience to resolve more complex issues and coordinate day-to-day work
  • May provide guidance and direction to less experienced team members
  • Perform business office functions (clerical, environmental, and organizational) under the supervision of the Practice Manager/Supervisor
  • Keep patients informed regarding delays in appointment times and/or the processing of their requests
  • Demonstrate a sense of urgency to all tasks and respond accordingly
  • Must have 3+ years of work experience in a medical office setting
  • Must be able to lift up to 30 pounds of supplies

Patient Access Lead Resume Examples & Samples

  • 70%- Responsibility for patient access includes
  • Provide expertise in coordination of care, working with internal case managers, RBM’s, sites of care, and payors
  • Provide resource for reimbursement education to patients and families to ensure that they are well informed in order to make appropriate decisions regarding their treatment options
  • Resource for alternative insurance options for patients and provide information on relevant reimbursement topics related to our products
  • Ongoing support of One Path Customer Service team and when necessary working as a liaison between One Path and our customers
  • 30%-Site Support and Other responsibility includes
  • Provide claims tracking and troubleshooting expertise to treating site
  • Representing Shire HGT at Regional and National Conventions
  • Develop and implement special projects to address regional based objectives

Patient Access Supervisor Resume Examples & Samples

  • Three years experience in a healthcare setting (ie hospital, physician office, managed care) preferred
  • Ability to work collaboratively with multiple personnel and prioritize multiple tasks
  • Experience with computer data entry and spreadsheets

Cerner Patient Access Management Analyst Resume Examples & Samples

  • Monthly Bonus Program
  • 401K Savings Plan including employer contribution
  • Paid Travel
  • Opportunity for Additional Career-specific Training We need to grow our team as we prepare for a large number of upcoming projects, 3-6 months in duration with potential extensions, some starting in February with continued kick off dates running through March. Interviews will occur in the next few weeks. We will then align offers and hire dates with the first project that will utilize your skills. Subsequent project assignments will follow. We have people in our organization who have maintained steady, full time employment for 18 years!!
  • 3 years’ experience with testing Cerner Practice Management (revenuecycle.exe) from scheduling an appointment through checking the patient out after the visit is completed, including test plans/scripts development
  • 3 years’ experience with training IT support staff and end users for Cerner Practice Management

Patient Access Service Representative Resume Examples & Samples

  • Ability to use specialized applications software and computer systems for patient registration and scheduling
  • Knowledge of Business Office procedures
  • Knowledge of Medical terminology, third party payer billing and managed care requirements and procedures

Patient Access Resume Examples & Samples

  • Maintain scheduling and workflow and additional configuration
  • Additional scheduling configuration: configure scheduling, configure orders to scheduling and configure scheduling system preferences
  • Additional registration configuration: configure address validation, personal health record and Cerner card, place of service organizations, place of service, MSPQ reference build, mail return and work queues
  • Facilitates current state, future state and gap analysis
  • Knowledge/build/use of Cerner Core systems (Standard core build, organizations, associate facilities and payers, client billing, code sets, code set 20790, operation jobs and task access)
  • Knowledge/build/use of the configurations menu: Clocks, Conversations, Demographics Bar, Eligibility, Rules, Scheduling and Searches
  • Knowledge/build/use of the revenue cycle general tab, perspectives tab, notifications tab, medical necessity, and patient tracking
  • Knowledge/build/use of the Registration tab, MSPQ (Medicare Secondary Payer Questionnaire) tab and formatted address tab process

Patient Access Spec-assoc Resume Examples & Samples

  • Verify eligibility and benefits
  • Obtain prior authorization prior to date of service
  • Notify patient and physician if unable to complete
  • Professionally and accurately obtain cost information and explain waiver process to patient as necessary
  • Notify, explain and collect copays, etc. from patients and post in Excellian and Payment Navigator as back up to registration
  • Determine patient need for financial counseling and offer/explain resources available and assist moving through the process (MedEligible, MedCredit and/or Allina financial services.)
  • Timely, accurately and professionally provide cost estimates to patients as requested
  • Professionally is the resource for registration staff on insurance and billing questions, and assist staff with trouble shooting, errors and corrections
  • Professionally is the resource for hospital billing problems
  • Demonstrate knowledge in insurance and billing issues and processes
  • Work with payers to assist in getting claims processed and paid
  • Works denials and problem solveso get claim paid
  • Facilitates warm and welcoming environment

Patient Access Spec-int Resume Examples & Samples

  • Perform greeting and check-in duties as assigned
  • Identify Prior Authorization requirements and/or coverage limitations
  • Collect financial obligations from patients and provide financial counseling when appropriate

ED Supervisor, Patient Access Resume Examples & Samples

  • Provide assistance/resolution to external and internal client inquiries
  • Prepare reports or logs as required for reoccurring meetings and leadership research requests
  • Able to investigate process and payment issues and provide root cause analysis and recommended corrective actions to leadership
  • Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
  • Able to schedule, register and update patient information in core client systems
  • Maintain a current working knowledge of all healthcare related issues and regulations
  • Responsible to report any detected trends, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported
  • Maintain confidentiality at all times
  • Provides relevant staff education and fosters compliance with all applicable state and federal regulations for financial clearance and patient privacy (EMTALA, HIPAA, etc.)
  • Establish realistic goals and priorities concurrent with organizational objectives
  • Promote teamwork and collaboration within the department and across cross functional areas
  • Provide staff onboarding and educational support for their work area and relevant business needs
  • Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company's governance/compliance program
  • Becomes knowledgeable of internal control responsibilities through training and instruction. Responsible and accountable for internal control performance within their area of responsibility. Participates in the internal controls self-assessment process
  • Minimum of 2 years experience in healthcare registration or business office operations
  • Knowledge of medical insurance company practices regarding reimbursement
  • Ability to mentor staff and provide consistent performance management
  • Demonstrated ability to work in a team environment that requires quick turnaround and quality output
  • Able to produce accurate and professional looking reports using MS office products
  • Prior management or supervisory experience, preferred
  • Associates degree or BA/BS in business or related concentration preferred
  • NAHAM (National Association of Access Management) Certification preferred

Supervisor Patient Access Resume Examples & Samples

  • Oversees the day-to-day operations to ensure proper flow of registration activities
  • Supervises and evaluates the performance of the staff
  • Acts as resource person for resolution of complex registration situations
  • Develops and implements policies and procedures to facilitate and maximize efficiency in operations
  • Works with other administrative, clinical and/or practice areas to coordinate, registration, charge accumulation and cashiering
  • Prepares and monitors statistical, quality improvement and budgetary reports
  • Prepares requests for purchase of supplies, equipment, check requests and petty cash vouchers
  • Knowledge of Management Computerized Systems and Third Party Reimbursement
  • Minimum of three (3) years progressively responsible related work experience to ensure familiarity with registration in a medical or hospital setting
  • Knowledge of outpatient operations
  • Knowledge of word-processing and spreadsheet software
  • Strong interpersonal skills needed to facilitate encounters with patients, staff, nurses, physicians, etc

Supervisor, Patient Access Resume Examples & Samples

  • Oversees Daily operations of all patient registration departments located at Mercy Hospital Bakersfield
  • Expected to perform duties in alignment with the mission and policies of the organization
  • Rotates on call responsibilities with Patient Access Supervisors for weekends, holidays, and off hours
  • Assist manager with appropriate staffing of Patient Access areas
  • Completion of employee evaluations
  • Reviews and records employee attendance, time keeping, coaching, and disciplinary actions
  • Produces reports and communicates directly to manager
  • Facilitates staff meetings, education, and daily huddles
  • Coordinates implementation of policies and procedures to guide and support the team
  • Performs other job duties as assigned by Manager, Supervisor, or Administration
  • 3 years prior Admitting, Outpatient registration, Emergency Department or Medical Office experience
  • Knowledge of Insurance's HMO, PPO, and government programs
  • Knowledge of insurance verification, authorization, and billing processes
  • Knowledge of EMTALA, HIPAA regulations
  • Excellent verbal and written skills medical terminology
  • Computer knowledge Word, Excel, Outlook
  • Ability to type 40-50 WPM

Patient Access Service Representative Resume Examples & Samples

  • Admit patients to the facility and provide information regarding the facility's regulations and policies; such as Patient Bill of Rights, Health Care Proxy, NY State Laws, etc
  • Conduct interviews to obtain demographics, insurance information etc. and enters data into the registration system
  • Communicates the Collection Policy to patients. Collects and documents co-pays and/or deductibles received at point-of-service
  • Obtains appropriate signatures on medical, legal and financial forms. Prepare charts, registration forms and print identification chart labels and patient identification wristband. Forward required items to patient care unit
  • Uses Teletracking to assign beds for maternity patients
  • Escort all patients to the patient care unit post registration
  • Use Surgical Information System (SIS) to retrieve scheduled surgical, cardiology and pre-surgical testing cases
  • Complete outpatient registrations for scheduled pre-admission testing, Obstetric Check and Call (OCC) and limited outpatient procedures
  • Completes Death Register and Fetal Demise Register information and follows procedures regarding the disposition of records and distribution of information
  • Facilitate the release of remains on all expired patients
  • Perform a variety of diverse office/clerical duties supporting the department's operations; including, but not limited to, answering telephone, maintaining files, sorting mail, keeping inventory of supplies, and informing management of all activities, needs and problems
  • Must be available to work 7:00 am - 3:00 pm, 3:00pm - 11:00pm and/or 11:00 pm - 7:00 am variable days, including weekends and holidays
  • Must be available for training which consist of 6 weeks of on the job training 7:00 am - 3:00 pm
  • Prior face to face customer service experience in a medical setting
  • Data retrieval experience using eligibility database systems,
  • Communicate effectively spoken and written
  • Must be able to multitask
  • Comfortable walking, and standing for extended periods of time

