Patient Access Representative Resume Sample

Patient Access Representatives are responsible for performing clerical duties during the course of the day. These duties may include processing paperwork, updating records, data entry, greeting patients at the check-in desk, and filing patient charts. The top skills required for this position are customer service abilities, active listening skills (ability to listen carefully and understand what is being communicated), good decision-making abilities. A high school diploma or equivalent is required; previous experience in an administrative role can be helpful but not necessary.

The Best Patient Access Representative Resume Samples

These are some examples of accomplishments we have handpicked from real Patient Access Representative resumes for your reference.

Patient Access Representative

  • Responsible for Financial Screening; Patient Registration and Insurance Verification.
  • Answer phones, Customer service, Schedule Appointments, related practice clerical tasks, etc.
  • A Patient Access Representative refers to a member of a hospital’s administrative staff who is concerned with the provision of support to patients.
  • These professionals act as a link between patients and the hospital and they are accessible to give out helpful resources to patients, so as to make them realize their rights and help in resolving complaints.
  • Researched, located, and inputted patient insurance information for physicians’ offices.

Patient Access Representative

  • Assist with the monthly revenue/membership reconciliation and analysis; includes coordinating & overseeing revenue analysis to identify discrepancies and disputes related to the eligibility and capitation payments.
  • Participate in the preparation of all financial settlements and/or reconciliations on a monthly, quarterly, and annual basis.
  • Participate in Program Management workgroups & teams where needed.
  • Handled in-depth call-in telephone inquiries.
  • Maintained positive customer relations in a busy walk-in clinic; personally served over 200 patients in one day with a smile and concern.

Patient Access Representative

  • Performs all duties related to the pre-registration, registration, and financial clearance process for all patients.
  • Collect proper data to insure hospital bills will be paid by a third-party payer or patient.
  • Provide orientation to patients regarding the registration and admission process.
  • Perform scheduling functions of new and follow-up patients and discharges accordingly.
  • Trained new staff members on filing and computer applications; ensured accurate database information integrity.

Patient Access Representative

  • Verify patient’s medical insurance and request authorizations from managed care insurance companies.
  • Skilled with a demonstrated knowledge of medical terminology, ICD-9/ICD10 CPT codes, CMS-V modifiers, and Hcpcs codes.
  • Interview, Register and Pre-Register Dialysis Chronic and Transient patients according to their admission status.
  • Plans to become a Certified Medical Assistant by January 2010; acquired knowledge to achieve certification while working as an Assistant Medical Assistant.
  • Monitored approximately 30 appointments per month for payer shortages and insurance denials in a contracting industry.

Patient Access Representative

  • Register customers coming into the emergency room with a courteous and respectful demeanor.
  • Bridge communication between nurses, doctors, and patients in regards to treatment.
  • Communicate with different floors in regard to admissions and bed assignments.
  • Call and follow up with insurance companies to confirm eligibility for benefits.
  • Researched and resolved insurance issues, resolving 95% of all appeals.

Patient Access Representative

  • Handle the tasks of verifying insurance coverage by phone, online, or through electronic systems.
  • Ensures that all insurance information needed for the billing process is appropriately obtained and recorded in the computer system.
  • Maintains a database for all patients’ insurance, authorization, eligibility, and account changes.
  • Created/assisted in documenting patient records; tracked second office information by filling out paperwork system.
  • Responded to administrative requests in a timely manner.

Patient Access Representative

  • Explain a variety of admission forms and policies, get signatures, hold discussions on financial responsibility and obtain payments.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Completed registration quickly and cordially for all new patients.
  • Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
  • Updated electronic medical records by scanning documents into the hospital computer system upon request of administrative staff.

Patient Access Representative

  • Responsible for the initial screening for all incoming psych patients both adults and children.
  • Work with doctors and social workers from various hospitals in the NY area to accurately complete patient transfers and referrals.
  • Interview and screen all walk-in patients who arrive at our facility without an appointment.
  • Collaborate as a team with the Access unit to efficiently assign or deny incoming cases in a timely manner.
  • Obtained, and worked closely with, a variety of state agencies to establish patient access programs utilizing employers as sponsors.

Patient Access Representative

  • Contact insurance carriers to obtain all information necessary for the successful billing of third-party payors in certain departments.
  • Coordination of benefits, benefit coverage/ limits, co-pay/deductible amounts, authorizations, and pre-certification.
  • Performed financial assessments and sliding fee scale assessments of patients who are uninsured and /or are unable to meet their financial obligation to the hospital.
  • Conducts interviews to obtain demographics, insurance information, etc. entered all information into the hospital database.
  • Demonstrated sound record-keeping practices for assigned tasks of the hospital’s benefits administration department.

Patient Access Representative

  • Greets patients and their caregivers and records pertinent information into a computer database.
  • Records insurance information and obtains pre-approval for treatment if needed.
  • Relays information between patients and other staff members, and provides them with updates as needed.
  • Successfully resolved issues affecting the hospital’s financial administration by utilizing database management systems and existing resources.
  • Founded a business with an annual profit.

Patient Access Representative

  • Communicates with physician offices, staff, and other departments.
  • Responsible for obtaining pre-certification and/or managed care referrals for inpatient and outpatient encounters.
  • Verification of benefits, order entry, and pre-certification for elective and emergency admissions.
  • Initiated benefits for hospital employees with high medical costs.
  • Performed fundamental duties of a patient access representative in support of the medical office manager; began and maintained a database of patient demographics, financial information, and appointment calendars.

Patient Access Representative

  • Manage emergency room patient registration, insurance verification, HIPPA law adherence, and transmission of relevant data to clinicians.
  • Liaise with patients providing outlines of procedure and care during treatment to streamline relationship building and data exchange in a confidential space.
  • Implement triage protocol for non-emergencies resulting in decreased wait times and increased workflow efficiencies.
  • Recognized as “top competitor” in a regional contest for corporate service; developed the ability to work with multiple teams to achieve goals.
  • Earned award for a superb performance by exceeding customers’ expectations.

Wrap Up

Resumes are a crucial aspect of any job search. In order to make a good first impression, it is important that your resume be formatted and written professionally.

Hope these samples gave you an idea of what your resume should look like and some tips on how to make sure that your resume stands out from the rest.

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