Patient Access Liaison Resume
Summary : As a Patient Access Liaison, Remained compliant, current, and knowledgeable about Department Policies and Procedures. Fulfilled all compliance responsibilities related to the position including HIPAA, EMTALA, and Patient Bill of Rights.
Skills : Microsoft Products, Customer Satisfaction.
Description :
- May provided functional guidance to Patient Access Liaison 1 employees.
- Communicated all information pertaining to the patient's financial obligations, including but not limited to co-payments, deductibles, in and out-of-network responsibilities, referrals, and authorizations.
- Required an understanding of payor requirements and state and federal collection laws and regulations.
- Completed all admitting functions. When applicable duties may include bed management responsibilities utilizing the ED bed management application.
- Facilitated in gathering accurate patient billing information.
- Ensured that proper selection of insurance, plan type, prioritization, pre-certification, and billing address were assigned in the system utilizing a broad knowledge of insurance as well as regulatory and contractual compliance.
- Performed collections of outstanding accounts receivable.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Patient Access Liaison Resume
Summary : Highly Organized Individual with strong interpersonal skills seeking to secure a challenging and rewarding position with a great company. Scheduled appointments for multiple clinics and took operator calls for clinics.
Skills : Microsoft Products, Customer Satisfaction.
Description :
- Verified and edited claims so they can be resubmitted for payment.
- Elected as a super user for the hospital's computer integration project.
- Processed medication refills, triage messages, and after-hours phone calls.
- Maintained emergency room medical records.
- Ordered entry within the Radiology and Emergency Departments and operated the hospital's main communications interface.
- Assisted with policy review for the Patient Access Department.
- Set up transfers to outside facilities, and accessed patient charts so we could schedule, cancel, and make notes regarding appointments.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, I am responsible for Assisting the revenue process to ensure claims are reimbursed appropriately and ensuring providers are properly enrolled in all related insurance and payer plans.
Skills : Microsoft Outlook, Customer Service, Data Entry.
Description :
- Accurately estimated the patient liability copayments, deductibles, coinsurances, and deposits. via obtaining accurate demographic and financial information.
- Received and processed patient payments.
- Maintained necessary petty cash to properly service and receive payments.
- Answered patient inquiries regarding their liability and was able to explain the variables involved.
- Properly receipted and forwarded all copies of patient payment receipts posting to the patient's account in the appropriate system.
- Performed end-of-day duties closing and reconciliation duties in the appropriate system and reconciled deposit slips.
- Announced fire and emergency codes throughout the facility.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, responsible for Securing patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient privacy.
Skills : Microsoft Word, Microsoft Outlook, Customer Service, Data Entry.
Description :
- Obtained demographic and financial information of patients in the emergency room.
- Ensured accurate patient identification, Performed registration functions, and verified insurance eligibility.
- Responsible for bed placement in the emergency department and operating room.
- Obtained signatures for the necessary documentation.
- Checked in and scheduled various types of radiology exams and procedures.
- Communicated effectively with patients, in person, and over the phone, while providing excellent customer service.
- Provided requested information to callers.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, responsible for Reviewing and maintaining clinic policies and procedures manuals, Serving as an internal resource for compliance, HR, and finance issues, and as a clinic resource for colleagues across campus and at other medical centers.
Skills : Training Manual, PowerPoint Presentation, Entertaining Video Clips, And Relevant Exercises.
Description :
- Reviewed medical records for clinical information to obtain prior authorization for testing /procedures.
- Responsible for Handling incoming calls for primary care, internal medicine, and pediatric clinics.
- Maintained and updated schedules for doctors and nurses, and Sent messages regarding patients' concerns and requests.
- Maintained a well-organized and upbeat work environment.
- Worked in a highly visible, strong team environment to provide exceptional customer service on all levels.
- Coordinated care with patient coordinators, nurses, and physicians to secure appointments for patients and referring physicians.
- Responsible for Providing guidance to billing staff, Managing work queues, and identifying barriers to timely collection.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, responsible for Performing patient scheduling and registration functions to serve as an initial contact point for medical office visits, Utilizing knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Skills : Customer Service, Training Manual, PowerPoint Presentation, Entertaining Video Clips, And Relevant Exercises.
