Patient Advocate Resume Samples

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AS
A Schulist
Amya
Schulist
87371 Steuber Knolls
Detroit
MI
+1 (555) 129 9182
87371 Steuber Knolls
Detroit
MI
Phone
p +1 (555) 129 9182
Experience Experience
Philadelphia, PA
Patient Advocate
Philadelphia, PA
Dibbert-Douglas
Philadelphia, PA
Patient Advocate
  • Reviews and verifies all bills from participating providers, reviews financial statements and provides updates regarding charity status
  • Consistently reports to work on time prepared to perform responsibilities
  • Positive working relationships with peers, management and customers are maintained at all times
  • Participates in the development and implementation of strategies that integrate, Business Office and Managed Care activities for the INTEGRIS Health system
  • Develops good working knowledge of DQCG clinical policies
  • Assists with the development of tools or metrics to track the overall effectiveness of the patient incident reporting program and processes
  • Perform other related duties incidental to the work described
Los Angeles, CA
Patient Advocate Representative
Los Angeles, CA
Breitenberg Inc
Los Angeles, CA
Patient Advocate Representative
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication. 5%
  • Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle
  • Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review
  • Conducts field visits to patient homes for skiptracing and or assisting patient with documents
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication
  • Conducts field visits to patient homes for skiptracing and or assisting patient with documents. 5%
  • Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review. 10%
present
New York, NY
Patient Advocate & Office Administrator
New York, NY
Blanda, Collins and Boehm
present
New York, NY
Patient Advocate & Office Administrator
present
  • Facilitates and participates in committees and meetings that are focused on Quality, Safety, Performance Improvement, and Patient Relations
  • Respond to suggestions and complements submitted by patients and provide feedback to the respective department or staff member
  • Schedules meetings and maintain calendar for the Director of Quality, Safety & Risk Management
  • Organize and facilitate Policy Committee & the updating of the Hospital's central repository for policies
  • Serves as a professional role model and mentor to staff by responding positively to change while supporting colleagues through the change process
  • Acts as an intermediary to Hospital Administration on behalf of patients and their families
  • Co-leads the Rights and Responsibility (RI) Chapter of The Joint Commission
Education Education
Bachelor’s Degree in Behavioral Science
Bachelor’s Degree in Behavioral Science
University of Georgia
Bachelor’s Degree in Behavioral Science
Skills Skills
  • Ability to adapt to change quickly, strong knowledge base relative to surgery process and management of the flow of the surgical patient
  • Highly collaborative individual with ability to influence others and build strong professional relationships
  • Highly organized and detail oriented
  • Ability to maintain a calm, professional demeanor under pressure
  • Develops good working knowledge of DQCG clinical policies
  • Strong attention to detail
  • Ability to adapt quickly to change and thrive in a fast-paced environment
  • Strong Knowledge base relative to surgery processes and management, as well as the flow of the surgical patient
  • Self-awareness and integrity with a strong sense of accountability
  • Strong verbal and written communication skills; able to articulate and communicate complex topics to a broad audience
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15 Patient Advocate resume templates

1

Patient Advocate Resume Examples & Samples

  • Minimum 1year in health care field, basic understanding of outpatient setting and/or perioperative surgical services
  • Demonstrated interpersonal, communication and customer service skills. Ability to establish and maintain effective working relationships with physicians, managers, staff, physicians, and patients. Knowledge of Medical Terminology desired
  • A Fire and Safety card must be presented upon hire or must be obtained at our facility within the first 30 days of hire and maintained by renewing before expiration date
2

Patient Advocate / Ambassador Resume Examples & Samples

  • Conducts patient rounding, distributing contact information for each dept. and completes rounding logs
  • Ensures patients know the names of the tray passer
  • Conducts spot training for food service employees with direct contact to patients
  • Conduct and prepare Data Analysis and help prepare action plans based on data collected
  • Provides direct information to supervisor and manager for service recovery
  • Participates in the gridding process
  • Attends and chairs meetings for patient satisfaction, nurse meetings, client meetings and others as appropriate
  • Attends department manager meetings and reports findings
  • Conducts nurse rounding and completes logs sending thank you notes as appropriate
  • Actively participates in Press Ganey tracking, posting of scores for HCAHPs and Press Ganey
  • Completes action item reports and all other necessary reporting dailly sending to all appropriate personnel
  • Delivers strong operational performance by executing against Aramark Healthcare and regulatory agency standards and programs, continually monitoring operations, and completing assessments and necessary action plans to provide optimal nutrition care and meal service to patients/residents
  • Drives patient satisfaction and maintains client relationships through rounding. Ensures compliance to food safety, sanitation, and overall workplace safety standards
  • Supervises, staffs, trains, conducts applicable rounding and manages the performance of the staff on the patient units
  • Recognizes and adopts activities appropriate to the specific needs of the patient/resident population and demonstrates knowledge of specific issues directly related to age of patient population
  • Position requires a Bachelor's degree from a 4-year college or university preferrably majoring in hospitality
  • Must be a self starter with the ability to work with minimal supervision
  • Requires strong customer service experience with a service friendly attitude
  • Ability to communicate (both verbal and written) effectively with clients, customers of client and support staff
  • Ability to write letters, summaries and reports, using prescribed format and conform to all rules of punctuation, grammar, diction and style
  • Ability to work with mathematical concepts such as probability and statistics
  • Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations
  • Requires management and leadership skills and the ability to work with confidential employee, client and Aramark information
3

Patient Advocate Resume Examples & Samples

  • 6+ months of professional experience
  • Proficiency with Microsoft Office products
  • Excellent data entry skills
  • Prior medical office experience
  • Advanced knowledge of Microsoft Excel
4

Patient Advocate Support Resume Examples & Samples

  • Submit pre-authorization requests to patient’s insurance plans via fax and online web portals
  • Participate in the Quality Assurance plan
  • Complies with applicable CLIA and HIPAA regulations
  • Data Entry experience
  • Detail oriented, quick learner with a high level of professionalism
  • Proficiency in Internet and Microsoft applications
5

Patient Advocate Resume Examples & Samples

  • Responsible for coordinating testing services for patients by
  • Fluent in Spanish is preferred/encouraged
  • Professional and detail-oriented
  • Excellent interpersonal and communication skills
  • Preference given to applicants with Bachelors Degree and more than one year of customer service or medical reimbursement experience
6

