A Patient Care Representative is accountable for various activities related to the intake and care of patients. Working in medical offices, these representatives act as the first point of contact for the patients. The essential tasks listed on the Patient Care Representative Resume include – greeting and checking-in patients, verifying information and entering it into the system, collecting payment for services, answering phone calls, scheduling appointments, filing paperwork, compiling and recording medical charts and reports, receiving insurance co-pay payments, and screening patients for financial assistance.
Most employers prefer candidates possessing these attributes – the ability to work in a fast-paced environment, flexible to shift duties, professional appearance and attitude, proficiency with basic MS Office and relevant software and strong communication skills. A high school diploma and some experience working in a medical office is the minimum requirement for this employment.
Objective : To seek a position with a stable and growing organization that has growth and advancement opportunities that will give me the opportunity to learn and grow while utilizing the skills I have developed throughout my professional experience.
Skills : Bilingual Spanish, Outlook Express, Microsoft Excel, Microsoft Word.
Entered patient information into the system while making sure all information is correct.
Called the patient and verified that all information was correct.
Handled the front office which included; Greeting all patient/non patient walk-ins.
Obtained Documentation from the Doctors' Offices including Prescriptions, Chart Notes, and all other Documentation needed.
Made phone calls to patients, Doctors' Offices, Hospitals, and Referral Departments.
Took all incoming calls from all outside persons (Heavy Phones) Handled any and every task given by management.
Worked with the patients and their doctors to make sure they get the care and equipment they need.
Diploma In General Studies
Sr. Patient Care Representative Resume
Summary : To obtain a full time position in healthcare promotion utilizing skills and knowledge obtained through course work, experience, and leadership in order to promote healthy lifestyles and longevity of patients while also working with a team towards a greater goal.
Skills : Bilingual Spanish, Outlook Express, Microsoft Excel, Microsoft Word.
Schedule clinical visits with the designated contact person at contracted facilities.
Coordinate visit schedules with field clinic associates.
Confirm patient eligibility for scheduled visits.
Respond to incoming calls from facilities, patient families, patients and field staff.
Maintain necessary paperwork, files and logs in an appropriate fashion.
Promote the team concept within the company.
Provide the supervisor with timely daily and weekly reports.
Support company-wide quality/performance improvement goals and objectives.
HS Diploma In General Studies
Front Office Patient Care Representative Resume
Summary : Highly skilled professional seeking a challenging position where my extensive medical, professional, and practical experience can be fully utilized. Knowledge of current vaccine preventable disease, immunization guidelines, vaccination schedule, state, federal, and international requirements. Computer skilled, managing heavy daily patient volume including telephone triage, and appointment scheduling.
Skills : Microsoft office, Customer Service, Account Management, Data Entry, Fax, Filing, Hiring, Kronos, Leadership Development, Typing, Windows.
Prioritize calls for lab results according to needs of patients as directed by the pharmacists.
Faxes lab results to physicians in a timely manner, as directed by pharmacists.
Managed a limited caseload of patients regarding the coordination of patient supplies and delivery needs.
Assist patients in maintaining appropriate inventory levels of all needed supplies and solutions and monitoring usage.
Scheduled deliveries and pickups of equipment and supplies.
Generated delivery tickets for all deliveries and pickups.
Function as a contact person between all members of the healthcare team to relay necessary information in order to coordinate patient needs.
Patient Care Representative II Resume
Summary : To secure a professional position in an energetic work environment using my skills that I have learned throughout my life.
Skills : Public Relations Multi Task Team Player Willing And Motivated To Learn And Achieve All Desired Goals.
Obtains current patient information from established and new patients.
Accurately enters / updates patient information.
Identifies payer source, verifies insurance eligibility, financial status and assigns correct pay type and obtains authorizations for dates of service.
Assists patients with completing paperwork when necessary.
Consistently demonstrates superior customer service skills.
Communicates with customers in a courteous, professional, cooperative and mature manner.
Routinely met with Case Managers and Medi-cal workers regarding patient eligibility for Medi-cal or Medicare linkage.
Protects and preserves patient confidentiality per policies and procedures.
Patient Care Representative III Resume
Objective : Twenty years of successful Medical Sales and Marketing Experience. Highly motivated with aptitude for quickly mastering technical product/ service knowledge. Proven track record of increasing market share in a highly competitive environment. Loyal and committed to every endeavor. Equally adept at group and one on one presentations.
Skills : Microsoft Office, Ecw, Practice Partners.
Responsible for marketing inpatient hospital services, as well as outpatient mental health services to physicians, nursing homes, home health agencies, emergency rooms, and mental health clinics.
Increased profitable payor mix in the hospital by obtaining a high percentage of Medicare referrals.
Knowledgeable regarding legal status of inpatient admissions (FVA, PEC, Non-Contested) and procedures needed to procure each of these.
Obtained high conversion rates from referrals to admissions.
Successfully opened new Intensive Outpatient Program and grew clinic from one to three groups within four months.
Opened new hospital geriatric wing and promoted this niche to the community.
Educate referral sources on treatment options available for mental illnesses and ask for referrals.
Assess patients for appropriate level of care, including screening for cognitive abilities.
Bachelor Of Science In Marketing
Sr. Patient Care Representative Resume
Summary : Seeking a challenging position as a Medical Receptionist where my academic background and excellent administrative skills and precision can be utilized to contribute to the growth and functionality of a healthcare department.
Skills : Confident Personality, Good Spoken and Written Communication Skills, Organizational Skills, Microsoft Office skills.
Welcomed patients and visitors by greeting patients in person or on the telephone; answering or referring inquiries.
