Patient Service Associate Resume Samples

Description :

1. Reviews patient admission records to ascertain insurance coverage and the possible need for financial assistance; obtains insurance authorizations or initiates applications for public assistance as indicated.
2. Counsels patients and families regarding financial issues such as insurance, eligibility for assistance, sliding fee scales, Medicaid, meal eligibility, and travel reimbursement; verifies insurance coverage with insurance companies.
3. Records patient demographic, insurance, and billing codes into registration and billing system; researches missing information on intake forms; obtains signatures and release forms.
4. Responds as appropriate to inquiries from patients and third party payers regarding treatment, benefits, and billings; coordinates the resolution of related problems.
5. Provides day-to-day staff support as appropriate, to include preparation of documents, collection and verification of records, and maintenance of data on clinical activity.
6. Orders and maintains inventory and supplies as required.
7. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.

Experience

2-5 Years

Level

Executive

Education

Nursing

Description :

1. Check in process: Clear all alerts in Maestro by verifying patient demographics, patient insurance, Present and educate patients on required forms and obtain signature as required by policy and procedures.
2. Collect and post co-payments and balances on accounts due.
3. Checkout process: Make return appointments by scheduling patients into the correct appointment type, entering the primary care physician and referring physician while scheduling tests and procedures.
4. Schedule labs for patients, and ordered referrals.
5. Assist non-English speaking patients with interpretation and translation towards their medical needs within the clinic basis.
6. Check in, checkout, phone calls, translate for financial care counselors, help anyone that needs interpretation to English in order to communicate properly to run clinic smoothly overcoming the language barrier.
7. Member of the patient satisfaction committee, and Healthy Life Styles appointment coordinator.

Experience

2-5 Years

Level

Executive

Education

Psychology

Description :

1. Patient Revenue Management Organization Responsibilities include taking credit card payments, from patients within the Duke University Health Systems.
2. Performing contractual adjustments on accounts, add/edit/delete insurance information and reviewing patient accounts in order to settle patient debts or resolve any patient disputes on accounts.
3. Research patient accounts to confirm and/or edit any discrepancies in patient profile to maintain a current and accurate file.
4. Explain EOB's to patients who may call in because they cannot understand why their insurance company did not pay or adjust a certain amount.
5. Receive calls from attorneys' and other entities who request itemized statements.
6. Duties also include typing, filing, and faxing.
7. Calls come in from patients requesting to set up budget plans in order to pay off their balance.
8. Schedule radiology procedures throughout the Duke University Health System.

Experience

2-5 Years

Level

Junior

Education

Networking Technology

Description :

1. Ensures a positive customer experience by exhibiting a positive attitude, having a perceived pleasant and tactful style, and by providing assistance willingly to all patients, families, and coworkers.
2. Answers telephones with a pleasant voice within three rings, using departmental scripts.
3. Answers patient call system promptly, deciding priority for response, notifies appropriate personnel and follows up to ensure delivery of service.
4. Greets every customer with an immediate smile, eye contact, and proper body language, introduction of self by name and title, and appropriate greeting of the day.
5. Obtains and inputs complete and accurate patient data, including patient type, demographic, insurance and consent information.
6. Documents and maintains all appropriate Emergency Department records.
7. Obtains and inputs complete and accurate patient data, including patient type, demographic, insurance and consent information.

Experience

0-2 Years

Level

Entry Level

Education

Associate Of Arts

Description :

1. Maintain doctor's surgical schedule by accurately posting all surgical procedures in Meditech, Mercy's electronic database.
2. Schedule diagnostic tests ensuring compatibility of facility with patient's insurance company.
3. Obtain authorizations and referrals for procedures, tests and medications through communication with insurance companies and physician offices.
4. Perform urine analysis, obtain patient vital signs and assist with dilations.
5. Maintain patient's electronic charts in EMR and Misys Visions through documentation of surgical and diagnostic postings, office exams, medication information, scanned documents, demographics, telephone calls, and all other pertinent information.
6. Work cooperatively and professionally with physicians, staff, insurance companies and other professionals to ensure excellent patient care.
7. Communicate respectfully with patients to coordinate patient care.