Financial Clearance Team Lead-patient Access Center Resume Examples & Samples

  • Demonstrated experience and a proven track record in hospital registration, financial clearing and/or financial counseling as typically acquired in 3 to 5 years of experience
  • Experience consistently executing Patient Access standards, processes, policies, procedures and service level agreements
  • Experience leading a team in a fast-paced environment while still following standard processes and procedures
  • Experience in a regional/ shared service Patient Access environment with multiple/ matrix reporting relationships preferred
  • Expert knowledge of the financial clearance process
  • Knowledge of patient access functions in acute and non-acute settings including organization, registration, financial clearance, and financial counseling functions and how they interrelate
  • Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections
  • Knowledge of medical terminology and coding
  • Knowledge of system interfaces that will include Passport Eligibility, eCashiering, Paperless Registration, Hyland On Base Scanning, Search America and other applications desired
  • Knowledge of work standards and productivity measures, quality control mechanisms, and workload distribution desired
  • Ability to serve as a coach to others on financial clearance processes, policies, and procedures
  • Demonstrates leadership skills and the ability to provide constructive feedback to team members to support continuous improvement
  • Ability to effectively resolve conflicts among individuals and/or work groups
  • Strong time management skills and the ability to manage frequent in-person contacts while effectively maintaining and documenting data in the patient registration/accounting systems
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health
  • Must be able to work concurrently on a variety of tasks/projects in an environment that may have competing priorities, be high volume, and working with individuals having diverse personalities and work styles

Patient Access Clerk Resume Examples & Samples

  • Greets, receives and escorts patients as required and consistent with customer service guidelines
  • Collects and verifies patient demographic, insurance eligibility, and financial information/responsibility and accurately documents in hospital computer system(s)
  • Responsible for consistent and accurate use and execution of department SOP's (established operating procedures) and supporting tools, software, websites
  • Screens self pay patients, identifies potential solution(s), and facilitates solution application process (manual and/or electronic) or patient payment as appropriate
  • Interviews patients bedside as needed to facilitate timely and effective solutions (ED only)
  • Assists patients in establishing secured installments plans when applicable
  • Meets performance standards established by Patient Access leadership, including but not limited to: quality, collections, customer service, screening/solution rates, productivity)
  • Delivers exemplary customer service for patients in accordance with hospital expectations / guidelines
  • Aptitude for/familiarity with patient access tools, systems, and technologies
  • Comfortable with collection process
  • Knowledge of Medical Terminology preferred

Patient Access Supervisor Resume Examples & Samples

  • Establishes procedures to ensure that tasks are preformed timely and without errors
  • Verifies and approves tasks performed by the staff and for scheduling employees and covering shifts when needed
  • Is on call as position/schedule dictates
  • Trains all new employees and current employees on procedures, policies and regulations that affect the department and/ or position
  • Ensures that staff has adequate tools to perform tasks
  • Accumulates and review statistical reports regarding productivity, and is accountable for variances
  • Keeps abreast of and ensures compliance of third party insurance and Human Resource regulations
  • Assists in evaluating performance of subordinates
  • Assists at and responds to disaster drills according to hospital policy
  • Ensures that all procedure manuals are complete and updated regularly
  • Plans, promotes, and executes special projects and programs that the Manager/Director is involved in
  • Prioritizes and completes a variety of assignments generated by registration
  • Assesses daily staffing and coordinates scheduling
  • Handles Earned Time requests as approved by Director
  • Oversees and evaluates appropriate quality assurance and improvement data
  • Monitors departmental compliance with JACHO
  • Develops and maintains systems to assure accurate, confidential, and retrievable information
  • Troubleshoots and serves as a liaison between the Director and other departments
  • Fills in as registrar in all registration areas as needed
  • Monitors Registration integrity
  • Completes daily reports as assigned and follows up appropriately
  • Monitors departmental compliance with hospital policies, quality assurance and improvement programs, safety, environmental, and infection control policies and procedures
  • Involves other departments in project planning and implementation
  • Supports others in the department and provides help and assistance when possible
  • Regularly attends and participates in team and/or departmental meetings and activities
  • Keeps others in the department informed of relevant information
  • Regularly offers and requests constructive feedback and coaching
  • Establishes and maintains effective working relations
  • Welcomes patients/customers/employees in a warm, friendly manner
  • Actively listens and constructively responds to questions and concerns in a timely manner
  • Performs other duties as required by the Manager and Director of Admitting/Registration
  • High School Diploma required, but Associate's degree preferred
  • Three to five years Inpatient/Outpatient registration or Hospital experience required
  • Two years supervisory experience preferred. Excellent interpersonal and customer service skills are necessary
  • Sensitivity to the confidential nature of the work environment, a must. Familiarity to Meditech, medical terminology and Rev Cycle software

Supervisor, Patient Access Resume Examples & Samples

  • Positions will oversee 24/7 hospital operations in the Patient Registration Department
  • Supervising the operations of the medical centers Patient Registration (Inpatient, Outpatient and Emergency / Trauma) Departments in an efficient cost effective manner insuring high quality service
  • 3 years minimum supervisor experience
  • Must have experience with employee engagement, and the ability to manage 68 employees to include scheduling and payroll management
  • Must be able to work in a fast pace environment
  • Knowledge of reimbursement and compliance with medical center policy and regulatory agencies
  • Operational knowledge of Federal and State regulations pertaining to patient admission standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, JCAHO Title XXII)
  • Experience with Insurance verification / authorization process, HIPAA compliance, Medicare Secondary Payer contracts and manage care payers
  • Expertise with hospital computerized information systems
  • 5 years of patient registration experience

Financial Clearance & Counseling Lead-patient Access Center Resume Examples & Samples

  • Demonstrated leadership experience and a proven track record in hospital registration management in a facility of significant size and complexity, hospital business operations and patient accounting applications, as typically acquired in more than 10 years of experience
  • Experience executing Patient Access standards, processes, policies, procedures and service level agreements
  • Experience in complex regional/ shared service Patient Access environment with multiple/ matrix reporting relationships
  • Experience managing complex/ large scale/ transformational projects, including demonstrated success in coordinating major projects and implementation of successful cost containment initiatives
  • Demonstrates leadership in planning new or expanded services, managing projects and coordinating multi-department task forces
  • Demonstrates experience in budget preparation and planning, development and monitoring of staff productivity systems analysis and tracking, quality improvement and establishment of quality standards and monitoring the implementation of other key management control systems
  • Demonstrates commitment to total quality management through knowledge of its precepts, skillful workplace applications and continuous organizational improvement
  • Familiarity with general hospital management principles, practices, and procedures
  • In-depth knowledge of advanced principles, methods, and techniques related to compliant healthcare billing/collections
  • In-depth knowledge of payer contracts, insurance eligibility, the Fair Debt Collection Act and CA charity laws
  • In-depth working knowledge of medical terminology and coding
  • Knowledge of Patient Access Patient Management information system applications, preferably EPIC
  • Knowledge of system interfaces that will include Passport Eligibility, eCashiering, Paperless Registration, Hyland On Base Scanning, Search America and other applications
  • Knowledge of reimbursement systems (DRGs, capitation, managed care, etc), the Medicare Peer Review Organization, TJC accreditation standards, state licensing requirements, and state and federal laws, standards, rules, regulations and requirements governing the confidentiality of patient information is essential
  • Knowledge of work standards and productivity measures, quality control mechanisms, and workload distribution
  • General knowledge of LEAN, Six Sigma, reengineering and/or other process improvement knowledge/experience desired
  • General knowledge of HR and payroll policies/ regulations, automated timekeeping systems and budget practices
  • Knowledge of technological advancements, labor savings procedures/ processes/ equipment and other state-of-the art department-specific systems
  • Knowledge of utilization review principles/practices
  • Familiarity with multiple patient access-related information systems and subsystems
  • Ability to set strategy and provide superior knowledge of business processes and enabling technologies, specifically in Patient Access functions
  • Aptitude to conceptualize, plan, and implement stated goals and objectives
  • Ability to identify, prioritize, resolve and / or escalate complex problems promptly
  • Ability to identify and implement consistent financial clearance/ counseling approaches across the system
  • Thorough understanding and experience with performance metrics
  • Ability to establish, develop and manage customer relationships
  • Excellent project management, planning and forecasting skills
  • Ability to serve as a reference and coach others on key Patient Access process, policies, and procedures
  • Ability to effectively detect, surface and resolve conflicts among individuals and/or work groups
  • Ability to communicate ideas both verbally and written to influence others using on-on-one contact, formal presentations, and group discussions
  • Effective internal consulting skills along with the ability to positively influence others in a desired direction to achieve identified outcomes without direct lines of authority
  • Ability to recognize the appropriate style, level of detail, and message for the audience
  • Ability to develop and maintain effective working relationships/ networks within and outside the organization
  • Skills using spreadsheet, word processing, statistical, project management, and presentation software applications, preferably Microsoft Suite; ability to learn new applications/software systems effectively and efficiently
  • Demonstrates skills developing and administering a complicated budget
  • Ability to utilize detailed/ complex information technology to maximize the efficiency and quality of revenue cycle activities; analyze and interpret complex data and draw logical conclusions to develop and address revenue cycle operational processes
  • Well-developed process design, implementation, and improvement skills, including large scale transition/ change management
  • Positive influence skills to move others in desired direction without formal lines of authority. This requires tact, diplomacy, polity savvy and executive presence

