Patient Access Resume Samples

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S Koepp

Sanford

Koepp

402 Rocky Forges

Dallas

+1 (555) 660 9050

402 Rocky Forges

Dallas

Phone

p +1 (555) 660 9050

Experience Experience

Dallas, TX

Patient Access Supervisor

Dallas, TX

Tillman-Schroeder

Dallas, TX

Patient Access Supervisor

Maintaining daily workflow in order to expedite processing while ensuring quality, accuracy, and customer service
Manage daily operations of multiple levels of staff and multiple functions / departments across one or more business units
Enforces departmental policies, practices, procedures and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies according to hospital and corporate guidelines
Maintains positive customer service at all times, assisting staff in resolving issues
Assists in preparation for both short and long range planning recommendations for all Registration Process areas including; Admitting, Centralized Scheduling, Emergency Department and any on or offsite clinics
Works in accordance with corporate and organizational security policies and procedures. Understands personal role in safeguarding corporate and client assets
Assists Patient Access Manager with monitoring and gathering of data and completion of quality control reporting and payroll oversight as it relates to Patient Access personnel

Phoenix, AZ

Supervisor, Patient Access

Phoenix, AZ

Wolf Group

Phoenix, AZ

Supervisor, Patient Access

Reviews and records employee attendance, time keeping, coaching, and disciplinary actions
Responsible for training new associates and provide ongoing education and communication to staff
Ensures excellence in customer service through employee development, according to hospital standards and utilizing performance improvement techniques
Provides on call support to staff in the event of problems and/or staffing concerns
Proven expertise in collection processes and securing solutions for uninsured patients
Works with Director to establish and manage staff scheduling (daily, weekly, monthly)
Foster an environment that encourages associate growth and development

present

Detroit, MI

Manager, Patient Access

Detroit, MI

Abernathy-Ebert

present

Detroit, MI

Manager, Patient Access

present

Manage ongoing training programs for staff development
Provide assistance/resolution to client inquiries
Maintain work standards, KPI's and productivity for all activities under the Managers control
Monitor staff performance and quality and address any training or performance issues on a regular basis
Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
Creates office harmony and positive morale
Assists with internal control failure remediation efforts

Education Education

Bachelor’s Degree in Business

Howard University

Bachelor’s Degree in Business

Skills Skills

Demonstrated working knowledge of PC/CRT/printer
Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
Strong analytical and problem solving skills
Excellent decision making skills
Sound judgment in handling/escalating difficult situations

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Patient Access Associate Resume Examples & Samples

Verify insurance coverage and eligibility; respond to patient inquiries regarding basic insurance questions
Collect and process co-pays, co-insurance, deductibles, and balances on patient accounts
Must have 3 to 5 years work experience in a medical office setting
Must have minimum of a high school diploma or GED equivalent
Must have excellent written and verbal communication skills
Must be able to work collaboratively and seamlessly with all Dell and Oakwood personnel alike
Must be willing to travel between all OPi healthcare centers if required/requested

Lead Patient Access Oakwood Physicians Resume Examples & Samples

Is a subject matter expert and provides problem resolution
Apply knowledge gained through job experience to resolve more complex issues and coordinate day-to-day work
May provide guidance and direction to less experienced team members
Perform business office functions (clerical, environmental, and organizational) under the supervision of the Practice Manager/Supervisor
Keep patients informed regarding delays in appointment times and/or the processing of their requests
Demonstrate a sense of urgency to all tasks and respond accordingly
Must have 3+ years of work experience in a medical office setting
Must be able to lift up to 30 pounds of supplies

Patient Access Lead Resume Examples & Samples

70%- Responsibility for patient access includes
Provide expertise in coordination of care, working with internal case managers, RBM’s, sites of care, and payors
Provide resource for reimbursement education to patients and families to ensure that they are well informed in order to make appropriate decisions regarding their treatment options
Resource for alternative insurance options for patients and provide information on relevant reimbursement topics related to our products
Ongoing support of One Path Customer Service team and when necessary working as a liaison between One Path and our customers
30%-Site Support and Other responsibility includes
Provide claims tracking and troubleshooting expertise to treating site
Representing Shire HGT at Regional and National Conventions
Develop and implement special projects to address regional based objectives

Patient Access Supervisor Resume Examples & Samples

Three years experience in a healthcare setting (ie hospital, physician office, managed care) preferred
Ability to work collaboratively with multiple personnel and prioritize multiple tasks
Experience with computer data entry and spreadsheets

Cerner Patient Access Management Analyst Resume Examples & Samples

Monthly Bonus Program
401K Savings Plan including employer contribution
Paid Travel
Opportunity for Additional Career-specific Training We need to grow our team as we prepare for a large number of upcoming projects, 3-6 months in duration with potential extensions, some starting in February with continued kick off dates running through March. Interviews will occur in the next few weeks. We will then align offers and hire dates with the first project that will utilize your skills. Subsequent project assignments will follow. We have people in our organization who have maintained steady, full time employment for 18 years!!
3 years’ experience with testing Cerner Practice Management (revenuecycle.exe) from scheduling an appointment through checking the patient out after the visit is completed, including test plans/scripts development
3 years’ experience with training IT support staff and end users for Cerner Practice Management

Patient Access Service Representative Resume Examples & Samples

Ability to use specialized applications software and computer systems for patient registration and scheduling
Knowledge of Business Office procedures
Knowledge of Medical terminology, third party payer billing and managed care requirements and procedures

Patient Access Resume Examples & Samples

Maintain scheduling and workflow and additional configuration
Additional scheduling configuration: configure scheduling, configure orders to scheduling and configure scheduling system preferences
Additional registration configuration: configure address validation, personal health record and Cerner card, place of service organizations, place of service, MSPQ reference build, mail return and work queues
Facilitates current state, future state and gap analysis
Knowledge/build/use of Cerner Core systems (Standard core build, organizations, associate facilities and payers, client billing, code sets, code set 20790, operation jobs and task access)
Knowledge/build/use of the configurations menu: Clocks, Conversations, Demographics Bar, Eligibility, Rules, Scheduling and Searches
Knowledge/build/use of the revenue cycle general tab, perspectives tab, notifications tab, medical necessity, and patient tracking
Knowledge/build/use of the Registration tab, MSPQ (Medicare Secondary Payer Questionnaire) tab and formatted address tab process

Patient Access Spec-assoc Resume Examples & Samples

Verify eligibility and benefits
Obtain prior authorization prior to date of service
Notify patient and physician if unable to complete
Professionally and accurately obtain cost information and explain waiver process to patient as necessary
Notify, explain and collect copays, etc. from patients and post in Excellian and Payment Navigator as back up to registration
Determine patient need for financial counseling and offer/explain resources available and assist moving through the process (MedEligible, MedCredit and/or Allina financial services.)
Timely, accurately and professionally provide cost estimates to patients as requested
Professionally is the resource for registration staff on insurance and billing questions, and assist staff with trouble shooting, errors and corrections
Professionally is the resource for hospital billing problems
Demonstrate knowledge in insurance and billing issues and processes
Work with payers to assist in getting claims processed and paid
Works denials and problem solveso get claim paid
Facilitates warm and welcoming environment

Patient Access Spec-int Resume Examples & Samples

Perform greeting and check-in duties as assigned
Identify Prior Authorization requirements and/or coverage limitations
Collect financial obligations from patients and provide financial counseling when appropriate

ED Supervisor, Patient Access Resume Examples & Samples

Provide assistance/resolution to external and internal client inquiries
Prepare reports or logs as required for reoccurring meetings and leadership research requests
Able to investigate process and payment issues and provide root cause analysis and recommended corrective actions to leadership
Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
Able to schedule, register and update patient information in core client systems
Maintain a current working knowledge of all healthcare related issues and regulations
Responsible to report any detected trends, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported
Maintain confidentiality at all times
Provides relevant staff education and fosters compliance with all applicable state and federal regulations for financial clearance and patient privacy (EMTALA, HIPAA, etc.)
Establish realistic goals and priorities concurrent with organizational objectives
Promote teamwork and collaboration within the department and across cross functional areas
Provide staff onboarding and educational support for their work area and relevant business needs
Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company's governance/compliance program
Becomes knowledgeable of internal control responsibilities through training and instruction. Responsible and accountable for internal control performance within their area of responsibility. Participates in the internal controls self-assessment process
Minimum of 2 years experience in healthcare registration or business office operations
Knowledge of medical insurance company practices regarding reimbursement
Ability to mentor staff and provide consistent performance management
Demonstrated ability to work in a team environment that requires quick turnaround and quality output
Able to produce accurate and professional looking reports using MS office products
Prior management or supervisory experience, preferred
Associates degree or BA/BS in business or related concentration preferred
NAHAM (National Association of Access Management) Certification preferred

Supervisor Patient Access Resume Examples & Samples

Oversees the day-to-day operations to ensure proper flow of registration activities
Supervises and evaluates the performance of the staff
Acts as resource person for resolution of complex registration situations
Develops and implements policies and procedures to facilitate and maximize efficiency in operations
Works with other administrative, clinical and/or practice areas to coordinate, registration, charge accumulation and cashiering
Prepares and monitors statistical, quality improvement and budgetary reports
Prepares requests for purchase of supplies, equipment, check requests and petty cash vouchers
Knowledge of Management Computerized Systems and Third Party Reimbursement
Minimum of three (3) years progressively responsible related work experience to ensure familiarity with registration in a medical or hospital setting
Knowledge of outpatient operations
Knowledge of word-processing and spreadsheet software
Strong interpersonal skills needed to facilitate encounters with patients, staff, nurses, physicians, etc

Supervisor, Patient Access Resume Examples & Samples

Oversees Daily operations of all patient registration departments located at Mercy Hospital Bakersfield
Expected to perform duties in alignment with the mission and policies of the organization
Rotates on call responsibilities with Patient Access Supervisors for weekends, holidays, and off hours
Assist manager with appropriate staffing of Patient Access areas
Completion of employee evaluations
Reviews and records employee attendance, time keeping, coaching, and disciplinary actions
Produces reports and communicates directly to manager
Facilitates staff meetings, education, and daily huddles
Coordinates implementation of policies and procedures to guide and support the team
Performs other job duties as assigned by Manager, Supervisor, or Administration
3 years prior Admitting, Outpatient registration, Emergency Department or Medical Office experience
Knowledge of Insurance's HMO, PPO, and government programs
Knowledge of insurance verification, authorization, and billing processes
Knowledge of EMTALA, HIPAA regulations
Excellent verbal and written skills medical terminology
Computer knowledge Word, Excel, Outlook
Ability to type 40-50 WPM

Patient Access Service Representative Resume Examples & Samples

Admit patients to the facility and provide information regarding the facility's regulations and policies; such as Patient Bill of Rights, Health Care Proxy, NY State Laws, etc
Conduct interviews to obtain demographics, insurance information etc. and enters data into the registration system
Communicates the Collection Policy to patients. Collects and documents co-pays and/or deductibles received at point-of-service
Obtains appropriate signatures on medical, legal and financial forms. Prepare charts, registration forms and print identification chart labels and patient identification wristband. Forward required items to patient care unit
Uses Teletracking to assign beds for maternity patients
Escort all patients to the patient care unit post registration
Use Surgical Information System (SIS) to retrieve scheduled surgical, cardiology and pre-surgical testing cases
Complete outpatient registrations for scheduled pre-admission testing, Obstetric Check and Call (OCC) and limited outpatient procedures
Completes Death Register and Fetal Demise Register information and follows procedures regarding the disposition of records and distribution of information
Facilitate the release of remains on all expired patients
Perform a variety of diverse office/clerical duties supporting the department's operations; including, but not limited to, answering telephone, maintaining files, sorting mail, keeping inventory of supplies, and informing management of all activities, needs and problems
Must be available to work 7:00 am - 3:00 pm, 3:00pm - 11:00pm and/or 11:00 pm - 7:00 am variable days, including weekends and holidays
Must be available for training which consist of 6 weeks of on the job training 7:00 am - 3:00 pm
Prior face to face customer service experience in a medical setting
Data retrieval experience using eligibility database systems,
Communicate effectively spoken and written
Must be able to multitask
Comfortable walking, and standing for extended periods of time

Financial Clearance Team Lead-patient Access Center Resume Examples & Samples

Demonstrated experience and a proven track record in hospital registration, financial clearing and/or financial counseling as typically acquired in 3 to 5 years of experience
Experience consistently executing Patient Access standards, processes, policies, procedures and service level agreements
Experience leading a team in a fast-paced environment while still following standard processes and procedures
Experience in a regional/ shared service Patient Access environment with multiple/ matrix reporting relationships preferred
Expert knowledge of the financial clearance process
Knowledge of patient access functions in acute and non-acute settings including organization, registration, financial clearance, and financial counseling functions and how they interrelate
Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections
Knowledge of medical terminology and coding
Knowledge of system interfaces that will include Passport Eligibility, eCashiering, Paperless Registration, Hyland On Base Scanning, Search America and other applications desired
Knowledge of work standards and productivity measures, quality control mechanisms, and workload distribution desired
Ability to serve as a coach to others on financial clearance processes, policies, and procedures
Demonstrates leadership skills and the ability to provide constructive feedback to team members to support continuous improvement
Ability to effectively resolve conflicts among individuals and/or work groups
Strong time management skills and the ability to manage frequent in-person contacts while effectively maintaining and documenting data in the patient registration/accounting systems
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health
Must be able to work concurrently on a variety of tasks/projects in an environment that may have competing priorities, be high volume, and working with individuals having diverse personalities and work styles

Patient Access Clerk Resume Examples & Samples

Greets, receives and escorts patients as required and consistent with customer service guidelines
Collects and verifies patient demographic, insurance eligibility, and financial information/responsibility and accurately documents in hospital computer system(s)
Responsible for consistent and accurate use and execution of department SOP's (established operating procedures) and supporting tools, software, websites
Screens self pay patients, identifies potential solution(s), and facilitates solution application process (manual and/or electronic) or patient payment as appropriate
Interviews patients bedside as needed to facilitate timely and effective solutions (ED only)
Assists patients in establishing secured installments plans when applicable
Meets performance standards established by Patient Access leadership, including but not limited to: quality, collections, customer service, screening/solution rates, productivity)
Delivers exemplary customer service for patients in accordance with hospital expectations / guidelines
Aptitude for/familiarity with patient access tools, systems, and technologies
Comfortable with collection process
Knowledge of Medical Terminology preferred

Patient Access Supervisor Resume Examples & Samples

Establishes procedures to ensure that tasks are preformed timely and without errors
Verifies and approves tasks performed by the staff and for scheduling employees and covering shifts when needed
Is on call as position/schedule dictates
Trains all new employees and current employees on procedures, policies and regulations that affect the department and/ or position
Ensures that staff has adequate tools to perform tasks
Accumulates and review statistical reports regarding productivity, and is accountable for variances
Keeps abreast of and ensures compliance of third party insurance and Human Resource regulations
Assists in evaluating performance of subordinates
Assists at and responds to disaster drills according to hospital policy
Ensures that all procedure manuals are complete and updated regularly
Plans, promotes, and executes special projects and programs that the Manager/Director is involved in
Prioritizes and completes a variety of assignments generated by registration
Assesses daily staffing and coordinates scheduling
Handles Earned Time requests as approved by Director
Oversees and evaluates appropriate quality assurance and improvement data
Monitors departmental compliance with JACHO
Develops and maintains systems to assure accurate, confidential, and retrievable information
Troubleshoots and serves as a liaison between the Director and other departments
Fills in as registrar in all registration areas as needed
Monitors Registration integrity
Completes daily reports as assigned and follows up appropriately
Monitors departmental compliance with hospital policies, quality assurance and improvement programs, safety, environmental, and infection control policies and procedures
Involves other departments in project planning and implementation
Supports others in the department and provides help and assistance when possible
Regularly attends and participates in team and/or departmental meetings and activities
Keeps others in the department informed of relevant information
Regularly offers and requests constructive feedback and coaching
Establishes and maintains effective working relations
Welcomes patients/customers/employees in a warm, friendly manner
Actively listens and constructively responds to questions and concerns in a timely manner
Performs other duties as required by the Manager and Director of Admitting/Registration
High School Diploma required, but Associate's degree preferred
Three to five years Inpatient/Outpatient registration or Hospital experience required
Two years supervisory experience preferred. Excellent interpersonal and customer service skills are necessary
Sensitivity to the confidential nature of the work environment, a must. Familiarity to Meditech, medical terminology and Rev Cycle software

Supervisor, Patient Access Resume Examples & Samples

Positions will oversee 24/7 hospital operations in the Patient Registration Department
Supervising the operations of the medical centers Patient Registration (Inpatient, Outpatient and Emergency / Trauma) Departments in an efficient cost effective manner insuring high quality service
3 years minimum supervisor experience
Must have experience with employee engagement, and the ability to manage 68 employees to include scheduling and payroll management
Must be able to work in a fast pace environment
Knowledge of reimbursement and compliance with medical center policy and regulatory agencies
Operational knowledge of Federal and State regulations pertaining to patient admission standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, JCAHO Title XXII)
Experience with Insurance verification / authorization process, HIPAA compliance, Medicare Secondary Payer contracts and manage care payers
Expertise with hospital computerized information systems
5 years of patient registration experience