Description :
- Registered and preregistered patients for all departments within the facility to obtain clean billable accounts.
- Collected payments, and directed patients to the financial counselor when needed.
- Provided exceptional support to other departments for quality internal customer service.
- Served on the Service Excellence Committee and various process improvement teams.
- Trained featured PowerPoint presentations, entertaining video clips, creative visuals, process improvement forms, and team exercises.
- Relayed insurance benefits to patients in reference to co-pays, deductibles, and out-of-pocket expenses and what their responsibilities may be.
- Assisted with and provided information and education regarding general reimbursement and preprocess-related information and assistance to help HCPs.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, responsible for reading and interpreting documents such as safety rules, operating and maintenance instructions, and procedure manuals, and also speaking fluent English and Spanish is preferred or other languages.
Skills : Conducted Quarterly Safety meetings, Audited quarterly sales.
Description :
- Assisted callers and/or patients in the following capacities: way-finding, appointment scheduling, pre-service registration, insurance verification, co-pay collection, physician referral, initial screening of patient signs/symptoms, class schedule, and any other questions or concerns.
- Provided a high level of customer service to present a positive impression of Summa Health.
- Made and encouraged positive connections with all internal team members, patients, and other callers.
- Contributed to the success of the team and organization in meeting all assigned goals.
- Presented a professional appearance at all times.
- Determined if the patient's insurance is contracted with USC and advised the patient of any estimated financial responsibility.
- Obtained reimbursement for their patients to complex reimbursement and payer issues to both internal Patient Services teams and providers to ensure uninterrupted access.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Summary : As a Patient Access Liaison, Used USC/Keck defined guidelines, and at their discretion, carried out, Serviced Recovery activity, and/or escalated to any Level 3/Lead or Supervisor within the Patient Access Center.
Skills : Conducted Quarterly Safety meetings, Audited quarterly sales.
Description :
- Accurately transcribed physician orders to schedule radiology exams for Ultrasound, Mammogram, MRI, CT, PET, and Fluoroscopy in EPIC.
- Registered patients for scheduled and walk-in imaging services.
- Obtained insurance authorization from commercial, state, and workers' compensation payers.
- Provided front desk duties in radiology such as checking in patients, faxing reports, and burning CDs for patient and physician use.
- Maintained and managed busy schedules to accommodate STAT exams.
- Notified and provided the appropriate staff with all necessary information to streamline immediate results.
- Performed registration functions in the system and entered accurate and complete demographic and financial information to aid in securing payment for services rendered.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, responsible for Participating in training for new and revised processes, including service line offerings, Accepting and participating in opportunities to learn and develop skills, and also Holding themselves/own self/self-responsible/accountable for performance.
Skills : Microsoft Office, Epic, ICD-10, ICD-9.
Description :
- Worked on Financial Reports, Contacting Insurance Companies by phone or fax.
- Communicated with all cultural environments respectfully, empathically, and with non-judgment.
- Understood and accepted the diverse perspectives of others and thoughtfully worked with them to resolve differences and find commonalities.
- Established and maintained positive working relationships with all departments and patients.
- Provided patients with solutions. Directed inbound calls to appropriate destinations, departments, and personnel.
- Made accurate entries into a practice management system for patient medical visits, collection of fees, medical insurance information, and patient demographics.
- Accepted direction and encouraged performance feedback.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, Performed data entry and maintained databases for bumps and cancellations. Verified insurance coverage using an organizationally defined process, Handled incoming and outgoing phone calls.
Skills : Microsoft Office, Epic, ICD-10, ICD-9.
Description :
- Worked as a patient access liaison II for Conifer Health Solutions I work on the diagnostic team in the insurance and preregistration department.
- Obtained all the outpatient prior authorizations for the diagnostic testing for the local CHI hospitals including Bergan, Midlands, Lakeside, Lakeside Imaging, Immanuel Medical Center, Creighton University as well and Mery Hospital in Council Bluffs.
- Worked with all major as well as the smaller insurance companies getting diagnostic tests approved for patients that the doctor ordered.