Patient Advocate Resume Examples & Samples

  • Responds to crisis situations. Ensures proper support provided to patients, family members and staff involved
  • Facilitates communication between patients, visitors and staff
  • Assists staff in meeting non-medical patient needs to increase comfort and wellbeing in ER
  • Compiles and reports quality of service results as part of Quality Assurance monitoring. Ensures complaints, identification of problem areas and resolution handled in timely manner
  • Participates in training new hires. Trains and provides recognition of volunteers in department
  • Participates in committees and quality improvement activities. Attends continuing education and in-service training programs
  • Maintains statistical data to evaluate and maintain effective department performance
  • Fulfills accountability requirements of organization and department and all outside regulatory bodies
  • Ensures proper coverage for department
  • Minimum of 1 year public contact or related experience
  • Bachelor's degree in social services, related field; or equivalent related experience
  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification
  • Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, decision making, customer service, interpersonal relations, oral communication, problem solving, quality management, teamwork and written communication
  • Health care experience
  • Post high school coursework in medical terminology
  • Certification for Domestic Violence
  • RTS Bereavement Counselor Certification
  • Rape Crisis Counselor Training
  • CISD-Critical Incident Stress Debriefing Certification
  • Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications
7

Financial Patient Advocate Representative Resume Examples & Samples

  • Basic Microsoft Office (Word, Excel)
  • Basic knowledge of government programs
  • Intermedicate analytical and mathematical skills
  • Intermediate writing skills
  • Must be able to work in sitting position, use computer and answer telephone
  • Ability to lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision
  • Office Work Environment
8

Patient Advocate Resume Examples & Samples

  • Requires experience assessing and solving customer problems by using interpersonal, oral and written
  • Requires experience in utilization of skills specifically related to conflict management
  • Requires demonstrated computer literacy and the ability to utilize additional software programs as implemented
9

Patient Advocate Resume Examples & Samples

  • Listen to patient and/or patient family members regarding their clinical care or service experience; interact with patients, hospital staff, and physicians to assess and identify the underlying basis of the concern/complaint
  • Document patient concerns/complaints in the respective databases for resolution tracking and monitoring
  • Communicate patient complaints and grievances to appropriate parties and assist in the ensuing investigation by thorough chart review. Coordinate the resolution within policy timelines
  • Initiate summary documents with recommendation to waive and/or adjust the patient bill when related to injury or the medical care provided
  • Assess and determine the validity/substantiation of the complaint as defined by regulatory guidelines and hospital policy
  • Provide and promote excellent customer service, effecting change and/or process improvement wherever possible
  • Actively participate in the FLC Patient Rounding Process
  • Enhance the patient and staff/physician relationship through the sharing of patient feedback and providing in-service education to the staff
10

Mecs Patient Advocate Supervisor Resume Examples & Samples

  • Direct Reports: Patient Advocate I, II MEP PFC II, III
  • Indirect Reports: Clerical Support, MECS
  • Excellent oral and written communication, interpersonal, organizational and management skills
  • Most recent 3 years of experience in Federal, State and Local government programs
11

Quality Analyst / Patient Advocate Resume Examples & Samples

  • Bachelor of Science Degree in healthcare related field, plus three years of recent experience in a related capacity
  • Current professional licensure in the State of Georgia preferred
  • Must be able to demonstrate working knowledge of continuous quality improvement principles, and information management including data collection, and analysis, use of graphs and statistical process control
  • Plans and coordinates the performance improvement activities and assists in creating and supporting an environment which fosters team work, emphasizes quality, recognizes the customer and promotes learning
  • Acts as a facilitator/quality advisor for the performance improvement teams/groups responsible for improving processes within SummitRidge Hospital
  • Coordinates and provides guidance with the development and selection of indicators in the aggregation and the analysis of data and turning this data into information to assist in improving the effectiveness and efficiency of our care and services
  • Maintains current knowledge and provides consultation and other services within the hospital in the areas of regulatory accreditation and organizational compliance in quality and performance improvement activities
  • Provides continuous quality improvement and performance improvement training and education
  • Functions as Patient Advocate for the facility
  • Communicate patient related problems or issues with Risk Management/CEO
  • Maintain database to monitor, report and ensure timely written and/or verbal follow-up on all patient complaints. Collaborate with other departments as needed for patient satisfaction
12

Patient Advocate Escalation Specialist Resume Examples & Samples

  • 3+ years experience medical claims billing and/or denials and appeals
  • 3+ years in a customer facing role resolving issues
  • Possess intermediate computer skills, including the ability to work in a Microsoft environment (Word, Excel, Outlook)
  • Previous experience with the Epic billing platform
13

Patient Advocate Rep-bay Medical Center Resume Examples & Samples

  • Excellent oral and written communication skills, as well as the clear understanding of the English language
  • Detail oriented, with strengths in dealing with multiple facilites, Supervisors, and Hospital platforms
  • Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside
14

Medical Receptionist / Patient Advocate Resume Examples & Samples

  • 6+ months of experience as a Medical Receptionist and Patient Advocate
  • Computer savvy
  • Solid data entry
15

Compl Claims Patient Advocate Resume Examples & Samples

  • Work closely with Hopsital Corporate office and Billing Team to Bill and Resolve claims related to MVA, Liability and Worker's Compensation
  • Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system
  • Communicate per Change Healthcare protocol with responsible insurance carriers and attorney offices to secure payment on behalf of the facility, always updating the patient file in the system
  • 2-4 years experience in this Billing or Medical Account Management or related area preferred
  • Ability to work well in an independent setting with minimal supervision
16

Customer Service Team Lead / Patient Advocate Resume Examples & Samples

  • At least 1 year of customer service experience required in a highly productivity driven environment
  • Multi-Tasking Abilities - Must be able to work in a fast paced environment working in several Applications at once -( 5 -8)
  • Professional in Appearance and Verbal Communication
  • Must be able to handle escalated calls especially from frustrated clients
  • Bilingual with Spanish a plus
  • Bilingual with Vietnamese a plus
17

Patient Advocate Resume Examples & Samples

  • Answers calls, voice mail and correspondence within department standards for information or account resolution in a friendly and upbeat manner
  • Communicates effectively with Front Office Coordinators and Clinic Directors to assist in resolving patient questions and concerns about statements and charges
  • Reviews patient statements, patient account details, and Insurance Explanation of Benefits (EOB’s) in order to answer patient questions and resolve their issues
  • Reviews and determines accuracy of insurance and billing data and corrects or initiates corrections as errors are identified
  • Sets up payment plans and financial assistance plans and needed and according to defined policies and procedures
  • Processes patient payments in the payment posting application
  • Enters or updates notes on accounts as they are worked in the billing system
  • Appropriately escalates requests for medical records
  • Upholds the highest level of customer service, while handling a large number of inbound calls
  • Is a team player, a self-starter and has a strong work ethic. Works well independently or as part of a team
  • Appropriately identifies calls that should be escalated in order to successfully resolve a patient’s concerns
  • Works with patient account specialists on Workers Comp, auto PI and Balance Inquiry issues
  • Complies with ATI standards of operations
  • Adheres to the Core Values of the Company
  • Utilize proper response letters on computer for various incoming correspondence
  • At least 1 year of experience in a customer service role
  • At least 1 year of experience in a customer service role with a firm knowledge of healthcare
  • Computer literate with good keyboarding skills
  • Action oriented
  • Empathetic
  • Critical Thinking
  • Integrity and trust
  • Priority setting
  • The ability to organize and manage competing priorities
  • Excellent interpersonal and communication (both oral and written) skills
  • Friendly and upbeat
  • Strong team player; and
18