Financial Clearance & Counseling Lead-patient Access Center Resume Examples & Samples

Demonstrated leadership experience and a proven track record in hospital registration management in a facility of significant size and complexity, hospital business operations and patient accounting applications, as typically acquired in more than 10 years of experience
Experience executing Patient Access standards, processes, policies, procedures and service level agreements
Experience in complex regional/ shared service Patient Access environment with multiple/ matrix reporting relationships
Experience managing complex/ large scale/ transformational projects, including demonstrated success in coordinating major projects and implementation of successful cost containment initiatives
Demonstrates leadership in planning new or expanded services, managing projects and coordinating multi-department task forces
Demonstrates experience in budget preparation and planning, development and monitoring of staff productivity systems analysis and tracking, quality improvement and establishment of quality standards and monitoring the implementation of other key management control systems
Demonstrates commitment to total quality management through knowledge of its precepts, skillful workplace applications and continuous organizational improvement
Familiarity with general hospital management principles, practices, and procedures
In-depth knowledge of advanced principles, methods, and techniques related to compliant healthcare billing/collections
In-depth knowledge of payer contracts, insurance eligibility, the Fair Debt Collection Act and CA charity laws
In-depth working knowledge of medical terminology and coding
Knowledge of Patient Access Patient Management information system applications, preferably EPIC
Knowledge of system interfaces that will include Passport Eligibility, eCashiering, Paperless Registration, Hyland On Base Scanning, Search America and other applications
Knowledge of reimbursement systems (DRGs, capitation, managed care, etc), the Medicare Peer Review Organization, TJC accreditation standards, state licensing requirements, and state and federal laws, standards, rules, regulations and requirements governing the confidentiality of patient information is essential
Knowledge of work standards and productivity measures, quality control mechanisms, and workload distribution
General knowledge of LEAN, Six Sigma, reengineering and/or other process improvement knowledge/experience desired
General knowledge of HR and payroll policies/ regulations, automated timekeeping systems and budget practices
Knowledge of technological advancements, labor savings procedures/ processes/ equipment and other state-of-the art department-specific systems
Knowledge of utilization review principles/practices
Familiarity with multiple patient access-related information systems and subsystems
Ability to set strategy and provide superior knowledge of business processes and enabling technologies, specifically in Patient Access functions
Aptitude to conceptualize, plan, and implement stated goals and objectives
Ability to identify, prioritize, resolve and / or escalate complex problems promptly
Ability to identify and implement consistent financial clearance/ counseling approaches across the system
Thorough understanding and experience with performance metrics
Ability to establish, develop and manage customer relationships
Excellent project management, planning and forecasting skills
Ability to serve as a reference and coach others on key Patient Access process, policies, and procedures
Ability to effectively detect, surface and resolve conflicts among individuals and/or work groups
Ability to communicate ideas both verbally and written to influence others using on-on-one contact, formal presentations, and group discussions
Effective internal consulting skills along with the ability to positively influence others in a desired direction to achieve identified outcomes without direct lines of authority
Ability to recognize the appropriate style, level of detail, and message for the audience
Ability to develop and maintain effective working relationships/ networks within and outside the organization
Skills using spreadsheet, word processing, statistical, project management, and presentation software applications, preferably Microsoft Suite; ability to learn new applications/software systems effectively and efficiently
Demonstrates skills developing and administering a complicated budget
Ability to utilize detailed/ complex information technology to maximize the efficiency and quality of revenue cycle activities; analyze and interpret complex data and draw logical conclusions to develop and address revenue cycle operational processes
Well-developed process design, implementation, and improvement skills, including large scale transition/ change management
Positive influence skills to move others in desired direction without formal lines of authority. This requires tact, diplomacy, polity savvy and executive presence

Director of Patient Access Resume Examples & Samples

3+ years of Patient Access experience; 2+ years of previous Supervisory experience
Experience with Intake and Admissions
Master's Degree in a related field

Patient Access QM Specialist Resume Examples & Samples

Performs audits for accurate demographic information, procedural processes, and billing accuracy, ultimately increasing revenue and decreasing accounts receivable days
Three years previous experience in patient registration or patient accounting, HCFA, HMO, and other regulatory agencies preferred
ICD-9/CPT coding preferred

Patient Access Navigator Resume Examples & Samples

Responsible for scheduling follow up appointments as ordered by Medical Provider
Requires the evaluation of medical orders, and entering and/or modifying orders if required
Heavy utilization of customer service skills and detailed system knowledge to support hospital and clinic operations via phone contact

Patient Access Workleader Resume Examples & Samples

Identifies and utilizes appropriate reports to contact insurance payers for resolution of accounts with registration issues with a minimal need to escalate issues internally
Assists with and resolves patient inquires or complaints
Recommends and provides input to execute Patient Access programs in accordance with changes in insurance regulations and data obtained from various departments and physician in regards to issues including registration
Assists the site manager /supervisor with the daily operational activities of patient access
Rotates in the on call coverage as well as covers call offs within the department
Participates on committees in an engaging manner as a subject matter expert on processes within the department
Cross trained to independently staff all areas of Patient Access at any facility, including but not limited to Front Desk, Admitting Office, ER registration and Cashier
Recommends and facilitates exceptional Patients First communication for each patient encounter during their registration
Identifies patient registration issues and resolves or initiates necessary follow up
Implements service recovery efforts as appropriate
Responsible for staff training, involved in performance evaluations by means of feedback and completes special projects and assignments which would not be given to front line staff
In addition responsible for operational tasks which include staff schedules, working reports, performing compliance and denial audits, working reports, handling call offs, allocating work/resources and time and attendance entries
Assists in the development and implementation of new processes
Functions as a Super User
Assists in the completion of departmental audits, reports, and QA
Handles coaching based on compliance metrics and also oversees cashiering duties as necessary
Provided registration and cash collection access in Epic
Minimum of 4 years of experience in a customer facing role with in person or phone contact; or previous work leader experience with demonstrated competence in personnel management
A Bachelors degree my substitute for up to two years of the stated experience

Cerner Patient Access SME Resume Examples & Samples

2+ years implementation experience with Cerner
3+ years experience with Cerner Patient Access (scheduling, registration, patient portal)
Ability to work on multiple, complex projects with high quality results

Head of Patient Access Operations & Value Solutions Resume Examples & Samples

Directly supporting optimization and collaboration of Market Access & Pricing functional strategies, plans, resources and operations, including coordination of contracting pull-through, incentive compensation and patient value services
Lead in the development and management of key internal and external meetings, events and communications across all patient value units
Direct all functions related to Market Access Training for Account Executive teams, including Regional, National and the Field Reimbursement. This role ensures that a full training strategy is developed and implemented to support the functional needs of the AE teams as well as contract and pricing teams to enable customer facing roles and their commercial business partners to possess the best knowledge and capabilities to effectively run their business
Align with Global Market Access to develop and implement Market Access & Pricing Competency Model including career pathways programs
Driving and delivering best-in-class processes, systems and patient access tools that optimize effectiveness and efficiencies across the US MAP Team (including SFA systems, business planning processes, and on-going improvement efforts)
Supporting development, ongoing enhancement and cross-departmental communication of Market Access & Pricing Patient Access Solutions and performance metrics
Analyzing, synthesizing and consolidating strategies, plans, objectives, budgets, capacity and other resource planning to identify synergies, remove redundancies, and generally optimize operations
Providing efficient tracking, monitoring and reporting of MAP performance metrics, business strategies, plans, budgets, capacity, other resources and business metrics; lead ongoing improvements in these tracking, monitoring, and reporting efforts
The position includes 3 direct reports and geography included United States and territories
Bachelor's degree in finance or related field and a minimum of 10+ years of pharmaceutical experience preferably in Contracts, Market Access, Marketing, Finance or Legal; or extensive experience in healthcare industry with proven track record
Management experience
Broad understanding/competency in the areas of pharmaceutical contracts and pricing, wholesaler operations and reimbursement
Buy & Bill and Specialty experience preferred
Experience and understanding of customer contracts in the pharmaceutical industry, regulatory requirements, sales and marketing requirements and financial impact of contract terms and conditions
Must have excellent oral and written communication skills including the ability to clearly translate and effectively communicate issues that affect business opportunities, problems, efficiency and compliance with all contracting requirements
Strong analytical skills and the ability to apply business principles in the decision making process
Must be able to work with a wide variety of people in an effective manner
Proven ability to effectively manage a team
Strong systems and process orientation
Strong organizational and time management skills as well as the ability to effectively prioritize
Proven ability to manage customer relationships and negotiate contracts and contract language
Must possess initiative and problem solving skills in order to determine the appropriate course of action and implement needed changes with little direction
Must be able to provide analysis and direction on improved efficiencies, risk/cost avoidance and/or profit maximization while maintaining compliance with all applicable regulations
Ability to apply comprehensive knowledge and thorough understanding of industry regulations and guidelines to maintain appropriate records, develop solid data capture, and maintain or adjust business rules
Works independently. Must be able to identify potential problems, conduct analysis and use judgment to determine if problem exists
Have an appropriate recognition when it is necessary to seek guidance or approval
Recommends customer contract strategy based on results of analysis

Patient Access Supervisor Resume Examples & Samples

4 plus years’ experience in medical facility, health insurance, or related area
5 plus years’ experience in Patient Access preferred
2 plus years’ in supervisory or lead role preferred

Patient Access Process Manager Resume Examples & Samples

Direct Reports Less than 5 Manager / Specialist Level
Excellent working knowledge of Patient Financial Services operations with specific focus on applicable discipline
Strong collaboration and persuasion skills to coordinate work efforts across multiple departments
Ability to work and coordinate workforces across multiple geographic locations
Proven ability to execute on operational initiatives to drive results
Knowledge of AR management technology tools being utilized to deliver on key performance metrics and improve cost/EBIT (claims clearinghouses, advanced AR management workflow tools, advanced call center technology, disputed claims management)
Ability to analyze data among multiple reports to determine areas for opportunity
Advanced knowledge of process metrics (cycle times, attrition rates, etc.) and how they can be used in the healthcare revenue cycle environment
Extensive knowledge of revenue cycle metrics and drivers, particularly in billing and collections (AR days, cash goals, aging, compliance metrics)
Knowledge of healthcare regulatory rules and how they apply to revenue cycle operations and outsourcing service providers
Microsoft Excel, Access, Visio, etc…
2 – 6 years experience in Healthcare Administration or Business Office
Lean, Six Sigma or other process improvement certification is a plus
Must be able to work in sitting position, use computer and answer telephone

Patient Access Team Lead Resume Examples & Samples

When appropriate, relieve staff members during employee sick/vacation time
Assist Supervisor to insure all personnel department policies and procedures are followed
Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards

Manager Patient Access Coliseum Parallon Resume Examples & Samples

Successful record of team bilding
Minimum of a Bachelor's Degree
Minimum 3 years strong management experience in patient access
Experience in healthcare provider financial operations or similar service environments
Experience in a very busy Emergency Department

Director, Patient Access Resume Examples & Samples

Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, preauthorization, admission/registration, service pre-payment, etc.) to ensure daily operations are maintained according to standard. Serve as the primary liaison between the PAS and the Facility
Maintain and promote good customer relations with facility management, physicians and physician office staff
Review Patient Access performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in PAS Service Level Agreements
Inform Regional Patient Access Director of any significant issues in the Patient Access area (e.g., Preregistration delays, pre-authorization backlogs, etc.)
Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education
Inform staff of relevant changes and developments in payer requirements
Ensure quality review measurements are in place
Facilitate implementation and monitoring of standard master files, processes, reporting and education programs
Oversee management of Patient Access personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
Develop specific objectives, budgets, and performance standards for each area of responsibility
Identify and implement process improvements to lower costs and improve services to facility customers
Perform staff reviews and prepare performance documents for direct reports
Recommends sufficient number of qualified/competent staff
Determines staff qualifications and competence
Develops and maintains accurate initial and annual competency checklists, and initiates completion of initial and annual competency attestation forms
Actively seeks ways to control costs without compromising patient safety, quality of care of the services delivered
Attends in-service presentations, and complete mandatory education week including, but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA Standards
Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues
Project Management - assesses work activities and allocates resources appropriately

Assistant Patient Access Director Parallon Resume Examples & Samples

Demonstrated strength in problem-solving, analytic, conceptual and critical thinking skills in making evidence-based decisions
Demonstrated ability to independently partner with staff, managers, senior leadership, and medical staff to achieve operational/process improvement
Demonstrated aptitude and flexibility to quickly learn, understand, and adopt new concepts and technologies
Geographic flexibility may be required for promotional opportunities
Experience in admissions/patient registration

Assistant Patient Access Director Resume Examples & Samples

Policies & Procedures- articulates knowledge and understanding of organizational policies, procedures and systems
Project management – assesses work activities and allocates resources appropriately
Requires occasional travel for training and educational opportunities
Prior experience in healthcare, healthcare management or patient access is required

Patient Access Clerical Asst Resume Examples & Samples

Screens for medical necessity and Medicare Secondary Payer Information (MSPQ) when applicable
One year customer service experience dealing with the public on the phone or in person required
One year patient financial services background (registration, billing, medical office, customer service, follow-up, or collections) preferred

Market Patient Access Director Resume Examples & Samples

Knowledge of the flow of the revenue cycle
PC/Systems literate including the Internet and basic MS office skills
Proficiency in prioritizing and managing multiple tasks
Operating Discipline and Business Acumen
Deal with Ambiguity and make good decisions
Possesses excellent tactical execution skills
Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders
Demonstrates strength in both performance management and leadership development
Advanced writing, verbal and presentation skills
Provide advanced customer service
At least 4 years manager/director level experience, including experience managing multi-level positions
4 year college degree
Approximately 40% - 60% travel may be required

Patient Access Director Resume Examples & Samples

Certified Healthcare Access Manager (CHAM) preferred
Supervisory experience preferred
Three to Five Years Management in Patient Access and/or Revenue Cycle environment preferred
Extensive knowledge of Patient Access desired

Patient Access Operations Analyst Resume Examples & Samples

Good interpersonal skills and ability to work well with other team members and customers. Respectful of all levels
Position requires basic business skills, an understanding of general financial operations and major AR goals in the healthcare environment
Proficient (medium to high skill level) with various desktop applications such as Microsoft Excel, Word, PowerPoint and/or Access
Intermediate knowledge with database query tools such as Showcase and/or AS/400
Detail oriented, meticulous and accurate in completing tasks on time
3-6 years experience in data analysis preferred

Manager of Patient Access Resume Examples & Samples

Manages overall operations of the Outpatient and Clinic Registration Departments
Selects, develops, manages, disciplines and supervises both direct and indirect reports
Evaluates performance and ensures annual appraisals are completed on a timely basis
Oversees staff competencies and ensures department goals are measurable to allow timely feedback to be delivered to staff
Creates SMART department goals in alignment with business goals
Monitors staff engagement continuously and develops action plans accordingly to encourage staff development and growth
Assesses and makes recommendations to improve the efficiency of current systems and processes for all applicable registration and financial services
Leads and champions process improvement projects in the Clinic and Outpatient Registration Departments and engages appropriate staff participation
Processes payroll, maintains employee records and work schedules, and ensures staffing adequate coverage at all times
Maintains daily workflow to expedite registration, provide a positive patient experience with exemplary customer service while ensuring accuracy and quality output
Develop, review, and maintains current departmental policies and procedures and ensures staff education is performed on all new and revised policies
Keeps informed of and disseminate all pertinent Optum 360 policies and procedures, Northwell policies and procedures, JCAHO, and other regulatory agency standards, and insurance requirements and regulations
Manages the financial aspects
Works closely with the Consolidated Business Office, Patient Accounts and Health Information Management to ensure effective management of patient cases and accurate billing practices
Assesses front-end registration processes to incorporate and support point of service collection, patient education and billing requirements
Provides support and education to decentralized registration areas as it relates to charge entry and billing practices. Serves as liaison between ancillary and decentralized departments and troubleshoots questions and issues impacting revenue cycle initiatives
Assists in monitoring the department budget; oversees ordering for department office supplies
Oversees and ensures daily monitoring of Clinic and Outpatient registrations for Quality Assurance
Ensures compliance and integrity of data with billing and regulatory requirements
Assumes responsibilities related to patient access services in the absence of the Director
High School Diploma or equivalent experience
Proficient in Microsoft office including Word, Excel and Outlook
Minimum of 3 years of management experience
Healthcare management experience
Experience with hospital registration/patient access and billing systems
INVISION experience

