Patient Access Coordinator Resume Samples

Description :

1. Supervise a total of 29 employees for the following departments, central admission.
2. Lab, PBX, Cardiology, Outpatient Lab, Radiology and all Ancillary areas.
3. Responsible for supervision of registration activities for multiple patient types, room control, and financial counselor functions.
4. Assist in the development and implementation of department goals, objectives, standards, policies, and procedures.
5. Maintain communication with patient care, physicians, information systems, and administration to assess in resolving patient registration issues.
6. Oversee and perform quality review audits on staff to identify problems for additional training and support.
7. Review staffing requirements on a regular basis, and work closely with other supervisors to provide coverage as needed in all registration area.
8. Responsible for hiring, evaluating, counseling, administering disciplinary action, including termination.
9. Verify hours worked by department personnel and approve weekly time report to assure appropriate budget hours.
10. Coordinates meetings with the Business Office Supervisors and Clinical leadership to assist in problem-solving.

Experience

5-7 Years

Level

Executive

Education

AA

Description :

1. Coordinates operational activities related to the timely verification of eligibility and benefits, accurate and efficient pre-authorization of required services.
2. Review, track and manage activities related to departmental work queues to ensure timely resolution of patient accounts.
3. Read and interpret Explanation of Benefits for all plans, managed care and fee for service.
4. Monitor Patient Access Associates worklist for cases requiring pre-authorization and work directly with the payor or assigned third party vendor.
5. Obtain all required pre-authorization and accurately document all reference and pre-authorization numbers.
6. Provide ongoing updates and education to staff regarding payor related requirements.
7. Maintain knowledge of systems and processes that impact admissions, verifications and other patient access related functions.
8. Abstract diagnoses and procedural coding by utilizing the ICD-9/CPT/HCPCS classification systems to select appropriate codes.
9. Provide information regarding available payment plan options and provide information regarding patient financial assistance opportunities when applicable.

Experience

10+ Years

Level

Senior

Education

Associate

Description :

1. Under the guidance and direction of the Patient Access Supervisors.
2. Performed multiple tasks necessary to register patients, insurance and financial analysis, and admission procedures for patients and provide excellent customer service.
3. Collected and compiled data/information from patients such as insurance documentation and patient identification information.
4. Arranged multiple requests and priorities orderly, effectively managed time and met deadlines.
5. Conducted interviews with patients in order to gather demographic and financial data to complete the registration process perfectly and competently.
6. Proficiently completed computer assigned tasks using Microsoft office ad Spreadsheets.
7. Dealt with numerous coordination issues and overcame them by exhibiting and exercising exceptional telephone, verbal, written, and interpersonal communication.
8. Dutifully participated in operational processes related to referrals including identifying programs in order to enhance processes.

Experience

2-5 Years

Level

Junior

Education

BBA

Description :

1. Manage the daily operations for patient registrations in the Emergency Department.
2. Audit registrations for accuracy to reduce the risk of third party denials and delayed collection processes.
3. Maintain employee files for productivity, accuracy and collection goals.
4. Conduct and document employee counseling concerning policies or performance issues.
5. Provide training in workflows and processes to new employees and refresher training to employees who fall below the required departmental expectations.
6. Serve as the primary source of contact to employees for workflow and as a resource to other departments for registration issues.
7. Responsible for the design, implementation, and training of new registration software for the hospital and off-site facilities.

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Referred patients to financial counseling if needed.
2. Obtained and validated patient demographic and insurance information prior to arrival/appointment.
3. Accurately assigned FSC/plan information at patient registration and appointments to include secondary/alternate insurance.
4. Completed pre-registration activities and documents result in the registration system for scheduled patients.
5. Verify demographic and insurance information, communicate outstanding liability and provide necessary pre-approval instructions.
6. Secured all patient demographic and financial data is accurate and complete through personal contact with patients, insurance companies, employers and third-party payors.
7. Reviewed information from insurance verification systems to determine insurance coverage and eligibility.
8. Resolved problems and coordinated payor payments responsibility between multiple carriers.

Experience

2-5 Years

Level

Junior

Education

Certification

Description :

1. Supervised and managed the daily activities of clerical support staff.
2. Maintained good communication between department heads, medical staff, and clerical team by leading meetings and synchronizing interdepartmental functions.
3. Established staff schedules and assignments based on facility needs.
4. Trained new employees on multiple medical billing programs and data entry software.
5. Performed accounts receivable duties including invoicing, researching chargebacks, discrepancies, and reconciliations.
6. Encouraged creative thinking, problem-solving, and empowerment to improve morale and teamwork.
7. Authorized drug refills and provided detailed prescription information to pharmacies.
8. Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.

