Patient Access Resume Samples

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SK
S Koepp
Sanford
Koepp
402 Rocky Forges
Dallas
TX
+1 (555) 660 9050
402 Rocky Forges
Dallas
TX
Phone
p +1 (555) 660 9050
Experience Experience
08/2016 present
Detroit, MI
Manager, Patient Access
Detroit, MI
Manager, Patient Access
08/2016 present
Detroit, MI
Manager, Patient Access
08/2016 present
  • 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
03/2012 07/2016
Phoenix, AZ
Supervisor, Patient Access
Phoenix, AZ
Supervisor, Patient Access
03/2012 07/2016
Phoenix, AZ
Supervisor, Patient Access
03/2012 07/2016
  • 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
09/2007 12/2011
Dallas, TX
Patient Access Supervisor
Dallas, TX
Patient Access Supervisor
09/2007 12/2011
Dallas, TX
Patient Access Supervisor
09/2007 12/2011
  • 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
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

1

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
2

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
3

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
4

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
5

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
6

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
7

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
8

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
9

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
10

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
11

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
12

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
13

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
14

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
15

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
16

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
17

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
18

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
19

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
20

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
21

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
22

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
23

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
24

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
25

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
26

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
27

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
28

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
29

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
30

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
31

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
32

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
33

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
34

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
35

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
36

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
37

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
38

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
39

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
40

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
41

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
42

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
43

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
44

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
45

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
46

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
47

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
48

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
49

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
50

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
51

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
52

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
53

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 ***
54

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
55

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
56

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
57

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
58

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
59

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
60

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
61

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
62

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
63

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
64

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
65

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
66

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
67

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
68

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
69

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
70

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
71

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
72

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
73

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
74

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
75

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**
76

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
77

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
78

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
79

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
80

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
81

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
82

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
83

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
84

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
85

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
86

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
87

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 and primary care physician data, to establish or verify an existing medical record number, and entering the information into the hospital computer system
88

Patient Access Ctr Resume Examples & Samples

  • Phone triage, test results, medication refills, prior authorization, urgent calls, conveying plans of care, etc
  • Collaborate with the on-site physicians and staff to deliver high quality care
  • Graduate of a NLN accredited school of nursing required; BSN strongly preferred
  • One year of nursing experience in an office or hospital setting required
89

Senior Manager, Patient Access Solutions Resume Examples & Samples

  • Leads development and implementation of access services offerings through all major stages, including ensuring that offerings appropriately balance J&J and stakeholder risks and interests
  • Works closely with stakeholders to deliver and execute targeted solutions that address mutual strategic priorities and brings value to all parties
  • Demonstrates conviction, proactivity and persistence when influencing others and overcoming resistance
  • Applies an understanding of value-based healthcare economics, payment and delivery models, and the roles of the payor, provider and patients in reimbursement decisions and how they impact marketing, access and affordability
  • Delivers and creates clear and concise communications and presentations using approaches that highlight the most pertinent information for key stakeholders and spur stakeholder actions
  • Creates and executes results oriented business plans that are aligned with brand and stakeholder strategies
  • Interprets results of data analyses and understands business implications that are important to stakeholders
  • Plans, adjusts, prioritizes and executes on strategies to achieve results
  • Advanced Degree or MBA preferred
  • A minimum of 7 years of relevant experience in the healthcare industry is required
  • A minimum of 3 years of experience in the pharmaceutical industry is required
  • Experience in pharmaceutical and/or healthcare sales is preferred
  • Strategy development and business planning skills preferred
  • Developmental experience and demonstrated success in areas such as Access Services, Finance, Business Analytics, Account Development, Reimbursement, or Offer Development is preferred
  • Understanding of decentralized and cross-functional business models is preferred
  • Experience managing projects is required
  • Ability to work with others at various levels in the organization is required
  • Ability to communicate effectively with others, including defending logical business arguments is required
  • This position is located in Horsham, PA, and requires up to 10% travel for business, as necessary.9884170316
90

Patient Access Supervisor Resume Examples & Samples

  • Minimum 3 years leadership / supervisory experience
  • Emergency room experience a plus
  • Critical thinker / problem solver and customer service experience
91

Director, Patient Access, Oncology Resume Examples & Samples

  • Oversees the development and implementation of market access strategies in Oncology
  • Creates a long-term access strategy for future indications of KEYTRUDA that ensures timely and broad patient access, in a manner that is sustainable for payers and Merck
  • Leads a team of office- and field-based functional access experts (planning, health economics and outcomes research, public policy, stakeholder relations)
  • Develops and leads market access negotiations with public payer agencies such as pCODR and pCPA
  • Drives integrated cross-functional collaboration with Medical Affairs, Marketing, Sales, Key Account Management, Pricing, and other internal partners
  • Contributes actively to Oncology Leadership Team meetings and to setting the long-term strategy of the Oncology Business Unit
  • University degree in Business, Economics, Medicine, Pharmacy or Life sciences, and/or graduate degree in Business or Life sciences are preferred
  • 10-15 years of relevant experience in the pharmaceutical industry, with 3-5 years’ experience in Market Access
  • Strong knowledge of Oncology is preferred; strong knowledge of another specialty-care field is an asset
  • High level of understanding of Canadian pharmaceutical pricing and reimbursement, payer needs and market access environment is required
  • Hands-on experience in complex negotiations is required. Proven negotiation experience with public payer agencies such as pCODR and pCPA in preferred
  • Understanding of health economic principles and budgeting processes is an asset
  • Language requirement: Business fluency in spoken and written English is required; business fluency in spoken and written French is a strong asset
92

Patient Access Representitive Resume Examples & Samples

  • High school diploma, associate degree in related area desired
  • Two to three years of progressively more responsible experience in patient access, hospital registration or related area
  • Advanced knowledge of third party payer’s requirements, reimbursements and copayments/deductible collections etc
93

Manager of Patient Access Resume Examples & Samples

  • Manages and evaluates access services operations and staff. Ensures efficient and professional services
  • Manages access services operations, including, but not limited to
  • 3+ years of experience in a healthcare setting, two of which are in an admitting or business office function
  • Efficient in Microsoft office
  • 2+ years of healthcare supervisory experience
  • Experience in scheduling and payroll
  • SMS INVISION experience
94

Manager of Patient Access Resume Examples & Samples

  • Selects, trains, and assigns department staff; develops standards of performance, evaluates performance and initiates or makes recommendations for personnel action
  • Provides input into the departmental budget, departmental goals and objectives, policies and procedures, and ensures that the department operates within budget
  • Ensures established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards
  • Reviews Insurance Verification operations to ensure compliance with JCAHO
  • Performs patient account audits by reviewing hospital registrations to ensure accurate financial and demographic data and documentation have been obtained and properly entered into the hospital system
  • Maintains and fosters effective public relations with patients, physicians and the public
  • Ensures that the Financial Clearance process/functions run smoothly and efficiently by overseeing operations, scheduling staff, and resolving problems
  • Maintains excellent working relationships with department heads where the decentralized outpatient insurance verification staffs are located
  • Develops department goals and initiatives
  • Establish and implement policies and procedures
  • Directs supervisors/staff in the implementation of quality assurance procedures to assess quality and provide feedback to teams to stimulate improvement
  • Assists supervisors to develop and execute appropriate action plans to resolve unit issues and reverse negative trends
  • Coordinates with Patient Accounts to ensure compliance with governmental and other third party payer regulations
  • Attends weekly staff meetings/huddles
  • Tracks key performance indicators (e.g. PAI reports) to quantify department contributions and continually assess opportunities for improvement
  • Keeps current with developments in the field through participation in seminars, workshops, and publications
  • 5+ years experience in a Patient Accounting or Patient Access Services
  • 2+ years supervisory experience in healthcare or related setting
  • Advanced knowledge of related hardware/software, and hospital registration/billing systems (Invision, Kean, Soarian, Emdeon, HDX)
  • Proficient with Microsoft office
95

Patient Access Supervisor Resume Examples & Samples

  • Extensive knowledge of patient registration, insurance verification, and payment negotiation
  • Preferred – Prior supervisory or management experience
  • Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard
96

Supervisor Patient Access Resume Examples & Samples

  • Supervises staff responsible for the daily operations of Clinic Registration
  • Monitors the integrity of data collected and ensures comprehensive authorizations are obtained by coordinating efforts with appropriate departments
  • Disseminates pertinent regulatory and insurance related information in order to promote timely and efficient billing of outpatient services
  • 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
  • Minimum of 5 years in Patient Registration, Patient Accounting in Hospital or Physician's office
  • Knowledge of word processing and spreadsheet software
  • Ability to travel approximately within Manhasset and Great Neck, NY
  • Ability to work between 8:00 am to 6:00 pm, Monday through Friday
97