Patient Access Lead Resume Examples & Samples

2 - 4 year college degree in Business, Accounting, Medical Administration or related area preferred
2 – 4 years’ experience in medical facility, health insurance, or related area
3 – 5 years’ experience in Patient Access preferred
1 – 2 years’ in supervisory or lead role preferred

Epic Patient Access Analysts Resume Examples & Samples

Interview users, stakeholders, and sponsors to assess departmental needs to create Business, functional and technical requirements documents
Analyze and document client's business requirements and processes; communicate requirements to technical personnel by constructing basic conceptual data and process models, including process flowcharts and technical specifications
Coordinate user groups and project teams, convening conference calls and meetings and maintaining minutes and follow-up logs
Work collaboratively with Systems Analyst to develop designs, mock ups and prototypes
Ability to lead Business in programs with complex projects
Work within time line and resource constraints provided by the Project Manager
Experience with HL7 communications is a plus
Performs other duties as assigned/required
Completed multiple go-lives, and at least one from (near) inception to completion
Experience with an Epic implementation at a multi-hospital system, and/or a major academic medical center
A Baccalaureate Degree from an accredited college or university in computer science, Information systems, business administration or equivalent experience or education is required
At least 3 years of clinical health care systems experience
At least 3 years of experience on commercial core clinical applications
Experience documenting system architecture design and clinical system work flow
Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts
Must be well organized, detail oriented, highly analytical, possess strong problem solving skills and must have a desire to be accountable for project success
Detailed knowledge of general phases of SDLC, project management methods
EPIC Cadence, BedTime, ADT and/or Prelude Certification required
Experience with Referrals
This role will require a strong knowledge of referrals and is strong with Order Entry, EAP build, OCC build, and Chronicles searches/report writing
Strong technical build (Ambulatory) resource with excellent communication skills
Requirement collection, defining work flow, design, build, and test of the Epic Ambulatory module; must have experience working on referral orders, work queues, order transmittal rules, work flow engine rules, patient requisitions etc
Participates in testing system enhancements (i.e. new modules, upgrades, product installs). Performs rigorous testing of new code, templates, scripts, etc., to deliver high-quality end-user solutions
Operates under deadlines and challenging workloads. Architects and delivers solution innovation for new services, improve services or to lower costs

VP, Patient Access Client Performance Resume Examples & Samples

Manage a team of Sr. Directors responsible for specific geographic client markets, including coaching and development, to ensure effective oversight and change management across client facilities
Optimize and standardize current processes, develop solutions for any anomalies and monitor to ensure consistent adherence across all client facilities. Proactively work with market leaders to ensure adoption of Conifer standards
Consult with client delivery market leaders and develop overall strategy and objectives that are aligned with each market deliverables; act as SME for any new facility transitioning to Conifer
Support annual patient access team member goals that align with business objectives of patient access, market PSLs; track and measure monthly results; correct issues quickly to assist achieve targets and EBITDA
Collaborate with other hospital revenue cycle operational leaders to identify problems and determine solutions that improve and/or enhance overall operations
Develop patient, physician and client satisfaction programs that enable a world class customer service
Work to identify new technology, tools and key initiatives in Patient Access that will reduce cost and/or improve yield across the revenue cycle
Extensive knowledge of revenue cycle metrics and drivers including insurance verification, government funding and qualification, scheduling, pre-registration, patient check-in, through-put and wait times, patient satisfaction
Strong knowledge of admitting and registration systems
Strong understanding of relationships between financial and clinical department leaders within acute care hospital settings
Ability to manage and influence employees and leaders in a matrixed environment, with multiple locations across a wide geographic span
Must be data driven with strong analytical skills to drive results, including reduced days in A/R, improved cash collections, reduced aging, and lower denials
Must be a change agent that improves to the overall customer experience
Strong presentation and communication skills, with the ability to communicate to a wide range of audiences from senior executives to front-line employees
10-12 years of hospital revenue cycle management, with significant experience overseeing Admitting, Registration and/or Eligibility departments, preferably in large hospital systems

Associate Director, Oncology Patient Access Resume Examples & Samples

Lead the development and implementation of regional strategies and tactics to secure, maintain and improve reimbursement for Merck oncology products in the assigned region
Develop and maintain expertise on provincial decision-making processes related to healthcare, pharmaceuticals and oncology
Evaluate the impact of regional health policy trends and initiatives on Merck oncology products with respect to patient access, reimbursement and business overall
Translate regional payer needs, requirements and policy developments into meaningful guidance and strategic insights which are used to drive integrated brand/access planning and the development of strategy and tactics
Develop regional oncology policy plan and regional oncology stakeholder engagement plan in collaboration with health policy & stakeholder relations, medical affairs, public affairs and marketing
Establish and maintain contact with key government stakeholders (cancer agencies , drug program managers & staff, planning departments), policy makers & influencers (political officials & bureaucrats), patient associations and oncology-related healthcare stakeholders
Liaise with provincial industry associations and represent Merck oncology perspective on topics relevant to the biopharmaceutical industry and patient access to oncology medications
To collaborate, support & align with other team members related to reimbursement, stakeholder relations (Patient Access Planning, HEOR, Policy, MSLs, Hospital KAMs) and oncology business planning (Marketing, Sales)
Robust understanding of payers (public, private, cancer boards, hospitals) and their decision-making systems related to oncology products
University degree in policy, healthcare management, business or sciences
Minimum of 5 years of relevant provincial healthcare policy and/or market access experience in the pharmaceutical industry
Experience in oncology is preferred
Thorough understanding of the Canadian health care system, drug reimbursement environment and key oncology stakeholders in Canada
Strong negotiating, problem solving and decision-making skills
Excellent collaborator
Developed analytical skills
Command of MS Office

Director, Patient Access Resume Examples & Samples

Develops and directs work processes for patient admitting, registration, patient financial counseling, third party patient services authorizations, patient accounts receivable and the collection and processing of funds and payments. Develops processes, researches outstanding issues, educates staff to realize the Facility and System cash goals
Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and performance management. Develops work goals and objectives for the department in accordance and alignment with company goals; provides measures and feedback, leadership and motivation for staff achievement of departmental goals
Evaluates and improves the accounts receivable portfolio. Analyzes and reports on the performance of the department in meeting goals. Identifies and pursues opportunities for strategic performance improvements; serves as facilitator and team leader in System Process Improvement activities within the department and with the various departments with which it interfaces. Takes action to correct performance deficiencies and/or improve outcomes
Maintains and uses a current knowledge of regulations in guiding policy for the facility and company. Formulates and ensures implementation of Patient Financial Services policies and procedures that are consistent with Federal, State, and Joint Commission on the Accreditation of Hospitals Organization (JCAHO) guidelines, and that preserve compliance while minimizing risk of sanction by regulatory bodies. Acts as a knowledge resource on patient privacy regulations and provides Health Insurance Portability and Accountability Act (HIPAA) education. Safeguards the companys assets and interests
Provides training, education and development for the Facility Patient Financial Services (PFS) team. Ensures that staff has the abilities and knowledge to produce efficient and effective collection of cash receipts, accurate patient registrations and patient service authorizations, high quality customer service, and effective patient financial counseling. Develops leadership skills of managers and supervisors
Implements and improves patient accounting system use processes that result in increase efficiency and/or effectiveness in achieving desirable outcomes such as reduced payer write offs on accounts and improved upfront cash collections. Continually updates the proficiency of staff in the effective use of hospital system software and databases as they relate to hospital billing and registration
Develops, prepares, maintains and adheres to annual department budgets. May prepare business plan for capital requests for major expenditures. Develops and monitors department staffing plans and schedules to insure appropriate staffing levels at all times while remaining within budgeted expense guidelines
Works as a member of the Facility leadership team and the company Patient Financial Service leadership team to achieve Facility and Company goals. Participates in various facility and company committees

Patient Access Contact Senior Director Resume Examples & Samples

Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Develops, implements and communicates department goals and objectives in accordance with company standards
Provide leadership in complex situations and provide strategic guidance senior/executive strategic leadership across all patient engagement/scheduling functions throughout the Banner enterprise (Banner Medical Group, Banner University Medicine Division, Revenue Cycle and Community Delivery)
Identifies opportunities for enhanced collaboration, efficiencies or entrepreneurial enhancements to the patient engagement/scheduling process to ensure a convenient, coordinated and compassionate industry-leading experience
Responsible for supervision of various patient engagement/scheduling centralized and decentralized contact center directorates across multiple disparate office settings and locations. Includes quality management, risk management, resource management, employee engagement and development
Provides leadership to advance the organizations mission of making a difference in peoples lives through excellent patient care, including but not limited to: identifying training opportunities, workflow enhancements-consolidation, identifying/deploying new patient facing capabilities, deploying new measurement tools and partnering with teams to develop/deploy enhanced training
Creates a leading patient/consumer experience that is seamless across all engagement/scheduling functions at the Banner-enterprise level

Senior Director, Patient Access Operations Resume Examples & Samples

Client Service Level Agreements (SLA)
Operating goals, set by the Patient Access Process group that drive SLA
Strong ability to speak to and drive operational key metrics
Knowledge of detailed Patient Access processes
Detail oriented, analytical skills, and an ability to work independently
Manage and continuously improve process metrics
Change management experience
Responsible for directing and executing business processes including monitoring and achieving client Service Level Agreements and all supporting process metrics with a region. Responsible for the overall cycle time, work product accuracy including quality monitoring metrics, productivity, and associated process metrics. Establishes regional and hospital budgets. Analyzes P&L’s to ensure positive EBIT performance and manages to hospital, market and regional budgets
Implements strategies around resource utilization in order implement effective succession planning and building of bench strength to allow growth within the organization without negatively impacting cost
Collaborates with all segments of leadership responsible for process design and development, process monitoring, and policy and procedure development. Manages all aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations, etc
Leads regional projects and acts as Conifer’s voice in client initiatives impacting Patient Access. Works collaboratively with process, strategic director, client and other leadership to build short, medium and long term plans and strategies for the evolution of the business operations
At least 1 year director level over multiple facilities/units or equivalent business experience
4 year college degree required
Graduate Degree, preferred

Director of Patient Access & Physician Services Resume Examples & Samples

Minimum 5 years of patient registration or customer service management experience in a hospital environment
Previous experience in a leadership role, with progressive growth in responsibilities
Knowledge of patient access systems and third party billing requirements
Experience in a for-profit hospital, preferred

Patient Access Supervisor Los Robles Resume Examples & Samples

Needs hospital Patient Access experience
Trauma Center/ emergency room experience a plus
California laws, California Medicaid, Medical, commercial insurance

Patient Access Assistant Director Resume Examples & Samples

Organization – proactively prioritizes needs and effectively manages resources
Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Start-Up Operations – understands complexities and needs to start up, build and maintain a new business
May require long work hours, shift work and weekends
BS or BA degree required
MBA or MHA degree preferred
Experience in healthcare, healthcare management or finance

Assistant Patient Access Director Resume Examples & Samples

Technical Expertise – Some understanding of healthcare including knowledge of healthcare terms and accounts receivable processes
Strategic Analysis - Analytical Review skills and ability to make decisions based on analysis
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

Patient Access Senior Rep-westland Resume Examples & Samples

Daily decisions and actions must also reiterate our desired outcomes – high patient satisfaction and safety, optimal productivity, and high employee morale
Must contribute to a positive and productive work environment
Enter information into the EHR/EMR as directed by the provider
Research information as requested by the provider

Associate Director, Patient Access Resume Examples & Samples

Case-level Activities- Research individual payer appeal processes, develop appeal strategy and create tactical action plan and adhere to timeline, secure alignment with key commercial stakeholders, facilitate the development of communications (support appeal letters and/or provide MD evidence) by leveraging clinical evidence from Medical Affairs or Payer policy evidence, procedures and appeal process. Coordinate execution of plan and follow up across functional teams
RareConnections Interface—Proactively monitor the incoming cases to identify and aim to pre-empt downstream reimbursement and coverage issues
Patient Access Services—Work with Franchise leads to manage Patient Assistance Programs and identify trends on payer denials, escalate to appropriate folk team members, e.g., (RareConnections, Managed Markets, Medical Affairs , or Sales and Marketing as appropriate)
Develop and implement strategies and tactical programs addressing patient-level barriers to product access (e.g. coverage and reimbursement, Patient Assistance Program parameters, etc)
Work closely with case management hub (BioMarin RareConnections) to develop and execute plans addressing patient-level barriers to product access
Integrate seamlessly with BioMarin RareConnections operations, Managed Markets, Payer Policy and Field Account Teams
Collaborate closely with other commercial groups including Marketing, Medical Affairs/Information and Compliance
Participate as necessary on brand, field sales, and other commercial teams
Manage and adhere to corporate policies and practices
Develop materials and present at internal and external meetings
Facilitate communication/calls with functional partners
6+ years’ experience of relevant pharmacy benefit and medical benefit healthcare reimbursement experience
Previous experience in healthcare in positions encompassing insurance, case management, interactions with health professionals, patients and family members
Related experience in specialty drug health care operations, billing, public/private health/pharmacy reimbursement and customer service, infusion services
Full understanding of the insurance approval/denial/appeal process; previous direct experience in submitting appeals and advocating for appropriate clinical treatment of patients is highly desired
Experience with and full knowledge of insurance, workers compensation and managed care systems
Good analytical and organizational skills, the ability to interact and positively influence across multiple departments

Patient Access Spec-int Resume Examples & Samples

Greet patient in a respectful, warm and professional manner by phone. Assist patient with requests in navigating our system
Schedule appointments and collect demographic and insurance information in Excellian
Work call center effectively
Ability to interpret orders for appropriate scheduling based on physician orders
Ability to use various resources, tools on computer
Ability to solve complex scheduling and registration issues
Ability to identify patients that need financial assistance and provide financial coaching
Ability to multitask effectively and efficiently
Verify insurance eligibility, when needed

Dir, Site & Patient Access PI Resume Examples & Samples

Leads the design/redesign of Catalyst business processes while identifying potential process improvement projects/opportunities
Designs, develops and delivers training programs on the Catalyst process improvement as requested
Leads the development and maintenance of information on Catalyst process improvement for company employees. Leads the development of process improvement strategies for internal and external focus

Patient Access Lead-valley Baptist Medical Center Resume Examples & Samples

Advanced Understanding of Compliance standards preferred
2 - 4 years experience in medical facility, health insurance, or related area
3- 5 years experience in Patient Access preferred
1 - 2 years in supervisory or lead role preferred

Manager Patient Access Colleton Parallon Resume Examples & Samples

Successful record of increasing staff productivity and quality, while decreasing patient wait times
Successful record of team building
Minimum of a Bachelor's Degree; Masters Degree preferred
* Only applicants who meet the education requirement and who have listed salary requirements will be considered ***

Director, Site & Patient Access Resume Examples & Samples

Leads the implementation of the Catalyst process internally within the Company
Provides leadership for Catalyst process enhancements which may include: system enhancements, development, improvement and documentation of processes, testing, participation in, and support of, validation activities. Works with Subject Matter Experts across the company to maintain and develop business process maps, process documentation and training materials
Creates and manages measurement systems to track engagement of Catalyst process improvement extended team and demonstrated return on investment for initiatives/projects within the organization

Patient Access Supervisor Resume Examples & Samples

Prior Work Experience: 3 to 5 years registration experience, 1 to 2 years in a supervisory position and a working knowledge of all positions within the Department
Calculator, Photocopier, Computer, and typing skills; ability to operate business machines
Customer service and organization skills

Patient Access Supervisor Resume Examples & Samples

Analyzes, recommends, implements and monitors approved work flow changes
Processes payroll maintaining employee records and work schedules while ensuring adequate coverage at all times
Works with clinical personnel in obtaining authorizations and contacts insurance companies as needed
Ensures compliance with DOH regulations as they pertain to completion and filing of death certificates and termination certificates
Maintaining daily workflow in order to expedite processing while ensuring quality, accuracy, and customer service
Monitors the inpatient and outpatient registrations for Quality Assurance
Responds to concerns of patients, families, physicians and staff
Recommends procedural and system changes to improve operational quality and efficiency
Actively participates in process improvement projects
2+ years of Patient Access experience
Basic data processing and computer operations
Operational knowledge of Federal and State regulations pertaining to patient admission and registration, medical terminology, team building and cohesiveness
Effective oral and written communication skills, supervisory techniques, human resource management / leadership skills
Ability to motivate and lead staff through necessary transitions required by the challenges in the current and future healthcare environment
Must be able to work: Saturday and Sunday – 3:00pm-11:00pm and Tuesday, Wednesday, Thursday – 11:00pm-7:00am. (Off Monday and Friday)
3+ years of prior supervisory or lead experience
Experience in direct patient interaction in a hospital setting

Patient Access Represenative Resume Examples & Samples

High School Diploma Required
Prior customer service or medical office experience preferred
Knowledge of computers and office equipment
Ability to type a minimum of 35 words per minute required