Notifying provider of patient arrival; reviewing service delivery compared to schedule; reminding provider of service delays.
Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area.
Obtains revenue by recording and updating financial information; recording and collecting patient charge.
Controlling credit extended to patients; filing, collecting, and expediting third-party claims.
Obtaining prior authorization from insurance companies for stat radiology appointments.
Verifying patients insurance is active before services are performed.
Using the EClinical software to maintain and update patients medical records.
Associates In Business
Patient Care Representative I Resume
Objective : Certified Nursing Assistant with 3+ years work in fast-paced environment handling confidential paperwork, administering medication and providing quality patient care. Certified Nursing Assistant in home health care and hospice care settings. Established record of reliability and creating positive rapport with patients, family and staff.
Skills : Word, Excel, Excel, Excel, Spreadsheets, Spreadsheets.
Current Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
Designed electronic file systems and maintained electronic and paper files.
Maintained the front desk and reception area in a neat and organized fashion.
Dispersed incoming mail to correct recipients throughout the office.
Made copies, sent faxes and handled all incoming and outgoing correspondence.
Completed and submitted clinical documentation in accordance with agency guidelines.
Prepared patient rooms prior to their arrival.
Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
High School Diploma
Patient Care Representative/Consultant Resume
Summary : To secure a position with a well established organization that will lead to a lasting relationship in the field of healthcare management. Within this organization my experience can be utilized to improve customer satisfaction, through the use of my strong organizational skills, educational background, and ability to work well with people.
Skills : Human Services Professional, Human Services Professional.
Assist with placing specialty medications orders to patients.
Provide customers with detailed information regarding their benefit coverage from their health benefit plan.
Enhance employee performance and attendance through daily mentoring, one-on-one discussions and motivational strategies.
Perform detailed research prior to releasing orders to ensure accuracy and proper shipment to the patient.
Review and research insurance claims payments are applied correctly.
Research claims pertaining to customers medical benefit coverage.
Apply payments to customers billing account and resolve past due balances.
Masters In Business Management
Patient Care Representative/Nurse Assistant Resume
Objective : Professional Patient Care Representative who efficiently interacts with insurance companies, patients, clinicians, and staff members. Also, proficient in evaluating individual's needs along with developing effective solutions for challenging insurance claims. Highly skilled with medical charting and scheduling programs clerical and administrative tasks and working collaboratively as a team. Superbly adept at determining insurance coverage eligibility and communicating that coverage to patients and medical staff.
Receiving calls on inbound dialer and returning calls to patients.
Communicating with patients via phone to generate CPAP supply orders on an inbound dialer.
Assessing patient needs and promote company products and services.
Serving as the primary patient point of contact; delivering quality patient service and ensuring patient needs are met.
Educating customers and patients on use and maintenance of disposable supply products.
Identifying patient problems and refers patient to others when necessary to resolve issues and questions.
Completing all necessary documentation in an accurate manner to ensure correct data entry, product delivery, and collection of accounts receivable on current and delinquent accounts.
Staying abreast of relevant regulations and payor policies (Medicare, Medicaid, etc.).
Bachelors Of Science
Patient Care Representative/Assistant Resume
Objective : Bilingual administrative professional that provides assistance and courteously helps clients and employees throughout the workplace. Dedicated and focused individual who excels at prioritizing and following through to accomplish the goals of the company. Fluent in Spanish, and able to make decisions independently and quickly with minimal supervision.
Scheduled clinical visits with designated contacts at contracted facilities.
Facilitated the completion of required paperwork prior to physician visits to the facility.
Coordinated visit schedules with all field associates and physicians.
Confirmed patient eligibility for scheduled visits.
Responded to and coordinated urgent care for patients.
Communicated with facility contacts to confirm times of visits and verify patient log.
Responded to all incoming communications from facilities, patient families, patients, and field staff as appropriate.
Patient Care Representative/Health Care Resume
Objective : Self-motivator and dedicated Human Services graduate and Technical Management student seeking to apply my combined internship, work, business and educational knowledge and experiences within an exceptional Organization/Institute.
Skills : Well-developed interpersonal and communication skills.
Utilized Navinet healthcare system for patient appointment setting and demographic information.
Verified patient's Medical Insurance, Medicaid or Medicare eligibility.
Assist patients in insurance recertification process when needed.
Managed appointment schedule in the Institute's Cardio department.
In charge of new employees training in the Cardio department.
Trained in all medical departments of the institute in order to be the Floater work in all departments.
Assisted Medical Billers of all departments when needed.
Patient Care Representative Resume
Summary : Efficient in Microsoft Word Efficient in Microsoft Outlook Efficient in Publisher Efficient in Microsoft Excel Efficient in Microsoft Works and database Efficient in accounts receivable Efficient in preparing weekly bank deposits and running a cash register Certified in First Aid/CPR/CPI.
Skills : Medical Office Management ,Medical Billing and Coding Medical Records, Management Data Entry, Bookkeeping and filing, Taking patient vitals HIPPA knowledge, Sky Care Software, Blood Draws, Injections, Patient Scheduling, Patient Education, Medical Terminology, Urinalysis Sampling.
Taking accurate messages or directing call to appropriate person.
Greets and directs patients, families, visitors and staff.
Updated patient demographic and insurance information as necessary and obtained specialist referrals for all patient appointments.
Scheduled patient appointments utilizing scheduling tools and resources.
Coordinated and communicated ancillary appointments and procedures working with other hospital staff as needed.
Obtained patient information and materials as needed from referral sources.
Prepared patient records for clinical activities and maintained patient records for physicians.