Patient Access Associate Resume Examples & Samples

  • Two year job-related experience or equivalent is required
  • Certificate of Medical Terminology and strong oral communication are required
  • Minimum of typing 40 wpm
  • Experience in medical office or customer service preferred
98

Supervisor Patient Access Resume Examples & Samples

  • Management and administration of multiple functions, or management of general business operations
  • May include day to day site operations, management leadership internal and external to organization, accountable for financial goals as well as non-financial (quality assurance and reports,) for the ER Department
  • Responsible for implementing staff schedules timely, approving PTO, disciplining, and performance reviews
  • Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
  • Impact of work is most often at the team level
  • 4 years’ experience working in a patient access department in a hospital setting
  • Knowledge of Management, Computerized Systems, and Third Party Reimbursement as
  • Knowledge of MS word and MS Excel
  • Ability to multitask and exercise sound judgment
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Patient Access Supervisor Resume Examples & Samples

  • Knowledge of computer system maintenance relating directly to scheduling and/or registration applications
  • Three years of experience in business processes i.e. Physician Office, Patient Financial Services, Patient Accounting, Patient Scheduling or Admitting with a broad healthcare knowledge in all aspects of each task
  • One year of leadership/supervisory experience
  • Must be familiar with all types of Admitting office activities, processes and communication including, but not limited to, Admitting, Pre-admitting Insurance Verification, Scheduling, Insurance Billing and PBX
  • Knowledge of third party payer requirements including federal, state and private health care plans and authorization processes
  • Excellent computer skills and proficiency in Microsoft Windows
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Manager Itd-patient Access & Financial Clearance Systems Resume Examples & Samples

  • Leads all activities related to the department's technology services and defines and enforces Corporate IT Standards
  • Promotes the continued education, training, and refinement of the department staff
  • Supervises and administers hiring and firing, performance reviews and evaluations, staff counseling, etc. for the department
  • Coordinates department activities with other ITD departments and interfaces with CCF user departments
  • Directly influence the success of new programs and strategic plans at CCF as they relate to information processing, access and utilization
  • Acts as consultants to CCF divisions to determine information needs and strategies
  • Experience in Human Resources practices and laws. This includes hiring and firing, conflict resolution, group dynamics, diversity understanding etc
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Supv Patient Access Resume Examples & Samples

  • Under the direction of the Department Director, position is responsible for day to day monitoring of patient access work flow
  • Supervises and serves as a resource to the staff for operational issues and to customers who needs assistance
  • Acts as a resource for employees in the use of Meditech Patient Management system
  • Serve as preceptor for new employees in training
  • Troubleshoot system issues and raises them to senior staff for resolution
  • Coordinate with transcriptionist in medical department to obtain patient’s dictated H&P, consults and medical summaries
  • Communicate with physician’s office staff to ensure proper paperwork is available for pre-test
  • Monitor use of hospital resources
  • Demonstrates sensitivity of the varying age and cultural groups of patients by obtaining and interpreting information accurately through effective communication
  • Demonstrates respect and regard for the dignity of patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
  • Attends all mandatory education programs and can describe his/her responsibilities related to general safety and regulatory compliance
102

Patient Access Supervisor Resume Examples & Samples

  • Ability to interact professionally with patients, associates and professional staff
  • Ability to help set priorities, problem solve and implement or provide recommendations/solutions with minimum supervision
  • Ability to write and collaborate with training material and new hire orientation
  • Attention to detail and comfortable with asking people for personal and financial information and asking for money
  • Ability to track and complete multiple events happening at the same time
  • Proficiency in the use of personal computer and ability to move among multiple business software applications
  • Knowledge of Medicare and MSP guidelines, insurance coverages and limitations
  • Provides Support and demonstrates the organizations values that include Always Behaviors, shared decision making and superior customer service
  • Assists in plans, establishes and maintains record keeping to support departments overall progress financially
  • Assists in the development of department, goals and objectives
  • Ability to be on call every other week and weekend for after-hours issues
  • 2-3 years registration/admissions experience in a hospital setting
  • Knowledge of Medical Terminology, CPT and ICD coding
  • Knowledge of Insurance, Commercial, Government plans
  • Knowledge of AS400 or CERNER RCI registration and revenue cycle programs
  • Prior Supervisory experience
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Patient Access Supervisor Resume Examples & Samples

  • Experience managing multiple projects and deadlines
  • Demonstrate strong verbal and written communication skills
  • Experience 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
  • Sensitivity to cultural and bilingual issues, being able to effectively deal with: (1) Stress levels associated with dealing with employee and staffing issues (2) Demands of maintaining successful working relationships with peers, managers, physicians, and other health care workers (3) Demands of successfully delegating responsibilities and supervising other health care team members (4) Situations that require strong critical thinking and decision making skills
  • Strong understanding of AR management (AR Days, Denials, etc.)
  • Strong understanding of basic financial concepts
  • HS Diploma
  • 3 years’ experience in hospital admitting
  • Experience with in-patient and ambulatory financial services
  • 3 years of experience in Admitting, Pre-Registration, Insurance Verifications/Authorizations
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Patient Access Supervisor Resume Examples & Samples

  • Responsible and accountable for supervision, guidance and direction of personnel, assurance of quality, evidence based patient care and efficient operation from both organizational and economic aspects
  • This position involves long and short range planning and goal setting, budget preparation, coordinating activities with those related services performed by other groups as related to patient care
  • Completes the performance evaluations of staff and assists in the overall evaluation of the program, and also serves as a liaison between staff and other administrative personnel
  • Maintains professional competencies through education programs and/or participation in professional organizations
  • Responsible for quality improvement initiatives and data systems
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Manager, Patient Access Resume Examples & Samples

  • Supervisor and trainer of Patient Access staff
  • Creates office harmony and positive morale
  • Crisis handling
  • Troubleshooting
  • Verify current informational status
  • Collect co-pays and account balances
  • Answer phone calls by taking message/or referring to clinical staff
  • Back up for other positions in the front office
  • Knowledge of services rendered
  • Order office supplies
  • Reconcile daily activity report, balance day sheet
  • Follow HIPAA, and OSHA rules and regulations
  • Follow Compliance rules and regulation against fraud and abuse
  • Maintain front office quality assurance and serve as a role model for customer service and mentor staff
  • Coordinate repair and replacement of office equipment
  • Inform Director of operational problems
  • An associate's degree, preferred
  • 3 years functioning as a Registration/Patient Access/Front office manager in the medical field
  • Prior management experience or three years’ experience in medical office
  • Leadership qualities
  • Demonstrated ability to work independently and as a team player
  • Tactfulness
  • Demonstrate willingness to adapt to change
  • Pleasant phone manner and voice
  • Confident positive manner and appearance
  • Proficient PC experience, MS Suite including word, outlook, data entry, and use of the telephone
  • Excellent written, oral and interpersonal communication skills
  • Strong customer service orientation
  • Ability to work with all levels of staff to define business requirements and goals, and to identify and resolve issues
  • Ability to foster effective relationships and build consensus through the all levels of leadership in the organization
  • Knowledge and ability to work on large-scale complex projects that include multiple strategic goals and multiple tactical tasks
  • Demonstrated proactive approaches to problem-solving with strong decision-making capability
  • Skilled in conflict and employee behavioral resolution
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Director Patient Access Resume Examples & Samples

  • Collaborates with the Sr. Director of Patient Access to set the financial performance goals and determines plans, priorities, and work assignments to achieve them
  • Responsible to operate in a matrixed reporting relationship to the care site as well as to the SCL Health Revenue Cycle
  • Responsible for leading all patient access operations through collaboration and integration with internal and external partners
  • Directs and manages patient access department in a manner that delivers high quality registration services highly integrated with patient billing/financial services with the objective of lowering overall revenue cycle production costs
  • Manages within a framework of identified revenue cycle metrics, ensuring consistently high performance
  • Contributes to the development of the annual budget. Makes spending and resource decisions within budgetary guidelines; ensures accountability to operating and capital budget
  • Evaluates effectiveness of patient access work functions and implements "best practice" changes to workflow, policies, procedures and systems as appropriate
  • Co-manages financial counseling and Medicaid eligibility services based at the care site
  • Ensures all activities are supportive of Internal Audits and Organizational Responsibility Program (ORP), Compliance, Safety, JCAHO, EMTALA and HCAHPS initiatives
  • Manage and coordinate activities related to personnel management, including interviewing, hiring, staffing and counseling
  • Bachelor’s degree or equivalent work history in management and/or health related field
  • CHAA and/or CHAM Certification Preferred
  • Demonstrated knowledge of the health care industry, specifically the functions of access services and patient accounts through a minimum of seven years’ experience, three of which are required in a management/supervisory role
  • Demonstrated experience working with clinical staff within the hospital and operations leadership
  • Dynamic communication and leadership skills necessary to communicate to all levels of management, to effectively supervise, guide and manage employees and to establish effective working relationships with multiple levels and departments internally and externally
  • Ability to identify and work through complex problems throughout the revenue cycle and various on-site departments
  • Skilled in information systems technology throughout the revenue cycle including implementation, change control and manipulation of data
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Patient Access Lead Resume Examples & Samples