Patient Access Team Lead Resume Examples & Samples

Has work experience managing multiple projects and deadlines
Has worked in a healthcare delivery setting and successfully interacted and communicated with all levels of staff, physicians, patients, and family members in an effective manner having exhibited tact, enthusiasm, and patience
Must demonstrate sensitivity to cultural and bilingual issues
3 years’ experience in Registration, Insurance Verification or Authorization
Preferred prior leadership experience
Proficient in MS Office applications
Experience with Cerner RCI preferred
Home care experience

Patient Access Lead Resume Examples & Samples

Associate’s degree or 4 years of relevant experience required
Minimum of 2 years customer service experience is required
1 year of management experience preferred

Patient Access Supervisor Resume Examples & Samples

Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations
May manage the P&L of a business or part of a business unit
Project management and implementation, staff management
Ability to sit for extended periods of time at a desk
Ability to move about the office
Ability to frequently lift up to 10 pounds (e.g., books, binders, paperwork)
Physical dexterity sufficient to use a computer for preparing documents and communicating electronically
Ability to drive a motor vehicle to meetings at various locations
Ability to see well enough to read standard text and data on an electronic screen of a computer terminal and to read text on papers, books and forms
Ability to hear normal speech, in-person and over the telephone, even in a noisy environment
Ability to orally communicate with people in-person and/or over the telephone, even in a noisy environment
Ability to constantly make decisions and concentrate
Ability to work in an environment with occasional exposure to grief and death
Ability to work in an environment with occasional risk of exposure to biohazards, infectious organisms and hazardous chemicals
Working knowledge of standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC, Title XXII, EMTALA), insurance verification/authorization processes, managed care, CHA consent manual, CQI principles, tools and techniques
Demonstrated leadership skills and the ability to initiate change in a positive manner
Trained to motivate and lead staff through necessary transitions required by the challenges in the current and future healthcare environment

Director Patient Access Resume Examples & Samples

Assures compliance with The Joint Commission, federal, state, and other regulatory agencies related to Patient Access
Provides input and direction to strategic plan and goals
Represents Patient Access in all site specific director level meetings
Works with facility/site CFO regarding all patient access and/or PFS applicable functions
Maintains and develops knowledge of current hospital policies, procedures, and protocols
Provides input for process design and other implementation activities
Participates in budget preparation and cost control management
Oversees management of Patient Access personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
Achieves Imperatives based results for the organization through strategic planning
Responsible for the patient access financial performance as set forth by Patient Financial Services and works to improve processes to meet goals
Effectively communicates internally and externally with all levels of senior management administration
Responsible for improving point of service collections by strategically planning on-going training for Patient Access staff
Follows RevWorks policies, upholds professional standards, and performs all work in a manner respectful of others
Implements process improvements to lower costs and improve services to facility customer
Knowledgeable with patient access processes
Must be able to maintain high level confidentiality, have excellent writing skills, understand medical terminology, and be computer literate (word processing and other relevant software.)
Must be able to be physically active for a portion of shift
Ability to maintain high level confidentiality
Understanding of medical terminology
Good computer skills (word processing and other relevant software.)
Strong leadership and management skills including ability to mentor and develop staff
Program development skills
Effective analytical skills
Bachelor’s Degree in accounting or business related field or equivalent
Minimum of 7+ years’ relevant experience
Must reside in or be willing to relocate to the St. Helena, CA area
Minimum of 5+ years of management experience preferred
HFMA/CHAM certification preferred

Patient Access Clerk Resume Examples & Samples

Two years or more previous experience in registration in healthcare, business office and or physician billing with reimbursement and collections preferred
Previous cashiering, knowledge of insurance verification authorization and billing process preferred
Understands and is knowledgeable with all payers including, HMO, Commercial, Medi-Cal and Medicare programs preferred

Patient Access Req for Per Diem Shifts Resume Examples & Samples

Minimum typing skills of 35 wpm
Demonstrated working knowledge of PC/CRT/printer
Knowledge of function and relationships within a hospital environment preferred
Customer service skills and experience
Ability to work in a fast paced environment
Ability to receive and express detailed information through oral and written communications
Course in Medical Terminology required
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
Must be able to perform essential job duties in at least two Patient Access service areas including ED
Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care
High School Diploma or GED required
0 – 1 year in a Customer Service role
0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
Some college coursework is preferred
Must be able to sit at computer terminal for extended periods of time
Occasionally lift/carry items weighing up to 25 lbs
Frequent prolonged standing, sitting, and walking
Occasionally push a wheelchair to assist patients with mobility problems
Hospital administration
Can work in patient care locations which include potential exposure to life-threatening patient conditions
Must be available to work hours and days as needed based on departmental/system demands
Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients

National Director, Patient Access Resume Examples & Samples

Leads management team to establish strategic plans and objectives for the function; may assist with developing some cross-functional oriented objectives
Has overall control of planning, staffing, budgeting, managing expense priorities, performance requirements, and recommending and implementing changes to methods
Influences the development and execution of functional KP-wide policies and long-term goals
Participates in development of methods, techniques and evaluation criteria for projects, programs, and people for the corporate function
Minimum five (5) years of management experience
Minimum ten (10) years of related experience

Patient Access Reps Resume Examples & Samples

Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties
Responsible for meeting all patient registration goals in a timely manner to ensure time sensitive requirements are obtained
Working knowledge of Protected Health Information (PHI), HIPPA
Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information
Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system
Works according to standard operating procedure during ADT/system downtimes
Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments
Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement
Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy
Must be able to type 35+ wpm
Exhibits competency in the use of all registration systems, electronic verification tools, and Web Based resources
Maintains basic understanding of the medical necessity screening process and appropriate systems
Ability to prioritize and organize work

Patient Access Lead-accredo Resume Examples & Samples

Monitor work flow & assists with reassignments. Provide support & backup for supervisors. Handles escalations
Responsible for managing key patient access metrics as determined by leadership. Monitor QA through referral and RxHome patient account audits
Provide expert assistance to clients on patient status. Liaison for company providing patient referral status reporting
Review department activities & identify potential issues, risk & escalate to supervisor. Identifies payor and process issues. Escalates as appropriate, using discretion & independent judgment in handling patient or client complaints, escalating as appropriate
Responsible for training, mentoring and SOP development
Act as liaison for other operational departments to research & resolve member & client issues
Complete other projects and additional duties as assigned
3-5 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology
Experience in patient access preferred
Intermediate data entry skills and working knowledge of Microsoft Office
Patient Access knowledge; Demonstrated leadership abilities; Basic supervisory skills preferred

Manager, Site & Patient Access Resume Examples & Samples

Leverages experiences, knowledge, and best in class practices to generate new ideas furthering the Global Site and Patient Access objectives. Ensures alignment with broader corporate goals and objectives
Drives Site and Patient Access initiatives by working with internal and external stakeholders to establish the Company as a preferred CRO for sites and patients. Acts as the Company champion for site and patient groups both internally and externally
Supports the analysis and selection of current and proposed preferred provider relationships with sites, vendors or patient stakeholder groups that strategically align to Site and Patient Access needs
Engages with therapeutic business units to support and deliver the implementation and delivery of specific site and patient access initiatives. Creates awareness internally of the relationship and working practices between investigator and patient stakeholders and the Company
Provides cross functional team leadership to deliver Site and Patient Access initiatives with a variety of stakeholders, both internal and external. Initiatives will be diverse and may include technology and process improvement components
Delivers Site and Patient engagement initiatives through good communication, clear implementation plans and explicit performance metrics to agreed timelines and quality, across the clinical development life cycle. Provides input to corrective and preventive action associated with quality issue resolution. Communicates compliance and performance to relevant stakeholders. May also assume the role of “Site Relationship Manager” to oversee performance and issue management of studies running at Catalyst sites
Supports and maintains to the development of relevant information libraries and communication materials to assist with RFI/RFP development and queries from Sponsors, Business Development and project teams
May have line management responsibilities for staff members. For direct and indirect reports, may participate in and manage activities related to department staff operations such as interviewing and selection, job description preparation, professional development, goal setting, performance management, coaching and mentoring, employee counseling, and separations. Approves courses of action on salary administration, hiring, corrective action, and terminations. Reviews and approves time records, expense reports, requests for leave, and overtime. Works with and advises staff on administrative policies and procedures, technical problems, priorities, and methods

Director, Patient Access Resume Examples & Samples

Provides overall direction and support to multiple clients, product lines or clients with 2 to 5 million dollar plus revenues and/or product lines
Absolute responsibility for ensuring superior customer satisfaction and ensuring compliance with the terms of the contract
Ultimate responsibility to ensure all client reporting is complete, accurate, appropriate and delivered and presented on time
Ultimately responsible for creating a positive, effective and caring work environment by utilizing the principals of managing by values, not rules, in addition to guiding and directing Leadership in the same principals
Creates a positive work environment that fosters growth for leaders and team members and encourages engagement
Responsible for multiple teams with a wide range of responsibility within the revenue cycle
Responsible for establishing annual Team goals as well as ensuring all reasonable steps are taken to accomplish success
Overall responsibility for seeing that team member quality and productivity standards are met via established QA periodic operational review
Ensures that internal and external policies, procedures and processes are available, current and represent compliance with best practices
Participates in the development of service training and continuing education opportunities for team members
In conjunction with HR, makes decisions related to corrective actions, hiring and termination
Requires a broad knowledge of health care financial revenue cycle
Proficiency with Microsoft Office products (Outlook, Word, Excel and PowerPoint)
Strong organizational and coordination abilities are required
Requires strong leadership/people management skills

Analyst, Patient Access Operations Resume Examples & Samples

Excellent communication, customer service and time-management skills
Intermediate problem solving and organizational skills
Strives for continuous improvement through training & other learning opportunities
SQL experience strongly encouraged
Bachelors Degree in Business or Health Care related field preferred
Must be able to work in sitting position and use computer

Patient Access Supervisor Sunrise Resume Examples & Samples

Hospital Patient Access experience required
Trauma Center / ER Experience required
Minimum 3 years supervisory experience; preferably in Hospital Patient Access but must be in healthcare
Needs to be really hands on with staff
Salary Expectations Must be Included

Patient Access Lead Resume Examples & Samples

Staff and order supplies according to budget guidelines and department needs
Maintain QA statistics (including patient wait times, etc.) and report results to Supervisor
Oversee the daily activities of the registration area to insure department standards are met
Assists Supervisor in educating registration staff of any changes pertinent to their roles
Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits and payment of services from legally responsible patients
Work closely and professionally with nursing and ancillary departments in effort to maintain a teamwork approach
Excel in all functions performed by patient representatives
Collect/request deposits and copays
Assume on-call responsibilities to insure adequate staffing and problem-solving

Manager, Patient Access Resume Examples & Samples

Monitor staff performance and quality and address any training or performance issues on a regular basis
Effectively functions as a liaison among Hospital managers in coordinating inter-departmental billing efforts and addressing patient access, scheduling, major charge and billing and reimbursement matters
Provide assistance/resolution to client inquiries
Responsible for reporting any detected trends in payments or denials, as well as procedural problems and makes recommendations regarding the correction of these trends or problems
Conduct routine account activity quality audits to verify accounts are being worked appropriately
Monitor internal processes for all functions of the unit, revise and develop consistent protocols for all business that meet the needs and are aligned appropriately with the core values of the unit
Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact patient access including EMTALA, HIPPA and Affordable Care Act. . Develops effective internal controls that promote adherence to these guideline and programs. Seeks advice and guidance as necessary to ensure proper understanding
Demonstrates correct and safe technique in the use of equipment according to the specific product information and hospital policies and procedure
Maintains the confidentiality, security and integrity for the management of associates/patient information according the specific product information and hospital policies and procedures
Analyze and solve problems quickly and thoroughly
Provide cumulative reports on a daily, weekly or monthly basis, as required and other reports as assigned to track productivity and performance
Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation
Assists with internal control failure remediation efforts
Possesses a full and complete understanding of the internal control requirements within their area of ownership/responsibility
Responsible and accountable for internal control implementation andperformance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed
Establishes accountability for internal control performance with subordinates. Promotes the importance, residual benefits and high priority nature of effective internal control performance with subordinates
Ensures subordinates are adequately trained as to their specific internal control responsibilities
Ensures subordinates are adequately cross trained or otherwise have plans to sustain internal control performance during employee turnover/movement
Ensures the internal control self assessment process is implemented and testing results are documented and evaluated
Helps manage internal control failure remediation efforts. Ensures subordinates’ historical internal control performance is monitored and results incorporated into the performance review process
Prior management or supervisory experience required
BA/BS in business or related concentration; graduate degree, preferred
Minimum 3-5 years experience in healthcare business office or Patient Access operations
Functional understanding of core systems for patient registration, insurance verification and scheduling
Proven knowledge and experience in governmental, legal and regulatory provisions related to collection activity
Knowledge of insurance company practices regarding reimbursement
Ability to lead teams to achieve desired goals and objectives
Solid knowledge of all MS Office Products

Coordinator Patient Access Operations Resume Examples & Samples

Excellent interpersonal skills; detail oriented; ability to accurately proof work
Strong organizational, problem solving and multi-tasking skills
Ability to gather and analyze data, generate reports
Experience with effectively managing, coordinating and responding to client requests
Ability to interact effectively with all levels of staff and management is essential
Ability to maintain strict confidentiality is required
Intermediate MS Office required (Outlook, Excel, Word, PowerPoint)
Knowledge of fundamental accounting practices
Experience organizing people, financial resources and tools
Experience in Healthcare preferred
Bachelor degree preferred
5+ years experience interacting with executive level leadership, prior healthcare administration background preferred
2-4 years experience in data analysis and reporting
Must be able to lift up to 25lbs

Director Patient Access Midtown Resume Examples & Samples

A proven track record of successful process improvement in increasing patient satisfaction
Must have the ability to build relationships with key business stake holders
Must have a proven track record of results achievement. Able to meet/exceed key performance indicators in upfront collections, registration accuracy, productivity, wait times, denials management, unbilled days, quality and patient experience
Minimum of a Bachelor's Degree Required; Masters Degree Preferred
Experience in Patient access in a fast paced environment

Supervisor, Patient Access Reg Resume Examples & Samples

Education: High School diploma or equivalent, with some related college course work or equivalent experience preferred
Experience: 3 – 5 years related experience in Patient Access, registration, patient accounting or revenue cycle operations with some supervisory/lead responsibilities
Skills & Abilities: Excellent oral, written and interpersonal communication skills, knowledge of ICD-9 and CPT coding, medical terminology, and/or revenue cycle knowledge
This position will rotate between Wayne, Taylor and Trenton location**

Patient Access Clerk Resume Examples & Samples

Readies charts for visits including: Demographic face sheet, encounter form, HIPPA, consent to treat, H&P exam form
Completes scheduling of patients
Reports patient complaints or safety issues to the director
Maintains all HIPPA related rules to ensure patient privacy
Assist in compilation of data for CQI
Orders stock from Materials Management, as requested
Performs simple maintenance tasks in work area or initiates work order as needed
Verbalizes knowledge of potential risks in the department and throughout the organization
Demonstrates knowledge of emergency codes and verbalizes role in each event
Demonstrates knowledge of proper evacuation routes and verbalizes knowledge of role in event of a disaster
Demonstrate flexibility and skillful problem solving abilities, utilizing a team approach as necessary
Demonstrates adaptability to change, remaining flexible in response to changes in job demands and scheduling
18 years of age
Secretarial experience preferred

Patient Access Spec-int Resume Examples & Samples

Collects demographic and financial data and enters it into the patient’s electronic medical record, meeting regulatory and compliance requirements
Responsible for providing exemplary customer service in a respectful, warm, and professional manner
By accessing assigned workqueues, conduct interview over phone to collect demographic and insurance information
Obtain Prior Authorizations before date of service
Assist with site training
Special projects as directed by Supervisor

Supervisor, Patient Access Resume Examples & Samples

Assists with recruiting, interviewing, and selecting staff to fill staffing resource requirements
Participates in developing and overseeing orientation, initial training programs, and ongoing education for staff in assigned areas. Ensures all training manuals and training curricula are up to date and readily accessible
Works with Director to establish and manage staff scheduling (daily, weekly, monthly)
Manages communications to internal and external (e.g., clinical areas, physician offices) customers to ensure alignment and customer satisfaction related to patient access objectives, operating procedures and supporting tools / technologies
Manages and oversees departmental adherence to established protocols established by Hospital / Corporate Compliance department
In collaboration with Director, establishes and meets department goals for productivity, quality, customer service, collections and solutions
Creates regular reports as requested by Director to monitor progress on established goals, report key variances, and identify ways to drive achievement of goals
Participates in annual performance plans, following established HR protocols, based on deviation from established departmental and individual performance expectations / objectives
Monitors and updates department policies and procedures
Identifies opportunities to increase operational efficiency and/or effectiveness and establishes approach for addressing same to improve departmental operating procedures ,work flows, supporting tools, etc
Exhibited leadership and team-building skills
Proven customer service and effective communications skills
Proven expertise in collection processes and securing solutions for uninsured patients
Proven knowledge of Medical Terminology
Exhibited ability to work as part of a team