Patient Advocate Resume Examples & Samples

  • Reviewing patient medical bills and EOB's for accuracy
  • Communicating with Insurance Companies and Providers to address any issues that are identified (e.g., appeal incorrectly denied claims, coordinate with providers to fix billing errors, negotiate with providers in the case of inappropriate billing)
  • Communicating with clients – responding to client requests in a timely and professional manner, going above and beyond to make sure their concerns are addressed and that medical bills and associated paperwork is no longer a worry for them
  • Provide client support with general health insurance questions
  • Perform other related duties as required
  • Monitors payment for accounts
  • A background in medical billing or insurance claims administration (Nurses, Medical Billing and Coding Specialists, and/or Health Insurance Claims Administrators strongly preferred)
  • Experience in overturning claim denials - ranging from simple solutions such as coding correction to more complex ones involving submission of appeals and grievances
  • Experience with patient responsibility areas of bill payment, arranging payment plans, and/or help with financial assistance/charity care
  • The desire to be part of a team of professionals that has fun while really making a difference in our clients’ lives
  • Looking for 5+ years of related healthcare industry experience in one of the above areas
  • Excellent time-management skills
  • Excellent communication skills – must be able to communicate effectively with Customers, Insurance Companies, and Providers​ both in writing and over the phone
  • Working Knowledge of Microsoft Word and Excel
  • Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
19

Patient Advocate Resume Examples & Samples

  • Coordinate patient medical procedures such as the scheduling of inpatient admissions, various medical tests, imaging examinations, pre-operative and post-operative clinic visits, and patient transport
  • Develop a consultant relationship with assigned physicians, clinics and patients to build and sustain a patient-focused approached to care
  • Advocate patient viewpoints to payers on decisions directly affecting coverage-related concerns
  • Provide opportunities for patient involvement and input on care related issues and directs patient inquiries or complaints to appropriate medical staff members to demonstrate commitment and responsiveness to patient needs
  • Participate on committees, work groups, and / or process improvement teams that improve patient outcomes and satisfaction
  • Location/Facility – Baylor Regional Medical Center Plano
  • 3 Plus Years
  • EMP experience preferred
  • Call Center Experience a plus
20

Complex Claims Patient Advocate Lead Resume Examples & Samples

  • Meet with and interview each patient who presents to the facility Emergency Department (ED) area due to injuries related to accidents associated with motor vehicles, general liability and/or workers compensation, during facility’s designated staffing hours
  • Ability to work collaboratively within a team
  • Detail oriented
21

Patient Advocate Resume Examples & Samples

  • Meeting daily with scheduled patients to explain and answer questions
  • Enrolling patients and providing doctor with daily updates on progress and sales activity
  • Serving as a liaison between the doctor’s staff and the corporate office
  • Participating in all staff training sessions and scheduled patient events
  • 497-PATMP-243 Mount Laurel, NJ - 2 candidates LOCAL
  • 497-PATMP-235 Atlanta, GA - 1 candidate FLOATER
  • 497-PATMP-234 Newark, NJ- 1 candidate FLOATER
  • 497-PATMP-233 Wirtz, VA - 1 candidate LOCAL
  • 497-PATMP-229 Hyde Park, NY - 1 candidate LOCAL Bilingual Hindi
22

Patient Advocate for Per Diem Shifts Resume Examples & Samples

  • Conducts interviews with patients and/or family members
  • Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle
  • Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review
  • Follows up on MECS assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility
  • Conducts field visits to patient homes for skip-tracing and or assisting patient with documents
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication
  • Working familiarity with the rules and regulations pertaining to Federal, State, and County programs
  • P/C systems literate including Windows, Microsoft Outlook, Excel, and Word programs
  • Ability to work independently
  • Excellent oral and written communication skills, as well as the clear understanding of the English language
  • Detail oriented, with strengths in dealing with multiple facilities, supervisors, and hospital platforms
  • Ability to prioritize and manage multiple tasks with efficiency
  • High School Diploma or GED required
  • Minimum of 2 years work experience with Social Services, Hospital Admitting, or related areas
  • Due to the possibility of daily travel to local facilities, proof of a valid driver's license and appropriate insurance may be required and subject to review
23

Manager, Patient Advocate Resume Examples & Samples

  • 4+ years experience in healthcare revenue cycle or similar area
  • 3 + Experience with Enrollment / Eligibility with State / Federal benefit programs
  • 1+ years experience with team management
  • Experience with developing and leading team building activities
  • Experience with leading multiple site projects
  • Hospital Business Office leadership experience preferred
  • Hospital Vendor management experience preferred
  • Subrogation and Coordination of Benefits experience preferred
24