  • High school diploma or equivalent. Associate's degree in healthcare preferred
  • Minimum 2-3 years experience in a hospital/clinic/physician office or related field
  • Previous Health Care and/or Insurance experience required
  • Proven expertise with patient access tools, systems, and technologies
  • Proven expertise in collection processes and securing solutions for uninsured patients (excludes scheduling "core" roles)
  • Proven knowledge Medical Terminology
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Patient Access Account Analyst Resume Examples & Samples

  • Requires an overall knowledge of all of Patient Access functions
  • Ability to work independently, strong problem solving and critical thinking skills and conflict resolution is required
  • Proficient in Microsoft Office products; with a preferred strong background in Excel and Power Point
  • Strong billing and coding background preferred
  • Above average proficiency in ConnectCare, and nThrive preferred
  • Efficient typing skills of at least 45 wpm
  • Three years of Patient Access experience is preferred
  • Extensive knowledge of medical insurance
  • Must be able to work under considerable stress using tact and diplomacy
  • Must be able to meet strict deadlines
  • Knowledge of Medicare products, billing and coding guidelines is preferred
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Patient Access Team Lead-ed Varied Hours Resume Examples & Samples

  • Liaise appropriately with supervisor to communicate all obstacles, regulatory challenges and system deficiencies that the team faces
  • Perform "special projects" per supervisor requests
  • Maintain a clear understanding and working knowledge of all information systems required for job scope in order to best be equipped to consistently recognize and troubleshoot problems; assist other team members as necessary
  • Develop "super user" capabilities in Epic applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department
  • Ensure the team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
  • Prepare monthly work schedule and maintain equipment and supplies
  • Serve as trainer/preceptor and as a resource to registrars
  • Monitor and direct patient registration process in assigned registration areas
  • Maintain availability to be on call for weekend emergencies on a rotating schedule
  • Perform collections and cashiering functions and refer patients to Financial Counseling when appropriate
  • Ensure that financially cleared patients go directly to the area of service in order to receive treatment.  
  • Perform real-time registration, insurance eligibility and benefits verification for unscheduled visits, including inpatient, outpatient, and emergency department visits; obtain all necessary patient signatures and information at time of arrival
  • Ensure that all activities related to hospital collection activities meet department requirements, maximize revenue collection, and achieve leading practice levels of performance
  • Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
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Patient Access Clerk Resume Examples & Samples

  • High school graduate or equivalent, Medical Secretary and/or Medical Administrative Education preferred
  • Minimum of 1 year work-related experience in a medical/clinical office, experience in a hospital setting preferred
  • Previous experience with computerized registration systems and Electronic Health Record System preferred
  • Familiarity of medical insurance and medical terminology is preferred
  • Ability to maintain confidentiality is mandatory
  • Must have articulate verbal communication skills and telephone etiquette
  • Must have exceptional and excellent customer service skills and the ability to deal with patients and visitors of all demographics is required
  • Computer proficiency and data entry skills
  • The ability to effectively work with individuals at all levels of the organization
  • Ability to work in a team oriented environment as well as work independently
111

Patient Access Program Manager Resume Examples & Samples

  • Manage day to day internal programs as well as supplier programs
  • Address reimbursement requests and coverage questions
  • Manage different challenges presented by the suppliers
  • Conduct weekly status calls with program supplier and marketing team
  • Manage monthly invoice and budget for each programs
  • Support ongoing training of program provider staff to ensure execution of strategy
  • Manage Nurse Client Liaison tied to each program
  • Implementation, monitoring and tracking of KPIs, metrics and milestones
  • Collaborate and answer ad hoc special requests with internal and external stakeholders
  • Assess and identify opportunities to optimize our Patient Support Programs
  • Work in full compliance with laws, regulations, business rules and BMS standards of Business Conduct and Ethics
  • Bachelor’s degree in Marketing, Science or Commerce
  • Minimum of three (3) years’ experience in the Pharmaceutical industry
  • Experience in managing patient programs
  • Understanding of Public and Private reimbursement plans
  • Experience in budget planning and financial management
  • Excellent interpersonal, presentation and communication skills in English and French
  • Ability to lead and interact with cross-functional teams
  • Experience with Supplier Relationship and Performance Management
  • Ability to think strategically and independently manage projects from conception to completion
  • Available to travel to program supplier offices and customers (e.g. physicians, nurses and health care professionals)
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Patient Access Supervisor Resume Examples & Samples

  • Responsible for overseeing day-to-day operations. Monitoring, organization, and delegation of the team’s workload
  • Maintains and monitors the schedules daily to ensure appropriate coverage for areas of responsibility
  • Develops and maintains written procedures and policies to guide clarify and support staff in their individual roles
  • Define clear roles and responsibilities for staff instilling accountability. Responsible for meeting quality, productivity, and POS financial goals
  • Responsible for quality assurance within area of responsibility. Conducts random sampling monthly of patient’s accounts to verify all policies and procedures are being consistently utilized and applied. Establishes benchmarks for staff performance and audits
  • Monitors accuracy, volume and productivity to ensure timely and accurate information and reports it monthly
  • Ensure compliance with federal regulations, including HIPAA, JCAHO, Medicare and other third-party
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Senior Manager, Patient Access Solutions Resume Examples & Samples

  • 5+years of marketing experience required
  • 2+ years managerial experience
  • 5+ years experience developing customer facing strategy and developing/executing activities that drive business goals
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Patient Access Lead Resume Examples & Samples

  • Minimum 5 years in a Patient Access position in Patient Registration
  • Typing and computer experience required
  • Knowledge of Managed Care and Medicaid programs required
  • Knowledge of Microsoft products required
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Senior Director Patient Access Resume Examples & Samples

  • Consult and collaborate with hospital, division, corporate, and SSC leaders to develop overall strategy and objectives for Patient Access that are aligned with the organization’s and hospitals short, medium and long term goals and objectives
  • Provide leadership and support to the front end financial operation for the hospital’s revenue cycle, including all Patient Access functions
  • Manage a team of Regional Patient Access Directors responsible for specific geographic markets, including coaching and development, to ensure effective oversight and management of patient access across the organization
  • Develop, implement and monitor key best practice metrics for individual Patient Access Departments by revenue cycle success
  • Identify improvement actions, develop action plans and track results for hospitals not meeting Patient Access best practice metrics
  • Optimize and standardize current processes, develop solutions for performance shortfalls and monitor to ensure consistent adherence across all hospitals
  • Proactively work with hospital CFO’s, division vice presidents, corporate and SSC leadership to ensure adoption of standard processes and best practices
  • Collaborate with other hospital revenue cycle operational leaders to identify problems and determine solutions that improve and/or enhance overall operations and results
  • Develop patient, physician and customer satisfaction programs to enable industry leading customer service and customer retention
  • Identify new technology, tools and key initiatives in Patient Access Departments to reduce cost and/or improve yield across the revenue cycle
  • Assure technology is appropriately implemented and utilized throughout the system
  • Reviews, recommends and implements changes to scheduling processes, software applications and hardware and network communications
  • Extensive knowledge of patient access registration processes and regulations instituted by CMS, payors, Joint Commission, etc. along with revenue cycle metrics for areas including, but not limited to, scheduling, insurance verification, pre-registration, patient responsibility estimation, face to-face point of service collections, registration quality assurance, patient registration and discharge, through-put and wait times, and patient satisfaction
  • Strong knowledge of patient access technology and tools
  • Ability to manage and influence employees and leaders in a matrix reporting environment, with multiple locations across a wide geographic span
  • Must be a change agent
  • Must have strong business acumen and be a strong strategic thought leader
  • Strong presentation and communication skills, with the ability to communicate to a wide range of audiences from senior executives to front-line employees and be a leader
  • Bachelor’s degree in business, healthcare or related field
  • 12-15 years of hospital revenue cycle management, with significant experience overseeing Admitting, Registration for large hospital systems
  • Desire leader with experience implementing new patient access models and structures in a large multi-hospital organization
  • Must be able to function effectively under adverse conditions
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Patient Access Service Specialist Resume Examples & Samples