Experience

10+ Years

Level

Senior

Education

Associate

Description :

1. Supervise and manage two primary registration locations within the Medical Center.
2. Performing Time Keeper duties Review application and interview applicants.
3. Provide customer service and attend to patients concerns and comments.
4. Receiving and relaying incoming and outgoing telephone and electronic messages.
5. Verifying and updating patient's demographics and insurance information.
6. Register patients, Cash collections, Balance cash collection daily, Reports (MSPQ).
7. Handle and verify all types of insurance information, verify deposits, Answer phone line, Load and verify insurances.
8. Communicated orally and in writing with other employees about daily tasks, goals, and department information.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Answer phone, greet customers, route calls to appropriate staff, and schedule patient appointments.
2. Obtain insurance information from customers, obtain insurance verification for services.
3. Coordinate patient ancillary testing with other hospital departments.
4. Enter patient charges and verify charges, reconcile charges as directed.
5. Assemble new patient charts, maintain and file existing patient charts, "spot check" charts for data completeness and signatures.
6. Data entry into proprietary database and data entry into hospital data systems (patient registration) as directed.
7. Audit data entry and generate reports as directed.
8. Maintain office equipment and maintain office supplies.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Ensured HIPAA compliance, and maintained patient privacy and confidential patient information.
2. Cooperated with other health-related agencies and organizations in community activities.
3. Ensured the accuracy of public information and materials.
4. Actively maintained up-to-date knowledge of applicable state and federal laws and regulations.
5. Observed strict confidentiality and safeguarded all patient-related information.
6. Recorded and filed patient data and medical records.
7. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
8. Acquired insurance authorizations for procedures and tests ordered by the attending physician.

Experience

2-5 Years

Level

Junior

Education

Medical

Description :

1. Confirmed patient appointments and provided pre-operative instructions.
2. Scheduled and assist with evaluation processes, resolve patient concerns, collected and analyzed required demographic, insurance and clinical data.
3. Performed insurance verification, preauthorization and obtain referrals from various physicians' offices.
4. Verified correct CPT and ICD-9 codes were used to ensure correct and prompt insurance reimbursement.
5. Acquired signatures as needed for private and Medicare insured patients.
6. Consistently met physician and management deadlines.
7. Collected and posted fees at the time of service.

Experience

2-5 Years

Level

Junior

Education

Associate

Description :

1. Use computers for various applications, such as database management or word processing.
2. Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
3. Create, maintain, and enter information into databases.
4. Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents.
5. Schedule and confirm appointments for clients, customers, or supervisors.
6. Make copies of correspondence or other printed material.
7. Manage projects or contribute to committee or teamwork.

Experience

5-7 Years

Level

Executive

Education

Associate

Description :

1. Coordinated communication between patients, family members, medical staff, administrative staff, insurance providers.
2. Obtained patient demographic and insurance information at registration.
3. Verified patient's health insurance coverage.
4. Provided financial screening and counseling for funding options.
5. Directed patient inquiries to appropriate medical staff members.
6. Interviewed patients or their representatives to identify care-related problems.
7. Referred patients to appropriate healthcare services or resources.

Experience

7-10 Years

Level

Management

Education

HS

Description :

1. Liaison between providers and insurance carrier to minimize the patient wait for procedures needed supervisor clearance at the corporate level.
2. Responsible for setting up patients for follow up appointments from hospital discharge.
3. Defuse confrontational situations between patients and staff.
4. Point of contact for the clinic on community programs along with state and government programs.
5. Point of contact for complex case along with setting up patients for the Case Management.
6. Explain Medical program and benefits, Monitored HEDIS measures for the facility.
7. Follow up on No Show Patients to reschedule and/or confirm cancellation.

Experience

5-7 Years

Level

Entry Level

Education

Diploma

Description :

1. Track patients Admission Date, Time and Complaints in Outpatient front desk log book.
2. Attach Physicians Orders received to patient's files for the scheduled procedure.
3. Fax Physicians Orders to One Call Scheduling to schedule and approve Radiology procedures per patient.
4. Collect and make copies of patients Insurance Cards and Photo ids.
5. Collect charts, copy forms and print Arm Bands for scheduled Infusion patients.
6. Follow up on No Show Patients to reschedule and/or confirm cancellation.
7. Stock countertop with Forms, Brochures, Arm Bands, and Copy paper.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Responsible to perform all clerical and secretarial functions related to admitting a patient in the Emergency Room.
2. Maintain details of the patients admitted in the ER and Pediatric.
3. Include details such as personal and contact details.
4. Verified insurance information and claims.
5. Receive copayments in cash, checks, and cards.
6. Maintain the doctor's schedule and called for ambulance services.
7. Interact with doctors, nurses and another department about patient information.

Experience

10+ Years

Level

Senior

Education

HS