Director of Patient Access Resume Examples & Samples

  • 3+ years of Patient Access experience; 2+ years of previous Supervisory experience
  • Experience with Intake and Admissions
  • Master's Degree in a related field

Patient Access QM Specialist Resume Examples & Samples

  • Performs audits for accurate demographic information, procedural processes, and billing accuracy, ultimately increasing revenue and decreasing accounts receivable days
  • Three years previous experience in patient registration or patient accounting, HCFA, HMO, and other regulatory agencies preferred
  • ICD-9/CPT coding preferred

Patient Access Navigator Resume Examples & Samples

  • Responsible for scheduling follow up appointments as ordered by Medical Provider
  • Requires the evaluation of medical orders, and entering and/or modifying orders if required
  • Heavy utilization of customer service skills and detailed system knowledge to support hospital and clinic operations via phone contact

Patient Access Workleader Resume Examples & Samples

  • Identifies and utilizes appropriate reports to contact insurance payers for resolution of accounts with registration issues with a minimal need to escalate issues internally
  • Assists with and resolves patient inquires or complaints
  • Recommends and provides input to execute Patient Access programs in accordance with changes in insurance regulations and data obtained from various departments and physician in regards to issues including registration
  • Assists the site manager /supervisor with the daily operational activities of patient access
  • Rotates in the on call coverage as well as covers call offs within the department
  • Participates on committees in an engaging manner as a subject matter expert on processes within the department
  • Cross trained to independently staff all areas of Patient Access at any facility, including but not limited to Front Desk, Admitting Office, ER registration and Cashier
  • Recommends and facilitates exceptional Patients First communication for each patient encounter during their registration
  • Identifies patient registration issues and resolves or initiates necessary follow up
  • Implements service recovery efforts as appropriate
  • Responsible for staff training, involved in performance evaluations by means of feedback and completes special projects and assignments which would not be given to front line staff
  • In addition responsible for operational tasks which include staff schedules, working reports, performing compliance and denial audits, working reports, handling call offs, allocating work/resources and time and attendance entries
  • Assists in the development and implementation of new processes
  • Functions as a Super User
  • Assists in the completion of departmental audits, reports, and QA
  • Handles coaching based on compliance metrics and also oversees cashiering duties as necessary
  • Provided registration and cash collection access in Epic
  • Minimum of 4 years of experience in a customer facing role with in person or phone contact; or previous work leader experience with demonstrated competence in personnel management
  • A Bachelors degree my substitute for up to two years of the stated experience

Cerner Patient Access SME Resume Examples & Samples

  • 2+ years implementation experience with Cerner
  • 3+ years experience with Cerner Patient Access (scheduling, registration, patient portal)
  • Ability to work on multiple, complex projects with high quality results

Head of Patient Access Operations & Value Solutions Resume Examples & Samples

  • Directly supporting optimization and collaboration of Market Access & Pricing functional strategies, plans, resources and operations, including coordination of contracting pull-through, incentive compensation and patient value services
  • Lead in the development and management of key internal and external meetings, events and communications across all patient value units
  • Direct all functions related to Market Access Training for Account Executive teams, including Regional, National and the Field Reimbursement. This role ensures that a full training strategy is developed and implemented to support the functional needs of the AE teams as well as contract and pricing teams to enable customer facing roles and their commercial business partners to possess the best knowledge and capabilities to effectively run their business
  • Align with Global Market Access to develop and implement Market Access & Pricing Competency Model including career pathways programs
  • Driving and delivering best-in-class processes, systems and patient access tools that optimize effectiveness and efficiencies across the US MAP Team (including SFA systems, business planning processes, and on-going improvement efforts)
  • Supporting development, ongoing enhancement and cross-departmental communication of Market Access & Pricing Patient Access Solutions and performance metrics
  • Analyzing, synthesizing and consolidating strategies, plans, objectives, budgets, capacity and other resource planning to identify synergies, remove redundancies, and generally optimize operations
  • Providing efficient tracking, monitoring and reporting of MAP performance metrics, business strategies, plans, budgets, capacity, other resources and business metrics; lead ongoing improvements in these tracking, monitoring, and reporting efforts
  • The position includes 3 direct reports and geography included United States and territories
  • Bachelor's degree in finance or related field and a minimum of 10+ years of pharmaceutical experience preferably in Contracts, Market Access, Marketing, Finance or Legal; or extensive experience in healthcare industry with proven track record
  • Management experience
  • Broad understanding/competency in the areas of pharmaceutical contracts and pricing, wholesaler operations and reimbursement
  • Buy & Bill and Specialty experience preferred
  • Experience and understanding of customer contracts in the pharmaceutical industry, regulatory requirements, sales and marketing requirements and financial impact of contract terms and conditions
  • Must have excellent oral and written communication skills including the ability to clearly translate and effectively communicate issues that affect business opportunities, problems, efficiency and compliance with all contracting requirements
  • Strong analytical skills and the ability to apply business principles in the decision making process
  • Must be able to work with a wide variety of people in an effective manner
  • Proven ability to effectively manage a team
  • Strong systems and process orientation
  • Strong organizational and time management skills as well as the ability to effectively prioritize
  • Proven ability to manage customer relationships and negotiate contracts and contract language
  • Must possess initiative and problem solving skills in order to determine the appropriate course of action and implement needed changes with little direction
  • Must be able to provide analysis and direction on improved efficiencies, risk/cost avoidance and/or profit maximization while maintaining compliance with all applicable regulations
  • Ability to apply comprehensive knowledge and thorough understanding of industry regulations and guidelines to maintain appropriate records, develop solid data capture, and maintain or adjust business rules
  • Works independently. Must be able to identify potential problems, conduct analysis and use judgment to determine if problem exists
  • Have an appropriate recognition when it is necessary to seek guidance or approval
  • Recommends customer contract strategy based on results of analysis

Patient Access Supervisor Resume Examples & Samples

  • 4 plus years’ experience in medical facility, health insurance, or related area
  • 5 plus years’ experience in Patient Access preferred
  • 2 plus years’ in supervisory or lead role preferred

Patient Access Process Manager Resume Examples & Samples

  • Direct Reports Less than 5 Manager / Specialist Level
  • Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline
  • Strong collaboration and persuasion skills to coordinate work efforts across multiple departments
  • Ability to work and coordinate workforces across multiple geographic locations
  • Proven ability to execute on operational initiatives to drive results
  • Knowledge of AR management technology tools being utilized to deliver on key performance metrics and improve cost/EBIT (claims clearinghouses, advanced AR management workflow tools, advanced call center technology, disputed claims management)
  • Ability to analyze data among multiple reports to determine areas for opportunity
  • Advanced knowledge of process metrics (cycle times, attrition rates, etc.) and how they can be used in the healthcare revenue cycle environment
  • Extensive knowledge of revenue cycle metrics and drivers, particularly in billing and collections (AR days, cash goals, aging, compliance metrics)
  • Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers
  • Microsoft Excel, Access, Visio, etc…
  • 2 – 6 years experience in Healthcare Administration or Business Office
  • Lean, Six Sigma or other process improvement certification is a plus
  • Must be able to work in sitting position, use computer and answer telephone

Patient Access Team Lead Resume Examples & Samples

  • When appropriate, relieve staff members during employee sick/vacation time
  • Assist Supervisor to insure all personnel department policies and procedures are followed
  • Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards

Manager Patient Access Coliseum Parallon Resume Examples & Samples

  • Successful record of team bilding
  • Minimum of a Bachelor's Degree
  • Minimum 3 years strong management experience in patient access
  • Experience in healthcare provider financial operations or similar service environments
  • Experience in a very busy Emergency Department

Director, Patient Access Resume Examples & Samples

  • Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre­authorization, admission/registration, service pre-payment, etc.) to ensure daily operations are maintained according to standard. Serve as the primary liaison between the PAS and the Facility
  • Maintain and promote good customer relations with facility management, physicians and physician office staff
  • Review Patient Access performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in PAS Service Level Agreements
  • Inform Regional Patient Access Director of any significant issues in the Patient Access area (e.g., Pre­registration delays, pre-authorization backlogs, etc.)
  • Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education
  • Inform staff of relevant changes and developments in payer requirements
  • Ensure quality review measurements are in place
  • Facilitate implementation and monitoring of standard master files, processes, reporting and education programs
  • Oversee management of Patient Access personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
  • Develop specific objectives, budgets, and performance standards for each area of responsibility
  • Identify and implement process improvements to lower costs and improve services to facility customers
  • Perform staff reviews and prepare performance documents for direct reports
  • Recommends sufficient number of qualified/competent staff
  • Determines staff qualifications and competence
  • Develops and maintains accurate initial and annual competency checklists, and initiates completion of initial and annual competency attestation forms
  • Actively seeks ways to control costs without compromising patient safety, quality of care of the services delivered
  • Attends in-service presentations, and complete mandatory education week including, but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA Standards
  • Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues
  • Project Management - assesses work activities and allocates resources appropriately