Experience

5-7 Years

Level

Executive

Education

Associates Of Applied Science

Description :

1. Answers the telephone, takes and relays messages and responds to phone inquiries.
2. Makes and confirms appointments as directed and schedule visitors.
3. Utilizes a computer to maintain a variety of records; enters and updates data including name and address changes, insurance information, and all general information as requested.
4. Greets clients and family members warmly and assists in any questions asked.
5. Operate office machines, such as photocopiers, scanners, facsimile machines, voice mail systems and personal computers.
6. Schedule patient pickup and return visits from unit (ambulette, taxi, ambulance) Responsible for organizing and maintaining files of records and correspondence of both a routine and confidential nature.
7. Maintaining and ordering inventory of office and unit supplies.
8. Served as interpreter (Spanish language) when needed.

Experience

10+ Years

Level

Senior

Education

Business Administration

Description :

1. Interviewed and registered patients, scanned insurance and identification cards into SMS system.
2. Assisted Cardiac Catherization Unit physicians and nurses with transcribing patient's medication orders.
3. Purchased all medical and office supplies for entire department through our cost center by using the Lawson system.
4. Entered patients' diets (low calorie, diabetic, renal etc.) into the SMS system.
5. Contacted area hospitals for patient information such as demographics, ekg's, x-rays, and any clinical documentation that would assist physicians and nursing staff during patient's visit.
6. Contacted insurance companies to verify patient's benefits and eligibility.
7. Maintained daily log sheets and also forwarded them to the billing department, provided patients with HIPPA pamphlets and consent to treatment forms.

Experience

2-5 Years

Level

Junior

Education

Healthcare Administration

Description :

1. Greets patients and visitors courteously and assists them with their inquiries.
2. Answer incoming and inter-departmental phone calls and/or routes calls to the appropriate area.
3. Anticipates potential patient Public Relation problems and advises supervisor.
4. Interviews patients and/or family and completes registration including patient demographic, financial, and insurance information in the computer system.
5. Facilitates patient signatures on all financial forms.
6. Explains hospital policies and answers questions patients or family members may have regarding the admission/registration processes.
7. Secure copies of insurance cards, signatures for consents, and other appropriate admissions forms.
8. Checks eligibility for government programs and insurance by utilizing electronic verification system.

Experience

2-5 Years

Level

Executive

Education

Business Administration

Description :

1. Demonstrates accountability and follow through of all designated tasks.
2. Demonstrates commitment to the clinical team members and associated patients.
3. Responsible for obtaining authorization/referrals for all home care services as defined by the health insurance plans.
4. Responsible with the Patient Service Team to run statistical reports as required by the department.
5. Responsible for relationship building through excellent customer service to referral sources and health insurance representatives.
6. Responsible for initial verification of eligibility for all insurance entities on all incoming referrals, making direct contact with insurance entities for initial visit authorization.
7. Documents insurance information in McKesson system and is responsible for completeness and accuracy of all information.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Welcome patients and visitors to our clinic in person or by phone.
2. Answers phones quickly, courteously and professionally to give callers a great first impression of the clinic.
3. Take messages, transfer calls and provide information to other Duke departments and ancillary facilities.
4. Provide routine information regarding practice services and direct patients to assigned areas and other locations upon request.
5. File history sheets, ancillary reports and all other required patient record documentation.
6. Prepare for clinic visits by reviewing next day patients and completing next day preparation activities.
7. Review all future appointments of patients who speak foreign languages and order correct interpreter as needed through Service Hub.

Experience

2-5 Years

Level

Executive

Education

Bachelor Of Science

Description :

1. Prepare for clinic visits by reviewing next day patients and completing next day preparation activities.
2. Enter pre-visit orders and prepare new patient charts.
3. Check-in patients upon arrival; identify correct patient information in IDX.
4. Make return appointments by scheduling patients into the correct appointment type, entering the primary care physician or referring physician and scheduling tests and procedures.
5. File history sheets, ancillary reports and all other required patient record documentation.
6. Return medical records and attach HIPPA/Medicare documents to the encounter forms.
7. Pick up x-rays, office charts, medical records, reports, and petty cash.

Experience

2-5 Years

Level

Executive

Education

Bachelor Of Science

Description :

1. Perform administrative duties and provide support to physicians, nurses and medical staff.
2. Address patient and patient's family members question along with providing support and information.
3. Troubleshoot and resolve nurses and physician's questions and concerns.
4. Demonstrates the ability to maintain a healthy work environment and confidentiality of patients and patient information.
5. Facilitate admitting and transfers of patients to and from various inter departments and outside agencies.
6. Maintain and update patient information in database.
7. Facilitate admission data to charge nurse, staff nurse, physicians and residents.

Experience

10+ Years

Level

Senior

Education

Psychology