A Patient Care Advocate will work with patients and help them with their issues of healthcare from admission to insurance to costs for procedures. Typical work activities seen on Patient Care Advocate Resume include the following – providing medical administration such as gastric tubes, oral, intradermal, nebulizers, intramuscular, subcutaneous and intravenous; providing therapeutic communication, educating and advocating patients; interviewing patients and identifying their health care needs; referring to appropriate healthcare services; and directing patient inquiries and complaints.
The most sought-after skills for the post include the following – strong listening skills, the ability to understand what the client’s need, solid public speaking skills, keen attention to detail, good coordination skills, and strong coordination skill. There is no specific education requirement pertaining to this role, however, a relevant degree and healthcare background will be useful.
Summary : Team player with demonstrated leadership skills. Able to communicate effectively. Proficient in Microsoft Office and PowerPoint.
Skills : Patient Care Technician, Certified Nursing Assistant.
Description :
Assists new patients in the completion of their registration information.
Opens medical records for new patients including appropriate consent and clinical forms.
Reviews with patient their insurance coverage or eligibility for programs including sliding scale fee.
Establishes a separate file for patients applying for sliding scale fee.
Reviews documentation presented by patients determining that it meets the established criteria.
Upon completion of services, enters diagnoses and procedure codes in the system.
Reviews current visit charges and outstanding balances with the responsible party and arranges required payments.
Inputs payments and prints receipt.
Experience
7-10 Years
Level
Management
Education
Diploma
Sr. Patient Care Advocate Resume
Headline : HIPAA Compliance trained Personable and professional under pressure telephone etiquette. Fluently bilingual in English and spanish written and verbal communication. Excellent communicator with 3 years in a demanding call center environment as a Customer Service Representative. Self-motivated with exceptional communication and computer capabilities.
Skills : Microsoft Office, Microsoft Word.
Description :
Refilled online prescriptions.
Verified insurance coverage.
Converted retail pharmacy prescriptions to mail order.
Coordinated and oversees the processing of the daily operation of national accounts, which may include specialty staffing, research support, referral process, trend analysis, and data/specimen collection.
Customized invoices and providing activity reports for assigned customers and management.
Evaluated and coordinates system process for assigned national customers and product distribution patients requiring home services to include but not limited to: confidentiality agreements, customer correspondence, inventory control, weekly activity reports, and customized billing statements.
Used independent judgment to identify appropriate Service Delivery Unit by geographic location.
Experience
5-7 Years
Level
Executive
Education
Technical
Jr. Patient Care Advocate Resume
Summary : To obtain a position that will enable me to utilize strong organizational skills, educational background, and ability to work well with others.
Skills : American Sign Language, Microsoft Office, Multi-Line Phone System.
Description :
Works closely along with the drug interaction pharmacist team to complete corrections for the drug interaction team and process refill too soon orders.
Helps to identify repetitive problems or questions in order to pursue process or procedural changes and; Assists supervisors with work distribution .
Works with other operational departments to research and resolve mail order and claims issues and respond to members, clients and account managers .
Trains Service Delivery Unit and field staff in program specific procedure functions, process flows, and expectations via telephone, in conjunction with management.
Facilitates questions, provides guidance, and resolves issues as necessary.
Coordinates all aspects of services for referrals to contract facility.
Maintains communication levels with contract facilities to meet the contractual obligations.
Experience
10+ Years
Level
Senior
Education
Business Administration
Asst. Patient Care Advocate Resume
Headline : Ensure a thorough understanding of all local and national third-party payors to ensure maximization of billing and reimbursement Collaborate with contracting and other internal departments to secure billing information and resolve any third-party issues Acting liaison between company personnel, payors, referral sources, and patients Investigate and document local payor information for company use Participate in daily meetings with internal departments Avilito to process Medical insurance reimbursement Medicare part A, B, D.
Skills : Experienced with Microsoft Office programs such as Word, Publisher, Excel, PowerPoint and Outlook delivering public speeches.
Description :
Verified types of medications needed when patients called to refill their medications.
Corresponded with doctors and pharmacists regarding patient coverage and eligibility.
Used discretion to manage pay and expense records to ensure that corporate requirements and contractual obligations are mutually satisfied.
Responsible for sending follow-up emails to TRC representatives if emails are not completed within a certain time frame.
Monitored phone status on daily basis for various TRC teams.
Responsible for reporting service level reports to TRC supervisors/management team.
Accountable for submitting ticket request for access to various Medco/Accredo systems & equipment to appropriate or accurate parties or via ACD (Automated Call Distribution)form or Service Catalog Suite.
Experience
5-7 Years
Level
Executive
Education
B.S In Criminal Justice
Associate Patient Care Advocate Resume
Headline : Patient Care Advocate is responsible for providing exceptional patient care and service to patients in the hospital. This includes providing support and assistance with the discharge process, and ensuring patients are provided with a timely and accurate discharge summary.
Skills : Proficient In Windows Computer Applications. Efficient.