Assistant Patient Access Director Parallon Resume Examples & Samples

  • Demonstrated strength in problem-solving, analytic, conceptual and critical thinking skills in making evidence-based decisions
  • Demonstrated ability to independently partner with staff, managers, senior leadership, and medical staff to achieve operational/process improvement
  • Demonstrated aptitude and flexibility to quickly learn, understand, and adopt new concepts and technologies
  • Geographic flexibility may be required for promotional opportunities
  • Experience in admissions/patient registration

Assistant Patient Access Director Resume Examples & Samples

  • Policies & Procedures- articulates knowledge and understanding of organizational policies, procedures and systems
  • Project management – assesses work activities and allocates resources appropriately
  • Requires occasional travel for training and educational opportunities
  • Prior experience in healthcare, healthcare management or patient access is required

Patient Access Clerical Asst Resume Examples & Samples

  • Screens for medical necessity and Medicare Secondary Payer Information (MSPQ) when applicable
  • One year customer service experience dealing with the public on the phone or in person required
  • One year patient financial services background (registration, billing, medical office, customer service, follow-up, or collections) preferred

Market Patient Access Director Resume Examples & Samples

  • Knowledge of the flow of the revenue cycle
  • PC/Systems literate including the Internet and basic MS office skills
  • Proficiency in prioritizing and managing multiple tasks
  • Operating Discipline and Business Acumen
  • Deal with Ambiguity and make good decisions
  • Possesses excellent tactical execution skills
  • Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders
  • Demonstrates strength in both performance management and leadership development
  • Advanced writing, verbal and presentation skills
  • Provide advanced customer service
  • At least 4 years manager/director level experience, including experience managing multi-level positions
  • 4 year college degree
  • Approximately 40% - 60% travel may be required

Patient Access Director Resume Examples & Samples

  • Certified Healthcare Access Manager (CHAM) preferred
  • Supervisory experience preferred
  • Three to Five Years Management in Patient Access and/or Revenue Cycle environment preferred
  • Extensive knowledge of Patient Access desired

Patient Access Operations Analyst Resume Examples & Samples

  • Good interpersonal skills and ability to work well with other team members and customers. Respectful of all levels
  • Position requires basic business skills, an understanding of general financial operations and major AR goals in the healthcare environment
  • Proficient (medium to high skill level) with various desktop applications such as Microsoft Excel, Word, PowerPoint and/or Access
  • Intermediate knowledge with database query tools such as Showcase and/or AS/400
  • Detail oriented, meticulous and accurate in completing tasks on time
  • 3-6 years experience in data analysis preferred

Manager of Patient Access Resume Examples & Samples

  • Manages overall operations of the Outpatient and Clinic Registration Departments
  • Selects, develops, manages, disciplines and supervises both direct and indirect reports
  • Evaluates performance and ensures annual appraisals are completed on a timely basis
  • Oversees staff competencies and ensures department goals are measurable to allow timely feedback to be delivered to staff
  • Creates SMART department goals in alignment with business goals
  • Monitors staff engagement continuously and develops action plans accordingly to encourage staff development and growth
  • Assesses and makes recommendations to improve the efficiency of current systems and processes for all applicable registration and financial services
  • Leads and champions process improvement projects in the Clinic and Outpatient Registration Departments and engages appropriate staff participation
  • Processes payroll, maintains employee records and work schedules, and ensures staffing adequate coverage at all times
  • Maintains daily workflow to expedite registration, provide a positive patient experience with exemplary customer service while ensuring accuracy and quality output
  • Develop, review, and maintains current departmental policies and procedures and ensures staff education is performed on all new and revised policies
  • Keeps informed of and disseminate all pertinent Optum 360 policies and procedures, Northwell policies and procedures, JCAHO, and other regulatory agency standards, and insurance requirements and regulations
  • Manages the financial aspects
  • Works closely with the Consolidated Business Office, Patient Accounts and Health Information Management to ensure effective management of patient cases and accurate billing practices
  • Assesses front-end registration processes to incorporate and support point of service collection, patient education and billing requirements
  • Provides support and education to decentralized registration areas as it relates to charge entry and billing practices. Serves as liaison between ancillary and decentralized departments and troubleshoots questions and issues impacting revenue cycle initiatives
  • Assists in monitoring the department budget; oversees ordering for department office supplies
  • Oversees and ensures daily monitoring of Clinic and Outpatient registrations for Quality Assurance
  • Ensures compliance and integrity of data with billing and regulatory requirements
  • Assumes responsibilities related to patient access services in the absence of the Director
  • High School Diploma or equivalent experience
  • Proficient in Microsoft office including Word, Excel and Outlook
  • Minimum of 3 years of management experience
  • Healthcare management experience
  • Experience with hospital registration/patient access and billing systems
  • INVISION experience

Patient Access Lead Resume Examples & Samples

  • 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

Epic Patient Access Analysts Resume Examples & Samples

  • Interview users, stakeholders, and sponsors to assess departmental needs to create Business, functional and technical requirements documents
  • Analyze and document client's business requirements and processes; communicate requirements to technical personnel by constructing basic conceptual data and process models, including process flowcharts and technical specifications
  • Coordinate user groups and project teams, convening conference calls and meetings and maintaining minutes and follow-up logs
  • Work collaboratively with Systems Analyst to develop designs, mock ups and prototypes
  • Ability to lead Business in programs with complex projects
  • Work within time line and resource constraints provided by the Project Manager
  • Experience with HL7 communications is a plus
  • Performs other duties as assigned/required
  • Completed multiple go-lives, and at least one from (near) inception to completion
  • Experience with an Epic implementation at a multi-hospital system, and/or a major academic medical center
  • A Baccalaureate Degree from an accredited college or university in computer science, Information systems, business administration or equivalent experience or education is required
  • At least 3 years of clinical health care systems experience
  • At least 3 years of experience on commercial core clinical applications
  • Experience documenting system architecture design and clinical system work flow
  • Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts
  • Must be well organized, detail oriented, highly analytical, possess strong problem solving skills and must have a desire to be accountable for project success
  • Detailed knowledge of general phases of SDLC, project management methods
  • EPIC Cadence, BedTime, ADT and/or Prelude Certification required
  • Experience with Referrals
  • This role will require a strong knowledge of referrals and is strong with Order Entry, EAP build, OCC build, and Chronicles searches/report writing
  • Strong technical build (Ambulatory) resource with excellent communication skills
  • Requirement collection, defining work flow, design, build, and test of the Epic Ambulatory module; must have experience working on referral orders, work queues, order transmittal rules, work flow engine rules, patient requisitions etc
  • Participates in testing system enhancements (i.e. new modules, upgrades, product installs). Performs rigorous testing of new code, templates, scripts, etc., to deliver high-quality end-user solutions
  • Operates under deadlines and challenging workloads. Architects and delivers solution innovation for new services, improve services or to lower costs

VP, Patient Access Client Performance Resume Examples & Samples

  • Manage a team of Sr. Directors responsible for specific geographic client markets, including coaching and development, to ensure effective oversight and change management across client facilities
  • Optimize and standardize current processes, develop solutions for any anomalies and monitor to ensure consistent adherence across all client facilities. Proactively work with market leaders to ensure adoption of Conifer standards
  • Consult with client delivery market leaders and develop overall strategy and objectives that are aligned with each market deliverables; act as SME for any new facility transitioning to Conifer
  • Support annual patient access team member goals that align with business objectives of patient access, market PSLs; track and measure monthly results; correct issues quickly to assist achieve targets and EBITDA
  • Collaborate with other hospital revenue cycle operational leaders to identify problems and determine solutions that improve and/or enhance overall operations
  • Develop patient, physician and client satisfaction programs that enable a world class customer service
  • Work to identify new technology, tools and key initiatives in Patient Access that will reduce cost and/or improve yield across the revenue cycle
  • Extensive knowledge of revenue cycle metrics and drivers including insurance verification, government funding and qualification, scheduling, pre-registration, patient check-in, through-put and wait times, patient satisfaction
  • Strong knowledge of admitting and registration systems
  • Strong understanding of relationships between financial and clinical department leaders within acute care hospital settings
  • Ability to manage and influence employees and leaders in a matrixed environment, with multiple locations across a wide geographic span
  • Must be data driven with strong analytical skills to drive results, including reduced days in A/R, improved cash collections, reduced aging, and lower denials
  • Must be a change agent that improves to the overall customer experience
  • Strong presentation and communication skills, with the ability to communicate to a wide range of audiences from senior executives to front-line employees
  • 10-12 years of hospital revenue cycle management, with significant experience overseeing Admitting, Registration and/or Eligibility departments, preferably in large hospital systems