  • Interviews patient guarantors face to face to complete efficient and accurate registration, which includes demographic, geographic and financial information
  • Obtains appropriate signatures for consent to treat and financial responsibility, which includes interaction with division of family services, social work, nursing supervision and other outside facilities/agencies to define the legal guardian
  • Provides patient and/or family with information required by state and federal regulations
  • Consistently demonstrates excellent, empathetic and knowledgeable customer service skills to internal and external customers including, but not limited to, patients, families, physicians, co-workers, payors, etc
  • Notifies payors of all urgent and emergent admissions and ensures that required pre-authorizations have been obtained
  • Coordinates with nursing staff to process patient transfers and discharges in a timely manner
  • Verifies insurance benefits and eligibity by utilizing all available resources
  • Is aware of and adheres to all state and federal regulations including, but not limited to, EMTALA, HIPAA, OSHA and the Joint Commission
  • Collects all applicable co-pays and posts to the patient's account
  • Assists with proper patient identification
  • Willingness to assume certain functions in the absence of a lead
  • Must be familiar with personal computers and have excellent accurate typing skills
  • General knowledge of medical terminology
  • Strong communication skills; bilingual preferred
  • Knowledge of health care plans and verification methods preferred
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Patient Access Audit Analyst Resume Examples & Samples

  • Ability to be responsive to ever-changing matrix of hospital needs and acts accordingly
  • Knowledge of Patient Access, Pre-Access, or Pre-Cert workflows
  • Typing skills equal to 20 words per minute net
  • Self-motivator, quick thinker
  • Proficiency in performance of basic math functions, communicating professionally and effectively in English, both verbally and in writing
  • Minimum (2) years in Patient Access, Pre-Access or Pre-Registration department(s)
  • High school diploma or equivalent. (Preferred)
118

Patient Access / Pre Access Manager Resume Examples & Samples

  • Five (5) years of experience (including one year of supervisory experience) in Patient Access/Patient Financial Services department or related area (registration, finance, collections, customer service, medical office, or contract management)
  • Proficient in time management with superior prioritization skills
  • Strong competence in Excel, PowerPoint, and Word
  • Proficient in performance of basic math functions and communicates professionally and effectively in English, both verbally and in writing
  • Four (4) year college degree in Business, Healthcare or Health Services Administration, Health Information Management, Communications, Finance, Accounting, Public Administration, Human Resources, Management, or Marketing (Preferred)
119

Patient Access Associate Resume Examples & Samples

  • Administrative skills, scheduling experience and medical terminology preferred
  • Knowledge of third party payer, billing requirements and reimbursement preferred
  • Up to one year on the job to become fully proficient in all phases of assigned duties
  • Education / experience required
  • Course work in medical terminology and computer / formal typing preferred
  • Keyboard skills – typing 50 WPM, accuracy implied
120

Patient Access Center Representative Resume Examples & Samples

  • Proficient with an electronic medical record. Experience with eClinicalworks a plus
  • Required language proficiency
  • Knowledge of exceptional patient experience principles and practices
  • Knowledge of call center telephony and technology
  • Experience in customer service environment
  • Good data entry and typing skills
  • Knowledge of administration and clerical processes
  • Clear understanding of ambulatory practices
  • Exceptional patient services skills
  • Medical scheduling background preferred
  • Listening skills
  • Problem analysis and problem solving
  • Patient service orientation
  • Empathetic to concerns of patients
  • Stress tolerance
  • Resilience
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Director Patient Access Resume Examples & Samples

  • Oversight of market teams responsible for access initiatives, Patient Access Centers (PACs0, including rollout of such initiatives, coaching and development of staff to ensure effective oversight and change management across multiple markets
  • Optimize and standardize current and future processes, develop solutions for any issues necessary and monitor to ensure consistent adherence across all market facilities. Implement standard work and visual management for solving problems. Proactively work with market leaders and clinicians to ensure adoption of approved PAC standards
  • Consult with division and market leaders and assist in developing overall strategy and objectives that are aligned with market deliverables; act as a Subject Matter Expert (SME) for any new facility transitioning to a PAC
  • 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 in achieving financial targets and EBITDA. Develop and monitor KPIs of access initiatives
  • Collaborate with practice patient access operational leaders to identify problems and determine solutions that improve and/or enhance overall operations
  • Develop patient, physician and client satisfaction programs that enable 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 and work with market leaders and appropriate corporate executives to facilitate timely execution (if approved)
  • Extensive knowledge of patient access including on line scheduling and PAC metrics and drivers including insurance verification, government funding and qualification, scheduling, pre-registration, patient check-in, through-put and wait times, and patient satisfaction
  • Strong knowledge of scheduling and registration systems: Athena, Cerner
  • Strong ability to build relationships between financial and clinical department leaders within each market
  • Must be data driven with strong analytical skills to drive results,
  • Must have strong business acumen and be a strategic thought leader
  • Ability to multi-task patient access-related projects across multiple initiatives and markets
  • 5-8 years of Physician Practice experience, with significant experience overseeing Patient Access enters, on line scheduling, Registration and/or Eligibility departments, preferably in large hospital systems
  • Certified Healthcare Access Manager (CHAM) or similar certification preferred
122

Patient Access Service Representative Resume Examples & Samples

  • Knowledge of office management practices, including billing and scheduling within healthcare
  • Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
  • Knowledge of patient care protocols and practices
  • Skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
  • Skill in scheduling appointments and referrals
  • Ability to read or listen and comprehend simple instructions, short correspondence, and memos
  • Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
  • Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations
  • Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public
  • Ability to interpret and explain insurance benefits and patient financial responsibility
  • Ability to provide excellent customer service via phone and walk-ins
  • Ability to apply common sense understanding to carry out simple/detailed written or oral instructions
  • Applicants must have basic computer familiarity and experience and the ability to operate basic office equipment
123

Admissions Specialist Prn-patient Access Resume Examples & Samples

  • 1+ year’s related experience required
  • Requires good written, oral, and telephone communication skills
  • Requires knowledge of general office equipment
  • PC’s and associated software packages
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Admissions Specialist Prn-patient Access Resume Examples & Samples

  • 2-3 years of hospital Patient Access Services experience preferred
  • Other hospital or physician office management experience helpful
  • Medical Insurance Verification
  • 1-2 years of hospital clerical, general clerical or Certificate of Achievement in clerical or business related course
  • Experience in physician's office
  • Scheduling experience a plus
  • CHAA (Certified HealthCare Admissions Associate) certification preferred
  • Ability to type, spell, write, or print legibly with general knowledge of personal computers required
  • Gather accurate financial and complete demographic information during pre-registration and or registration pertaining to the patient account
  • Accurately and completely capture information on Medicare Secondary Payer Questioner
  • Registration may include the use of WOW’s (Workstations on Wheels)
  • Protect the integrity of the Medical Record
  • Responsible for providing guidance to line staff in the work area that is responsible for presenting and thoroughly explaining legal, ethical, and compliance related forms
  • Presents and thoroughly explains legal, ethical, and compliance related documents
  • Maintains knowledge of the Financial Policy and deployment of practices used within the department, as well as, Central Business Operations to resolve patient accounts
  • Provides all payment options: cash, checks, major credit cards/debit cards and THR Financing
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Admissions Specialist Prn-patient Access Resume Examples & Samples

  • Ability to type, spell, write or print legibly with general knowledge of personal computers
  • Strong interpersonal communication, documentation, customer service and collection skills
  • Accurately gathers complete financial and demographic information to ensure medical records/billing process flows efficiently
  • Obtains and/or updates verification of benefits and/or pre-certification for applicable tests and/or procedures
  • Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties. Maintains documentation of the same
  • Maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers
  • Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable
  • Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures. Maintains customer service and/or productivity guidelines set forth by applicable leadership
126

Patient Access Program Lead Resume Examples & Samples

  • Support implementation of end-to-end process for NPA program to support company priorities
  • Provide ongoing management of NPA programs, including maintenance of existing programs and implementation of new programs (eg new products)
  • Monitor performance of the NPA programs against established metrics, and identify areas for program improvement
  • Manage day-to-day vendor relationships as needed for NPA programs
127

Patient Access Ctr Resume Examples & Samples

  • Phone triage, medication refills, test results, conveying plans of care, patient education, and charting in Epic (EMR)
  • Graduate of a NLN accredited school of nursing required
  • One year of nursing experience in an office or hospital setting preferred
128