- Talked to nurses and medical staff throughout the day, to ensure I had accurate information regarding the patient.
- Promoted to PAL 3 trained and assisted employees in learning complex accounts, clinic registration, and scheduling.
- Promoted to PAL 2 after showing complete knowledge of more than eight hospital and sixty clinic accounts.
- Obtained authorization to verify coverage, and check the coordination of benefits over the phone or on the websites.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, responsible for Resolving or referring issues, problems, or complaints to the appropriate department and supervisor, Providing consistent, efficient, and high-quality service that enhances every patients experience.
Skills : Multi-tasking, Work Well Under Pressure.
Description :
- Created and maintained medical data and reconciled patient appointment records.
- Performed follow-up checks with all open pages while on shift and before leaving shift.
- Monitored daily clinic administrative operations including patient registration and authorization, patient coordination, and medical record documentation.
- Responded to patient concerns and escalated sensitive situations as necessary.
- Prepared and maintained clinic schedules, coordinating provider schedules.
- Implemented initiatives and procedures that improve claims submission and revenue collection.
- Reviewed relevant data and suggested process improvements.
Experience
2-5 Years
Level
Junior
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, Performed scheduling functions, including scheduling, rescheduling cancelations, and confirmations of appointments using the organizational scheduling system.
Skills : Multi-tasking, Work Well Under Pressure.
Description :
- Performed registration functions and insurance eligibility verification.
- Worked 40 hours of overtime implementing a new registration process for our Hutchinson, MN Clinic.
- Handled patient inquiries, scheduled patient appointments, and Performed medical billing and coding.
- Took detailed clinical phone messages for physicians or advanced allied healthcare providers.
- Assisted in the maintenance of medical charts and/or electronic medical records, and performed other duties as assigned.
- Demonstrated proficiency in ensuring that all information housed within the Call Management system and Qgenda is sent for updates to management and readily accessed when needed.
- Trained administrative staff on practice processes.
Experience
2-5 Years
Level
Junior
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, Worked with numerous internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources, and more.
Skills : Customer Service, Sales, Order Management, Microsoft Office.
Description :
- Demonstrated competency in the quality of work and knowledge of a Patient Access Representative.
- Strived for first-call resolution and demonstrated a high level of customer service.
- Maintained warm, courteous, and professional behavior in accordance with the USC/Keck customer service standards while interacting with contacts, both internal and external.
- Maintained consistent accuracy in all tasks associated with job role and tasks and responsibilities daily.
- Exhibited collegial and professional demeanor in all interactions, Contributed effectively as a productive team member to the Patient Access Center and USC/Keck.
- Followed USC/Keck Communications standards and policy.
- Accepted alternate assignments to any area within the organization as assigned by Management.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, responsible for Obtaining demographic and financial information to ensure accurate patient identification and identify and secure appropriate payment sources.
Skills : Customer Service, Sales, Order Management, Microsoft Office.
Description :
- Provided LOVE + MEDICINE to our patients by providing the best first/last impressions with top-level customer service.
- Partnered with a team of providers, medical professionals, and managers who are here to support your success and that of our patients in their health journeys.
- Facilitated patient flow through the system from scheduling through registration check-in so that patients have a one-touch registration and scheduling experience.
- Performed registration functions, insurance eligibility verification, patient liability collection, scheduling, and admitting duties.
- Received and processed patient financial liability payments.
- Worked hours may include weekends, evenings, overnights, and holidays.
- Responsible for Collecting and entering patient demographic and insurance data into a computer database to establish a patient medical record.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, provided logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers, and executives.
Skills : Patient Care, Clinical Skills.
Description :
- Secured written or electronic HIPAA consent to Horizon By Side for patients in the assigned geography.
- Developed relationships with patients and caregivers by engaging via phone, text, email, and virtual, or in-person connections.
- Assessed the individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate.
- Educated the patient on TEPEZZA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access.
- Provided information on co-pay assistance programs, national foundations, and free drug programs by sharing information with patients as appropriate and needed.
- Provided proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billing requirements.