Associate Director, Oncology Patient Access Resume Examples & Samples

  • Lead the development and implementation of regional strategies and tactics to secure, maintain and improve reimbursement for Merck oncology products in the assigned region
  • Develop and maintain expertise on provincial decision-making processes related to healthcare, pharmaceuticals and oncology
  • Evaluate the impact of regional health policy trends and initiatives on Merck oncology products with respect to patient access, reimbursement and business overall
  • Translate regional payer needs, requirements and policy developments into meaningful guidance and strategic insights which are used to drive integrated brand/access planning and the development of strategy and tactics
  • Develop regional oncology policy plan and regional oncology stakeholder engagement plan in collaboration with health policy & stakeholder relations, medical affairs, public affairs and marketing
  • Establish and maintain contact with key government stakeholders (cancer agencies , drug program managers & staff, planning departments), policy makers & influencers (political officials & bureaucrats), patient associations and oncology-related healthcare stakeholders
  • Liaise with provincial industry associations and represent Merck oncology perspective on topics relevant to the biopharmaceutical industry and patient access to oncology medications
  • To collaborate, support & align with other team members related to reimbursement, stakeholder relations (Patient Access Planning, HEOR, Policy, MSLs, Hospital KAMs) and oncology business planning (Marketing, Sales)
  • Robust understanding of payers (public, private, cancer boards, hospitals) and their decision-making systems related to oncology products
  • University degree in policy, healthcare management, business or sciences
  • Minimum of 5 years of relevant provincial healthcare policy and/or market access experience in the pharmaceutical industry
  • Experience in oncology is preferred
  • Thorough understanding of the Canadian health care system, drug reimbursement environment and key oncology stakeholders in Canada
  • Strong negotiating, problem solving and decision-making skills
  • Excellent collaborator
  • Developed analytical skills
  • Command of MS Office

Director, Patient Access Resume Examples & Samples

  • Develops and directs work processes for patient admitting, registration, patient financial counseling, third party patient services authorizations, patient accounts receivable and the collection and processing of funds and payments. Develops processes, researches outstanding issues, educates staff to realize the Facility and System cash goals
  • Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and performance management. Develops work goals and objectives for the department in accordance and alignment with company goals; provides measures and feedback, leadership and motivation for staff achievement of departmental goals
  • Evaluates and improves the accounts receivable portfolio. Analyzes and reports on the performance of the department in meeting goals. Identifies and pursues opportunities for strategic performance improvements; serves as facilitator and team leader in System Process Improvement activities within the department and with the various departments with which it interfaces. Takes action to correct performance deficiencies and/or improve outcomes
  • Maintains and uses a current knowledge of regulations in guiding policy for the facility and company. Formulates and ensures implementation of Patient Financial Services policies and procedures that are consistent with Federal, State, and Joint Commission on the Accreditation of Hospitals Organization (JCAHO) guidelines, and that preserve compliance while minimizing risk of sanction by regulatory bodies. Acts as a knowledge resource on patient privacy regulations and provides Health Insurance Portability and Accountability Act (HIPAA) education. Safeguards the companys assets and interests
  • Provides training, education and development for the Facility Patient Financial Services (PFS) team. Ensures that staff has the abilities and knowledge to produce efficient and effective collection of cash receipts, accurate patient registrations and patient service authorizations, high quality customer service, and effective patient financial counseling. Develops leadership skills of managers and supervisors
  • Implements and improves patient accounting system use processes that result in increase efficiency and/or effectiveness in achieving desirable outcomes such as reduced payer write offs on accounts and improved upfront cash collections. Continually updates the proficiency of staff in the effective use of hospital system software and databases as they relate to hospital billing and registration
  • Develops, prepares, maintains and adheres to annual department budgets. May prepare business plan for capital requests for major expenditures. Develops and monitors department staffing plans and schedules to insure appropriate staffing levels at all times while remaining within budgeted expense guidelines
  • Works as a member of the Facility leadership team and the company Patient Financial Service leadership team to achieve Facility and Company goals. Participates in various facility and company committees

Patient Access Contact Senior Director Resume Examples & Samples

  • Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Develops, implements and communicates department goals and objectives in accordance with company standards
  • Provide leadership in complex situations and provide strategic guidance senior/executive strategic leadership across all patient engagement/scheduling functions throughout the Banner enterprise (Banner Medical Group, Banner University Medicine Division, Revenue Cycle and Community Delivery)
  • Identifies opportunities for enhanced collaboration, efficiencies or entrepreneurial enhancements to the patient engagement/scheduling process to ensure a convenient, coordinated and compassionate industry-leading experience
  • Responsible for supervision of various patient engagement/scheduling centralized and decentralized contact center directorates across multiple disparate office settings and locations. Includes quality management, risk management, resource management, employee engagement and development
  • Provides leadership to advance the organizations mission of making a difference in peoples lives through excellent patient care, including but not limited to: identifying training opportunities, workflow enhancements-consolidation, identifying/deploying new patient facing capabilities, deploying new measurement tools and partnering with teams to develop/deploy enhanced training
  • Creates a leading patient/consumer experience that is seamless across all engagement/scheduling functions at the Banner-enterprise level

Senior Director, Patient Access Operations Resume Examples & Samples

  • Client Service Level Agreements (SLA)
  • Operating goals, set by the Patient Access Process group that drive SLA
  • Strong ability to speak to and drive operational key metrics
  • Knowledge of detailed Patient Access processes
  • Detail oriented, analytical skills, and an ability to work independently
  • Manage and continuously improve process metrics
  • Change management experience
  • Responsible for directing and executing business processes including monitoring and achieving client Service Level Agreements and all supporting process metrics with a region. Responsible for the overall cycle time, work product accuracy including quality monitoring metrics, productivity, and associated process metrics. Establishes regional and hospital budgets. Analyzes P&L’s to ensure positive EBIT performance and manages to hospital, market and regional budgets
  • Implements strategies around resource utilization in order implement effective succession planning and building of bench strength to allow growth within the organization without negatively impacting cost
  • Collaborates with all segments of leadership responsible for process design and development, process monitoring, and policy and procedure development. Manages all aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations, etc
  • Leads regional projects and acts as Conifer’s voice in client initiatives impacting Patient Access. Works collaboratively with process, strategic director, client and other leadership to build short, medium and long term plans and strategies for the evolution of the business operations
  • At least 1 year director level over multiple facilities/units or equivalent business experience
  • 4 year college degree required
  • Graduate Degree, preferred

Director of Patient Access & Physician Services Resume Examples & Samples

  • Minimum 5 years of patient registration or customer service management experience in a hospital environment
  • Previous experience in a leadership role, with progressive growth in responsibilities
  • Knowledge of patient access systems and third party billing requirements
  • Experience in a for-profit hospital, preferred

Patient Access Supervisor Los Robles Resume Examples & Samples

  • Needs hospital Patient Access experience
  • Trauma Center/ emergency room experience a plus
  • California laws, California Medicaid, Medical, commercial insurance

Patient Access Assistant Director Resume Examples & Samples

  • Organization – proactively prioritizes needs and effectively manages resources
  • Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Start-Up Operations – understands complexities and needs to start up, build and maintain a new business
  • May require long work hours, shift work and weekends
  • BS or BA degree required
  • MBA or MHA degree preferred
  • Experience in healthcare, healthcare management or finance

Assistant Patient Access Director Resume Examples & Samples

  • Technical Expertise – Some understanding of healthcare including knowledge of healthcare terms and accounts receivable processes
  • Strategic Analysis - Analytical Review skills and ability to make decisions based on analysis
  • Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
  • Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

Patient Access Senior Rep-westland Resume Examples & Samples

  • Daily decisions and actions must also reiterate our desired outcomes – high patient satisfaction and safety, optimal productivity, and high employee morale
  • Must contribute to a positive and productive work environment
  • Enter information into the EHR/EMR as directed by the provider
  • Research information as requested by the provider

Associate Director, Patient Access Resume Examples & Samples

  • Case-level Activities- Research individual payer appeal processes, develop appeal strategy and create tactical action plan and adhere to timeline, secure alignment with key commercial stakeholders, facilitate the development of communications (support appeal letters and/or provide MD evidence) by leveraging clinical evidence from Medical Affairs or Payer policy evidence, procedures and appeal process. Coordinate execution of plan and follow up across functional teams
  • RareConnections Interface—Proactively monitor the incoming cases to identify and aim to pre-empt downstream reimbursement and coverage issues
  • Patient Access Services—Work with Franchise leads to manage Patient Assistance Programs and identify trends on payer denials, escalate to appropriate folk team members, e.g., (RareConnections, Managed Markets, Medical Affairs , or Sales and Marketing as appropriate)
  • Develop and implement strategies and tactical programs addressing patient-level barriers to product access (e.g. coverage and reimbursement, Patient Assistance Program parameters, etc)
  • Work closely with case management hub (BioMarin RareConnections) to develop and execute plans addressing patient-level barriers to product access
  • Integrate seamlessly with BioMarin RareConnections operations, Managed Markets, Payer Policy and Field Account Teams
  • Collaborate closely with other commercial groups including Marketing, Medical Affairs/Information and Compliance
  • Participate as necessary on brand, field sales, and other commercial teams
  • Manage and adhere to corporate policies and practices
  • Develop materials and present at internal and external meetings
  • Facilitate communication/calls with functional partners
  • 6+ years’ experience of relevant pharmacy benefit and medical benefit healthcare reimbursement experience
  • Previous experience in healthcare in positions encompassing insurance, case management, interactions with health professionals, patients and family members
  • Related experience in specialty drug health care operations, billing, public/private health/pharmacy reimbursement and customer service, infusion services
  • Full understanding of the insurance approval/denial/appeal process; previous direct experience in submitting appeals and advocating for appropriate clinical treatment of patients is highly desired
  • Experience with and full knowledge of insurance, workers compensation and managed care systems
  • Good analytical and organizational skills, the ability to interact and positively influence across multiple departments