Patient Access Team Lead West Houston Resume Examples & Samples

Communication - communicates clearly and concisely, verbally and in writing
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by constantly meeting and exceeding expectations
PC skills - demonstrates proficiency in PC applications as required

Supervisor Patient Access Resume Examples & Samples

Supervises daily operations as they relate to hospital billing, registration and office management, as applicable
Supervises, hires, trains, disciplines and evaluates the performance of staff. Ensures performance appraisals are completed in a timely manner. Develops and maintains staff competencies
Maintains daily workflow in order to expedite processing while ensuring quality, accuracy, and excellent customer service. Monitors, recommends and implements approved work flow changes
Processes payroll, maintains staff records and work schedules, and ensures adequate coverage at all times
Collaborates with Patient Accounting, Health Information Management and Patient Financial Services to ensure charge capture and accurate billing practices are maintained
Works with clinical staff in obtaining authorizations and contacts insurance companies, as needed
Monitors outpatient registrations for Quality Assurance and delivers quality review and feedback to staff
Provides support and education to decentralized registration areas and acts as liaison between ancillary and decentralized departments as is relates to charge entry and billing practices. Provides support for on-going training in decentralized locations. Ensures effective quality assurance monitoring and feedback to decentralized financial registration areas
Serves as a liaison, troubleshoots questions and issues regarding insurance regulations for the ancillary departments
Recommends procedural and system changes to improve operational quality and efficiency. Actively participates in process improvement projects
Minimum of three (3) years of progressively responsible registration and billing experience, including leadership experience
Knowledge of computerized registration and billing systems
Knowledge of government and regulatory agency third party billing regulations
Strong interpersonal skills needed to facilitate encounters with patients, staff, nurses and physicians
Ability to handle many situations simultaneously and to exercise sound judgment

Manager Patient Access West Hills Parallon Resume Examples & Samples

Business acumen and proven ability to lead and work collaboratively within cross-functional teams to achieve operational and financial goals of the organization at large
Proven experience in a management position with a full understanding of Patient access as it relates to registration, scheduling, insurance verification, authorization, collections, etc
Able to organize and oversee the workload and make sound decisions
Experience with training others and developing processes
Ability to handle escalated Patient Access issues
Flexible and able to adjust to changing priorities and processes
Self Starter, positive thinker and detail oriented
Ability to work in a fast paced environment, with the ability to perform and prioritize multiple tasks simultaneously

Manager, Patient Access Solutions Resume Examples & Samples

Bachelor’s Degree in Business Administration, Healthcare, Finance or related discipline. Equivalent work and educational experience may be considered
4+ years prior leadership experience in contact center, clinic administration, billing, IT and quality improvement
Excellent verbal and written communication skills; ability to communicate effectively and diplomatically with health care business executives and staff at all levels of the organization
Lean Six Sigma training
Telephony software experience

Supervisor of Patient Access Resume Examples & Samples

Supervises the daily operations of assigned Patient Access areas to ensure all customers are serviced promptly and information/documentation is complete and accurate
Informs staff of any changes that affect their day-to-day process to ensure complete communication within the department and avoid any errors
Coaches, counsels, evaluate employees and their job performance, making recommendations for corrective action, and carrying them out
Collaborates with Leaders and others to improve efficiencies and achieve the overall goals of the department
Communicates routinely with referring sources and ancillary staff to ensure timely processing of patients
Ensures all documentation including insurance identification, personal identification, prescriptions, referrals, and authorizations are obtained as required
Ensures each employee is properly oriented and trained to perform tasks according to established guidelines
Implements and monitors policies and procedures to ensure compliance and effectiveness
Monitors the overall process for efficient processing of patients. Formulates improvements process as necessary and advises Leader(s) of any changes
Processes patient pre/registration/admission according to guidelines based upon the inpatient or outpatient services to be delivered
Manage and schedules adequate staff coverage for the area based on projected patient load
Response to staff phone calls and assists with questions/issues as well as covers for any shifts, if needed
Completes audit of weekly and monthly dispute reports in a timely fashion and incorporates any necessary process changes or QA rules in trending found
Ability to motivate employees
Ability to utilize basic Excel skills to perform various duties
Fluent in Spanish strongly preferred
Knowledge of group leadership
Knowledge of insurance benefits
Able to adapt and react calmly under stressful conditions
Ability to communicate effectively both verbally and in writing in a clear and concise manner
Ability to follow complex written or verbal instructions

Assistant Director of Patient Access Resume Examples & Samples

5+ years of experience working within a Healthcare facility
Thorough knowledge of Hospital Registration and Patient Account processes and systems
Previous experience with: Admissions and Registrations; Financial Counseling; and, Third Party Compliance and all Third Party Insurance
Bachelor's Degree in Healthcare Administration and/or Finance

Patient Access Associate Resume Examples & Samples

Verifies financial information to determine insurance coordination of benefits, pre-certification/prior-authorization requirements by contacting the insurance company or through other verifying technology
Informs self-pay patients of prepayment requirements or screens for funding sources
Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances
Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement
Maintains departmental and/or individual reports as required
Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues

Patient Access Resume Examples & Samples

The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors. Incumbent will be expected to enhance the patient experience throughout all patient interactions, the majority of which will be face-to-face; however, some positions are telephone based
The Financial Counselor is responsible for meeting with patients/guarantors, who require assistance in seeking and applying for healthcare funding (e.g., Charity Care, Medicaid, or other local/governmental funding program) and/or require assistance in reviewing and establishing payment options. The Financial Counselor is responsible for a broad spectrum of duties, beginning with the initial patient contact, via the pre-admit/pre-registration functions and ending with the control and maintenance of the patient’s account until discharge. Within this range, the Financial Counselor is responsible for determining the financial status of the patient during the financial counseling process. The position may also perform cashier and customer service functions
High school diploma required. Associate’s Degree or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes). Past work experience of at least 1 year within a healthcare provider and/or payer environment performing patient access and/or customer service activities, are highly desired but not required

Patient Access Representive Resume Examples & Samples

Access the Patient Management System and the Patient Tracking Board, accurately enters information necessary to begin registration process
Accurately record in hospital computer system clean and concise notes to track patient account activity and to communicate finances with hospital patient care staff
Obtain physician’s Medical License via appropriate websites and complete appropriate form for processing
Provide St. Luke’s Hospital with data and documents necessary to produce a patient bill by conducting in-person or telephone interviews with patient or facilities to gather demographic, financial, guarantor, referring and primary care physician data, to establish or verify an existing medical record number, and entering the information into the hospital computer system

Patient Access Ctr Resume Examples & Samples

Phone triage, test results, medication refills, prior authorization, urgent calls, conveying plans of care, etc
Collaborate with the on-site physicians and staff to deliver high quality care
Graduate of a NLN accredited school of nursing required; BSN strongly preferred
One year of nursing experience in an office or hospital setting required

Senior Manager, Patient Access Solutions Resume Examples & Samples

Leads development and implementation of access services offerings through all major stages, including ensuring that offerings appropriately balance J&J and stakeholder risks and interests
Works closely with stakeholders to deliver and execute targeted solutions that address mutual strategic priorities and brings value to all parties
Demonstrates conviction, proactivity and persistence when influencing others and overcoming resistance
Applies an understanding of value-based healthcare economics, payment and delivery models, and the roles of the payor, provider and patients in reimbursement decisions and how they impact marketing, access and affordability
Delivers and creates clear and concise communications and presentations using approaches that highlight the most pertinent information for key stakeholders and spur stakeholder actions
Creates and executes results oriented business plans that are aligned with brand and stakeholder strategies
Interprets results of data analyses and understands business implications that are important to stakeholders
Plans, adjusts, prioritizes and executes on strategies to achieve results
Advanced Degree or MBA preferred
A minimum of 7 years of relevant experience in the healthcare industry is required
A minimum of 3 years of experience in the pharmaceutical industry is required
Experience in pharmaceutical and/or healthcare sales is preferred
Strategy development and business planning skills preferred
Developmental experience and demonstrated success in areas such as Access Services, Finance, Business Analytics, Account Development, Reimbursement, or Offer Development is preferred
Understanding of decentralized and cross-functional business models is preferred
Experience managing projects is required
Ability to work with others at various levels in the organization is required
Ability to communicate effectively with others, including defending logical business arguments is required
This position is located in Horsham, PA, and requires up to 10% travel for business, as necessary.9884170316

Patient Access Supervisor Resume Examples & Samples

Minimum 3 years leadership / supervisory experience
Emergency room experience a plus
Critical thinker / problem solver and customer service experience

Director, Patient Access, Oncology Resume Examples & Samples

Oversees the development and implementation of market access strategies in Oncology
Creates a long-term access strategy for future indications of KEYTRUDA that ensures timely and broad patient access, in a manner that is sustainable for payers and Merck
Leads a team of office- and field-based functional access experts (planning, health economics and outcomes research, public policy, stakeholder relations)
Develops and leads market access negotiations with public payer agencies such as pCODR and pCPA
Drives integrated cross-functional collaboration with Medical Affairs, Marketing, Sales, Key Account Management, Pricing, and other internal partners
Contributes actively to Oncology Leadership Team meetings and to setting the long-term strategy of the Oncology Business Unit
University degree in Business, Economics, Medicine, Pharmacy or Life sciences, and/or graduate degree in Business or Life sciences are preferred
10-15 years of relevant experience in the pharmaceutical industry, with 3-5 years’ experience in Market Access
Strong knowledge of Oncology is preferred; strong knowledge of another specialty-care field is an asset
High level of understanding of Canadian pharmaceutical pricing and reimbursement, payer needs and market access environment is required
Hands-on experience in complex negotiations is required. Proven negotiation experience with public payer agencies such as pCODR and pCPA in preferred
Understanding of health economic principles and budgeting processes is an asset
Language requirement: Business fluency in spoken and written English is required; business fluency in spoken and written French is a strong asset

Patient Access Representitive Resume Examples & Samples

High school diploma, associate degree in related area desired
Two to three years of progressively more responsible experience in patient access, hospital registration or related area
Advanced knowledge of third party payer’s requirements, reimbursements and copayments/deductible collections etc

Manager of Patient Access Resume Examples & Samples

Manages and evaluates access services operations and staff. Ensures efficient and professional services
Manages access services operations, including, but not limited to
3+ years of experience in a healthcare setting, two of which are in an admitting or business office function
Efficient in Microsoft office
2+ years of healthcare supervisory experience
Experience in scheduling and payroll
SMS INVISION experience

Manager of Patient Access Resume Examples & Samples

Selects, trains, and assigns department staff; develops standards of performance, evaluates performance and initiates or makes recommendations for personnel action
Provides input into the departmental budget, departmental goals and objectives, policies and procedures, and ensures that the department operates within budget
Ensures established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards
Reviews Insurance Verification operations to ensure compliance with JCAHO
Performs patient account audits by reviewing hospital registrations to ensure accurate financial and demographic data and documentation have been obtained and properly entered into the hospital system
Maintains and fosters effective public relations with patients, physicians and the public
Ensures that the Financial Clearance process/functions run smoothly and efficiently by overseeing operations, scheduling staff, and resolving problems
Maintains excellent working relationships with department heads where the decentralized outpatient insurance verification staffs are located
Develops department goals and initiatives
Establish and implement policies and procedures
Directs supervisors/staff in the implementation of quality assurance procedures to assess quality and provide feedback to teams to stimulate improvement
Assists supervisors to develop and execute appropriate action plans to resolve unit issues and reverse negative trends
Coordinates with Patient Accounts to ensure compliance with governmental and other third party payer regulations
Attends weekly staff meetings/huddles
Tracks key performance indicators (e.g. PAI reports) to quantify department contributions and continually assess opportunities for improvement
Keeps current with developments in the field through participation in seminars, workshops, and publications
5+ years experience in a Patient Accounting or Patient Access Services
2+ years supervisory experience in healthcare or related setting
Advanced knowledge of related hardware/software, and hospital registration/billing systems (Invision, Kean, Soarian, Emdeon, HDX)
Proficient with Microsoft office

Patient Access Supervisor Resume Examples & Samples

Extensive knowledge of patient registration, insurance verification, and payment negotiation
Preferred – Prior supervisory or management experience
Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard

Supervisor Patient Access Resume Examples & Samples

Supervises staff responsible for the daily operations of Clinic Registration
Monitors the integrity of data collected and ensures comprehensive authorizations are obtained by coordinating efforts with appropriate departments
Disseminates pertinent regulatory and insurance related information in order to promote timely and efficient billing of outpatient services
Provides support and education to decentralized registration areas and acts as liaison between ancillary and decentralized departments as is relates to charge entry and billing practices. Provides support for on-going training in decentralized locations Ensures effective quality assurance monitoring and feedback to decentralized financial registration areas
Minimum of 5 years in Patient Registration, Patient Accounting in Hospital or Physician's office
Knowledge of word processing and spreadsheet software
Ability to travel approximately within Manhasset and Great Neck, NY
Ability to work between 8:00 am to 6:00 pm, Monday through Friday

Patient Access Associate Resume Examples & Samples

Two year job-related experience or equivalent is required
Certificate of Medical Terminology and strong oral communication are required
Minimum of typing 40 wpm
Experience in medical office or customer service preferred

Supervisor Patient Access Resume Examples & Samples

Management and administration of multiple functions, or management of general business operations
May include day to day site operations, management leadership internal and external to organization, accountable for financial goals as well as non-financial (quality assurance and reports,) for the ER Department
Responsible for implementing staff schedules timely, approving PTO, disciplining, and performance reviews
Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
Impact of work is most often at the team level
4 years’ experience working in a patient access department in a hospital setting
Knowledge of Management, Computerized Systems, and Third Party Reimbursement as
Knowledge of MS word and MS Excel
Ability to multitask and exercise sound judgment

Patient Access Supervisor Resume Examples & Samples

Knowledge of computer system maintenance relating directly to scheduling and/or registration applications
Three years of experience in business processes i.e. Physician Office, Patient Financial Services, Patient Accounting, Patient Scheduling or Admitting with a broad healthcare knowledge in all aspects of each task
One year of leadership/supervisory experience
Must be familiar with all types of Admitting office activities, processes and communication including, but not limited to, Admitting, Pre-admitting Insurance Verification, Scheduling, Insurance Billing and PBX
Knowledge of third party payer requirements including federal, state and private health care plans and authorization processes
Excellent computer skills and proficiency in Microsoft Windows

100

Manager Itd-patient Access & Financial Clearance Systems Resume Examples & Samples

Leads all activities related to the department's technology services and defines and enforces Corporate IT Standards
Promotes the continued education, training, and refinement of the department staff
Supervises and administers hiring and firing, performance reviews and evaluations, staff counseling, etc. for the department
Coordinates department activities with other ITD departments and interfaces with CCF user departments
Directly influence the success of new programs and strategic plans at CCF as they relate to information processing, access and utilization
Acts as consultants to CCF divisions to determine information needs and strategies
Experience in Human Resources practices and laws. This includes hiring and firing, conflict resolution, group dynamics, diversity understanding etc

101

Supv Patient Access Resume Examples & Samples

Under the direction of the Department Director, position is responsible for day to day monitoring of patient access work flow
Supervises and serves as a resource to the staff for operational issues and to customers who needs assistance
Acts as a resource for employees in the use of Meditech Patient Management system
Serve as preceptor for new employees in training
Troubleshoot system issues and raises them to senior staff for resolution
Coordinate with transcriptionist in medical department to obtain patient’s dictated H&P, consults and medical summaries
Communicate with physician’s office staff to ensure proper paperwork is available for pre-test
Monitor use of hospital resources
Demonstrates sensitivity of the varying age and cultural groups of patients by obtaining and interpreting information accurately through effective communication
Demonstrates respect and regard for the dignity of patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
Attends all mandatory education programs and can describe his/her responsibilities related to general safety and regulatory compliance

102

Patient Access Supervisor Resume Examples & Samples

Ability to interact professionally with patients, associates and professional staff
Ability to help set priorities, problem solve and implement or provide recommendations/solutions with minimum supervision
Ability to write and collaborate with training material and new hire orientation
Attention to detail and comfortable with asking people for personal and financial information and asking for money
Ability to track and complete multiple events happening at the same time
Proficiency in the use of personal computer and ability to move among multiple business software applications
Knowledge of Medicare and MSP guidelines, insurance coverages and limitations
Provides Support and demonstrates the organizations values that include Always Behaviors, shared decision making and superior customer service
Assists in plans, establishes and maintains record keeping to support departments overall progress financially
Assists in the development of department, goals and objectives
Ability to be on call every other week and weekend for after-hours issues
2-3 years registration/admissions experience in a hospital setting
Knowledge of Medical Terminology, CPT and ICD coding
Knowledge of Insurance, Commercial, Government plans
Knowledge of AS400 or CERNER RCI registration and revenue cycle programs
Prior Supervisory experience