Patient Advocate & Office Administrator Resume Examples & Samples

  • Interface with patients and families to ensure that care is consistent with their expectations
  • Facilitate resolution of complaints/grievances/requests from Patients & Visitors and ensures regulatory compliance with DPH, DMH, TJC and CMS
  • Respond to suggestions and complements submitted by patients and provide feedback to the respective department or staff member
  • Document patient/visitor concerns to include patient demographic data, synopsis of incident, actions taken to resolve, and outcome
  • Input complaints into database, compose letters or e-mails to patients, visitors, or physicians, leadership
  • Analyze complaint/grievance data and collaborate with Director of Quality and Safety to report results on a monthly basis
  • Co-leads the Rights and Responsibility (RI) Chapter of The Joint Commission
  • Prepares timely reports, data, and projects to external and internal regulatory (DPH, DMH, TJC) entities, individuals, departments and assists with interpretation of results
  • Participates in the development, implementation, and on-going education of Clinical Quality initiatives and administrative functions as directed by the Director of Quality and Patient Safety
  • Facilitates and participates in committees and meetings that are focused on Quality, Safety, Performance Improvement, and Patient Relations
  • Serves as a professional role model and mentor to staff by responding positively to change while supporting colleagues through the change process
  • Actively participates in committees as appropriate or assigned
  • Acts as an intermediary to Hospital Administration on behalf of patients and their families
  • Presenting education to both small and large groups
  • Collects data about patient care problems, prepares reports, analyzes trends, and reports information to appropriate departments for action
  • Schedules meetings and maintain calendar for the Director of Quality, Safety & Risk Management
  • Assembles and analyzes information to prepare a variety of documents including agendas, correspondence, memoranda, reports, and presentations
  • Organize and facilitate Policy Committee & the updating of the Hospital's central repository for policies
  • Any other duties as assigned
  • Ensures the dignity of patient/customer is maintained at all times
  • Cooperative in interactions, treating customers with courtesy, respect and compassion; ability to handle difficult and angry people constructively; and interact with physicians and senior leadership
  • Excellent judgment, objectivity, ability to work with others, with strong communication skills, and the ability to develop innovative and feasible solutions to complex issues in which the boundaries are broad and difficult to determine in advance
  • Excellent communication and interpersonal skills, including the ability to develop and articulate key presentations to a broad range of individuals
  • Superior teamwork skills, both as a leader and a team member
  • Strong sense of ownership and high level of accountability
  • Ability to work independently and to manage multiple tasks in a fast paced environment
  • Is cooperative in interactions, treating internal and external customers with courtesy, respect and compassion
  • Responds to requests in a timely manner
  • Maintains a professional appearance and demeanor
  • Strives to prevent/resolve patient concerns to the patient's satisfaction
  • Responds to requests in a timely manner, handles interruptions in a skillful way
  • Demonstrates strong computer skills with knowledge of control charts and Microsoft applications including Outlook, Word, Excel, Power Point
  • Demonstrates an understanding of relative Hospital and all-departmental policies and procedures including safety issues
  • Strong interpersonal and communication skills are essential to perform the liaison role and to facilitate the smooth resolution of conflicts between the staff and a patient and/or family member or a visitor
  • Ability to deal tactfully with extremely sensitive issues relating to patients
  • Ability to deal effectively with a variety of people in situations which are often difficult and demanding (crisis intervention skills)
  • Sound judgment skills are required to know how to proceed and with whom to seek advice regarding the issues which arise (problem resolution skills)
  • Strong organizational skills to follow through to ensure closure on each case
  • Must maintain confidentiality
  • Excellent computer and analytical skills necessary to maintain centralized reporting and tracking systems to identify trends and evaluate problems and assessing the potential harm if the problems are not addressed
  • Possesses awareness of programs/services provided by Hospital and where they are located
  • Must be an informed regulatory healthcare representative for the patient and organization; must be able to communicate patient and visitor rights and responsibilities to patients, family members, and staff
  • Associate's Degree in health care, social services, sociology, psychology, customer service, hospitality, or other related field or equivalent related professional working experience. Bachelor's Degree preferred. Prior work experience in patient advocacy preferred
  • Three years work experience in health care and/or related field
  • Sensitive to the needs of patients and employees
  • Demonstrates good judgment, assertiveness, and dependability in the performance of his/her role as the Patient Advocate
  • The Ability to communicate clearly and professionally with hospital personnel at all levels
  • Possess a high skill level for independent practice, problem solving and decision making abilities
  • Ability to be flexible and to perform efficiently and competently
25

Patient Advocate Resume Examples & Samples

  • An Associate's Degree or two years of college in business or related field, or the equivalent in experience is required
  • A minimum of 1-2 years patient contact experiencewithin HFHSwith strong written and interpersonal skillsrequired
  • Type 25 wpm with personal computer experience, working knowledge of Microsoft Word or other word processing experience required
  • Knowledge of the HFHS mainframe desirable
26

Patient Advocate Resume Examples & Samples

  • Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence
  • Four years of recent customer service work experience in a clinical hospital or business setting that demonstrates attainment of the requisite job knowledge skills/abilities
  • Associate’s degree in related field preferred
27

Patient Advocate for Day Shifts Resume Examples & Samples

  • Conducts interviews with patients and/or family members
  • Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle
  • Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review
  • Follows up on MECS assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility
  • Conducts field visits to patient homes for skip-tracing and or assisting patient with documents
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication
  • Working familiarity with the rules and regulations pertaining to Federal, State, and County programs
  • P/C systems literate including Windows, Microsoft Outlook, Excel, and Word programs
  • Ability to work independently
  • Excellent oral and written communication skills, as well as the clear understanding of the English language
  • Detail oriented, with strengths in dealing with multiple facilities, supervisors, and hospital platforms
  • Ability to prioritize and manage multiple tasks with efficiency
  • High School Diploma or GED required
  • Minimum of 2 years work experience with Social Services, Hospital Admitting, or related areas
  • Due to the possibility of daily travel to local facilities, proof of a valid driver's license and appropriate insurance may be required and subject to review
28

Patient Advocate Resume Examples & Samples

  • Supports Hospital Leadership to ensure the patient's expectations are met while receiving care at Hill Crest
  • Maintain patients' rights by educating patients, respond to patient and patient family complaints, resolving patient issues, and reporting unsolved issues
  • Ensures patients have access to the Patient Advocate and that the grievance/complaint process occurs without reprisal
  • Ensures patients are protected from harm, including any form of abuse, neglect, of patients
  • Assists with conflict resolution between patients and hospital staff and concerns
  • Ensure reportable incidents are report to appropriate administrative staff in accordance with Hill Crest policies and procedures
  • Demonstrate knowledge and assessment skills necessary to communicate, educate, and provide a therapeutic and safe environment for specific age groups
  • High School diploma required Associates degree in a related health care field preferred
  • Knowledge and experience in health care services, mental health and clinical delivery systems and treatment program requirements
  • Must possess excellent interpersonal communication skills
  • Exceptional communication skills, including written and presentation
  • Must be able to respect diversity of each individual's values, culture, spiritual beliefs, and other socio-economic issues in addressing the needs of patients, visitors, and hospital staff
29

Patient Advocate Req Resume Examples & Samples

  • Conducts interviews with patients and/or family members
  • Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle
  • Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review
  • Follows up on MECS assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility
  • Conducts field visits to patient homes for skip-tracing and or assisting patient with documents
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication
30