Patient Access Spec-int Resume Examples & Samples

  • Greet patient in a respectful, warm and professional manner by phone. Assist patient with requests in navigating our system
  • Schedule appointments and collect demographic and insurance information in Excellian
  • Work call center effectively
  • Ability to interpret orders for appropriate scheduling based on physician orders
  • Ability to use various resources, tools on computer
  • Ability to solve complex scheduling and registration issues
  • Ability to identify patients that need financial assistance and provide financial coaching
  • Ability to multitask effectively and efficiently
  • Verify insurance eligibility, when needed

Dir, Site & Patient Access PI Resume Examples & Samples

  • Leads the design/redesign of Catalyst business processes while identifying potential process improvement projects/opportunities
  • Designs, develops and delivers training programs on the Catalyst process improvement as requested
  • Leads the development and maintenance of information on Catalyst process improvement for company employees. Leads the development of process improvement strategies for internal and external focus

Patient Access Lead-valley Baptist Medical Center Resume Examples & Samples

  • Advanced Understanding of Compliance standards 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

Manager Patient Access Colleton Parallon Resume Examples & Samples

  • Successful record of increasing staff productivity and quality, while decreasing patient wait times
  • Successful record of team building
  • Minimum of a Bachelor's Degree; Masters Degree preferred
  • * Only applicants who meet the education requirement and who have listed salary requirements will be considered ***

Director, Site & Patient Access Resume Examples & Samples

  • Leads the implementation of the Catalyst process internally within the Company
  • Provides leadership for Catalyst process enhancements which may include: system enhancements, development, improvement and documentation of processes, testing, participation in, and support of, validation activities. Works with Subject Matter Experts across the company to maintain and develop business process maps, process documentation and training materials
  • Creates and manages measurement systems to track engagement of Catalyst process improvement extended team and demonstrated return on investment for initiatives/projects within the organization

Patient Access Supervisor Resume Examples & Samples

  • Prior Work Experience: 3 to 5 years registration experience, 1 to 2 years in a supervisory position and a working knowledge of all positions within the Department
  • Calculator, Photocopier, Computer, and typing skills; ability to operate business machines
  • Customer service and organization skills

Patient Access Supervisor Resume Examples & Samples

  • Analyzes, recommends, implements and monitors approved work flow changes
  • Processes payroll maintaining employee records and work schedules while ensuring adequate coverage at all times
  • Works with clinical personnel in obtaining authorizations and contacts insurance companies as needed
  • Ensures compliance with DOH regulations as they pertain to completion and filing of death certificates and termination certificates
  • Maintaining daily workflow in order to expedite processing while ensuring quality, accuracy, and customer service
  • Monitors the inpatient and outpatient registrations for Quality Assurance
  • Responds to concerns of patients, families, physicians and staff
  • Recommends procedural and system changes to improve operational quality and efficiency
  • Actively participates in process improvement projects
  • 2+ years of Patient Access experience
  • Basic data processing and computer operations
  • Operational knowledge of Federal and State regulations pertaining to patient admission and registration, medical terminology, team building and cohesiveness
  • Effective oral and written communication skills, supervisory techniques, human resource management / leadership skills
  • Ability to motivate and lead staff through necessary transitions required by the challenges in the current and future healthcare environment
  • Must be able to work: Saturday and Sunday – 3:00pm-11:00pm and Tuesday, Wednesday, Thursday – 11:00pm-7:00am. (Off Monday and Friday)
  • 3+ years of prior supervisory or lead experience
  • Experience in direct patient interaction in a hospital setting

Patient Access Represenative Resume Examples & Samples

  • High School Diploma Required
  • Prior customer service or medical office experience preferred
  • Knowledge of computers and office equipment
  • Ability to type a minimum of 35 words per minute required

Patient Access Team Lead Resume Examples & Samples

  • Has work experience managing multiple projects and deadlines
  • Has worked in a healthcare delivery setting and successfully interacted and communicated with all levels of staff, physicians, patients, and family members in an effective manner having exhibited tact, enthusiasm, and patience
  • Must demonstrate sensitivity to cultural and bilingual issues
  • 3 years’ experience in Registration, Insurance Verification or Authorization
  • Preferred prior leadership experience
  • Proficient in MS Office applications
  • Experience with Cerner RCI preferred
  • Home care experience

Patient Access Lead Resume Examples & Samples

  • Associate’s degree or 4 years of relevant experience required
  • Minimum of 2 years customer service experience is required
  • 1 year of management experience preferred

Patient Access Supervisor Resume Examples & Samples

  • Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations
  • May manage the P&L of a business or part of a business unit
  • Project management and implementation, staff management
  • Ability to sit for extended periods of time at a desk
  • Ability to move about the office
  • Ability to frequently lift up to 10 pounds (e.g., books, binders, paperwork)
  • Physical dexterity sufficient to use a computer for preparing documents and communicating electronically
  • Ability to drive a motor vehicle to meetings at various locations
  • Ability to see well enough to read standard text and data on an electronic screen of a computer terminal and to read text on papers, books and forms
  • Ability to hear normal speech, in-person and over the telephone, even in a noisy environment
  • Ability to orally communicate with people in-person and/or over the telephone, even in a noisy environment
  • Ability to constantly make decisions and concentrate
  • Ability to work in an environment with occasional exposure to grief and death
  • Ability to work in an environment with occasional risk of exposure to biohazards, infectious organisms and hazardous chemicals
  • Working knowledge of standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC, Title XXII, EMTALA), insurance verification/authorization processes, managed care, CHA consent manual, CQI principles, tools and techniques
  • Demonstrated leadership skills and the ability to initiate change in a positive manner
  • Trained to motivate and lead staff through necessary transitions required by the challenges in the current and future healthcare environment

Director Patient Access Resume Examples & Samples

  • Assures compliance with The Joint Commission, federal, state, and other regulatory agencies related to Patient Access
  • Provides input and direction to strategic plan and goals
  • Represents Patient Access in all site specific director level meetings
  • Works with facility/site CFO regarding all patient access and/or PFS applicable functions
  • Maintains and develops knowledge of current hospital policies, procedures, and protocols
  • Provides input for process design and other implementation activities
  • Participates in budget preparation and cost control management
  • Oversees management of Patient Access personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
  • Achieves Imperatives based results for the organization through strategic planning
  • Responsible for the patient access financial performance as set forth by Patient Financial Services and works to improve processes to meet goals
  • Effectively communicates internally and externally with all levels of senior management administration
  • Responsible for improving point of service collections by strategically planning on-going training for Patient Access staff
  • Follows RevWorks policies, upholds professional standards, and performs all work in a manner respectful of others
  • Implements process improvements to lower costs and improve services to facility customer
  • Knowledgeable with patient access processes
  • Must be able to maintain high level confidentiality, have excellent writing skills, understand medical terminology, and be computer literate (word processing and other relevant software.)
  • Must be able to be physically active for a portion of shift
  • Ability to maintain high level confidentiality
  • Understanding of medical terminology
  • Good computer skills (word processing and other relevant software.)
  • Strong leadership and management skills including ability to mentor and develop staff
  • Program development skills
  • Effective analytical skills
  • Bachelor’s Degree in accounting or business related field or equivalent
  • Minimum of 7+ years’ relevant experience
  • Must reside in or be willing to relocate to the St. Helena, CA area
  • Minimum of 5+ years of management experience preferred
  • HFMA/CHAM certification preferred

Patient Access Clerk Resume Examples & Samples

  • Two years or more previous experience in registration in healthcare, business office and or physician billing with reimbursement and collections preferred
  • Previous cashiering, knowledge of insurance verification authorization and billing process preferred
  • Understands and is knowledgeable with all payers including, HMO, Commercial, Medi-Cal and Medicare programs preferred

Patient Access Req for Per Diem 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

National Director, Patient Access Resume Examples & Samples

  • Leads management team to establish strategic plans and objectives for the function; may assist with developing some cross-functional oriented objectives
  • Has overall control of planning, staffing, budgeting, managing expense priorities, performance requirements, and recommending and implementing changes to methods
  • Influences the development and execution of functional KP-wide policies and long-term goals
  • Participates in development of methods, techniques and evaluation criteria for projects, programs, and people for the corporate function
  • Minimum five (5) years of management experience
  • Minimum ten (10) years of related experience

Patient Access Reps Resume Examples & Samples

  • Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties
  • Responsible for meeting all patient registration goals in a timely manner to ensure time sensitive requirements are obtained
  • Working knowledge of Protected Health Information (PHI), HIPPA
  • Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information
  • Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system
  • Works according to standard operating procedure during ADT/system downtimes
  • Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments
  • Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement
  • Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy
  • Must be able to type 35+ wpm
  • Exhibits competency in the use of all registration systems, electronic verification tools, and Web Based resources
  • Maintains basic understanding of the medical necessity screening process and appropriate systems
  • Ability to prioritize and organize work

