Patient Access Rep Resume Samples

Description :

1. Obtain demographic, insurance and financial information from patient or guarantor.
2. Enters information in a computer system with a high degree of accuracy.
3. Explain all required forms to the patient or guarantor and obtains the necessary signatures.
4. Protects the financial integrity of the facility by collecting patient liability.
5. Establishing payment arrangements, discussing payment options and screening for eligibility.
6. Communicate in an effective and professional manner with Physicians, ancillary departments, nursing units, as well as patients and their families.
7. Adhere to all the policies, procedures, and standards, within budgetary specifications, including supply management, and accuracy of practice.

Experience

2-5 Years

Level

Junior

Education

B.Tech

Description :

1. Updating patient demographics into more depth as we add emergency contacts, stated accident information or work man's comp.
2. Gathered patients insurance information and verified active or inactive.
   
3. Worked with collecting co-pays for insurances through the ER and providing the patients with all convenient programs.
4. Comforting patients making them feel welcome and comfortable while they are with us.
5. Protecting their information up to HIPPA standards.
6. Performed duties in support of more than 700 clients so they can support financial improvement.
7. Obtained complete and accurate patient demographic information during patient registration.

Experience

2-5 Years

Level

Junior

Education

HS

Description :

1. Works with patients, physicians, office staff, and employers to obtain and accurately record necessary demographic and financial information, maximizing efficient use.
2. Effectively communicates precertification/authorization information to internal and external customers, while maintaining a focus on customer service.
3. Communicates corrected information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements.
4. Notifies case management staff when the medical review is required.
5. Accountable for the authorization process for all scopes of service including inpatient, outpatient services within the pre-cert design.
6. Obtains and enters all insurance, authorizations, and financial information needed as a record for billing and reimbursement of patient visits.
7. Performs authorization function using alternative processes in case of downtime or disaster.

Experience

2-5 Years

Level

Junior

Education

Associate

Description :

1. Advises Care Team of issues with no-show patients to facilitate the handling by the Care Team of any problems with patients.
2. Explains all required forms to the patient or guarantor and obtains the necessary signatures.
3. Ensures medical necessity compliance by obtaining necessary data, reviewing compliance system, communicating information to patient or guarantor.
4. Proactively seeks solutions to address patient issues and concerns.
5. Offers assistance without being prompted and takes the initiative to perform other tasks when the area slows down.
6. Posts payments in the computer system and generates appropriate patient receipts.
7. Monitors, reviews and resolves patient account issues on assigned reports.
8. Obtain signature of patient or family member for consent to treatment and financial responsibility. 
9. Interview and pre-register patients at the time of or prior to the visit date.

Experience

5-7 Years

Level

Executive

Education

BS

Description :

1. Provides on-going communication with clinical staff regarding patient status.
2. Register patients, collect and enters all necessary demographic, clinical, billing and insurance information from patients or responsible parties.
3. Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.
4. Determines and accepts required payments, including co-pays and deductibles.
5. Ensures medical necessity compliance by obtaining necessary data, reviewing compliance system, communicating information to the patient and obtaining necessary signatures.
6. Protects financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
7. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
2. Interview patients or their representatives to identify problems relating to care.
3. Maintain knowledge of community services and resources available to patients.
4. Refer patients to appropriate health care services or resources.
5. Investigate and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution.
6. Explain policies, procedures, or services to patients using medical or administrative knowledge.
7. Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field.
8. Collect and report data on topics such as patient encounters and inter-institutional problems, making recommendations for change when appropriate.

Experience

2-5 Years

Level

Junior

Education

Associate

Description :

1. Collected and verified data during new patient registration to ensure compliance with required forms and consents.
2. Collected and complete financial consent data during intake and registration process.
3. Completely and accurately captured signatures on documents with payors, patients, and the treatment team.
4. Obtained insurance information when needed, verify benefits and secure authorizations if needed.
5. Disclosed financial information to patients obtained during the verification process by financial clearance staff, to include cost estimates and supplemental financial assistance.
6. Communicated patient information during all transactions.
7. Worked closely and professionally with nursing and ancillary departments in an effort to maintain a teamwork approach.
8. Maintained QA statistics and reported results to management, completed and balanced all daily transaction paperwork.