Patient Advocate Resume Examples & Samples

  •  Answers calls, voice mail and correspondence within department standards for information or account resolution in a friendly and upbeat manner
  •  Communicates effectively with Front Office Coordinators and Clinic Directors to assist in resolving patient questions and concerns about statements and charges
  •  Reviews patient statements, patient account details, and Insurance Explanation of Benefits (EOB’s) in order to answer patient questions and resolve their issues
  •  Reviews and determines accuracy of insurance and billing data and corrects or initiates corrections as errors are identified
  •  Sets up payment plans and financial assistance plans and needed and according to defined policies and procedures
  •   Processes patient payments in the payment posting application
  •  Enters or updates notes on accounts as they are worked in the billing system
  •  Appropriately escalates requests for medical records
  •  Upholds the highest level of customer service, while handling a large number of inbound calls
  •  Is a team player, a self-starter and has a strong work ethic. Works well independently or as part of a team
  •  Appropriately identifies calls that should be escalated in order to successfully resolve a patient’s concerns
  •  Works with patient account specialists on Workers Comp, auto PI and Balance Inquiry issues
  •  Complies with ATI standards of operations
  •  Adheres to the Core Values of the Company
  •  Utilize proper response letters on computer for various incoming correspondence
  •  At least 1 year of experience in a customer service role
  •  OR
  •  Computer literate with good keyboarding skills
  •  Action oriented
  •  Empathetic
  •  Critical Thinking
  •  Integrity and trust
  •  Priority setting
  •  Problem solving
  •  The ability to organize and manage competing priorities
  •  Strong customer focus
  •  Excellent interpersonal and communication (both oral and written) skills
  •  Friendly and upbeat
  •  Strong team player; and
31

Patient Advocate Field Representative Resume Examples & Samples

  • Work effectively with hospital employees and patients
  • Interviewing clients in a hospital setting and/or home visits to assist the clients in obtaining maximum benefit coverage
  • Completion of applications for state and federal programs (including Health Exchange/Marketplace programs), reviewing medical records and taking all necessary action to expedite benefit approval
  • Achieve and maintain certification designation as “Certified Application Counselor”
  • Adherence to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)
  • Maintain ongoing communication with government agencies regarding the status of claims
  • Provide updates and assistance to hospital personnel and other Change Healthcare staff as needed
  • Maintain documentation of status of claims and client contract on Change Healthcare and/or hospital computer systems
  • Making a determination to take a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records
32

Patient Advocate / Medical Claims Specialist Resume Examples & Samples

  • Manage facility, provider and member inquiries, appeals and balance billing; including correspondence
  • Keep clients informed of all disputes and status; providing reporting as necessary
  • Keep appropriate individuals informed of critical matters that may impact client retention/revenue
  • Review and prioritize claims based on processing criteria, timelines, interdepartmental demands, member benefits, regulatory criteria, etc
  • Evaluate and research claims depending on the medical plan design and how best to interact with clients, facilities, providers and members
  • Manage a daily running inventory of claims
  • Contact facilities and providers to discuss charge adjustments and rationale while obtaining signed agreements for reimbursement or adjustments; when needed
  • Handle member inquires in accordance to their medical Plan
  • Participate in on-going process improvement to develop efficiencies that streamline the process and the Patient Advocacy Center
  • Baccalaureate degree BA/BS from an accredited college or university preferred
  • Minimum of two years experience in a medical healthcare claims role dealing with facilities, providers and members is required
  • Background in healthcare claims management environment including provider negotiation, hospital billing, claims adjudication and administration or the ability to interpret benefit plans
  • One to two years minimum insurance company/TPA/hospital experiences, with emphasis in claims, fee schedules, contracting, and/or external vendor relationship management preferred
  • Excellent written, verbal, and interpersonal communication skills
  • Ability to interact/negotiate with high level executives
  • Excellent organizational skills demonstrating strong attention to detail
  • Ability to develop/maintain long-term working relationships with providers
  • Should possess a moderate to high level of claim editing, coding, RVU and CMS-based pricing knowledge with an emphasis in researching solutions for the above items as needed
33

Patient Advocate Resume Examples & Samples

  • Excellent communication skills
  • Good organization habits
  • Ability to adapt to change quickly, strong knowledge base relative to surgery process and management of the flow of the surgical patient
  • Physical demands include walking and standing, opening doors, use of wheelchair
  • Ability to utilize Electronic Health Care Record for patient documentation
  • Experience in public relations, medical office, patient relations, scheduling a plus
  • BLS required
34

Patient Advocate Resume Examples & Samples

  • Ensures accurate recording, tracking and completeness of all reported incidents
  • Assists with the development of tools or metrics to track the overall effectiveness of the patient incident reporting program and processes
  • Plans, coordinates and implements patient incident reporting and compliance program awareness, education and training
  • Fosters employee confidence that reporting makes a difference in the organization
  • Collaborates with other departments to implement process improvement
  • Supports the Compliance Department generally with performance of other compliance and risk-related duties as requested
  • Ideal candidate will have a minimum of 5 years’ experience in the healthcare industry; preferably within in a healthcare audit, privacy, risk management or compliance role
  • Knowledge of auditing and monitoring principles
  • Knowledge of medical practices and procedures to educate and communicate with both internal and external customers
  • Maintains a high degree of creditability, independence, integrity, confidentiality and trust
  • Individual must possess excellent attention to detail, strong writing and verbal communications skills
  • Individual must be comfortable in handling challenging situations involving possible adverse outcomes
  • Highly collaborative individual with ability to influence others and build strong professional relationships
  • Ability to work independently, make independent judgments and set priorities
  • Ability to maintain a calm, professional demeanor under pressure
35

Patient Advocate Resume Examples & Samples

  • Warmly greeting AdvantageCare Physicians patients and guests as they enter the office
  • Engaging in friendly conversation with patients and guests
  • Guiding patients and guests to the front desk and providing introductions to office staff
  • Serving as a reference source regarding visiting hours, directions and general AdvantageCare Physician policies
  • Providing physical assistance to patients and guests within the site when needed
  • Providing supervision, direction and training to front office staff on hospitality issues
  • Working with office staff to effectively communicate approximate wait times, and maintaining timely communication to patient and
  • Possesses optimistic warmth and empathy for the patient and guest experience
  • Strong work ethic, high energy level, and a positive attitude required
  • Consistently role models and strives for service excellence
  • Must have excellent interpersonal and verbal communication skills
  • Creative thinker and adaptable. Proactive. Takes initiative
  • Able to monitor and assess concurrent situations and visitors
  • Self-awareness and integrity with a strong sense of accountability
  • Self-directed and independent, but works as a team player
  • Works well with all levels of AdvantageCare Physicians and EmblemHealth staff and leadership
  • College degree strongly preferred. High school diploma or GED equivalent required
  • Face-to-face hospitality experience (e.g. hotel, restaurant, convention, customer service role) strongly preferred
  • Physical ability to stand for extended periods of time and physically assist patients
36