Patient Access Lead-accredo Resume Examples & Samples

  • Monitor work flow & assists with reassignments. Provide support & backup for supervisors. Handles escalations
  • Responsible for managing key patient access metrics as determined by leadership. Monitor QA through referral and RxHome patient account audits
  • Provide expert assistance to clients on patient status. Liaison for company providing patient referral status reporting
  • Review department activities & identify potential issues, risk & escalate to supervisor. Identifies payor and process issues. Escalates as appropriate, using discretion & independent judgment in handling patient or client complaints, escalating as appropriate
  • Responsible for training, mentoring and SOP development
  • Act as liaison for other operational departments to research & resolve member & client issues
  • Complete other projects and additional duties as assigned
  • 3-5 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology
  • Experience in patient access preferred
  • Intermediate data entry skills and working knowledge of Microsoft Office
  • Patient Access knowledge; Demonstrated leadership abilities; Basic supervisory skills preferred

Manager, Site & Patient Access Resume Examples & Samples

  • Leverages experiences, knowledge, and best in class practices to generate new ideas furthering the Global Site and Patient Access objectives. Ensures alignment with broader corporate goals and objectives
  • Drives Site and Patient Access initiatives by working with internal and external stakeholders to establish the Company as a preferred CRO for sites and patients. Acts as the Company champion for site and patient groups both internally and externally
  • Supports the analysis and selection of current and proposed preferred provider relationships with sites, vendors or patient stakeholder groups that strategically align to Site and Patient Access needs
  • Engages with therapeutic business units to support and deliver the implementation and delivery of specific site and patient access initiatives. Creates awareness internally of the relationship and working practices between investigator and patient stakeholders and the Company
  • Provides cross functional team leadership to deliver Site and Patient Access initiatives with a variety of stakeholders, both internal and external. Initiatives will be diverse and may include technology and process improvement components
  • Delivers Site and Patient engagement initiatives through good communication, clear implementation plans and explicit performance metrics to agreed timelines and quality, across the clinical development life cycle. Provides input to corrective and preventive action associated with quality issue resolution. Communicates compliance and performance to relevant stakeholders. May also assume the role of “Site Relationship Manager” to oversee performance and issue management of studies running at Catalyst sites
  • Supports and maintains to the development of relevant information libraries and communication materials to assist with RFI/RFP development and queries from Sponsors, Business Development and project teams
  • May have line management responsibilities for staff members. For direct and indirect reports, may participate in and manage activities related to department staff operations such as interviewing and selection, job description preparation, professional development, goal setting, performance management, coaching and mentoring, employee counseling, and separations. Approves courses of action on salary administration, hiring, corrective action, and terminations. Reviews and approves time records, expense reports, requests for leave, and overtime. Works with and advises staff on administrative policies and procedures, technical problems, priorities, and methods

Director, Patient Access Resume Examples & Samples

  • Provides overall direction and support to multiple clients, product lines or clients with 2 to 5 million dollar plus revenues and/or product lines
  • Absolute responsibility for ensuring superior customer satisfaction and ensuring compliance with the terms of the contract
  • Ultimate responsibility to ensure all client reporting is complete, accurate, appropriate and delivered and presented on time
  • Ultimately responsible for creating a positive, effective and caring work environment by utilizing the principals of managing by values, not rules, in addition to guiding and directing Leadership in the same principals
  • Creates a positive work environment that fosters growth for leaders and team members and encourages engagement
  • Responsible for multiple teams with a wide range of responsibility within the revenue cycle
  • Responsible for establishing annual Team goals as well as ensuring all reasonable steps are taken to accomplish success
  • Overall responsibility for seeing that team member quality and productivity standards are met via established QA periodic operational review
  • Ensures that internal and external policies, procedures and processes are available, current and represent compliance with best practices
  • Participates in the development of service training and continuing education opportunities for team members
  • In conjunction with HR, makes decisions related to corrective actions, hiring and termination
  • Requires a broad knowledge of health care financial revenue cycle
  • Proficiency with Microsoft Office products (Outlook, Word, Excel and PowerPoint)
  • Strong organizational and coordination abilities are required
  • Requires strong leadership/people management skills

Analyst, Patient Access Operations Resume Examples & Samples

  • Excellent communication, customer service and time-management skills
  • Intermediate problem solving and organizational skills
  • Strives for continuous improvement through training & other learning opportunities
  • SQL experience strongly encouraged
  • Bachelors Degree in Business or Health Care related field preferred
  • Must be able to work in sitting position and use computer

Patient Access Supervisor Sunrise Resume Examples & Samples

  • Hospital Patient Access experience required
  • Trauma Center / ER Experience required
  • Minimum 3 years supervisory experience; preferably in Hospital Patient Access but must be in healthcare
  • Needs to be really hands on with staff
  • Salary Expectations Must be Included

Patient Access Lead Resume Examples & Samples

  • Staff and order supplies according to budget guidelines and department needs
  • Maintain QA statistics (including patient wait times, etc.) and report results to Supervisor
  • Oversee the daily activities of the registration area to insure department standards are met
  • Assists Supervisor in educating registration staff of any changes pertinent to their roles
  • Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits and payment of services from legally responsible patients
  • Work closely and professionally with nursing and ancillary departments in effort to maintain a teamwork approach
  • Excel in all functions performed by patient representatives
  • Collect/request deposits and copays
  • Assume on-call responsibilities to insure adequate staffing and problem-solving

Manager, Patient Access Resume Examples & Samples

  • Monitor staff performance and quality and address any training or performance issues on a regular basis
  • Effectively functions as a liaison among Hospital managers in coordinating inter-departmental billing efforts and addressing patient access, scheduling, major charge and billing and reimbursement matters
  • Provide assistance/resolution to client inquiries
  • Responsible for reporting any detected trends in payments or denials, as well as procedural problems and makes recommendations regarding the correction of these trends or problems
  • Conduct routine account activity quality audits to verify accounts are being worked appropriately
  • Monitor internal processes for all functions of the unit, revise and develop consistent protocols for all business that meet the needs and are aligned appropriately with the core values of the unit
  • Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact patient access including EMTALA, HIPPA and Affordable Care Act. . Develops effective internal controls that promote adherence to these guideline and programs. Seeks advice and guidance as necessary to ensure proper understanding
  • Demonstrates correct and safe technique in the use of equipment according to the specific product information and hospital policies and procedure
  • Maintains the confidentiality, security and integrity for the management of associates/patient information according the specific product information and hospital policies and procedures
  • Analyze and solve problems quickly and thoroughly
  • Provide cumulative reports on a daily, weekly or monthly basis, as required and other reports as assigned to track productivity and performance
  • Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation
  • Assists with internal control failure remediation efforts
  • Possesses a full and complete understanding of the internal control requirements within their area of ownership/responsibility
  • Responsible and accountable for internal control implementation andperformance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed
  • Establishes accountability for internal control performance with subordinates. Promotes the importance, residual benefits and high priority nature of effective internal control performance with subordinates
  • Ensures subordinates are adequately trained as to their specific internal control responsibilities
  • Ensures subordinates are adequately cross trained or otherwise have plans to sustain internal control performance during employee turnover/movement
  • Ensures the internal control self assessment process is implemented and testing results are documented and evaluated
  • Helps manage internal control failure remediation efforts. Ensures subordinates’ historical internal control performance is monitored and results incorporated into the performance review process
  • Prior management or supervisory experience required
  • BA/BS in business or related concentration; graduate degree, preferred
  • Minimum 3-5 years experience in healthcare business office or Patient Access operations
  • Functional understanding of core systems for patient registration, insurance verification and scheduling
  • Proven knowledge and experience in governmental, legal and regulatory provisions related to collection activity
  • Knowledge of insurance company practices regarding reimbursement
  • Ability to lead teams to achieve desired goals and objectives
  • Solid knowledge of all MS Office Products

Coordinator Patient Access Operations Resume Examples & Samples

  • Excellent interpersonal skills; detail oriented; ability to accurately proof work
  • Strong organizational, problem solving and multi-tasking skills
  • Ability to gather and analyze data, generate reports
  • Experience with effectively managing, coordinating and responding to client requests
  • Ability to interact effectively with all levels of staff and management is essential
  • Ability to maintain strict confidentiality is required
  • Intermediate MS Office required (Outlook, Excel, Word, PowerPoint)
  • Knowledge of fundamental accounting practices
  • Experience organizing people, financial resources and tools
  • Experience in Healthcare preferred
  • Bachelor degree preferred
  • 5+ years experience interacting with executive level leadership, prior healthcare administration background preferred
  • 2-4 years experience in data analysis and reporting
  • Must be able to lift up to 25lbs

Director Patient Access Midtown Resume Examples & Samples

  • A proven track record of successful process improvement in increasing patient satisfaction
  • Must have the ability to build relationships with key business stake holders
  • Must have a proven track record of results achievement. Able to meet/exceed key performance indicators in upfront collections, registration accuracy, productivity, wait times, denials management, unbilled days, quality and patient experience
  • Minimum of a Bachelor's Degree Required; Masters Degree Preferred
  • Experience in Patient access in a fast paced environment

Supervisor, Patient Access Reg Resume Examples & Samples

  • Education: High School diploma or equivalent, with some related college course work or equivalent experience preferred
  • Experience: 3 – 5 years related experience in Patient Access, registration, patient accounting or revenue cycle operations with some supervisory/lead responsibilities
  • Skills & Abilities: Excellent oral, written and interpersonal communication skills, knowledge of ICD-9 and CPT coding, medical terminology, and/or revenue cycle knowledge
  • This position will rotate between Wayne, Taylor and Trenton location**