- Provided access and reimbursement education based on the enrolled patient’s TEPEZZA benefits to physician offices and sites of care.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, responsible for Maintaining a high level of commitment to Planned Parenthoods mission and goals, Prioritizing ways to re-connect and re-commit when challenges cloud the connection to the organizations mission.
Skills : Patient Care, Clinical Skills.
Description :
- Worked with the patient to educate them on the next steps required to gain access to therapy.
- Provided support and compliance oversight.
- Trained team on IT systems and applications.
- Managed work distribution, and time management, and was responsible for the scheduling of staff.
- Oversaw clinic resource management and suggested ways to reduce costs and/or enhance revenue.
- Collaborated with finance to produce reports for business planning.
- Documented assigned tasks according to guidelines. Maintained confidentiality of all information at all times.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, Listened to patients, interpreting their specific needs and providing friendly, professional, and well-informed answers to their non-medical, logistical questions.
Skills : Planning, Customer Service.
Description :
- Educated the physician's office and/or SOC on TEPEZZA coverage based on the patient’s benefits and the steps needed to gain prior authorization to ensure an understanding of the process for medication access.
- Investigated access challenges pre and post-infusion.
- Partnered with Safety and PV and report AE’s and product complaints through medical information.
- Worked closely with the Horizon cross-functional team including Case Managers, the Site of the Care team, market access, matrix partners, and external vendors.
- Adhered to professional standards compliance guidance, policies, procedures, and federal, state, and local requirements.
- Transferred telephone calls to the appropriate department or medical personnel.
- Processed messages following departmental procedures and ensuring compliance with HIPAA regulations.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, responsible for Quoting and providing appropriate patient pricing estimates confirming fee information, and Accurately verifying and documenting Medicaid eligibility and information.
Skills : Planning, Customer Service.
Description :
- Worked history of access and reimbursement for buy and bill/infused pharmaceutical products is required.
- Performed insurance eligibility verification and executes payor requirements as needed.
- Initiated eligibility transactions via the internet, contacting the payor to obtain billing information and authorization and scripts for service when appropriate.
- Provided estimates for services when appropriate, communicates and actively solicits patient liability.
- Entered testing orders in the appropriate system when necessary.
- Required an understanding of coding, procedural protocols, and the charge description master.
- Obtained signatures for all required organization, state and federal consents and/or notifications.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : As a Patient Access Liaison, Worked to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy.
Skills : Medical, Customer Service.
Description :
- Served as the primary point of contact for access to USC academic medical centers and USC Health Sciences Campus.
- Answered, screened, and directed incoming and outgoing telephone calls, electronic messages, and other web-based communications using a call management system.
- Responded to basic inquiries and referred other inquiries to appropriate medical personnel.
- Contacted and distributed messages to medical personnel using a variety of electronic methods including text, voice, and email systems.
- Scheduled and confirmed initial and follow-up medical appointments, and registered patients, including verifying insurance coverage to advise patients of any estimated financial responsibility.
- Performed data entry, ensured data integrity, and reconciled as needed.
- Utilized organizationally defined systems to perform patient communication.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Patient Access Liaison Resume
Objective : Adheres to all HIPAA guidelines and regulations as required by federal law and the organizations policiesAssesses, screens, and document patients financial status for eligibility of programs
Skills : Medical, Customer Service.
Description :
- Greeted patients and/or physicians, staff, co-workers, and guests promptly and in a professional manner.
- Checked patients into the system and provided direction based on appointment location, financial clearance, and counseling status.
- Acknowledged and assisted patients with special needs and respected confidentiality.
- Scheduled contributes to the reduction of abandoned call rates, length of calls, and average speed answered through the use of best practices and workflow improvements.
- Performed accurate search/selection of patients within the hospital system using the Patient Identification procedure to maintain the integrity of the Electronic Master Patient Indes (EMPI) and to ensure the accuracy of patient identification.
- Accurately establishes and schedules appointments for services from patients directly or physician's offices following the designated protocols of the scheduling systems and clinical EMRs.
- Responsible for initiating contact with patients to obtain additional information or confirm scheduled appointments.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
