Patient Access Rep resume examples

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Skillful Patient Access Rep resume

CHRISTINA SMITH
Professional Summary

          [Management]

Developed and implemented new fundraising program for "Battered Women", which generated additional revenue through silent auctions, volunteering, and product sales.

​

          [Communication]

Worked with local youth basketball team in Hampton, Georgia as a coach. Developed basic skills in basketball, communication, and team work.

        
          [Leadership]
​Volunteered with Special Education, Worked in multiple classrooms, workrooms, and field trips. My primary focus was to assist, mentor, and help students on a one-to-one basis and in small groups.
Skill Highlights
  • Maintains strict confidentiality
  • Strong planning skills
  • Strong work ethic
  • Deadline-driven
  • Active Listening
  • Self-motivated
  • Organized
  • Strategic planning
  • Conflict Resolution
  • Punctual  
Professional Experience
Behavioral Health Counselor 2
February 2019 to Current Metro Re-Entry Facility － Atlanta, GA
  • Facilitate Thinking for a Change and New Freedom Curriculum .
  • Managing a case load of 40+ clients
  • Enter monthly DAP notes 
  • Assessment and Evaluation
  • Provide guidance
Behavioral Health Counselor 2
March 2017 to February 2019 Georgia Diagnostic & Classification Prison － Jackson, GA
  • Facilitate Re-Entry Skills Building, Motivation for Change, Thinking for a Change,  Anger Management, and Basic Computer Operations. 
  • Schedule offenders for programs that fit their needs.
  • JOT counselor, scheduling offenders for on-the-job training.
  •  Manage a case load and enter DAP notes. 
  • Provide guidance to offenders when they first enter prison and throughout the duration of their sentence, help with any concerns, questions, and or issues an offender may have, assisting with classification and reclassification, completing release packets for offenders and calling probation offices.
Patient Access Rep II
August 2015 to August 2016 Spalding Regional Hospital － Griffin, Georgia
  • Registers patients by verifying that patient's record is up to date and accurate. Makes appropriate changes in computer system and on patient's chart
  • Collects payment from patients, applies payments and adjustments to patient accounts in the computer system, and reconciles daily cash reports
  • Answers the telephone and either responds to inquiry, directs caller to appropriate personnel, or initiates a triage slip for response by medical personnel
  • Schedules appointments and enters appointment date and time into computerized scheduler with a high rate of accuracy
  • Enters confidential personal health information and financial information into computerized system with a high rate of accuracy
Medical Records Intern
January 2015 to May 2015 Piedmont Hospital － Stockbridge, GA
  • Abstracted clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9 and/or CPT-4 codes to patient records according to established procedures
  • Assisted in the identification of quality issues, reporting them to the manager
  • Clear understanding of APC, APR DRG, MS DRG's, MCC and CC information
  • Assisted in filing fetal demises and birth certificates, ROI's, and initial analysis
  • Exposure and training in Epic
Customer Service
November 2010 to August 2015 Walmart － Fayetteville, GA
  • Operated cash register system, money order machine, credit card machine within established company guidelines
  • Ensured that the exterior store conditions were maintained to enhance curb appeal of the property during all hours of operation
  • Bagged groceries quickly while assuring that the paper or plastic bag is not overloaded and the contents will not be damaged
  • Ensured that the customers were beyond satisfied by giving great customer service
Sales Associate
March 2009 to November 2010 Target － Mcdonough, GA
  • Stocked merchandise, zoned merchandise, operated cash register system within established company guidelines
  • Answered the telephone to provide the guest with the best possible service to answer questions and concerns
Education and Training
Bachelor of Science : Health Services & Informatics Administration, May 2015 Gordon State College － Barnesville, GA GPA: Dean's list (Fall 2013, Spring 2014, Fall 2014) Health Services & Informatics Administration Related course work: ICD-9, ICD-10, CPT, HCPCS coding, business management, healthcare law & biology. statistics, marketing, and reimbursement methodologies
Associate of Science Degree : Health Information Management, December 2011 Gordon State College － Barnesville, GA Health Information Management
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Job-winning Patient Access Rep resume

Jasmine M McCullough
Professional Summary

To obtain a rewarding position within an organization in which I am able to use my professional skills to provide accurate and timely service while developing skills to be used in enhancing the area.