Associate Systems Analyst / Patient Access Resume Examples & Samples

  • Work under the direction of the Manager to provide technical application solutions for assigned business areas
  • Possess technical knowledge of assigned application technology
  • Work with Business Analyst to understand the customer’s product-specific requirements and configuration and translate them to technical design specifications and data flow from which programs are developed and coded
  • Codes, tests, debugs, implements, and documents programs or technical configuration
  • Ensure programs meet technical specifications and standards
  • Interact with Business and clinical representatives during the software build or configuration and testing process
  • Maintain technical documentation based on standard operating procedures in support of the assigned application
  • Perform application maintenance activities
  • Assist in resolving support calls escalated by the Service Desk
  • Coordinate with Project Managers to ensure project deadlines are met
  • Ensure efforts to continually improve domain knowledge
  • Provide data to generate team performance metrics
  • Take initiative and drives to bring to logical conclusion; proactive approach
  • Provide accurate and timely information and escalates when there are issues
  • Ensure the quality of the deliverables as per the defined defects standards and excelling within that
  • Up to 2 years entry level to moderate experience in providing technical support and maintenance in assigned product preferred
129

Outpatient Services Coordinator Patient Access Resume Examples & Samples

  • Ability to use discretion when discussing personnel/patient related issues that are confidential in nature
  • Ability to respond to ever-changing matrix of hospital needs and act accordingly
  • Self-motivator and quick thinker
  • Proficiency in performance of basic math functions
  • Effectively and professionally communicates in both verbal and in written form
  • Ability to prioritize and manage simultaneous assignments while paying close attention to detail
  • Ability to learn computer software programs
  • Basic understanding of medical and insurance terminology
  • High School Diploma or equivalent (Preferred)
130

Patient Access Director Resume Examples & Samples

  • Strong client relationship and communication skills, ability to successfully integrate both client and Conifer values
  • Identify data required to support performance improvements and analyze for trending and building of improvement measures
  • Ability to identify performance gaps and effectively lead change to address
  • Directly mentors and manages staff to affect superior performance
  • Proactively manages budget to ensure profitability
  • Stays current and proactive in new regulations to ensure highest level of compliance in the department
  • Extensive knowledge of full revenue cycle
  • Delegates work in order to drive the highest level of efficiency both internal and external
  • Ability to take on all levels of projects/initiatives and analyze for impact in order to implement without degradation to performance with minimal direction needed
  • Six (6) years plus Management in a Revenue Cycle or Acute Health Care environment
  • Extensive knowledge of Patient Access Desired
  • Approximately 25% travel may be required
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Patient Access Clerk Resume Examples & Samples

  • One year Orthopedic front office experience preferred
  • Communication both verbal and written
  • Knowledge of computers
  • Ability to demonstrate respect for people in ethical and courteous behavior to patients, patient's relatives, visitors and fellow employees
  • Ability to accept supervision and guidance and work cooperatively with others. Ability to follow regulations of the Hospital pertaining to job performance, behavior, and patient care
  • Ability to be flexible in meeting the need of varying situations
  • Ability to comply with Mercy Hospital's standards of personal hygiene, grooming and dress code
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Supervisor, Patient Access Resume Examples & Samples

  • Completes department schedule, weekly time/attendance and monitors PTO requests to ensure staffing coverage. Manage overtime keeping within budgetary requirements
  • Conduct new associate interviews working with HR to finalize process. Collaborate with the manager and utilizes other resources regarding personal issues and/or situations that have real or potential impact on the department and/or institution
  • Develop and update work specific procedural and policy documentation
  • Follow up on customer complaints and issues; ensure problem resolution and corrective action for long term solution
  • Foster an environment that encourages associate growth and development
  • Serve as a coach, mentor, team builder and facilitator. -
  • Provides on call support to staff in the event of problems and/or staffing concerns
  • Serves as a resource person for technical and/or operational questions as a liaison with clinical and non clinical departments ensuring highest standards of data integrity is met
  • Identify problems; define alternatives and recommends practical efficient solutions
  • Participate in assigned committees, special project task and work groups as directed by department management
  • Represent department in the absence of the manager. Make effective decisions within the scope of delegated authority
  • Responsible for training new associates and provide ongoing education and communication to staff
  • Review to ensure 100% compliance with uLearn requirements is met
  • Evaluates staff to ensure compliance with departmental competencies is met invoking additional training as needed
  • Bachelor's degree in healthcare administration, finance, or related field and one year of healthcare billing, registration, or patient business services OR High School Diploma or equivalent and four years of healthcare billing, registration, or patient business services, OR equivalent combination of education and experience required
  • Strong interpersonal and communication skills and ability to effectively problem solve and make independent decisions
  • Know insurance pre-certification/pre-authorization, Managed Care, Medicare/Medicaid and Commercial insurance plans
  • Prior working experience on personal computers and various office equipment
133

Patient Access Associate Resume Examples & Samples

  • Accurately obtain, collect and enters all necessary patient information into the hospital¿s computer system to expedite efficient data collection, billing and hospital reimbursement during the Inpatient/Outpatient/Emergency registration services process. Manually register patients accurately when in ¿downtime¿ manual mode and properly follows input procedures when the registration system becomes available
  • Can work in all Admission Services areas within the hospital and may rotate shifts as needed
  • Request and collect from all patients where they have a pre-determined, patient out-of-pocket payment responsibility. Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Reconciling daily cash drawer or shift payment transactions, depositing daily cash/check and providing patients with cash receipts, and maintaining daily reports as required
  • Types a minimum of 35 WPM. Meet departmental daily productivity and process standards
  • Interviews patient and/family in the department, area of admission, point-of-service or on the telephone and acquiring as necessary, all information required for the registration process, in an accurate, professional, and sensitive manner
  • Maintain patient safety by thoroughly initiating an accurate patient search to prevent duplicate medical record numbers
  • Performing and initiating a real time eligibility (RTE) electronic insurance query on all eligible insurances. Reading, understanding, and where appropriate, take steps during the registration/pre-registration process that the RTE message instructions are followed to properly complete the account. Following established protocols when RTE is not available for proper follow-up to occur
  • Follow established registration data collection methods that are essential in capturing key financial data such as, but not limited to: guarantor of account, proper filing order of primary, secondary or tertiary insurance plans, point of origin, special needs, primary language, primary care provider, email address and other key elements covered in registration training and from periodic updates
  • Must be able to perform multiple functions, problem solve and maintain composure when dealing with stressful situations and utilizes appropriate resources. Must possess excellent interpersonal skills at all times with patients, visitors and co-workers too effectively and professionally represent HUMC Admission Services Center and the Medical Center
  • Maintains compliance with federal, state, and local requirements by completing all essential forms with the patient. Essential forms include, but not limited to: Consent for Treatment and HIPAA
  • Distribute to patients the Admit/Pre-Admit packets, Important Message from Medicare and other key patient informational brochures promoting timely and proper reimbursement where appropriate
  • Responsible for timely completion of any assigned workqueue within determined time frames
  • Maintains operational knowledge and use at all times the machines in the department, including but not limited to: computers, laptops, computer-at-bedside (CAB), printers, scanners, photocopiers, and fax machines, and resolve basic equipment problems as they occur
  • Check email at least once each day to maintain timely updates on any process/task changes/updates
  • Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, sexual preference, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.)
  • Will comply with any and all related activities
  • Associates degree; or high school diploma with equivalent related experience
  • Excellent analytical, communication and interpersonal skills
  • Knowledge of some medical terminology
  • Proficient in Desk Top Software applications including Microsoft Office Suite (Excel, Word, etc.)
134

Patient Access Associate Resume Examples & Samples

  • Minimum of one year experience in customer service or patient relations
  • Excellent interpersonal verbal communication skills
  • Degree or additional training in business, communication or healthcare
  • Computer data-entry/typing experience
  • Experience with patient registration / billing systems
  • Experience with automated patient scheduling; Bilingual language skills
135

Radiology Patient Access Service Representative Resume Examples & Samples

  • Obtains patient’s and/or responsible party's signatures on registration and issues required information to patients/ responsible party concerning Advanced Directives, Privacy, Medicare and required other compliance or consent forms
  • Verifies insurance coverage and obtains authorization for all services requiring pre-certification. Takes appropriate steps following department guidelines when required authorization is not available
  • May prepares charts and paperwork for patient visits. Places identification wristband on patient and follows hospital patient safety procedures for patient identification at all times
  • Performs clerical functions as needed, including answering phones, taking messages, chart processing, filing, faxing, etc. Assists patients with questions regarding hospitals bills including taking payments at any registration location
  • Screens patient for Medicaid, Affordable care Act or hospital sponsored financial program and provide appropriate documentation and referral. Explains payment options to patient and enrolls in payment plan as appropriate. May provide bedside financial counseling services as appropriate to patient type and location. May provide collection support by telephone for patient balances after discharge
136