Experience

7-10 Years

Level

Management

Education

BS

Description :

1. Performs general patient access and registrations duties in EPIC Practice management such as answer telephones make appointments, and insurance coverages.
2. Performs patient account management duties for multiple specialty clinics, such as, obtain prior authorization for services, and enter service capture data.
3. Ensure patient accounts and coverages structures meet Group Health standards and billing requirements of various payors.
4. Function as liaison to Patient Financial Services and the Health Plan.
5. Demonstrate strong customer service and communication skills.
6. Adhere to HIPPA and patient confidentiality requirements.
7. Verify eligibility, co-pay and preauthorization requirements for specific coverage.
8. Maintain up-to-date knowledge of computer systems, insurance/ government regulations and patient access policies used within the department.

Experience

2-5 Years

Level

Junior

Education

BS

Description :

1. Verify all scheduled procedures, both inpatient and outpatient, while obtaining pre-certification when necessary.
2. Closely monitor the OR schedule during the shift for any additional scheduled procedures that may have been added.
3. Work closely with the scheduling department for any updates on scheduled procedures.
4. Notify the Scheduling Manager and/or the Admissions Director when a patient is uninsured or under-insured.
5. Obtain all pertinent financial and personal information from the patient while scanning/entering into the system.
6. Explains all consent forms to the patient prior to the signing of each document.
7. Contact multiple physicians' offices and request patient follow-up records.
8. Enter data into the system before lockout deadlines.

Experience

5-7 Years

Level

Executive

Education

Associate

Description :

1. Obtains patient signatures when necessary.
2. Performs billing and bookkeeping functions, including the collection of co-payments and providing receipts, posting and balancing daily sheets and day end reconciliation.
3. Updates insurance information when appropriate.
4. Verifies enrollment and co-payment of HMO members.
5. Prepares and maintains medical records as necessary.
6. Obtains Consent for Medical Treatment and Release of Medical Records Information.
7. Provides each patient with a copy of the Privacy Notice, obtains the patient's signature confirming receipt and maintains the original in the medical record.
8. Provides each patient with a copy of the Patient Bill of Rights and obtains the patient's signature confirming receipt.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
2. Managed various general office duties such as answering multiple telephone lines via the PBX system, completing insurance forms, and mailing invoice statements to patients.
3. Updated patient financial information to guarantee accuracy.
4. Responded to correspondence from insurance companies.
5. Evaluated patients financial status and established appropriate payment plans.
6. Verified patients' eligibility and claims status with insurance agencies for compliance and reimbursement.
7. Prepared patient charts accurately and neatly.
8. Treated all patients, their families, visitors, and staff providers in a pleasant and courteous manner.

Experience

7-10 Years

Level

Management

Education

Associates

Description :

1. Perform general office duties including answering main hospital line, and transferring calls.
2. Ensure accuracy of financial and demographic information relating to the patient is correct.
3. Make copies and scan in all required documents to patients account.
4. Write down the required information in the logbook.
5. Verify insurance and ensure that necessary authorizations are obtained.
6. Inform the patient of required co-pays that will be due at the time of service, and ensure compliance with insurance regulations and governmental rules and regulations.
7. Outpatient Registration Clerk Register patients for surgery and outpatient lab work.
8. Review and update patients account, and read all required notes on the account.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Responsible for greeting customers and providing assistance with Registration and Bed Control.
2. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, privacy practices HIPPA and patient bill of rights.
3. Registered ER patients, received signatures and posted patients information in Med host Transport patients being admitted and/or having Cardiac Cath procedure.
4. Schedule patients, and ran compliance checker on patients with Medicare insurance.
5. Ensures that pre-certification and or authorization are obtained.
6. Collecting, revising, and updating insurance policies due to patient's liabilities.
7. Maintains integrity in business activities by following legal standards, maintaining the confidentiality of patient and business.
8. Verify and input insurance/ appointment/ patient information within ambulatory care.

Experience

2-5 Years

Level

Junior

Education

MS

Description :

1. Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
2. Precisely completed appropriate claims paperwork, documentation and system entry.
3. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
4. Professionally and courteously verified appointment times with patients.
5. Adeptly managed a multi-line phone system and pleasantly greeted all patients.
6. Verified patients' eligibility and claims status with insurance agencies.
7. Diligently filed and followed up on third party claims.
8. Prepared patient charts, pre-admissions and consent forms as necessary.

Experience

10+ Years

Level

Senior

Education

BA