103

Patient Access Supervisor Resume Examples & Samples

Experience managing multiple projects and deadlines
Demonstrate strong verbal and written communication skills
Experience in a healthcare delivery setting and successfully interacted and communicated with all levels of staff, physicians, patients, and family members in an effective manner having exhibited tact, enthusiasm, and patience
Sensitivity to cultural and bilingual issues, being able to effectively deal with: (1) Stress levels associated with dealing with employee and staffing issues (2) Demands of maintaining successful working relationships with peers, managers, physicians, and other health care workers (3) Demands of successfully delegating responsibilities and supervising other health care team members (4) Situations that require strong critical thinking and decision making skills
Strong understanding of AR management (AR Days, Denials, etc.)
Strong understanding of basic financial concepts
HS Diploma
3 years’ experience in hospital admitting
Experience with in-patient and ambulatory financial services
3 years of experience in Admitting, Pre-Registration, Insurance Verifications/Authorizations

104

Patient Access Supervisor Resume Examples & Samples

Responsible and accountable for supervision, guidance and direction of personnel, assurance of quality, evidence based patient care and efficient operation from both organizational and economic aspects
This position involves long and short range planning and goal setting, budget preparation, coordinating activities with those related services performed by other groups as related to patient care
Completes the performance evaluations of staff and assists in the overall evaluation of the program, and also serves as a liaison between staff and other administrative personnel
Maintains professional competencies through education programs and/or participation in professional organizations
Responsible for quality improvement initiatives and data systems

105

Manager, Patient Access Resume Examples & Samples

Supervisor and trainer of Patient Access staff
Creates office harmony and positive morale
Crisis handling
Troubleshooting
Verify current informational status
Collect co-pays and account balances
Answer phone calls by taking message/or referring to clinical staff
Back up for other positions in the front office
Knowledge of services rendered
Order office supplies
Reconcile daily activity report, balance day sheet
Follow HIPAA, and OSHA rules and regulations
Follow Compliance rules and regulation against fraud and abuse
Maintain front office quality assurance and serve as a role model for customer service and mentor staff
Coordinate repair and replacement of office equipment
Inform Director of operational problems
An associate's degree, preferred
3 years functioning as a Registration/Patient Access/Front office manager in the medical field
Prior management experience or three years’ experience in medical office
Leadership qualities
Demonstrated ability to work independently and as a team player
Tactfulness
Demonstrate willingness to adapt to change
Pleasant phone manner and voice
Confident positive manner and appearance
Proficient PC experience, MS Suite including word, outlook, data entry, and use of the telephone
Excellent written, oral and interpersonal communication skills
Strong customer service orientation
Ability to work with all levels of staff to define business requirements and goals, and to identify and resolve issues
Ability to foster effective relationships and build consensus through the all levels of leadership in the organization
Knowledge and ability to work on large-scale complex projects that include multiple strategic goals and multiple tactical tasks
Demonstrated proactive approaches to problem-solving with strong decision-making capability
Skilled in conflict and employee behavioral resolution

106

Director Patient Access Resume Examples & Samples

Collaborates with the Sr. Director of Patient Access to set the financial performance goals and determines plans, priorities, and work assignments to achieve them
Responsible to operate in a matrixed reporting relationship to the care site as well as to the SCL Health Revenue Cycle
Responsible for leading all patient access operations through collaboration and integration with internal and external partners
Directs and manages patient access department in a manner that delivers high quality registration services highly integrated with patient billing/financial services with the objective of lowering overall revenue cycle production costs
Manages within a framework of identified revenue cycle metrics, ensuring consistently high performance
Contributes to the development of the annual budget. Makes spending and resource decisions within budgetary guidelines; ensures accountability to operating and capital budget
Evaluates effectiveness of patient access work functions and implements "best practice" changes to workflow, policies, procedures and systems as appropriate
Co-manages financial counseling and Medicaid eligibility services based at the care site
Ensures all activities are supportive of Internal Audits and Organizational Responsibility Program (ORP), Compliance, Safety, JCAHO, EMTALA and HCAHPS initiatives
Manage and coordinate activities related to personnel management, including interviewing, hiring, staffing and counseling
Bachelor’s degree or equivalent work history in management and/or health related field
CHAA and/or CHAM Certification Preferred
Demonstrated knowledge of the health care industry, specifically the functions of access services and patient accounts through a minimum of seven years’ experience, three of which are required in a management/supervisory role
Demonstrated experience working with clinical staff within the hospital and operations leadership
Dynamic communication and leadership skills necessary to communicate to all levels of management, to effectively supervise, guide and manage employees and to establish effective working relationships with multiple levels and departments internally and externally
Ability to identify and work through complex problems throughout the revenue cycle and various on-site departments
Skilled in information systems technology throughout the revenue cycle including implementation, change control and manipulation of data

107

Patient Access Lead Resume Examples & Samples

High school diploma or equivalent. Associate's degree in healthcare preferred
Minimum 2-3 years experience in a hospital/clinic/physician office or related field
Previous Health Care and/or Insurance experience required
Proven expertise with patient access tools, systems, and technologies
Proven expertise in collection processes and securing solutions for uninsured patients (excludes scheduling "core" roles)
Proven knowledge Medical Terminology

108

Patient Access Account Analyst Resume Examples & Samples

Requires an overall knowledge of all of Patient Access functions
Ability to work independently, strong problem solving and critical thinking skills and conflict resolution is required
Proficient in Microsoft Office products; with a preferred strong background in Excel and Power Point
Strong billing and coding background preferred
Above average proficiency in ConnectCare, and nThrive preferred
Efficient typing skills of at least 45 wpm
Three years of Patient Access experience is preferred
Extensive knowledge of medical insurance
Must be able to work under considerable stress using tact and diplomacy
Must be able to meet strict deadlines
Knowledge of Medicare products, billing and coding guidelines is preferred

109

Patient Access Team Lead-ed Varied Hours Resume Examples & Samples

Liaise appropriately with supervisor to communicate all obstacles, regulatory challenges and system deficiencies that the team faces
Perform "special projects" per supervisor requests
Maintain a clear understanding and working knowledge of all information systems required for job scope in order to best be equipped to consistently recognize and troubleshoot problems; assist other team members as necessary
Develop "super user" capabilities in Epic applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department
Ensure the team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
Prepare monthly work schedule and maintain equipment and supplies
Serve as trainer/preceptor and as a resource to registrars
Monitor and direct patient registration process in assigned registration areas
Maintain availability to be on call for weekend emergencies on a rotating schedule
Perform collections and cashiering functions and refer patients to Financial Counseling when appropriate
Ensure that financially cleared patients go directly to the area of service in order to receive treatment. 　
Perform real-time registration, insurance eligibility and benefits verification for unscheduled visits, including inpatient, outpatient, and emergency department visits; obtain all necessary patient signatures and information at time of arrival
Ensure that all activities related to hospital collection activities meet department requirements, maximize revenue collection, and achieve leading practice levels of performance
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate

110

Patient Access Clerk Resume Examples & Samples

High school graduate or equivalent, Medical Secretary and/or Medical Administrative Education preferred
Minimum of 1 year work-related experience in a medical/clinical office, experience in a hospital setting preferred
Previous experience with computerized registration systems and Electronic Health Record System preferred
Familiarity of medical insurance and medical terminology is preferred
Ability to maintain confidentiality is mandatory
Must have articulate verbal communication skills and telephone etiquette
Must have exceptional and excellent customer service skills and the ability to deal with patients and visitors of all demographics is required
Computer proficiency and data entry skills
The ability to effectively work with individuals at all levels of the organization
Ability to work in a team oriented environment as well as work independently

111

Patient Access Program Manager Resume Examples & Samples

Manage day to day internal programs as well as supplier programs
Address reimbursement requests and coverage questions
Manage different challenges presented by the suppliers
Conduct weekly status calls with program supplier and marketing team
Manage monthly invoice and budget for each programs
Support ongoing training of program provider staff to ensure execution of strategy
Manage Nurse Client Liaison tied to each program
Implementation, monitoring and tracking of KPIs, metrics and milestones
Collaborate and answer ad hoc special requests with internal and external stakeholders
Assess and identify opportunities to optimize our Patient Support Programs
Work in full compliance with laws, regulations, business rules and BMS standards of Business Conduct and Ethics
Bachelor’s degree in Marketing, Science or Commerce
Minimum of three (3) years’ experience in the Pharmaceutical industry
Experience in managing patient programs
Understanding of Public and Private reimbursement plans
Experience in budget planning and financial management
Excellent interpersonal, presentation and communication skills in English and French
Ability to lead and interact with cross-functional teams
Experience with Supplier Relationship and Performance Management
Ability to think strategically and independently manage projects from conception to completion
Available to travel to program supplier offices and customers (e.g. physicians, nurses and health care professionals)

112

Patient Access Supervisor Resume Examples & Samples

Responsible for overseeing day-to-day operations. Monitoring, organization, and delegation of the team’s workload
Maintains and monitors the schedules daily to ensure appropriate coverage for areas of responsibility
Develops and maintains written procedures and policies to guide clarify and support staff in their individual roles
Define clear roles and responsibilities for staff instilling accountability. Responsible for meeting quality, productivity, and POS financial goals
Responsible for quality assurance within area of responsibility. Conducts random sampling monthly of patient’s accounts to verify all policies and procedures are being consistently utilized and applied. Establishes benchmarks for staff performance and audits
Monitors accuracy, volume and productivity to ensure timely and accurate information and reports it monthly
Ensure compliance with federal regulations, including HIPAA, JCAHO, Medicare and other third-party

113

Senior Manager, Patient Access Solutions Resume Examples & Samples

5+years of marketing experience required
2+ years managerial experience
5+ years experience developing customer facing strategy and developing/executing activities that drive business goals

114

Patient Access Lead Resume Examples & Samples

Minimum 5 years in a Patient Access position in Patient Registration
Typing and computer experience required
Knowledge of Managed Care and Medicaid programs required
Knowledge of Microsoft products required

115

Senior Director Patient Access Resume Examples & Samples

Consult and collaborate with hospital, division, corporate, and SSC leaders to develop overall strategy and objectives for Patient Access that are aligned with the organization’s and hospitals short, medium and long term goals and objectives
Provide leadership and support to the front end financial operation for the hospital’s revenue cycle, including all Patient Access functions
Manage a team of Regional Patient Access Directors responsible for specific geographic markets, including coaching and development, to ensure effective oversight and management of patient access across the organization
Develop, implement and monitor key best practice metrics for individual Patient Access Departments by revenue cycle success
Identify improvement actions, develop action plans and track results for hospitals not meeting Patient Access best practice metrics
Optimize and standardize current processes, develop solutions for performance shortfalls and monitor to ensure consistent adherence across all hospitals
Proactively work with hospital CFO’s, division vice presidents, corporate and SSC leadership to ensure adoption of standard processes and best practices
Collaborate with other hospital revenue cycle operational leaders to identify problems and determine solutions that improve and/or enhance overall operations and results
Develop patient, physician and customer satisfaction programs to enable industry leading customer service and customer retention
Identify new technology, tools and key initiatives in Patient Access Departments to reduce cost and/or improve yield across the revenue cycle
Assure technology is appropriately implemented and utilized throughout the system
Reviews, recommends and implements changes to scheduling processes, software applications and hardware and network communications
Extensive knowledge of patient access registration processes and regulations instituted by CMS, payors, Joint Commission, etc. along with revenue cycle metrics for areas including, but not limited to, scheduling, insurance verification, pre-registration, patient responsibility estimation, face to-face point of service collections, registration quality assurance, patient registration and discharge, through-put and wait times, and patient satisfaction
Strong knowledge of patient access technology and tools
Ability to manage and influence employees and leaders in a matrix reporting environment, with multiple locations across a wide geographic span
Must be a change agent
Must have strong business acumen and be a strong strategic thought leader
Strong presentation and communication skills, with the ability to communicate to a wide range of audiences from senior executives to front-line employees and be a leader
Bachelor’s degree in business, healthcare or related field
12-15 years of hospital revenue cycle management, with significant experience overseeing Admitting, Registration for large hospital systems
Desire leader with experience implementing new patient access models and structures in a large multi-hospital organization
Must be able to function effectively under adverse conditions

116

Patient Access Service Specialist Resume Examples & Samples

Interviews patient guarantors face to face to complete efficient and accurate registration, which includes demographic, geographic and financial information
Obtains appropriate signatures for consent to treat and financial responsibility, which includes interaction with division of family services, social work, nursing supervision and other outside facilities/agencies to define the legal guardian
Provides patient and/or family with information required by state and federal regulations
Consistently demonstrates excellent, empathetic and knowledgeable customer service skills to internal and external customers including, but not limited to, patients, families, physicians, co-workers, payors, etc
Notifies payors of all urgent and emergent admissions and ensures that required pre-authorizations have been obtained
Coordinates with nursing staff to process patient transfers and discharges in a timely manner
Verifies insurance benefits and eligibity by utilizing all available resources
Is aware of and adheres to all state and federal regulations including, but not limited to, EMTALA, HIPAA, OSHA and the Joint Commission
Collects all applicable co-pays and posts to the patient's account
Assists with proper patient identification
Willingness to assume certain functions in the absence of a lead
Must be familiar with personal computers and have excellent accurate typing skills
General knowledge of medical terminology
Strong communication skills; bilingual preferred
Knowledge of health care plans and verification methods preferred

117

Patient Access Audit Analyst Resume Examples & Samples

Ability to be responsive to ever-changing matrix of hospital needs and acts accordingly
Knowledge of Patient Access, Pre-Access, or Pre-Cert workflows
Typing skills equal to 20 words per minute net
Self-motivator, quick thinker
Proficiency in performance of basic math functions, communicating professionally and effectively in English, both verbally and in writing
Minimum (2) years in Patient Access, Pre-Access or Pre-Registration department(s)
High school diploma or equivalent. (Preferred)

118

Patient Access / Pre Access Manager Resume Examples & Samples

Five (5) years of experience (including one year of supervisory experience) in Patient Access/Patient Financial Services department or related area (registration, finance, collections, customer service, medical office, or contract management)
Proficient in time management with superior prioritization skills
Strong competence in Excel, PowerPoint, and Word
Proficient in performance of basic math functions and communicates professionally and effectively in English, both verbally and in writing
Four (4) year college degree in Business, Healthcare or Health Services Administration, Health Information Management, Communications, Finance, Accounting, Public Administration, Human Resources, Management, or Marketing (Preferred)

119

Patient Access Associate Resume Examples & Samples

Administrative skills, scheduling experience and medical terminology preferred
Knowledge of third party payer, billing requirements and reimbursement preferred
Up to one year on the job to become fully proficient in all phases of assigned duties
Education / experience required
Course work in medical terminology and computer / formal typing preferred
Keyboard skills – typing 50 WPM, accuracy implied

120

Patient Access Center Representative Resume Examples & Samples

Proficient with an electronic medical record. Experience with eClinicalworks a plus
Required language proficiency
Knowledge of exceptional patient experience principles and practices
Knowledge of call center telephony and technology
Experience in customer service environment
Good data entry and typing skills
Knowledge of administration and clerical processes
Clear understanding of ambulatory practices
Exceptional patient services skills
Medical scheduling background preferred
Listening skills
Problem analysis and problem solving
Patient service orientation
Empathetic to concerns of patients
Stress tolerance
Resilience

121

Director Patient Access Resume Examples & Samples

Oversight of market teams responsible for access initiatives, Patient Access Centers (PACs0, including rollout of such initiatives, coaching and development of staff to ensure effective oversight and change management across multiple markets
Optimize and standardize current and future processes, develop solutions for any issues necessary and monitor to ensure consistent adherence across all market facilities. Implement standard work and visual management for solving problems. Proactively work with market leaders and clinicians to ensure adoption of approved PAC standards
Consult with division and market leaders and assist in developing overall strategy and objectives that are aligned with market deliverables; act as a Subject Matter Expert (SME) for any new facility transitioning to a PAC
Support annual patient access team member goals that align with business objectives of patient access, market PSLs; track and measure monthly results; correct issues quickly to assist in achieving financial targets and EBITDA. Develop and monitor KPIs of access initiatives
Collaborate with practice patient access operational leaders to identify problems and determine solutions that improve and/or enhance overall operations
Develop patient, physician and client satisfaction programs that enable world class customer service
Work to identify new technology, tools and key initiatives in Patient Access that will reduce cost and/or improve yield across the revenue cycle and work with market leaders and appropriate corporate executives to facilitate timely execution (if approved)
Extensive knowledge of patient access including on line scheduling and PAC metrics and drivers including insurance verification, government funding and qualification, scheduling, pre-registration, patient check-in, through-put and wait times, and patient satisfaction
Strong knowledge of scheduling and registration systems: Athena, Cerner
Strong ability to build relationships between financial and clinical department leaders within each market
Must be data driven with strong analytical skills to drive results,
Must have strong business acumen and be a strategic thought leader
Ability to multi-task patient access-related projects across multiple initiatives and markets
5-8 years of Physician Practice experience, with significant experience overseeing Patient Access enters, on line scheduling, Registration and/or Eligibility departments, preferably in large hospital systems
Certified Healthcare Access Manager (CHAM) or similar certification preferred