Patient Access Lead Resume Examples & Samples

  • Assists with training all of new employees to ensure understanding of the operating systems and collection guidelines
  • Monitors Q/A and productivity processes to ensure standards are being met. Maintains logs to determine success of desired results. Assist with monthly summary reports to BOD for corporate reporting
  • Understands and has the ability to function in each position within the department
  • Helps to prepare schedules to ensure work flow is not interrupted and all positions are covered during vacations and illness
  • Assists personnel during heavy work flow
  • Displays pleasant, courteous, helpful attitude at all times with employees and patients
  • Works with BOD, Patient Access Supervisor, and staff to resolve internal conflicts in a timely manner. Promotes a team working environment within the department
  • Supervise PBX Operators
  • Reviews registration information, Daily Bill Alert Edit reports, and makes corrections as necessary
  • Performs other duties as assigned by the Business Office Director and Patient Access Supervisor
  • Gives appropriate customer service to all patients, visitors, physicians, and co-workers while showing courtesy, compassion, and respect
  • Demonstrates good problem solving abilities, making sure that problems are taken care of, calling on other knowledgeable parties as necessary
  • Chooses appropriate channels and times to discuss complaints or concerns
  • Maintains confidentiality by following hospital rules and reminding others when necessary
  • Participates in continuous quality improvement activities by making suggestions for improvement and helping to make positive changes
  • Keeps supervisor appropriately informed of daily activities and developments
  • Accurately performs assignments in a timely manner
  • Is consistently on time and has good attendance
  • Stays informed regarding hospital and department issues by attending meetings, reading correspondence
  • Actively participates in personal development plans by attending education programs and professional development activities
  • Actively participates in the team spirit of the department, helping to accomplish the department mission, and lending a helping hand to other members of the team as appropriate
  • Maintains environment of care standards by knowing and following procedures in life safety, fire safety, infection control, universal precautions, and security
  • Demonstrates enjoyment of the job and of employment with the organization
137

Patient Access Supervisor Resume Examples & Samples

  • Associate’s Degree in business or related field
  • Electronic Medical Record (EMR) experience; Cerner strongly preferred; knowledge of system maintenance relating directly to scheduling and/or registration applications
  • Three years of experience in business processes i.e. physician office, Patient Financial Services, Patient Accounting, Patient Scheduling or Admitting with a broad healthcare knowledge in all aspects of each task
  • Must be familiar with all types of Patient Access office activities and processes, including, but not limited to, Admitting, Pre-admitting Insurance Verification, Scheduling and Insurance Billing
  • Demonstrates professionalism, credibility and commitment to high standards
  • Excellent communication, interpersonal, public relations, leadership and team-building skills
  • Must be a self-starter who is accountable and requires minimal direction and supervision
  • Must be creative, flexible, open to new ideas and able to adapt to change quickly and smoothly
  • Advanced computer literacy and proficiency in Microsoft Windows and Microsoft Office (Outlook, Word, Excel)
138

Patient Access Supervisor for Ambulatory Oncology Resume Examples & Samples

  • Manages the operation and performance of services provided by the registrars and financial representatives within the Department of Oncology
  • Identify billing problems and monitor the accuracy of weekly reporting
  • Participates in Performance Improvement Committee and other committees, and Performance Improvement teams, as requested
  • Assumes responsibility for interpreting to the staff the Oncology Department’s philosophy and objectives, hospital policies and procedures and fosters understanding and acceptance of these
  • Responsible for preparing schedules for staff on a daily, weekly and monthly basis. Maintains a staffing plan to provide optimal utilization of staff in order to allow quality care to be obtained
  • Assigns tasks and delegates authority, as necessary and appropriate, and provides administrative supervision to ensure the efficiency and the effectiveness of staffing to achieve successful outcomes
  • Interviews, trains, and evaluates performance, orally and in writing, of staff. Counsels and disciplines employees in coordination with hospital and departmental policies
  • Reviews and approves staff vacation and leave requests
  • Responsible for payroll
  • Attends monthly meetings with the Chairman of Oncology and the Administrative Director for the purpose of discussing personnel policies, administration of services, and future planning
  • Responsible for overseeing the care and maintenance of all clerical equipment. Contacts service companies for repairs, when needed
  • Addresses grievances and complaints lodged by patients and/or staff, and communicates same with Administrative Director
  • Coordinates with Patient Accounts on all appropriate issues, e.g. patient bills, charges, insurance needs, etc. to maintain service viability
  • Oversees departmental insurance billing and payments
  • Reviews insurance verification operations
  • Maintains that the computer software and hardware are properly maintained, and coordinates with Information Services to resolve all problems related to same
  • Supply chain responsibility - ordering and receiving
  • Assumes responsibility for own self-development and professional growth by keeping abreast of current ambulatory oncologyand employee trends and by constantly striving to set up a professional climate in which to work
  • Maintains proper infection control standards. Coordinates with Infection Control and Administrative Director of Oncology for proper policies and procedures to maintain the department
  • Collaborates with the Administrative Director and Administrator regarding medical activities and services as required
  • Maintains Nalitt Institute special funds account with the Administrative Director
  • Assists Physician’s with completion of Managed Care Applications for both primary care and sub specialists providing copies of all required documentation and insuring participation agreements are assigned appropriately
  • May need to travel within the 5 boroughs and Long Island for occasional for staff meetings
  • 2 or more years of patient access experience
  • Ability to analyze and make staffing decisions to ensure adequate coverage and function of the Ambulatory Oncology practice on a day to day basis
  • Intermediate Excel skill
  • Basic Word, Power Point and Outlook skills
  • 2 or more years of supervising experience (ideally in healthcare with 5 or more direct reports)
  • BA Degree
  • McKesson Series
  • Soarian
  • AEHR
  • Previous Experience Working in an Oncology Department within a Hospital
  • Union experience
139

Patient Access Service Representative Resume Examples & Samples

  • Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards
  • Reconciles daily cash drawer
  • Knowledge of basic computer familiarity and experience and the a bility to operate basic office equipment
140

Manager, Patient Access Resume Examples & Samples

  • 4 years of experience in a hospital or physician office setting required. A strong background in customer service is preferred
  • Strong management skills
  • General knowledge of hiring, disciplinary, and evaluation requirements
  • General knowledge of patient accounting
  • Knowledge of registration requirements
  • Working knowledge of billing/reimbursement requirements
  • Knowledge of insurance requirements
  • Ability to interact well with all types of customers
  • Ability to develop and implement new processes
141

Manager, Patient Access Resume Examples & Samples

  • Carry out special assignments or projects as assigned
  • Communicate regularly and effectively with subordinates and superiors regarding the status of the business operation
  • Complete or manage the completion of all necessary human resource documentation, adhering to all human resources expectations for associates, including compliance, related responsibilities, continuing education requirements, recognition of staff/team accomplishments etc
  • Insure that all policies, procedures, job descriptions, reports and other documentation are properly followed
  • Maintain work standards, KPI's and productivity for all activities under the Managers control
  • Manage ongoing training programs for staff development
  • Participate on committees as assigned
  • Performs duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety; Dignity and Respect; Caring and Listening; Excellence and Innovation; Responsibility and Integrity) in all consumer and UPMC interactions
  • Responsible for budget reconciliation
  • Bachelor's degree and two years of relevant experience OR High School and four years of relevant experience required
  • Previous supervisory or management experience required
  • Thorough knowledge of third-party payer billing requirements, reimbursement practices and regulatory requirements in both a provider and facility setting
  • Must be an individual committed to the core values of the organization who possesses the ability to influence others commitment to those values and practices in the workplace
  • Must be able to effectively manage multiple processes and priorities while meeting customer expectations
  • Must demonstrate strong interpersonal and communication skills, both written and oral, and the ability to effectively problem solve
142

Director of Patient Access Resume Examples & Samples

  • Two to five years’ recent experience dealing with hospital patient registration and collection procedures
  • Monitors all activity within Outpatient Admissions to ensure all corporate and hospital goals are met monthly
  • Maintains accurate and complete records and completes all required paperwork in a timely manner
  • Registers each patient accurately, courteously and timely
  • Screens patient folders for accuracy and makes needed corrections before sending them for storage
  • Adheres to and follows the principles of good customer relations
  • Provides for orientation/training of new associates
  • Business Market Growth
  • Collections
143

Cerner Patient Access Analyst Resume Examples & Samples

  • Experienced in all aspects of Patient Access operations including Admissions, Registration, Financial Counseling, Pre-admissions, Bed Control, Emergency Room Registration Operations and Insurance Verification
  • Demonstrates leadership with the design and build of Cerner Access Management application as well as the integration of Person Management into multiple modules including Health Information Management, Scheduling and PowerChart
  • Serves as Production Support Analyst in a large inner city hospital system, engaged with the upgrade of 2015 Cerner Access Management code with the Cerner upgrade center
  • Performed significant research and clean-up of database due to years of incorrect historical upload postings, incorrect posting of data by inbound feeds and some PM Rules causing incorrect posting to the database
  • Participated in the implementation and redesign of PM as a result of a major upgrade to the Patient Accounting system (Siemens)
  • Performed multiple redesigns of the location hierarchy and its effects on the Cerner modules, resulting in significant assessment and redesign of PM Rules
  • Instrumental in assisting with the clients business workflows based on the functionalities of the applications
  • Provided constant training and mentoring of what the system is capable of doing and how it can provide efficiencies in the workflow
  • Educational credentials should include training and certifications in Cerner Millennium Core Fundamentals and Cerner Person Management
144