Patient Advocate Resume Examples & Samples

  • Patient Education(75%) - Responsible for pt education while staying within established compliance parameters for the company and program. E.g
  • Identifies and effectively communicates opportunities to better the insurance status of the patients, alleviating financial risk and burden
  • Completes insurance assessments/evaluations for patients
  • Advocates on behalf of patient in researching and resolving financial issues and insurance options with employer, insurance company or other applicable entities
  • Acts as a liaison between patients, families, caregivers, clinical care team, other educators, and field leadership
  • Works closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements as they pertain to patient education and provides high-level of customer service to patients to ensure educational needs are met
  • Meetings(10%) - Participates in team reporting calls as necessary to discuss/vet patient education impacts. Attends team meetings, phone conferences, and trainings as needed
  • Field Relationships(5%) - Builds and maintains relationships with field leadership (RODs, DVPs, FAs, SWs, Dietitian, Modality and Kidney Smart Educators) to emphasize and integrate education priorities. Partners with Kidney Smart Educators to work with available resources and utilize best practices to grow education awareness and program utilization
  • Participates in ROPs/Village-wide special projects as needed(5%)
  • Other duties as assigned(5%)
  • A "community first, company second" culture based on Core Values that really matter
  • Clinical outcomes consistently ranked above the national average
  • Performance-based rewards based on stellar individual and team contributions
  • A comprehensive benefits package designed to enhance your health, your financial well-being and your future
  • Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation
  • Experience in healthcare industry/healthcare organization working with a clinical team and patients strongly preferred
  • Demonstrate extensive understanding of insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) preferred
  • Demonstrative understanding of COBRA benefit options, medical leave options, American Disabilities Act, and Coordination of Benefits strongly preferred
  • Demonstrative understanding of Federal and State level health coverage benefits as they relate to ESRD strongly preferred
  • Experience in case management and/or social work
  • Fluency in Spanish helpful, but not required
37

RN Patient Advocate Resume Examples & Samples

  • Professional knowledge of nursing theory and practice at a level normally acquired through completion of two years training at an accredited School of Nursing in order to be eligible for licensure as a Registered Nurse
  • Approximately up to one year of on the job experience necessary in order to acquire and effectively utilize knowledge of unit and departmental policies and procedures and to fulfill established quality and quantity standards for the job
  • Current IL State license as a Registered Nurse required
  • Interpersonal skills necessary in order to instruct and comfort patients and their families, and maintain effective contracts with a variety of Medical Center personnel
  • Analytical skills necessary in order to implement effective nursing care and develop solutions to problems concerning patients’ physical well-being
38

SSI Patient Advocate / Managed Care Rep Resume Examples & Samples

  • Interview Medicaid beneficiaries by telephone to determine eligibility for Federal disability benefits
  • Make a determination of potential eligibility based upon the medical definition of disability as it relates to body systems, functions of daily living and medical record information
  • Complete applications for Federal programs, reviewing medical records and taking all necessary action to expedite benefit approval
  • Provide assistance to applicants who encounter problems during the application process
  • Adhere to company and legal standards regarding Protected Health Information (PHI) and Personal Identifiable Information (PII)
  • Maintain ongoing communication with government agencies regarding the status of applications as needed
  • Maintain detailed documentation of client contacts and application status in Change Healthcare computer systems and web-based applications
  • Provide updates and assistance to management and Change Healthcare staff as needed
39

Patient Advocate / Social Media Specialist Resume Examples & Samples

  • Daily searching and monitoring of all Duke-owned social media accounts including Facebook, Twitter, and Google (Google+ location and provider listings, You Tube videos) to see what people are saying about the health system, hospitals, clinics and doctors (Duke Health)
  • Daily searching and monitoring of all clinic- and provider-level profiles on external review sites such as HealthGrades, Vitals, Yelp, WebMD, etc
  • Respond to social media messages from patients and customers including positive and negative comments and reviews, with HIPAA-compliant responses in a timely manner. Whenever possible, offer ways to take the conversation off line
  • Draft and maintain HIPAA-compliant social media responses that may be used throughout the Health System by Duke entities. (Duke Health)
  • Act as the liaison between social media, patient and visitor relations, compliance and operations on all patient-driven comments
  • Advise health system communicators on the appropriate social media response protocols to ensure HIPAA compliance
  • Stay current in hospital social media best practices, and look for trends in reports that may influence patient care
  • Fulfill the Patient Advocate role as needed to support PVR departmental operations
  • Analyze social media complaint/grievance data and collaborate with Leadership and staff on a monthly basis
  • Assist in the preparation of annual and quarterly executive reports for senior leadership; present data to leadership teams
  • Participate on committees, work groups, and/or process improvement teams that improve patient/customer satisfaction representing social media as an outlet for customer feedback
  • Perform other related duties incidental to the work described herein
  • Possess strong customer service skills/interpersonal interactions; ability to handle difficult and angry people constructively; savvy enough to interact with physicians/senior leadership
  • Excellent analytical skills, including analysis, planning, organizing, and troubleshooting
  • Proficient in Windows-based operating software/systems Good oral and written communication skills
  • Ability to work with minimal supervision
  • Adaptability with high tolerance for ambiguous work situations
  • Knowledge of health care, HMO/health insurance and/or Duke Medical Center experience
  • Must work in conjunction with staff in a supportive way to troubleshoot and resolve issues Must be visible to staff, offering support and modeling service behaviors and concern resolution processes
  • Must be able to address difficult, awkward situations with tact and diplomacy
  • Must be a team player and have proven success applying a team approach to obtain resolution to an issue or successfully accomplish a goal
  • Must be informed regulatory healthcare representatives for the patient and organization; must be able to communicate patient and visitor rights and responsibilities to patients, family members, and staff
40

Patient Advocate Resume Examples & Samples

  • Answer incoming patient calls
  • Return patient calls daily and assist them with their questions regarding billing statements
  • Resolve patient issues by researching the patient’s account and correcting insurance information, demographics, etc
  • Refer any patient questions about specific coding or visit information back to the client when needed
  • Complete all aspects of statement processing for assigned outsourcing clients in a timely, accurate, and high-quality manner; processing tasks include, but are not limited to, statement preparation, submission, and reconciliation
  • Resolve issues on the Bad Address report by calling patients to get their correct address and/or using online resources to locate updated address information
  • Complete all aspects of collection processing for assigned outsourcing clients in a timely, accurate, and high-quality manner; collection tasks include, but are not limited to, collection letter preparation, submission, and reconciliation
  • Conduct patient collection calls based on their collection status
  • Log all client issues encountered in internal tracking system, including enhancement requests, bugs, errors, and inquiries
  • Assist, train, and consult with other departments as needed
  • Participate in continuing education of applicable software and hardware
  • Participate in departmental and other meetings as requested
  • Ensure that management is made aware of client issues or problems in a timely manner
  • Complete other tasks as assigned by manager
41

