A Patient Relations Representative will provide excellent service to the patients and their families by taking by a variety of tasks including – responding to questions, providing needed information, filling out paperwork, and acting as a liaison for their hospital. Typical responsibilities seen on the Patient Relations Representative Resume include – responding to the needs of the patient, resolving issues of patient, recommending ways for better care of patients, acting as communicator between the patient, their families and the hospital; compiling and recording medical charts, completing insurance forms, and confirming appointments and check-ups of patients.
The following is a bullet list of skills, abilities, and qualifications seen on successful resumes – strong communication and people skills, ability to handle stressful situations, being emotionally mature, CPR skills, and discretion to maintain confidentiality. To enter this medical care position, candidates will need a high school diploma and medical training in the related discipline.
Summary : 6 years experience as a Patient Relations Representative for a very large medical practice 10 years experience in a salon/day spa, with various roles, from assisting up to 8 stylists at a time to performing beauty and spa services, leading up to front desk management.
Skills : Computer skills that include a combination of experience.
Description :
Maintaining accurate documentation and reporting accounts of problems and activities on behalf of patients/families.
Carries out requirements of complaint management policy and procedure.
Actively participates in care conferences as a support person for family members, providing assistance in understanding, interpreting and organizing information for inquiry resolution.
Participates in the Patient Experience and Caregiver Communication committee related to patient and family-centered care and service excellence.
Implemented Student Volunteer Patient Navigator program; supervises all students within the program and creates/manages the volunteer schedule.
Verified insurance and obtained pre-certification/authorizations Explained policies regarding services, charges, insurance billing Calculated and collected patient liable amounts Utilized Medicare Compliance Checker (MSP Questionnaire) Performed daily census reconciliation and handled death paperwork.
Coordinated and built relations through special patient events such as Texas Hemophilia Alliance events and charity run/walk events, or other patient involved activities surrounding marketing or patient relations.
Experience
7-10 Years
Level
Management
Education
Bachelor Of Arts
Sr. Patient Relations Representative Resume
Headline : An energetic and hard-working person looking for long-term employment in a professional healthcare atmosphere. Working knowledge in insurance and medical billing functions across many healthcare settings, including urgent care, primary care, ancillary services, and emergency departments.
Process complaints received from families or sources, by completing a Grievance Report, investigating, and identifying the opportunities for improvement.
Update the involved parties and obtain a resolution notifying the reporting source within designated time frame.
Administer start of care next day follow up calls to evaluate satisfaction of patient care needs and ensure needs are appropriately addressed.
Assist with interpretation, in the patient's home or over the phone, with appropriate understanding by patient/caregiver of information provided about medical equipment, supplies, resources available in the community, etc.
Generate monthly reports/metrics for Upper Management such as: Grievances, Event Reports, Start of Care follow-up phone calls, compliments.
Selected Contributions: Completed investigation, identified paperwork errors, communicated with management staff, validated resolution had been reached, and informed of resolution with the patient/caregiver appropriately.
Created templates for equipment and supplies in order to facilitate the families to place monthly orders.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Business
Jr. Patient Relations Representative Resume
Summary : Demonstrated aptitude for developing new skills. Relate well to people from a variety of cultures and socio-economic conditions. Proven record of reliability and responsibility. Resourceful in completing projects, ability to multi-task effectively. Dedicated individual; reputation for consistently going beyond what is required.
Facilitate resolution of patient family complaints and grievances in collaboration with Fairview clinical and non-clinical staff to ensure delivery of quality service and patient satisfaction while coordinating with Risk Management.
Compose letters to respond to grievances from patients and their representatives in accordance with Fairview Policy and Procedures.
Accurately documents point of service and grievance information in the STARS database system.
Manage the patient feedback information systems including both satisfaction and complaint/grievance data.
Analyze data and bring trend information forward to department managers for appropriate action.
Create reports quarterly and yearly to identify trends and opportunities to improve customer service and patient family experience.
Work collaboratively with leadership and through improvement teams to enhance professional growth, quality improvement and patient family experience while ensuring confidentiality of our patients, visitors and employees.
Current Member of the Ethics Committee and a Board Member of Minnesota Association of Patient Representatives.
Experience
7-10 Years
Level
Management
Education
B.S. In Community Health
Patient Relations Representative III Resume
Objective : Responsible for responding to complaints, grievances, and requests for assistance or inquiries from patients and families seeking problem resolution with any aspect of their healthcare experience.
Skills : Microsoft Office, Kronos, Cerner, Verge, Excel, PowerPoint, Outlook.
Description :
Evaluate patient care concerns and procedural changes for effectiveness.
Manage, direct, and coordinate patient care concerns.
Serve as liason between management, clinical staff and the community, as well as implement standards and methods to measure the effectiveness and outcomes of patient satisfaction.
Cooperate with health related agencies and organizations in community activities.
Establish and maintain positive relationships with medical staff, Risk Management, facility leaders, and issue owners throughout four different facilities.
Facilitate meetings with Risk Management to review cases and follow through until completion Observe strict confidentiality and safeguard all patient-related information.
Routinely evaluate overall patient care within the facility and diligently enforce high standards.
Incorporate evidence- based care into practice environment to ensure high quality for patients and their families.