Patient Access Team Coordinator Resume Examples & Samples

  • Supports PAS staff in their daily activities
  • To assist and/or support management with coaching, training and onboarding of PAS Staff
  • Monitors competency of staff in the area of assigned discipline
  • Monitors call levels to ensure service level agreements are met
  • Assumes a key team player role with other PAS teams, exchanging information, receiving and delegating tasks as appropriate to the team to meet goals
  • Accepts escalated Supervisor/Manager calls from patients, physicians and clinic staff and resolves the problem
  • Responds to requests for information and support services from other clinics and/or departments as requested
  • Participates in building/maintaining relationship with clinics and clinic leadership
  • Participates fully in department quality and improvement initiatives
  • Maintains flexibility in work schedules to meet business needs including overtime
  • Three years data look-up/data entry experience
  • Three years experience in customer service involving complex analytical problem-solving skills
  • Three years experience in a call center with emphasis in a customer service/medical industry
  • Experience in a team lead role highly preferred
  • Healthcare operations experience highly preferred
  • Knowledge of basic medical insurance theory highly preferred
  • Ability to type 45 w.p.m. or greater
  • Knowledge of all software and hardware computerized equipment used by the Patient Access Services
145

Supv-patient Access Resume Examples & Samples

  • Assesses staffing patterns and schedules to optimize departmental resources and productivity
  • Orders and maintains appropriate supplies
  • Develops and implements a quality assurance program
  • Tracks and reports quality assurance results to leadership and makes recommendations for improvements
  • Oversees process for collecting fees prior to service
  • Keeps abreast of insurance company changes and updates. Communicates these changes to staff
  • Performs staff orientation, training & coaching; provides input on staff performance evaluations
  • Performs the duties of a patient access/registration representative as needed
146

Patient Access Central Schedulng Specialist Resume Examples & Samples

  • Associates degree or higher level education preferred
  • Familiarity with medical terminology preferred
  • Two years hospital or medical office clerical support experience preferred
  • Experience executing Patient Access standards, processes, policies, procedures preferred
  • Computer keyboard skills; basic and terminal digit filing; good telephone and communication skills; reading and writing skills; computer literacy
  • Excellent time management skills and the ability to manage frequent in-person and/or phone patient contacts while effective maintaining and documenting data in the electronic medical record
  • Interpersonal skills necessary in dealing with internal and external customer
147

Patient Access Director Rare Disease Region Europe Resume Examples & Samples

  • English mandatory
  • 5+ years relevant experience acquired at pharmaceutical companies, Health Technology Assessment, physician associations or health care consultancy companies
  • Advanced knowledge of Patient Access, Pricing & Reimbursement environment within the Region and in addition in the area of Rare Disease and Orphan Drugs
  • Strong knowledge of price management and price negotiation
  • Advanced analytical skills and ability to draw implications of list and net price developments on the long term brand value
  • Extensive (about 5 years) Pharma management experience
  • Commercial and development experience and understanding (about 5 years)
  • Successful relationship management and international networking
  • Proven ability to understand and clearly communicate scientific and economic topics
  • Well developed understanding of national Health Care, regulatory environment, of drug Pricing & Reimbursement and Listing processes; if possible experience with Orphan Drugs and Rare Disease indications
  • Accountable: makes things happen; take responsibility for execution; speaks and voices opinion
  • Open communication: address issues or let them go; operate with mutual respect and integrity, embrace diversity, collaboration and candor; patient centric
148

Director, Perioperative Patient Access Resume Examples & Samples

  • State of Maryland license as a Registered Nurse
  • RN with CNS, NP or DNP
  • Experience in hospital scheduling, pre-registration, and/or insurance verification preferred
  • 3 years' experience in case management and utilization review or perioperative nursing
  • Three (3) to five (5) years supervisory experience preferred
  • Must be proficient in the use of Microsoft Office business software
  • Demonstrated ability to lead and manage diverse workforce in a learning environment with frequent changes in departmental priorities
  • Customer service background is strongly preferred. Ability to communicate and work with patients, physicians, physician office personnel, associates, senior leadership, multiple direct patient care providers, 3rd party payers and others in order to expedite the patient scheduling, registration and insurance verification process
  • Displays ongoing leadership in promoting positive attitudes and ensuring exceptional customer service. Capability and flexibility to develop skills needed as a change agent; Ability to form partnerships through consensus. Serves as a change agent, coach, mentor, team builder and facilitator
  • Effective critical thinking, problem solving and decision making skills. Strong quantitative and analytical abilities to process and display data
  • Flexible work style, tactful, poised, and patient. Ability to handle a high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion. Adapts quickly to changing conditions, assimilating new processes into job functions and taking ownership
  • Exhibits superior management skills that emphasize team-building and strong leadership with the ability to provide clear direction to the department, while also functioning as an individual contributor
  • Must possess the ability to comply with hospital policies and procedures. Must be comfortable operating in a collaborative, shared leadership environment. 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 Holy Cross Hospital and Trinity Health
  • Manages various staff and collaborates with other department managers/directors to manage department functions
149

Patient Access Supervisor Resume Examples & Samples

  • Sensitivity to cultural and bilingual issues, being able to effectively deal with: (1) Stress levels associated with dealing with employee and staffing issues; (2) Demands of maintaining successful working relationships with peers, managers, physicians, and other health care workers; (3) Demands of successfully delegating responsibilities and supervising other health care team members; (4) Situations that require strong critical thinking and decision making skills
  • Excellent Customer Service Skills
  • Knowledge and basic understanding of medical terminology
  • At least 3 years of relevant experience in pre-registration, registration/admissions, and/or scheduling in a hospital setting
  • Bilingual - Armenian/English
150

Patient Access Team Lead Resume Examples & Samples

  • Serves as the primary client interface on day-to-day issues as assigned by AD or Manager
  • Participates as directed in activities of new client start-up and provides staffing support and training
  • As indicated, participates in client and JOC meetings and follows up on action items
  • Consistently pursues customer satisfaction and immediately reports any potential client concerns to AD or Manager
  • As directed, assists in the completion of client reports and where appropriate, delivers and presents reports to clients
  • Through mentoring, effectively utilizes the principals of managing by values and not rules with responsibility of the activities of up to 10 FTE
  • Is being mentored in the establishment of team and personal goals diligently taking steps required to help team members succeed
  • As directed, participates in QA process periodic operations review. Results and corrective actions are coordinated with direct report and aspects of task may be delegated
  • Being mentored in the creation and maintenance of policies and procedures based on specific work sites work flow and processes
  • As required, handles day to day time keeping activities and reports related issues/corrective actions via council from HR and direct report
  • Monitors team member adherence to Compliance policies, reports any potential violations, and participates in corrective action
  • Monitors the need for team member addition training as required to perform their job and coordinates additional training needs with direct report
  • In mentoring and participates/observes administration of hiring, counseling, disciplinary actions, or terminations after coordination with the Director/Associate Director and HR
  • Participates and brings agenda items to monthly team meetings
  • Participates in providing team member performance data in preparation of annual reviews
  • Provides recommendations for work assignments/schedules. Consults with direct report to ensure productivity and performance goals are met. Recommends and schedules overtime usage and monitors for appropriate usage, effectiveness, etc
  • As required, works at client sites or on client projects/accounts in the absence/shortage of team members
  • Includes participation in monitoring client profitability and provides input for the preparation of internal monthly reports and client invoicing
  • Participates in monthly expense and revenue discussions and provides client specific data
  • May participate in the preparation of accurate and timely monthly client invoice
  • Includes involvement with efficiencies, process and initiatives
  • Identifies any problems with the timely flow and processing of client accounts through timely resolution and brings any deficiencies to AD or Manager
  • Supports all initiatives as assigned
  • Includes involvement relationship building and management
  • Participates in any training opportunities offered to facilitate self-development and potential for advancement
  • Is being mentioned to serve as a key driver of company culture and attitudes while leading by example, fostering team member engagement and providing clear vision to the team members
  • Knowledge and skills typically acquired through completion of a four year degree
  • Requires a minimum of five years of related job experience
  • Experience in the health care field or with a health care services related business
  • Working knowledge of computer programs and technical applications
151

Supervisor, Patient Access Resume Examples & Samples

  • Required - 3 years customer service experience including related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel, retail and/or customer service related experience
  • Preferred - Previous supervisory experience
  • Moderate knowledge of medical terminology
  • Good time management skills and self-directed
152

