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