Experience
2-5 Years
Level
Junior
Education
Master Of Science
Patient Relations Representative II Resume
Objective : A motivated, compassionate, health care professional with 16 years of experience in diverse health care environments. Proven track record of accountability and commitment with a strong focus on patient wellness.
Skills : Public Speaking, Inventory Management, Public Relations, Volunteer Services.
Description :
Conducts daily rounds on patients to proactively resolve issues and to assure their experience meets and exceeds expectations.
Assists patients and families with the completion of the satisfaction survey prior to discharge.
Attends the Interdisciplinary Care Team meetings and actively participates by bringing issues forward for resolution.
Make recommendations for improvement based on patient and family feedback.
Provide a link between the hospital, patient and families, especially in area of conflict resolution concerning treatment or care.
Provide a formal mechanism for the investigation, resolution and recording of a patient complaint.
Welcomes newly admitted patients and their families to the hospital.
Works with the Admission Coordinator to ensure that rooms are prepped and in place, and that the hospital's external and internal common areas are always tour-ready.
Experience
2-5 Years
Level
Junior
Education
Healthcare Administration
Patient Relations Representative I Resume
Summary : Fast learner and will master new systems and or processes/projects as tasked; successful in team and independent work environments; proficient in multiple computer systems, Microsoft Applications, and data reporting. A service professional with excellent communication and diagnostic skills, consistently able to solve problems and alleviate escalated issues.
Skills : Strong Customer Relations Skills, Computer Proficiency, Proficient in Medical Terminology.
Description :
Responsible for taking incoming patient calls where we were able to trouble shoot billing errors.
Work with dental practices to make sure that billing needs were met.
Processed insurance and patient payments as well as conducted extensive account review to ensure customer satisfaction.
Provided professional customer service for an average of 40-60 calls per day, answering customer inquiries, solving problems, and assisting with claim submissions, and follow-up.
Instrumental in assisting customers in understanding their insurance policies and out of pocket expenses.
Received multiple reviews acknowledging my level of dedication to excellent customer service.
Investigated and resolved customer inquiries and complaints in a timely and empathetic manner.
Experience
7-10 Years
Level
Management
Education
Diploma
Patient Relations Representative/Executive Resume
Headline : Seeking a position to provide outstanding service and support and work in a challenging environment to fully utilize all the skills.
Skills : Public Speaking, Management, Microsoft CRM, EPIC, Onbase.
Description :
Responsible for checking in patients in a friendly and courteous manner.
Perform responsibilities of scheduling and confirming patient appointments.
Handle tasks of collecting co-payments and verifying insurance coverage successfully.
Resolved patient inquiries on billing, financial, health-related issues, as well as provide direction to appropriate departments.
Documenting refills and referral requests and route it to the correct department.
Responsible for incoming and outgoing medical records in accordance with HIPPA regulations.
Handled tasks of collecting and posting payments as well as record receipts.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Fine Arts
Patient Relations Representative/Director Resume
Objective : Dependable and Enthusiastic professional looking for a Patient Relations Rep or Patient Care Technician, where I can provide the highest quality of service to patients. Proficient in computer/software, Internet, and Email tools.
Skills : Emails, Computer Software.
Description :
Answered telephones and in person inquires from patient and staff about patients account status eg balance, charges and payment arrangements.
Entered Patient Demographic Information into Cortex Edi.
Maintained each patients Electronic Medical Record.
Checked Patients Insurance eligibility using Epaces.
Performed DVS authorizations for Medicaid Patients.
Performed authorization requests for patient with HMO plans eg Healthfirst, Amerigroup, Metroplus,VNS etc.
Performed fittings for patients who needed Breast prosthesis, Mastectomy bras, Diabetic and Orthopedic Shoes and Orthotics.
Completed all insurance verification before treatment and services were rendered.
Summary : A dedicated professional with 5+ years combined experience as a customer service professional/sales and along with accounting skills. Thrives in fast-paced environments and has a strong set of organizational, technical, and interpersonal skills.
Skills : Microsoft, Open Office, Peachtree, AHT, Excel, Avatar.
Description :
Completed initial patient intake for complex dental cases.
Prepared outgoing correspondence related to patient behavior, disenrollment, and treatment review outcomes.
Counseled patients on appropriate behaviors, missed appointments.
Processed Exceptional Needs Dental Referrals and other government sponsored programs (Oregon Health Plan) while complying with contractual reporting and HIPPA requirements.
Deciphered doctor handwriting in patient's charts for purposes of treatment/internal review facilitation.
Participated in Internal Policy and Procedure writing.
Maintained consistent record of handling 25% more calls while still providing excellent patient service.
Experience
10+ Years
Level
Senior
Education
Diploma
Patient Relations Representative Resume
Summary : Seeking a full-time position in a busy company that appreciates their employees and were will be a great asset.
Skills : Customer Service, Microsoft Office, Clinical Works, Social Media Management.
Description :
Handled patient walk-ins and incoming calls regarding referrals, billing, inquiries and affiliate physician issues.
Handled calls from health plans regarding patient status and patients calling with health plan questions.
Received and facilitated the resolution of patient grievances by oral or written feedback to the patient.
Assisted patients in processing various forms.
As a service to the physicians, complete as much of the forms as possible.
Registered new patients, processed updates, and scheduled appointments for new patients.
Assisted with access audits, satisfaction surveys, and special mailings.
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