Mgr Patient Access Resume Examples & Samples

  • Assists with developing goals, standards, and objectives that directly support the strategic plan and vision of the organization
  • Assists with the development and implementation of policies, procedures, standards and initiatives
  • Ensures adequate coverage for all areas while maintaining employee satisfaction
  • Ensures adequate training and system access for all registrars
  • Audits patient accounts to verify accurate patient account information to increase patient safety, patient satisfaction and efficient billing and collections functions
  • Actively prepares for and participates in Emergency Preparedness training and any other safety protocol of the institution
  • Performs other managerial duties based on the needs of the department and organization
  • 2 years relevant experience
153

Patient Access Financial Coord Resume Examples & Samples

  • Previous experience in the medical field is required
  • Background in mental health billing is a plus
  • Background in customer service
  • Knowledge of patient accounting which includes billing, insurance reimbursement requirements
  • CPT/ICD-9 knowledge
154

Patient Access Associate Resume Examples & Samples

  • Manage a set of relationships with life science partners for program implementation and updates
  • Collaborate cross-functionally with internal Product, Engineer, Customer Success, Marketing, and other teams to successfully deliver on project-specific work as well as optimize internal processes that enable key provider engagement
  • Collaborate with internal provider-facing teams to optimize oncology practices’ relevant workflows, user experience and engagement with the Patient Access solution
  • Own project-specific management and communicate with life science partners, including
155

Patient Access Intake Resume Examples & Samples

  • A competitive hourly pay rate with weekly checks
  • Online continuing education via the Kelly Learning Center
  • Several employee discounts
  • And more!
  • Manage day to day activities of health care provider support request and deliverables
  • Perform intake of cases and documental relevant information in the Access 360 Case Management system
  • Ensure all support requested is captured within the eConnect system
  • Review input against source document(s) for accuracy and edits as needed
  • Ensure timely processing of support requests using decision tools and reference guides to determine appropriate case routing
  • Log information into appropriate eConnect tool and manage/route all program specific mail to
  • Demonstrate ability to communicate clearly in both written and oral communication
  • Analytical thinking, problem solving and decision making
  • Proficient competency using Word, Excel and PowerPoint
  • Ability to multitask and manage multiple priorities
  • Strong organizational and time management skills
  • Strong interpersonal skills; team player
  • Adaptable and flexible to new situations
  • Exposure to a variety of career opportunities as a result of our expansive network of client companies
  • Group- rate insurance options available immediately upon hire*
156

Patient Access Apprentice Resume Examples & Samples

  • Previous clerical health care experience preferred. Previous customer service experience required
  • Must complete a formal medical terminology course and customer service training within 1 year after hire
  • Knowledge of insurance plans and their requirements (ie: worker’s compensation, managed care, Medicare/Medicaid) desired
  • Knowledge of medical office procedures and insurance requirements helpful
  • Must demonstrate progress in understanding insurance requirements
  • Familiarity with medical terminology used in an individual physician practice setting is desirable
  • Good interpersonal skills required, with an ability to interact with patients and others, both in person and over the telephone, in a courteous, tactful, and effective manner
  • Customer service training a plus
  • Strong command of the English language, must speak and write it clearly. Ability to speak French helpful
  • Ability to use personal computer for on-line data entry required
  • Typing, faxing, copier and computer skills required
157

Manager Patient Access Resume Examples & Samples

  • Lead assigned PAS functions including Registration and Financial Counseling and other functional areas reporting into the local PAS organization
  • Participate with the development and lead the hospital-based implementation of efficient and effective operational policies, processes, tools, and educational materials within all functional areas that report to PAS
  • Communicate and address issues that may be impeding performance, including technology or processes effectively and proactively
  • Ensure PAS employees comply with established policies, processes, and quality assurance programs
  • Work positively with CFO or other Hospital leadership to ensure that needs/concerns/requests in relation to Patient Access processes are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established
  • Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including peer leaders of revenue cycle services and core support departments (e.g., human resources, business support services, finance)
  • Completes any duties and special assignments as requested
158

Patient Access Resume Examples & Samples

  • One year acute Emergency Department experience as an Emergency Technician within the past three years or one year of field triage experience as a paramedic desired
  • Working knowledge and understanding of insurance terminology desired
  • Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles
  • Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population
159

Patient Access Supervisor Resume Examples & Samples

  • Assures compliance with the Joint Commission, federal, state, and other regulatory agencies related to Patient Access
  • 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
  • Responsible for performance improvement statistics monthly
  • Ensures appropriate staffing mix and levels are met and informs Patient Access Manager and Patient Access Leader if staffing mix does not meet departmental needs
  • Sets priorities and demonstrates effective organizational skills by optimizing use of time; meeting deadlines and completing assigned tasks in a cost responsible manner
  • Communicates with team and other key revenue cycle and clinical stakeholders
  • Works in accordance with corporate and organizational security policies and procedures. Understands personal role in safeguarding corporate and client assets
  • Follows RevWorks policies, maintains a high level of confidentiality, upholds professional standards, and performs all work in a manner respectful of others
  • At least 2 years of relevant experience
  • At least 1 year of supervisory or lead experience
  • At least 3 years registration/admissions experience in a hospital setting
  • Must have understanding of and ability to interpret insurances and financial assistance according to Hospital, Federal and State guidelines
  • Ability to exercise independent judgment in unusual or stressful situations
  • Strong organizational, leadership, customer relations, oral and written communication skills and the ability to prioritize, multi-task and delegate are required for effective communication with patients, physicians, public, staff and administration
  • Ability to adapt and respond effectively to a constant changing service environment
  • Knowledge of medical terminology, familiarity with CPT and ICD10 coding
  • Knowledge of computer software programs (Excel, Word Preferred) and use of basic office equipment
  • High attention to detail and strong organizational skills
  • Flexibility to respond to changing priorities/work including after-hour issues and weekends
  • Ability to be on call 24/7 for 1 week at a time on a rotating schedule
160

Patient Access Technician Resume Examples & Samples

  • Uses critical thinking and problem solving skills to provide services to patients and their families
  • Registers patients, collecting and correcting all patient demographic, insurance and financial data and obtaining authorization for services as necessary
  • Calculates and collects cash payments appropriately, ensuring daily reconciliation of change fund and cash deposit
  • Accurately schedules patient appointments and tests using departmental guidelines and procedures
  • Works with uninsured or under-insured patients to identify payments resources
  • Maintains current knowledge base related to CMS, third party payors and organizational policies and procedures relevant to registration and scheduling of patients
  • Works with the clinical and provider staff to determine medical necessity of services and completion of required documentation
  • Communicates patient care needs to members of the health care team
  • Participates in maintaining compliance with regulatory standards and inventory management by maintaining/organizing non-clinical supplies, patient waiting areas and work areas
  • Organizes and performs work effectively and efficiently
  • Accurately documents relevant patient care information in the medical record within the prescribed timeframe
  • Maintains and adjusts schedule to enhance team performance
  • Performs other duties as assigned to meet the needs/goals of the department and the medical center
  • Education: High school diploma or equivalent required; college or advanced education at technical or secretarial school preferred
  • Licensure / Certifications: None required; certification as Certified Patient Access Technician (CPAT) or Certified Health Access Associate (CHAA) preferred
  • Experience: 1-year business office experience in health care/insurance setting with computer knowledge and data entry skills. Spanish speaking skills preferred
161

Patient Access Technician Resume Examples & Samples

  • Works with the clinical staff to determine medical necessity of services and completion of required documentation
  • Performs other duties as assigned, including ALL aspects of the PAT job duties as necessary
  • Licensure / Certifications:Certification as Certified Patient Access Technician (CPAT) or Certified Health Access Associate (CHAA) preferred
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Manager Patient Access Resume Examples & Samples

  • Manages the staff
  • Monitors departmental budgets and regulatory compliance
  • Assists in developing, implementing and maintaining performance improvement and quality assurance programs
  • Determines, coordinates and supervises daily staffing assignments and staffing levels
  • Ensures associates reporting to position meet competency standards
  • Minimum two (2) years of management experience required. Experience directly applicable to the area managed required
163

Director, Patient Access Resume Examples & Samples

  • Prepares and administers departmental performance evaluations
  • Promotes departmental and organizational activities for providing courteous customer service to patients, families, visitors and external customers
  • Participates in Leadership Development activities; implement strategies and processes to improve employee morale and performance
  • Establishes a centralized Community Health Pre-Arrival Service center to improve access in the Community clinics
  • Oversees facility operations of Community Health Pre-Arrival service functions (e.g. pre-registration, benefit verification, pre-authorization, admission/ registration, service pre-payment, scheduling for all specialty and primary care clinics