Description :
Uploaded daily Excel spreadsheets to the TRC team members.
Responsible for keeping track/log of all Medco ticket requests and following through to completion, ensuring that updates are provided every 24-48 hours.
Generated and distributed daily and weekly operational reports to managers/supervisor.
Retrieved reports as assigned and compile summaries for supervisors/managers.
Evaluated and coordinated system process for assigned national customers and product distribution patients requiring home services to include but not limited to: confidentiality agreements, customer correspondence, inventory control, weekly activity reports, and customized billing statements.
Used independent judgment to identify appropriate Service Delivery Unit by geographic location.
Trained Service Delivery Unit and field staff in program specific procedure functions, process flows, and expectations via telephone, in conjunction with management.
Experience
5-7 Years
Level
Executive
Education
Associate's Degree
Patient Care Advocate III Resume
Summary : Seeking a position in the Healthcare Field, which will require to expand practical experience while providing quality customer service to patients and organizations.
Skills : Data Entry, Customer Service, Accounts Recievable.
Description :
Assisted with inquiries regarding insurance and billing.
Facilitates questions, provides guidance, and resolves issues as necessary.
Coordinated all aspects of services for referrals to contract facility.
Maintained communication levels with contract facilities to meet the contractual obligations.
Used discretion to manage pay and expense records to ensure that corporate requirements and contractual obligations are mutually satisfied.
Customized, analyzed and recommended modifications to existing financial procedures as defined by multiple contracts to management.
Implemented and maintained Quality Assurance and Quality Improvement processes to further increase the level of customer service and to positively impact the financial profitability of business.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Patient Care Advocate II Resume
Summary : To obtain a position where diverse business and technical skills contribute to the success and growth of the organization. Providing Exceptional Service Building Loyal Relationships Solving Problems Increasing Sales.
Skills : Computer, Excel, Powerpoint, Word Processing, Nursing, Customer Service.
Description :
Protected patient information by abiding by HIPAA law.
Answered inbound phone calls and initiate outbound calls in the Member Services Department.
Assisted members, doctors, nurses, etc.
Educated members on group benefit designs, co-pays, coverage information, deductibles, etc.
Requested renewal for prescriptions that have expired or change in therapy.
Transferred calls to appropriate departments to satisfy customer needs.
Consulted with Pharmacists to resolve member issues or expired account need prescription transfers.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Patient Care Advocate I Resume
Summary : To acquire a full time position in an environment that offers a greater challenge, diversify skills, and the opportunity to help the company advance efficiently and productively.
Updated members address, phone number, and credit card information.
Handled inbound calls and facilitate Outbound calls from/to Patients inquiring about their Home Delivery benefit.
Accurately completed and documented patient interactions and transactions in company databases.
Concierged Initiate calls and faxes to prescribers to obtain prescriptions on behalf of patients who agree to use Home Delivery.
Contacted prescribers to create awareness of their patient's request to fill their prescriptions via home delivery pharmacy and submit for processing.
Effectively managed a caseload of records to facilitate timely processing of Home Delivery prescription requests.
Updated conversion requests and provide shipment status to members.
Experience
7-10 Years
Level
Management
Education
Associate In Communication
Patient Care Advocate/Specialist Resume
Headline : To bring quality service as a productive employee using the knowledge, skills & education that have acquired.
Skills : Microsoft Word, Microsoft Outlook, Type 40+ WPM.
Description :
Informed clients by explaining procedures, answering questions and providing information.
Facilitated transition of requested medications to Home Delivery.
Advocated for the member patient by placing phone calls, fax or other means to prescriber's offices to obtain prescriptions; forward to pharmacy for fulfillment.
Obtained new prescriptions from prescriber's offices and record approval status.
Evaluated and coordinated system process for assigned national customers and product distribution patients requiring home services to include but not limited to: confidentiality agreements, customer correspondence, inventory control, weekly activity reports, and customized billing statements.
Used independent judgment to identify appropriate Service Delivery Unit by geographic location.
Trained Service Delivery Unit and field staff in program specific procedure functions, process flows, and expectations via telephone, in conjunction with management.
Experience
5-7 Years
Level
Executive
Education
Business Administration
Patient Care Advocate Resume
Headline : Seeking gainful employment with a reputable organization in order to successfully complete apprenticeship and become a valued company employee. Goal is to undertake tasks and assignments that will enable to learn all the skills on offer in order to become an effective employee. Also to complete all job related studies in order to broaden experience and understanding about the company, products / services so that may provide excellent customer service.
Skills : Suggestive selling and Consultative sales, Superior.
Description :
Worked to research and resolve problems in a timely manner.
Assisted members in understanding and maximizing the use of their pharmacy distribution program.
Used computerized system to gather information and respond to questions.
Documented issues and resolutions in a common database.
Handled inbound and outbound member, provider and physician calls.
Answered questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable.
Ensured the privacy of members and maintain security of their information using HIPAA policies.
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