122

Patient Access Service Representative Resume Examples & Samples

Knowledge of office management practices, including billing and scheduling within healthcare
Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
Knowledge of patient care protocols and practices
Skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
Skill in scheduling appointments and referrals
Ability to read or listen and comprehend simple instructions, short correspondence, and memos
Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations
Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public
Ability to interpret and explain insurance benefits and patient financial responsibility
Ability to provide excellent customer service via phone and walk-ins
Ability to apply common sense understanding to carry out simple/detailed written or oral instructions
Applicants must have basic computer familiarity and experience and the ability to operate basic office equipment

123

Admissions Specialist Prn-patient Access Resume Examples & Samples

1+ year’s related experience required
Requires good written, oral, and telephone communication skills
Requires knowledge of general office equipment
PC’s and associated software packages

124

Admissions Specialist Prn-patient Access Resume Examples & Samples

2-3 years of hospital Patient Access Services experience preferred
Other hospital or physician office management experience helpful
Medical Insurance Verification
1-2 years of hospital clerical, general clerical or Certificate of Achievement in clerical or business related course
Experience in physician's office
Scheduling experience a plus
CHAA (Certified HealthCare Admissions Associate) certification preferred
Ability to type, spell, write, or print legibly with general knowledge of personal computers required
Gather accurate financial and complete demographic information during pre-registration and or registration pertaining to the patient account
Accurately and completely capture information on Medicare Secondary Payer Questioner
Registration may include the use of WOW’s (Workstations on Wheels)
Protect the integrity of the Medical Record
Responsible for providing guidance to line staff in the work area that is responsible for presenting and thoroughly explaining legal, ethical, and compliance related forms
Presents and thoroughly explains legal, ethical, and compliance related documents
Maintains knowledge of the Financial Policy and deployment of practices used within the department, as well as, Central Business Operations to resolve patient accounts
Provides all payment options: cash, checks, major credit cards/debit cards and THR Financing

125

Admissions Specialist Prn-patient Access Resume Examples & Samples

Ability to type, spell, write or print legibly with general knowledge of personal computers
Strong interpersonal communication, documentation, customer service and collection skills
Accurately gathers complete financial and demographic information to ensure medical records/billing process flows efficiently
Obtains and/or updates verification of benefits and/or pre-certification for applicable tests and/or procedures
Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties. Maintains documentation of the same
Maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers
Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable
Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures. Maintains customer service and/or productivity guidelines set forth by applicable leadership

126

Patient Access Program Lead Resume Examples & Samples

Support implementation of end-to-end process for NPA program to support company priorities
Provide ongoing management of NPA programs, including maintenance of existing programs and implementation of new programs (eg new products)
Monitor performance of the NPA programs against established metrics, and identify areas for program improvement
Manage day-to-day vendor relationships as needed for NPA programs

127

Patient Access Ctr Resume Examples & Samples

Phone triage, medication refills, test results, conveying plans of care, patient education, and charting in Epic (EMR)
Graduate of a NLN accredited school of nursing required
One year of nursing experience in an office or hospital setting preferred

128

Associate Systems Analyst / Patient Access Resume Examples & Samples

Work under the direction of the Manager to provide technical application solutions for assigned business areas
Possess technical knowledge of assigned application technology
Work with Business Analyst to understand the customer’s product-specific requirements and configuration and translate them to technical design specifications and data flow from which programs are developed and coded
Codes, tests, debugs, implements, and documents programs or technical configuration
Ensure programs meet technical specifications and standards
Interact with Business and clinical representatives during the software build or configuration and testing process
Maintain technical documentation based on standard operating procedures in support of the assigned application
Perform application maintenance activities
Assist in resolving support calls escalated by the Service Desk
Coordinate with Project Managers to ensure project deadlines are met
Ensure efforts to continually improve domain knowledge
Provide data to generate team performance metrics
Take initiative and drives to bring to logical conclusion; proactive approach
Provide accurate and timely information and escalates when there are issues
Ensure the quality of the deliverables as per the defined defects standards and excelling within that
Up to 2 years entry level to moderate experience in providing technical support and maintenance in assigned product preferred

129

Outpatient Services Coordinator Patient Access Resume Examples & Samples

Ability to use discretion when discussing personnel/patient related issues that are confidential in nature
Ability to respond to ever-changing matrix of hospital needs and act accordingly
Self-motivator and quick thinker
Proficiency in performance of basic math functions
Effectively and professionally communicates in both verbal and in written form
Ability to prioritize and manage simultaneous assignments while paying close attention to detail
Ability to learn computer software programs
Basic understanding of medical and insurance terminology
High School Diploma or equivalent (Preferred)

130

Patient Access Director Resume Examples & Samples

Strong client relationship and communication skills, ability to successfully integrate both client and Conifer values
Identify data required to support performance improvements and analyze for trending and building of improvement measures
Ability to identify performance gaps and effectively lead change to address
Directly mentors and manages staff to affect superior performance
Proactively manages budget to ensure profitability
Stays current and proactive in new regulations to ensure highest level of compliance in the department
Extensive knowledge of full revenue cycle
Delegates work in order to drive the highest level of efficiency both internal and external
Ability to take on all levels of projects/initiatives and analyze for impact in order to implement without degradation to performance with minimal direction needed
Six (6) years plus Management in a Revenue Cycle or Acute Health Care environment
Extensive knowledge of Patient Access Desired
Approximately 25% travel may be required

131

Patient Access Clerk Resume Examples & Samples

One year Orthopedic front office experience preferred
Communication both verbal and written
Knowledge of computers
Ability to demonstrate respect for people in ethical and courteous behavior to patients, patient's relatives, visitors and fellow employees
Ability to accept supervision and guidance and work cooperatively with others. Ability to follow regulations of the Hospital pertaining to job performance, behavior, and patient care
Ability to be flexible in meeting the need of varying situations
Ability to comply with Mercy Hospital's standards of personal hygiene, grooming and dress code

132

Supervisor, Patient Access Resume Examples & Samples

Completes department schedule, weekly time/attendance and monitors PTO requests to ensure staffing coverage. Manage overtime keeping within budgetary requirements
Conduct new associate interviews working with HR to finalize process. Collaborate with the manager and utilizes other resources regarding personal issues and/or situations that have real or potential impact on the department and/or institution
Develop and update work specific procedural and policy documentation
Follow up on customer complaints and issues; ensure problem resolution and corrective action for long term solution
Foster an environment that encourages associate growth and development
Serve as a coach, mentor, team builder and facilitator. -
Provides on call support to staff in the event of problems and/or staffing concerns
Serves as a resource person for technical and/or operational questions as a liaison with clinical and non clinical departments ensuring highest standards of data integrity is met
Identify problems; define alternatives and recommends practical efficient solutions
Participate in assigned committees, special project task and work groups as directed by department management
Represent department in the absence of the manager. Make effective decisions within the scope of delegated authority
Responsible for training new associates and provide ongoing education and communication to staff
Review to ensure 100% compliance with uLearn requirements is met
Evaluates staff to ensure compliance with departmental competencies is met invoking additional training as needed
Bachelor's degree in healthcare administration, finance, or related field and one year of healthcare billing, registration, or patient business services OR High School Diploma or equivalent and four years of healthcare billing, registration, or patient business services, OR equivalent combination of education and experience required
Strong interpersonal and communication skills and ability to effectively problem solve and make independent decisions
Know insurance pre-certification/pre-authorization, Managed Care, Medicare/Medicaid and Commercial insurance plans
Prior working experience on personal computers and various office equipment

133

Patient Access Associate Resume Examples & Samples

Accurately obtain, collect and enters all necessary patient information into the hospital¿s computer system to expedite efficient data collection, billing and hospital reimbursement during the Inpatient/Outpatient/Emergency registration services process. Manually register patients accurately when in ¿downtime¿ manual mode and properly follows input procedures when the registration system becomes available
Can work in all Admission Services areas within the hospital and may rotate shifts as needed
Request and collect from all patients where they have a pre-determined, patient out-of-pocket payment responsibility. Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Reconciling daily cash drawer or shift payment transactions, depositing daily cash/check and providing patients with cash receipts, and maintaining daily reports as required
Types a minimum of 35 WPM. Meet departmental daily productivity and process standards
Interviews patient and/family in the department, area of admission, point-of-service or on the telephone and acquiring as necessary, all information required for the registration process, in an accurate, professional, and sensitive manner
Maintain patient safety by thoroughly initiating an accurate patient search to prevent duplicate medical record numbers
Performing and initiating a real time eligibility (RTE) electronic insurance query on all eligible insurances. Reading, understanding, and where appropriate, take steps during the registration/pre-registration process that the RTE message instructions are followed to properly complete the account. Following established protocols when RTE is not available for proper follow-up to occur
Follow established registration data collection methods that are essential in capturing key financial data such as, but not limited to: guarantor of account, proper filing order of primary, secondary or tertiary insurance plans, point of origin, special needs, primary language, primary care provider, email address and other key elements covered in registration training and from periodic updates
Must be able to perform multiple functions, problem solve and maintain composure when dealing with stressful situations and utilizes appropriate resources. Must possess excellent interpersonal skills at all times with patients, visitors and co-workers too effectively and professionally represent HUMC Admission Services Center and the Medical Center
Maintains compliance with federal, state, and local requirements by completing all essential forms with the patient. Essential forms include, but not limited to: Consent for Treatment and HIPAA
Distribute to patients the Admit/Pre-Admit packets, Important Message from Medicare and other key patient informational brochures promoting timely and proper reimbursement where appropriate
Responsible for timely completion of any assigned workqueue within determined time frames
Maintains operational knowledge and use at all times the machines in the department, including but not limited to: computers, laptops, computer-at-bedside (CAB), printers, scanners, photocopiers, and fax machines, and resolve basic equipment problems as they occur
Check email at least once each day to maintain timely updates on any process/task changes/updates
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, sexual preference, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.)
Will comply with any and all related activities
Associates degree; or high school diploma with equivalent related experience
Excellent analytical, communication and interpersonal skills
Knowledge of some medical terminology
Proficient in Desk Top Software applications including Microsoft Office Suite (Excel, Word, etc.)

134

Patient Access Associate Resume Examples & Samples

Minimum of one year experience in customer service or patient relations
Excellent interpersonal verbal communication skills
Degree or additional training in business, communication or healthcare
Computer data-entry/typing experience
Experience with patient registration / billing systems
Experience with automated patient scheduling; Bilingual language skills

135

Radiology Patient Access Service Representative Resume Examples & Samples

Obtains patient’s and/or responsible party's signatures on registration and issues required information to patients/ responsible party concerning Advanced Directives, Privacy, Medicare and required other compliance or consent forms
Verifies insurance coverage and obtains authorization for all services requiring pre-certification. Takes appropriate steps following department guidelines when required authorization is not available
May prepares charts and paperwork for patient visits. Places identification wristband on patient and follows hospital patient safety procedures for patient identification at all times
Performs clerical functions as needed, including answering phones, taking messages, chart processing, filing, faxing, etc. Assists patients with questions regarding hospitals bills including taking payments at any registration location
Screens patient for Medicaid, Affordable care Act or hospital sponsored financial program and provide appropriate documentation and referral. Explains payment options to patient and enrolls in payment plan as appropriate. May provide bedside financial counseling services as appropriate to patient type and location. May provide collection support by telephone for patient balances after discharge

136

Patient Access Lead Resume Examples & Samples

Assists with training all of new employees to ensure understanding of the operating systems and collection guidelines
Monitors Q/A and productivity processes to ensure standards are being met. Maintains logs to determine success of desired results. Assist with monthly summary reports to BOD for corporate reporting
Understands and has the ability to function in each position within the department
Helps to prepare schedules to ensure work flow is not interrupted and all positions are covered during vacations and illness
Assists personnel during heavy work flow
Displays pleasant, courteous, helpful attitude at all times with employees and patients
Works with BOD, Patient Access Supervisor, and staff to resolve internal conflicts in a timely manner. Promotes a team working environment within the department
Supervise PBX Operators
Reviews registration information, Daily Bill Alert Edit reports, and makes corrections as necessary
Performs other duties as assigned by the Business Office Director and Patient Access Supervisor
Gives appropriate customer service to all patients, visitors, physicians, and co-workers while showing courtesy, compassion, and respect
Demonstrates good problem solving abilities, making sure that problems are taken care of, calling on other knowledgeable parties as necessary
Chooses appropriate channels and times to discuss complaints or concerns
Maintains confidentiality by following hospital rules and reminding others when necessary
Participates in continuous quality improvement activities by making suggestions for improvement and helping to make positive changes
Keeps supervisor appropriately informed of daily activities and developments
Accurately performs assignments in a timely manner
Is consistently on time and has good attendance
Stays informed regarding hospital and department issues by attending meetings, reading correspondence
Actively participates in personal development plans by attending education programs and professional development activities
Actively participates in the team spirit of the department, helping to accomplish the department mission, and lending a helping hand to other members of the team as appropriate
Maintains environment of care standards by knowing and following procedures in life safety, fire safety, infection control, universal precautions, and security
Demonstrates enjoyment of the job and of employment with the organization

137

Patient Access Supervisor Resume Examples & Samples

Associate’s Degree in business or related field
Electronic Medical Record (EMR) experience; Cerner strongly preferred; knowledge of system maintenance relating directly to scheduling and/or registration applications
Three years of experience in business processes i.e. physician office, Patient Financial Services, Patient Accounting, Patient Scheduling or Admitting with a broad healthcare knowledge in all aspects of each task
Must be familiar with all types of Patient Access office activities and processes, including, but not limited to, Admitting, Pre-admitting Insurance Verification, Scheduling and Insurance Billing
Demonstrates professionalism, credibility and commitment to high standards
Excellent communication, interpersonal, public relations, leadership and team-building skills
Must be a self-starter who is accountable and requires minimal direction and supervision
Must be creative, flexible, open to new ideas and able to adapt to change quickly and smoothly
Advanced computer literacy and proficiency in Microsoft Windows and Microsoft Office (Outlook, Word, Excel)

138

Patient Access Supervisor for Ambulatory Oncology Resume Examples & Samples

Manages the operation and performance of services provided by the registrars and financial representatives within the Department of Oncology
Identify billing problems and monitor the accuracy of weekly reporting
Participates in Performance Improvement Committee and other committees, and Performance Improvement teams, as requested
Assumes responsibility for interpreting to the staff the Oncology Department’s philosophy and objectives, hospital policies and procedures and fosters understanding and acceptance of these
Responsible for preparing schedules for staff on a daily, weekly and monthly basis. Maintains a staffing plan to provide optimal utilization of staff in order to allow quality care to be obtained
Assigns tasks and delegates authority, as necessary and appropriate, and provides administrative supervision to ensure the efficiency and the effectiveness of staffing to achieve successful outcomes
Interviews, trains, and evaluates performance, orally and in writing, of staff. Counsels and disciplines employees in coordination with hospital and departmental policies
Reviews and approves staff vacation and leave requests
Responsible for payroll
Attends monthly meetings with the Chairman of Oncology and the Administrative Director for the purpose of discussing personnel policies, administration of services, and future planning
Responsible for overseeing the care and maintenance of all clerical equipment. Contacts service companies for repairs, when needed
Addresses grievances and complaints lodged by patients and/or staff, and communicates same with Administrative Director
Coordinates with Patient Accounts on all appropriate issues, e.g. patient bills, charges, insurance needs, etc. to maintain service viability
Oversees departmental insurance billing and payments
Reviews insurance verification operations
Maintains that the computer software and hardware are properly maintained, and coordinates with Information Services to resolve all problems related to same
Supply chain responsibility - ordering and receiving
Assumes responsibility for own self-development and professional growth by keeping abreast of current ambulatory oncologyand employee trends and by constantly striving to set up a professional climate in which to work
Maintains proper infection control standards. Coordinates with Infection Control and Administrative Director of Oncology for proper policies and procedures to maintain the department
Collaborates with the Administrative Director and Administrator regarding medical activities and services as required
Maintains Nalitt Institute special funds account with the Administrative Director
Assists Physician’s with completion of Managed Care Applications for both primary care and sub specialists providing copies of all required documentation and insuring participation agreements are assigned appropriately
May need to travel within the 5 boroughs and Long Island for occasional for staff meetings
2 or more years of patient access experience
Ability to analyze and make staffing decisions to ensure adequate coverage and function of the Ambulatory Oncology practice on a day to day basis
Intermediate Excel skill
Basic Word, Power Point and Outlook skills
2 or more years of supervising experience (ideally in healthcare with 5 or more direct reports)
BA Degree
McKesson Series
Soarian
AEHR
Previous Experience Working in an Oncology Department within a Hospital
Union experience