Patient Advocate Resume Examples & Samples

  • Minimum of one (1) to three (3) years of experience in a mental health setting
  • Serves as liaison between the hospital, patients, their families, the community and the judicial system to advocate for the needs of mentally ill patients
  • Meets with newly admitted patients to review patient rights and responsibilities
  • Discusses de-escalation preference form with patients at the time of the admission
  • Chairs Family Advisory Committee and Patient Governance Meeting
  • Responds to requests and concerns raised by family members and community stakeholders regarding the maintenance and management of individuals at BSH
  • Reviews concerns that are raised by patients and develops recommendations to administration
  • Trains new employees in patient rights, including confidentiality
  • Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations
  • Must be alert at all times; pay close attention to details
42

Patient Advocate Resume Examples & Samples

  • Work with state Operations staff to receive, document, and catalog the complaints/concerns voiced by patients, caregivers, and employees
  • Work with the state Operations staff with regard to responding to complainants and collection of information as necessary. Operations staff will take the lead in responding to complaints about issues not related to quality of care
  • Conduct investigations of alleged quality of care issues and adverse event reports, and obtain information necessary to enable the Senior Clinical Affairs Advisor/future VP of Clinical Affairs and the state Dental Directors to confirm/refute allegations of substandard care
  • The Senior Clinical Affairs Advisor/future VP of Clinical Affairs in developing and following up on appropriate corrective action plans, when required
  • The State Operations and/or Human Resources staff to take appropriate action, if required
  • Follow up with complainants on outcomes of investigation and resolutions of quality of care complaints
  • Present current status of quality of care complaints, adverse event occurrences, investigations, and outcomes as requested to the Clinical Quality Assurance & Risk Management Committee (CQARM) and the Subcommittee on Patient/Parent Complaints (a subcommittee of the CQARM Committee.)
  • Perform other tasks related to quality assessment and assurance as required by the Senior Clinical Affairs Advisor/future VP of Clinical Affairs, VP of Administration, Care Group and the CQARM
  • Maintains high level of confidentiality and ethics
  • Completes all employee training required by the DQCG
  • Develops good working knowledge of DQCG clinical policies
  • Exhibits excellent communication skills
  • Exhibits compassion and impartiality
  • Works independently and as a member of the CQARM
  • Adheres to all applicable CQARM policies
  • Consistently reports to work on time prepared to perform responsibilities
  • Reports to the VP, Administration, Care Group and the CQARM
  • Background in health care field, health insurance, compliance, or legal is desirable
  • Bachelor’s degree required. Degree in behavioral science is desirable
  • Proficient in use of Microsoft Office Suite
  • Highly organized and detail oriented
43

Patient Advocate Triage Resume Examples & Samples

  • Reviewing test request forms and additional documentation submitted with a patient specimen to ensure accurate and timely testing
  • Effectively communicating in patient records status of testing
  • Evaluating and documenting insurance coverage benefits and test information including process and turn around time
  • Comply with applicable CLIA and HIPAA regulations
  • Accurate typing skills of at least 35 words per minute
  • Excellent listening, transcribing, and self-review skills PC experience, including familiarity with Excel, Word, Internet, and e-mail
  • Able to manage several tasks simultaneously, often under pressure
  • One year of customer service or medical reimbursement experience
44

Patient Advocate Lead-bariatrics Resume Examples & Samples

  • Experience with medical terminology, ICD, and CPT coding
  • 7-10 years medical office and/or hospital setting
  • 5+ years experience obtaining authorizations
  • 5+ years experience with IP/OP surgery and procedure scheduling
  • Practical knowledge of computers and EMR platforms
  • Ability to read and communicate effectively in English
  • Interpersonal skills to effectively and accurately communicate with patients
  • Organizational skills to accurately keep track of patient status
  • Time management and multi-tasking capability to monitor numerous patients simultaneously
  • Ability to function as part of a team and promote teamwork
  • Ability to think analytically to correctly interpret insurance policy requirements
  • Motivated to assist patients in fulfilling their requirements to surgery
  • Compassion to put the patient first
45

Patient Advocate Resume Examples & Samples

  • Ability to adapt quickly to change and thrive in a fast-paced environment
  • Strong Knowledge base relative to surgery processes and management, as well as the flow of the surgical patient
  • Ability to meet physical demands such as walking, standing maneuvering a wheelchair, etc
  • Ability to use Electronic Healthcare record for patient documentation
  • Positive, friendly, and welcoming demeanor
  • Bilingual a must
46

Patient Advocate Resume Examples & Samples

  • Evaluates financial statements and makes determination as to qualification for charity or proper write off action
  • Analyzes credit balances and makes determination as to where the refund needs to be sent and issued
  • Participates in the development and implementation of strategies that integrate, Business Office and Managed Care activities for the INTEGRIS Health system
  • Reviews and verifies all bills from participating providers, reviews financial statements and provides updates regarding charity status
  • Completes bulk billing and issues vouchers for the disbursement of funds appropriately
  • Collaborates with Payor & Provider Relations to identify and rectify potential or actual barriers in meeting contractual obligations regarding pre-certification, referral, QI and utilization review purposes
  • 5 years collection experience in a Patient Accounting environment
  • Knowledge of Microsoft Office
  • Knowledge of legal documents, full disclosure laws, credit analysis, collection procedures, legal procedures and the fair debt collection practices
47

Patient Advocate Resume Examples & Samples

  • Ensure each patient is given the highest level of customer service and every staff member is treated with the utmost respect
  • Excellent problem solving, critical thinking and professional judgment skills; can see multiple solutions to problems and choose best possible one for the needs of the patients and the business
  • Maintain incoming/outgoing calls, emails, letters, etc. to patients and staff to research and resolve concerns
  • Support patient feedback system (RL Solutions) and ensure all files are updated timely
  • Act as a liaison for other departments in an effort to resolve patient billing issues/clinical issues
  • Communicate effectively, be courteous and demonstrate a caring attitude with patients, team members, and insurance carrier representatives at all times
  • Answer patient inquiries on a timely basis, coordinating with other team members to ensure efficiency
  • Provide courteous, knowledgeable and timely service to all
  • Research and answer patient questions and provide follow-up communication within a timely manner
  • Maintain strict confidentiality in accordance with HIPAA regulations and company policy
  • Present a positive, professional appearance and convey a professional demeanor in the performance of assigned duties
  • Perform other job-related duties within the job scope as requested
  • Embody the principles of the company Mission Statement and Philosophy at all times
  • Represent the company in a positive fashion and make all individuals feel as comfortable as possible
  • Conduct all business in a professional manner maintaining respect for individuals at all times
  • Comply with departmental and company-wide policies and procedures
  • Maintain constant awareness of potential safety hazards ensuring necessary safety precautions are taken as needed
  • Read and comply with established policies and procedures including Collections policies containing the company designations
  • Attendance requirements are based on your current role and status of position (FT, PT or PRN). Please direct attendance requirements to your immediate supervisor and/or refer to the Employee Handbook for more attendance/scheduling details/policies
  • High school diploma or equivalent, appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience
  • A minimum of 2 years experience in a medical office
  • A minimum of 2 years customer service experience, preferably experience in a call center setting
  • Good understanding of insurance carrier plan configurations in respect to calculations of coinsurance, deductibles and percentages paid
  • Proficiency in Centricity, Evident, Epic, Excel, and Microsoft Office
  • Stringent adherence to all HIPAA laws
48