Highlights

Proven leadership skills


Exceptional Customer Service Skills


Extensive knowledge of Health Care Industry


Extensive knowledge of billing guidelines as established by insurance payors

Knowledge of Workers Compensation insurance guidelines and regulations


Strong knowledge of Microsoft Office applications and software


Excellent verbal and written communication skills


Excellent problem solving skills and analytical skills
Education and Training
Florida A&M University, Tallahassee, FL, USA
Professional Experience
Baptist MD Anderson Cancer Center Jacksonville, FL Office Specialist II 09/2015
  • Schedule new patient appointments and radiology testing for patients.
  • Register and update patient record information.
  • Verify eligibility for benefits, and coordinate insurance benefits for all appropriate patient visits.
  • Obtain authorization for treatment and/or pre-certification outpatient visits as require.
Baptist Medical Center Metro Square Call Center Jacksonville, FL Patient Access Rep II 03/2015 to Current
  • Accurately register all patients and update demographic and insurance information for maintenance of accurate information.
  • Collect co-payments, self pay deposits and any other form of account payments from patients.
  • Provide exceptional service while communicating in a manner consistent with the goals and objectives of the PAS department.
  • Ensure that Mission and core values are incorporated and practiced as outlined.
All Medical Personnel Temp Agency Jacksonville, FL Patient Access Rep II 11/2014 to 03/2015
  • Accurately register all patients and update demographic and insurance information for maintenance of accurate information.
  • Collect co-payments, self pay deposits and any other form of account payments from patients.
  • Provide exceptional service while communicating in a manner consistent with the goals and objectives of the PAS department.
  • Ensure that Mission and core values are incorporated and practiced as outlined.
Phoebe Putney Memorial Hospital Albany, GA Patient Access Specialist 01/2012 to 04/2013
  • Interview and register patients or their representative for services at Phoebe Putney Memorial Hospital.
  • Provide hospital personnel, patients and their families with a seamless and efficient registration experience.
  • Collect accurate patient demographics and insurance information to be used for billing and reimbursement purposes.
  • All registration related tasks are performed to support the creation of the patient's financial record and electronic Medical Record.
  • Responsible for educating patients and designated individuals on their rights and responsibilities as a hospital patient and or guarantor, as well as securing all federal and state mandated forms (i.e., self-pay forms, Joint Commission, HIPAA, Advance Directives, waivers, Advance Beneficiary Notices, Medicare Secondary Payer Questionnaire, etc.).
  • Instrumental in verifying eligibility of insurance and other forms of reimbursement along with collecting money due at the point of service.
Phoebe Putney Memorial Hospital Albany, GA Patient Account Representative 06/2011 to 12/2012
  • Conduct insurance follow-on Liability and Workers Compensation Accounts for hospital and limited professional services, through the use of STAR Financials and Receivables Work Station, Chart Maxx, record storage databases (iSuite, etc.).
  • Assignments are completed by interacting with guarantors, patients, employers, insurance carriers, and other agencies to ensure proper payment of insurance claims.
  • Liaison between Health Care Provider and the employer designated Workers Compensation Insurance Carrier.
  • Correspond directly with insurance company assigned to case to ensure that medical records are received and claims are processed based on established guidelines.
  • Perform detailed research and follow-up in the re-processing of a previously adjudicated Workers Compensation claim, when necessary.
  • Contact patients and insurance carriers regarding liability claims to determine proper handling procedures.
  • Submit insurance claims to various third party payors using policies and procedures established by individual insurance company.
  • Review and validate the accuracy of claims and the resolution of discrepancies necessary to allow for accurate processing.
  • Ensure that patient accounts are handled timely and accurately by reviewing and or completing contractual adjustments and refunds.
  • Monitoring of individual inventory to ensure timely disposition of claims and necessary actions required in follow-up procedures.
  • Identify training and resources necessary in providing quality service, and interact with superiors to ensure that expectations are clearly understood as communicated.
Volunteer
  • 1/2005 - 5/2005 Baptist Nursing Home Jacksonville, FL

  • 6/2002 - 7/2002 Jacksonville Public Library Jacksonville, FL

  • 7/2002 - 8/2002 Shands Hospital Jacksonville, FL
References

References


Darlene Williams, Manager Medical Review - Florida Blue, 904 905-5690


Claudia West, Sr. Manager Compensation - Diversified Service Options, 904 631-5414


Stephanie Williams, Administrator of Billing - UF Health Proton Therapy Institute, 904 588-1295

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Experienced Patient Access Rep resume

Shawntell Powell
Summary

OBJECTIVE: To secure a position with a well established organization with a stable environment that will lead to a lasting relationship in the field of Administrative and Customer Service.