Patient Access Clerk Resume Examples & Samples

  • Readies charts for visits including: Demographic face sheet, encounter form, HIPPA, consent to treat, H&P exam form
  • Completes scheduling of patients
  • Reports patient complaints or safety issues to the director
  • Maintains all HIPPA related rules to ensure patient privacy
  • Assist in compilation of data for CQI
  • Orders stock from Materials Management, as requested
  • Performs simple maintenance tasks in work area or initiates work order as needed
  • Verbalizes knowledge of potential risks in the department and throughout the organization
  • Demonstrates knowledge of emergency codes and verbalizes role in each event
  • Demonstrates knowledge of proper evacuation routes and verbalizes knowledge of role in event of a disaster
  • Demonstrate flexibility and skillful problem solving abilities, utilizing a team approach as necessary
  • Demonstrates adaptability to change, remaining flexible in response to changes in job demands and scheduling
  • 18 years of age
  • Secretarial experience preferred

Patient Access Spec-int Resume Examples & Samples

  • Collects demographic and financial data and enters it into the patient’s electronic medical record, meeting regulatory and compliance requirements
  • Responsible for providing exemplary customer service in a respectful, warm, and professional manner
  • By accessing assigned workqueues, conduct interview over phone to collect demographic and insurance information
  • Obtain Prior Authorizations before date of service
  • Assist with site training
  • Special projects as directed by Supervisor

Supervisor, Patient Access Resume Examples & Samples

  • Assists with recruiting, interviewing, and selecting staff to fill staffing resource requirements
  • Participates in developing and overseeing orientation, initial training programs, and ongoing education for staff in assigned areas. Ensures all training manuals and training curricula are up to date and readily accessible
  • Works with Director to establish and manage staff scheduling (daily, weekly, monthly)
  • Manages communications to internal and external (e.g., clinical areas, physician offices) customers to ensure alignment and customer satisfaction related to patient access objectives, operating procedures and supporting tools / technologies
  • Manages and oversees departmental adherence to established protocols established by Hospital / Corporate Compliance department
  • In collaboration with Director, establishes and meets department goals for productivity, quality, customer service, collections and solutions
  • Creates regular reports as requested by Director to monitor progress on established goals, report key variances, and identify ways to drive achievement of goals
  • Participates in annual performance plans, following established HR protocols, based on deviation from established departmental and individual performance expectations / objectives
  • Monitors and updates department policies and procedures
  • Identifies opportunities to increase operational efficiency and/or effectiveness and establishes approach for addressing same to improve departmental operating procedures ,work flows, supporting tools, etc
  • Exhibited leadership and team-building skills
  • Proven customer service and effective communications skills
  • Proven expertise in collection processes and securing solutions for uninsured patients
  • Proven knowledge of Medical Terminology
  • Exhibited ability to work as part of a team

Patient Access Team Lead West Houston Resume Examples & Samples

  • Communication - communicates clearly and concisely, verbally and in writing
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by constantly meeting and exceeding expectations
  • PC skills - demonstrates proficiency in PC applications as required

Supervisor Patient Access Resume Examples & Samples

  • Supervises daily operations as they relate to hospital billing, registration and office management, as applicable
  • Supervises, hires, trains, disciplines and evaluates the performance of staff. Ensures performance appraisals are completed in a timely manner. Develops and maintains staff competencies
  • Maintains daily workflow in order to expedite processing while ensuring quality, accuracy, and excellent customer service. Monitors, recommends and implements approved work flow changes
  • Processes payroll, maintains staff records and work schedules, and ensures adequate coverage at all times
  • Collaborates with Patient Accounting, Health Information Management and Patient Financial Services to ensure charge capture and accurate billing practices are maintained
  • Works with clinical staff in obtaining authorizations and contacts insurance companies, as needed
  • Monitors outpatient registrations for Quality Assurance and delivers quality review and feedback to staff
  • Provides support and education to decentralized registration areas and acts as liaison between ancillary and decentralized departments as is relates to charge entry and billing practices. Provides support for on-going training in decentralized locations. Ensures effective quality assurance monitoring and feedback to decentralized financial registration areas
  • Serves as a liaison, troubleshoots questions and issues regarding insurance regulations for the ancillary departments
  • Recommends procedural and system changes to improve operational quality and efficiency. Actively participates in process improvement projects
  • Minimum of three (3) years of progressively responsible registration and billing experience, including leadership experience
  • Knowledge of computerized registration and billing systems
  • Knowledge of government and regulatory agency third party billing regulations
  • Strong interpersonal skills needed to facilitate encounters with patients, staff, nurses and physicians
  • Ability to handle many situations simultaneously and to exercise sound judgment

Manager Patient Access West Hills Parallon Resume Examples & Samples

  • Business acumen and proven ability to lead and work collaboratively within cross-functional teams to achieve operational and financial goals of the organization at large
  • Proven experience in a management position with a full understanding of Patient access as it relates to registration, scheduling, insurance verification, authorization, collections, etc
  • Able to organize and oversee the workload and make sound decisions
  • Experience with training others and developing processes
  • Ability to handle escalated Patient Access issues
  • Flexible and able to adjust to changing priorities and processes
  • Self Starter, positive thinker and detail oriented
  • Ability to work in a fast paced environment, with the ability to perform and prioritize multiple tasks simultaneously

Manager, Patient Access Solutions Resume Examples & Samples

  • Bachelor’s Degree in Business Administration, Healthcare, Finance or related discipline. Equivalent work and educational experience may be considered
  • 4+ years prior leadership experience in contact center, clinic administration, billing, IT and quality improvement
  • Excellent verbal and written communication skills; ability to communicate effectively and diplomatically with health care business executives and staff at all levels of the organization
  • Lean Six Sigma training
  • Telephony software experience

Supervisor of Patient Access Resume Examples & Samples

  • Supervises the daily operations of assigned Patient Access areas to ensure all customers are serviced promptly and information/documentation is complete and accurate
  • Informs staff of any changes that affect their day-to-day process to ensure complete communication within the department and avoid any errors
  • Coaches, counsels, evaluate employees and their job performance, making recommendations for corrective action, and carrying them out
  • Collaborates with Leaders and others to improve efficiencies and achieve the overall goals of the department
  • Communicates routinely with referring sources and ancillary staff to ensure timely processing of patients
  • Ensures all documentation including insurance identification, personal identification, prescriptions, referrals, and authorizations are obtained as required
  • Ensures each employee is properly oriented and trained to perform tasks according to established guidelines
  • Implements and monitors policies and procedures to ensure compliance and effectiveness
  • Monitors the overall process for efficient processing of patients. Formulates improvements process as necessary and advises Leader(s) of any changes
  • Processes patient pre/registration/admission according to guidelines based upon the inpatient or outpatient services to be delivered
  • Manage and schedules adequate staff coverage for the area based on projected patient load
  • Response to staff phone calls and assists with questions/issues as well as covers for any shifts, if needed
  • Completes audit of weekly and monthly dispute reports in a timely fashion and incorporates any necessary process changes or QA rules in trending found
  • Ability to motivate employees
  • Ability to utilize basic Excel skills to perform various duties
  • Fluent in Spanish strongly preferred
  • Knowledge of group leadership
  • Knowledge of insurance benefits
  • Able to adapt and react calmly under stressful conditions
  • Ability to communicate effectively both verbally and in writing in a clear and concise manner
  • Ability to follow complex written or verbal instructions

Assistant Director of Patient Access Resume Examples & Samples

  • 5+ years of experience working within a Healthcare facility
  • Thorough knowledge of Hospital Registration and Patient Account processes and systems
  • Previous experience with: Admissions and Registrations; Financial Counseling; and, Third Party Compliance and all Third Party Insurance
  • Bachelor's Degree in Healthcare Administration and/or Finance

Patient Access Associate Resume Examples & Samples

  • Verifies financial information to determine insurance coordination of benefits, pre-certification/prior-authorization requirements by contacting the insurance company or through other verifying technology
  • Informs self-pay patients of prepayment requirements or screens for funding sources
  • Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances
  • Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement
  • Maintains departmental and/or individual reports as required
  • Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues

Patient Access Resume Examples & Samples

  • The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors. Incumbent will be expected to enhance the patient experience throughout all patient interactions, the majority of which will be face-to-face; however, some positions are telephone based
  • The Financial Counselor is responsible for meeting with patients/guarantors, who require assistance in seeking and applying for healthcare funding (e.g., Charity Care, Medicaid, or other local/governmental funding program) and/or require assistance in reviewing and establishing payment options. The Financial Counselor is responsible for a broad spectrum of duties, beginning with the initial patient contact, via the pre-admit/pre-registration functions and ending with the control and maintenance of the patient’s account until discharge. Within this range, the Financial Counselor is responsible for determining the financial status of the patient during the financial counseling process. The position may also perform cashier and customer service functions
  • High school diploma required. Associate’s Degree or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes). Past work experience of at least 1 year within a healthcare provider and/or payer environment performing patient access and/or customer service activities, are highly desired but not required

Patient Access Representive Resume Examples & Samples

  • Access the Patient Management System and the Patient Tracking Board, accurately enters information necessary to begin registration process
  • Accurately record in hospital computer system clean and concise notes to track patient account activity and to communicate finances with hospital patient care staff
  • Obtain physician’s Medical License via appropriate websites and complete appropriate form for processing
  • Provide St. Luke’s Hospital with data and documents necessary to produce a patient bill by conducting in-person or telephone interviews with patient or facilities to gather demographic, financial, guarantor, referring a