Patient Advocate Resume Examples & Samples

  • Serve as a resource for patient- and family-centered care program initiatives
  • Facilitates resolution of PFCC identified requests with patients, families, and guests for assigned Clinical Service Units/Clinics/Departments in a timely manner
  • Respond to suggestions and compliments submitted by patients/families and provide positive reinforcement to involved staff
  • Appropriately document PFCC patient/family concerns to include patient demographic data, synopsis of incident, actions taken to resolve, and outcome
  • Reviews Patient Complaint Database as well as Patient Satisfaction database to capture specific criteria for process improvement and service enhancement
  • Coordinate interventions/services with the Center for Patients and Families
  • Communicate patient feedback to appropriate individual(s) for investigation according to procedure
  • Collaborate with unit/clinic leadership to meet customer service and clinical quality outcomes for patient satisfaction/HCAHPS/CG-CAHPS
  • Identify systems-related problems, via patient/guest data, and work collaboratively with physicians, administrators and staff to resolve
  • Serve as a catalyst in improving patient experience of care outcomes by studying, evaluating, and re-designing processes and recommending/implementing changes
  • Assist in preventing complaints on the front end by collaborating with supervisors and managers who identify developing problems as well as offer suggestions to resolve potential complaints and modify practices that cause repeated complaints
  • Identify/recommend potential patients/family as advisors who can offer a unique perspective to UAMS processes and projects
  • Lead Customer Service/Patient- and Family-Centered Care Training and orientation for staff, particularly in high-risk areas, with attention to de-escalation tactics
  • Develop scripting for employees to use for consistency when addressing patient/family concerns
  • Participate on committees, such as Patient Complaint Oversight Committee, Ethics Committee, ICU Workgroup and/or process improvement teams that improve patient/customer satisfaction, patient- and family-centered care, and quality and safety
  • Coordinates bereavement support initiatives for patients and families as identified
  • Participates in IPE/PFCC opportunities with students/faculty/clinical teams
  • Conducts educational events and participates as Family Faculty to promote patient- and family-centered care
  • Supervision of student interns who support identified experience of care projects; address competencies enhancing the learner’s knowledge of patient- and family-centered care, ensuring completion of educational requirements as outlined by degree granting entities
  • Assist in preparation of annual and quarterly reports for UAMS leadership, Service Lines, and staff; present data to unit/clinic/department teams to assist in developing action plans that support process improvement in the experience of care
  • Influence behavior change across the Clinical Service Unit and Ambulatory setting
  • Perform other related duties incidental to the work described
  • Master's degree plus 1 year experience in
  • Notary Public Preferred
  • Possess strong customer service skills/interpersonal interactions; ability to handle difficult and distressed people constructively; business savvy to interact with physicians/senior leadership; address difficult, sensitive, and awkward situations with tact and diplomacy
  • Proficient in Windows-based operating software/systems
  • Good oral and written communication skills; presentations skills
  • Must work in conjunction with staff in a supportive way to troubleshoot and resolve issues. Must be visible to staff, offering support and modeling behaviors and concern for resolution processes
  • Must be a team player and have proven success applying a team approach to obtain resolution of issues or successfully accomplish goals
  • Must be informed about regulatory requirements and TJC
49

Patient Advocate Services Rep-pfs Resume Examples & Samples

  • Strong knowledge of third-party insurance preferred
  • Knowledge of computer spreadsheet applications such as Excel required
  • Basic Bookkeeping knowledge required
  • Knowledge of the Fair Debt Collection Practices Act preferred
  • Excellent Communication and Public Relations Skills required
  • Strong analytical & organizational skills required
  • Three years of Hospital Business office experience or
  • Three to five years of lending or Collection experience
50

Patient Advocate Resume Examples & Samples

  • Warmly greeting Advantage Care Physicians patients and guests as they enter the office
  • Engages in friendly conversation with patients and guests
  • Guides patients and guests to the front desk and providing introductions to office staff
  • Serves as a reference source regarding visiting hours, directions and general AdvantageCare Physicians policies
  • Provides physical assistance to patients and guests within the site when needed
  • Provides supervision, direction and training to front office staff on hospitality issues
  • Works with office staff to effectively communicate approximate wait times, and maintaining timely communication to patient and guests
  • Monitors waiting room and assessing patient and guests’ needs as they wait
  • Coordinates with office staff to help ensure optimal patient and guest flow
  • Sincerely thanking guests as they leave and soliciting feedback about the quality of service and personal experience
  • Provides monitoring of front office staff performance on hospitality issues
  • Projects an approachable and professional image in personal appearance, manner, and demeanor
  • Respects patient confidentiality and withholding restrictive information
  • Works on special projects as assigned by Lead Patient Advocate
  • Works well with all levels of ACP staff and leadership
51

Reimbursement Specialist Patient Advocate Resume Examples & Samples

  • Respond to patient email inquiries
  • Resolve open patient requests for information needed for insurance billing and appeals
  • Field inbound phone calls from patients about their bills
  • Upload accounts for automated outbound collection calls that avoid outbound call work
  • Back up the Manager for escalated patient complaint calls
  • Assist Manager with welcome phone calls made to HCP customers
  • 3-5 years of experience working in medical billing, health insurance or collections with demonstrated results
  • Insurance billing experience is preferred
  • Good problem solving and decision making skills
  • Time management skills a must
  • Excellent customer service and phone skills
  • Excellent organizational, communication, multitasking, and teamwork skills
  • Working knowledge of ICD-10, CPT and HCPCS coding (preferred but not required)
52

Patient Advocate Resume Examples & Samples

  • 1 to 2 years of Customer Service experience
  • Healthcare experience a plus
  • Medical software experience a plus
  • Medical Office experience a plus
  • Strong verbal and written communication skills; able to articulate and communicate complex topics to a broad audience
  • Strong customer services skills and high level of professionalism
  • Strong desire to learn
  • Solid computer skills including Microsoft Outlook, Word, and Excel
  • Able to manage variety of tasks concurrently