Highlights
  • Microsoft Office proficiency
  • Excel spreadsheets
  • Schedule management
  • Insurance eligibility verifications
  • Dedicated team player
  • Strong interpersonal skills
  • Time management
  • Professional and mature
  • Multi-task in a fast-paced high volume environment
  •  Demonstrates commitment to Partners-in-Caring
Accomplishments

Patient Care

  • Delivers compassionate care that exceeds hospital requirements
  • Successfully provides quality care to patients in a healthcare environment
  • Handle patients effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency
  • Adheres to The Language of Caring Skills
  • Demonstrates commitment to Partners in Caring ensuring a One Memorial Hermann
Experience
Patient Access Rep II 04/2014 to Current MEMORIAL HERMANN SUGAR LAND HOSPITAL SUGAR LAND, TX Updates patient accounts and information on a daily basis. Handles and process confidential patient information. Analyzes, communicates and discuss financial information with patients via phone and in person to obtain payments on current/outstanding accounts or accounts requiring deductibles or co-pays. Receives, records, and delivers petty cash, checks, and credit card receipts to business office. Apply and post charges daily to patient accounts. Assist with answering phones and scheduling of patient appointments. Handles all incoming and outgoing correspondence.  Manages/orders medical supplies for inventory. Organizes files, faxes reports and scan documents. Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
Supplemental Office Assistant 05/2012 to 04/2014 MEMORIAL HERMANN PREMIER STAFFING HOUSTON, TX
  • Maintained detailed administrative and procedural processes to improve accuracy and efficiency. Updated patient accounts and information on a daily basis. Managed incoming and outgoing calls for busy medical office. Scheduled and confirmed appointments for Memorial Hermann Sleep Lab. Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes. Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays. Made copies, sent faxes and handled all incoming and outgoing correspondence. Organized files, faxed reports and scanned documents.
Data Entry Clerk 06/2011 to 11/2011 IRON MOUNTAIN HOUSTON, TX
  • Maintained customer files by entering and updating customer and account information. Maintained file quality by purging duplicate information while combining data from different systems. . Successfully established effective systems for record retention by creating database for daily correspondence tracking. Verified that information in the computer system was up-to-date and accurate.
Executive Assistant 02/2009 to 03/2011 MEGYBYTES, INC HOUSTON, TX
  • Scheduled meetings and assisted with meeting materials and agendas. Handled and distributed all incoming and outgoing mail. Managed jobs for computer technicians. Worked under strict deadlines and responded to service requests and emergency call-outs. Promptly responded to general inquiries from staff, and clients via mail, e-mail and fax. Processed confidential tax form information.
Administrative Receptionist 07/2007 to 01/2009 RISERS INTERATIONAL INC. ROSENBERG, TX
  • Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information. Processed data entry for all incoming bills and purchase orders. Created & completed data books for offshore equipment jobs. Processed vendor invoice payments. Deposited third party checks. Opened and assigned new client accounts. Assisted with payroll preparation and entered data into cumulative payroll document.
Insurance Verifier 10/2005 to 06/2006 OAKBEND MEDICAL GROUP SUGAR LAND, TX
  • Scheduled patients and contacted insurance providers to verify correct insurance information and obtained authorization for proper billing codes. Communicated with patients via phone, in person to obtain payments on outstanding accounts.
Customer Service Representative 02/2003 to 06/2005 VERTRUE, INC HOUSTON, TX
  • Provided accurate and appropriate information in response to customer inquiries. Collected customer feedback and made process changes to exceed customer satisfaction goals. Properly directed inbound calls in phone queues to improve call flow. Built customer loyalty by placing follow-up calls for customers who reported product issues.
Education
Associate of Arts: Communications Current Houston Community College Houston, TX
High School Diploma: General Education 2000 B.F Terry High School Rosenberg, TX
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