139

Patient Access Service Representative Resume Examples & Samples

Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards
Reconciles daily cash drawer
Knowledge of basic computer familiarity and experience and the a bility to operate basic office equipment

140

Manager, Patient Access Resume Examples & Samples

4 years of experience in a hospital or physician office setting required. A strong background in customer service is preferred
Strong management skills
General knowledge of hiring, disciplinary, and evaluation requirements
General knowledge of patient accounting
Knowledge of registration requirements
Working knowledge of billing/reimbursement requirements
Knowledge of insurance requirements
Ability to interact well with all types of customers
Ability to develop and implement new processes

141

Manager, Patient Access Resume Examples & Samples

Carry out special assignments or projects as assigned
Communicate regularly and effectively with subordinates and superiors regarding the status of the business operation
Complete or manage the completion of all necessary human resource documentation, adhering to all human resources expectations for associates, including compliance, related responsibilities, continuing education requirements, recognition of staff/team accomplishments etc
Insure that all policies, procedures, job descriptions, reports and other documentation are properly followed
Maintain work standards, KPI's and productivity for all activities under the Managers control
Manage ongoing training programs for staff development
Participate on committees as assigned
Performs duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety; Dignity and Respect; Caring and Listening; Excellence and Innovation; Responsibility and Integrity) in all consumer and UPMC interactions
Responsible for budget reconciliation
Bachelor's degree and two years of relevant experience OR High School and four years of relevant experience required
Previous supervisory or management experience required
Thorough knowledge of third-party payer billing requirements, reimbursement practices and regulatory requirements in both a provider and facility setting
Must be an individual committed to the core values of the organization who possesses the ability to influence others commitment to those values and practices in the workplace
Must be able to effectively manage multiple processes and priorities while meeting customer expectations
Must demonstrate strong interpersonal and communication skills, both written and oral, and the ability to effectively problem solve

142

Director of Patient Access Resume Examples & Samples

Two to five years’ recent experience dealing with hospital patient registration and collection procedures
Monitors all activity within Outpatient Admissions to ensure all corporate and hospital goals are met monthly
Maintains accurate and complete records and completes all required paperwork in a timely manner
Registers each patient accurately, courteously and timely
Screens patient folders for accuracy and makes needed corrections before sending them for storage
Adheres to and follows the principles of good customer relations
Provides for orientation/training of new associates
Business Market Growth
Collections

143

Cerner Patient Access Analyst Resume Examples & Samples

Experienced in all aspects of Patient Access operations including Admissions, Registration, Financial Counseling, Pre-admissions, Bed Control, Emergency Room Registration Operations and Insurance Verification
Demonstrates leadership with the design and build of Cerner Access Management application as well as the integration of Person Management into multiple modules including Health Information Management, Scheduling and PowerChart
Serves as Production Support Analyst in a large inner city hospital system, engaged with the upgrade of 2015 Cerner Access Management code with the Cerner upgrade center
Performed significant research and clean-up of database due to years of incorrect historical upload postings, incorrect posting of data by inbound feeds and some PM Rules causing incorrect posting to the database
Participated in the implementation and redesign of PM as a result of a major upgrade to the Patient Accounting system (Siemens)
Performed multiple redesigns of the location hierarchy and its effects on the Cerner modules, resulting in significant assessment and redesign of PM Rules
Instrumental in assisting with the clients business workflows based on the functionalities of the applications
Provided constant training and mentoring of what the system is capable of doing and how it can provide efficiencies in the workflow
Educational credentials should include training and certifications in Cerner Millennium Core Fundamentals and Cerner Person Management

144

Patient Access Team Coordinator Resume Examples & Samples

Supports PAS staff in their daily activities
To assist and/or support management with coaching, training and onboarding of PAS Staff
Monitors competency of staff in the area of assigned discipline
Monitors call levels to ensure service level agreements are met
Assumes a key team player role with other PAS teams, exchanging information, receiving and delegating tasks as appropriate to the team to meet goals
Accepts escalated Supervisor/Manager calls from patients, physicians and clinic staff and resolves the problem
Responds to requests for information and support services from other clinics and/or departments as requested
Participates in building/maintaining relationship with clinics and clinic leadership
Participates fully in department quality and improvement initiatives
Maintains flexibility in work schedules to meet business needs including overtime
Three years data look-up/data entry experience
Three years experience in customer service involving complex analytical problem-solving skills
Three years experience in a call center with emphasis in a customer service/medical industry
Experience in a team lead role highly preferred
Healthcare operations experience highly preferred
Knowledge of basic medical insurance theory highly preferred
Ability to type 45 w.p.m. or greater
Knowledge of all software and hardware computerized equipment used by the Patient Access Services

145

Supv-patient Access Resume Examples & Samples

Assesses staffing patterns and schedules to optimize departmental resources and productivity
Orders and maintains appropriate supplies
Develops and implements a quality assurance program
Tracks and reports quality assurance results to leadership and makes recommendations for improvements
Oversees process for collecting fees prior to service
Keeps abreast of insurance company changes and updates. Communicates these changes to staff
Performs staff orientation, training & coaching; provides input on staff performance evaluations
Performs the duties of a patient access/registration representative as needed

146

Patient Access Central Schedulng Specialist Resume Examples & Samples

Associates degree or higher level education preferred
Familiarity with medical terminology preferred
Two years hospital or medical office clerical support experience preferred
Experience executing Patient Access standards, processes, policies, procedures preferred
Computer keyboard skills; basic and terminal digit filing; good telephone and communication skills; reading and writing skills; computer literacy
Excellent time management skills and the ability to manage frequent in-person and/or phone patient contacts while effective maintaining and documenting data in the electronic medical record
Interpersonal skills necessary in dealing with internal and external customer

147

Patient Access Director Rare Disease Region Europe Resume Examples & Samples

English mandatory
5+ years relevant experience acquired at pharmaceutical companies, Health Technology Assessment, physician associations or health care consultancy companies
Advanced knowledge of Patient Access, Pricing & Reimbursement environment within the Region and in addition in the area of Rare Disease and Orphan Drugs
Strong knowledge of price management and price negotiation
Advanced analytical skills and ability to draw implications of list and net price developments on the long term brand value
Extensive (about 5 years) Pharma management experience
Commercial and development experience and understanding (about 5 years)
Successful relationship management and international networking
Proven ability to understand and clearly communicate scientific and economic topics
Well developed understanding of national Health Care, regulatory environment, of drug Pricing & Reimbursement and Listing processes; if possible experience with Orphan Drugs and Rare Disease indications
Accountable: makes things happen; take responsibility for execution; speaks and voices opinion
Open communication: address issues or let them go; operate with mutual respect and integrity, embrace diversity, collaboration and candor; patient centric

148

Director, Perioperative Patient Access Resume Examples & Samples

State of Maryland license as a Registered Nurse
RN with CNS, NP or DNP
Experience in hospital scheduling, pre-registration, and/or insurance verification preferred
3 years' experience in case management and utilization review or perioperative nursing
Three (3) to five (5) years supervisory experience preferred
Must be proficient in the use of Microsoft Office business software
Demonstrated ability to lead and manage diverse workforce in a learning environment with frequent changes in departmental priorities
Customer service background is strongly preferred. Ability to communicate and work with patients, physicians, physician office personnel, associates, senior leadership, multiple direct patient care providers, 3rd party payers and others in order to expedite the patient scheduling, registration and insurance verification process
Displays ongoing leadership in promoting positive attitudes and ensuring exceptional customer service. Capability and flexibility to develop skills needed as a change agent; Ability to form partnerships through consensus. Serves as a change agent, coach, mentor, team builder and facilitator
Effective critical thinking, problem solving and decision making skills. Strong quantitative and analytical abilities to process and display data
Flexible work style, tactful, poised, and patient. Ability to handle a high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion. Adapts quickly to changing conditions, assimilating new processes into job functions and taking ownership
Exhibits superior management skills that emphasize team-building and strong leadership with the ability to provide clear direction to the department, while also functioning as an individual contributor
Must possess the ability to comply with hospital policies and procedures. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Holy Cross Hospital and Trinity Health
Manages various staff and collaborates with other department managers/directors to manage department functions

149

Patient Access Supervisor Resume Examples & Samples

Sensitivity to cultural and bilingual issues, being able to effectively deal with: (1) Stress levels associated with dealing with employee and staffing issues; (2) Demands of maintaining successful working relationships with peers, managers, physicians, and other health care workers; (3) Demands of successfully delegating responsibilities and supervising other health care team members; (4) Situations that require strong critical thinking and decision making skills
Excellent Customer Service Skills
Knowledge and basic understanding of medical terminology
At least 3 years of relevant experience in pre-registration, registration/admissions, and/or scheduling in a hospital setting
Bilingual - Armenian/English

150

Patient Access Team Lead Resume Examples & Samples

Serves as the primary client interface on day-to-day issues as assigned by AD or Manager
Participates as directed in activities of new client start-up and provides staffing support and training
As indicated, participates in client and JOC meetings and follows up on action items
Consistently pursues customer satisfaction and immediately reports any potential client concerns to AD or Manager
As directed, assists in the completion of client reports and where appropriate, delivers and presents reports to clients
Through mentoring, effectively utilizes the principals of managing by values and not rules with responsibility of the activities of up to 10 FTE
Is being mentored in the establishment of team and personal goals diligently taking steps required to help team members succeed
As directed, participates in QA process periodic operations review. Results and corrective actions are coordinated with direct report and aspects of task may be delegated
Being mentored in the creation and maintenance of policies and procedures based on specific work sites work flow and processes
As required, handles day to day time keeping activities and reports related issues/corrective actions via council from HR and direct report
Monitors team member adherence to Compliance policies, reports any potential violations, and participates in corrective action
Monitors the need for team member addition training as required to perform their job and coordinates additional training needs with direct report
In mentoring and participates/observes administration of hiring, counseling, disciplinary actions, or terminations after coordination with the Director/Associate Director and HR
Participates and brings agenda items to monthly team meetings
Participates in providing team member performance data in preparation of annual reviews
Provides recommendations for work assignments/schedules. Consults with direct report to ensure productivity and performance goals are met. Recommends and schedules overtime usage and monitors for appropriate usage, effectiveness, etc
As required, works at client sites or on client projects/accounts in the absence/shortage of team members
Includes participation in monitoring client profitability and provides input for the preparation of internal monthly reports and client invoicing
Participates in monthly expense and revenue discussions and provides client specific data
May participate in the preparation of accurate and timely monthly client invoice
Includes involvement with efficiencies, process and initiatives
Identifies any problems with the timely flow and processing of client accounts through timely resolution and brings any deficiencies to AD or Manager
Supports all initiatives as assigned
Includes involvement relationship building and management
Participates in any training opportunities offered to facilitate self-development and potential for advancement
Is being mentioned to serve as a key driver of company culture and attitudes while leading by example, fostering team member engagement and providing clear vision to the team members
Knowledge and skills typically acquired through completion of a four year degree
Requires a minimum of five years of related job experience
Experience in the health care field or with a health care services related business
Working knowledge of computer programs and technical applications

151

Supervisor, Patient Access Resume Examples & Samples

Required - 3 years customer service experience including related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel, retail and/or customer service related experience
Preferred - Previous supervisory experience
Moderate knowledge of medical terminology
Good time management skills and self-directed

152

Mgr Patient Access Resume Examples & Samples

Assists with developing goals, standards, and objectives that directly support the strategic plan and vision of the organization
Assists with the development and implementation of policies, procedures, standards and initiatives
Ensures adequate coverage for all areas while maintaining employee satisfaction
Ensures adequate training and system access for all registrars
Audits patient accounts to verify accurate patient account information to increase patient safety, patient satisfaction and efficient billing and collections functions
Actively prepares for and participates in Emergency Preparedness training and any other safety protocol of the institution
Performs other managerial duties based on the needs of the department and organization
2 years relevant experience

153

Patient Access Financial Coord Resume Examples & Samples

Previous experience in the medical field is required
Background in mental health billing is a plus
Background in customer service
Knowledge of patient accounting which includes billing, insurance reimbursement requirements
CPT/ICD-9 knowledge

154

Patient Access Associate Resume Examples & Samples

Manage a set of relationships with life science partners for program implementation and updates
Collaborate cross-functionally with internal Product, Engineer, Customer Success, Marketing, and other teams to successfully deliver on project-specific work as well as optimize internal processes that enable key provider engagement
Collaborate with internal provider-facing teams to optimize oncology practices’ relevant workflows, user experience and engagement with the Patient Access solution
Own project-specific management and communicate with life science partners, including

155

Patient Access Intake Resume Examples & Samples

A competitive hourly pay rate with weekly checks
Online continuing education via the Kelly Learning Center
Several employee discounts
And more!
Manage day to day activities of health care provider support request and deliverables
Perform intake of cases and documental relevant information in the Access 360 Case Management system
Ensure all support requested is captured within the eConnect system
Review input against source document(s) for accuracy and edits as needed
Ensure timely processing of support requests using decision tools and reference guides to determine appropriate case routing
Log information into appropriate eConnect tool and manage/route all program specific mail to
Demonstrate ability to communicate clearly in both written and oral communication
Analytical thinking, problem solving and decision making
Proficient competency using Word, Excel and PowerPoint
Ability to multitask and manage multiple priorities
Strong organizational and time management skills
Strong interpersonal skills; team player
Adaptable and flexible to new situations
Exposure to a variety of career opportunities as a result of our expansive network of client companies
Group- rate insurance options available immediately upon hire*

156

Patient Access Apprentice Resume Examples & Samples

Previous clerical health care experience preferred. Previous customer service experience required
Must complete a formal medical terminology course and customer service training within 1 year after hire
Knowledge of insurance plans and their requirements (ie: worker’s compensation, managed care, Medicare/Medicaid) desired
Knowledge of medical office procedures and insurance requirements helpful
Must demonstrate progress in understanding insurance requirements
Familiarity with medical terminology used in an individual physician practice setting is desirable
Good interpersonal skills required, with an ability to interact with patients and others, both in person and over the telephone, in a courteous, tactful, and effective manner
Customer service training a plus
Strong command of the English language, must speak and write it clearly. Ability to speak French helpful
Ability to use personal computer for on-line data entry required
Typing, faxing, copier and computer skills required

157

Manager Patient Access Resume Examples & Samples

Lead assigned PAS functions including Registration and Financial Counseling and other functional areas reporting into the local PAS organization
Participate with the development and lead the hospital-based implementation of efficient and effective operational policies, processes, tools, and educational materials within all functional areas that report to PAS
Communicate and address issues that may be impeding performance, including technology or processes effectively and proactively
Ensure PAS employees comply with established policies, processes, and quality assurance programs
Work positively with CFO or other Hospital leadership to ensure that needs/concerns/requests in relation to Patient Access processes are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established
Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including peer leaders of revenue cycle services and core support departments (e.g., human resources, business support services, finance)
Completes any duties and special assignments as requested

158

Patient Access Resume Examples & Samples

One year acute Emergency Department experience as an Emergency Technician within the past three years or one year of field triage experience as a paramedic desired
Working knowledge and understanding of insurance terminology desired
Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles
Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population

159

Patient Access Supervisor Resume Examples & Samples

Assures compliance with the Joint Commission, federal, state, and other regulatory agencies related to Patient Access
Assists Patient Access Manager with monitoring and gathering of data and completion of quality control reporting and payroll oversight as it relates to Patient Access personnel
Responsible for performance improvement statistics monthly
Ensures appropriate staffing mix and levels are met and informs Patient Access Manager and Patient Access Leader if staffing mix does not meet departmental needs
Sets priorities and demonstrates effective organizational skills by optimizing use of time; meeting deadlines and completing assigned tasks in a cost responsible manner
Communicates with team and other key revenue cycle and clinical stakeholders
Works in accordance with corporate and organizational security policies and procedures. Understands personal role in safeguarding corporate and client assets
Follows RevWorks policies, maintains a high level of confidentiality, upholds professional standards, and performs all work in a manner respectful of others
At least 2 years of relevant experience
At least 1 year of supervisory or lead experience
At least 3 years registration/admissions experience in a hospital setting
Must have understanding of and ability to interpret insurances and financial assistance according to Hospital, Federal and State guidelines
Ability to exercise independent judgment in unusual or stressful situations
Strong organizational, leadership, customer relations, oral and written communication skills and the ability to prioritize, multi-task and delegate are required for effective communication with patients, physicians, public, staff and administration
Ability to adapt and respond effectively to a constant changing service environment
Knowledge of medical terminology, familiarity with CPT and ICD10 coding
Knowledge of computer software programs (Excel, Word Preferred) and use of basic office equipment
High attention to detail and strong organizational skills
Flexibility to respond to changing priorities/work including after-hour issues and weekends
Ability to be on call 24/7 for 1 week at a time on a rotating schedule

160

Patient Access Technician Resume Examples & Samples

Uses critical thinking and problem solving skills to provide services to patients and their families
Registers patients, collecting and correcting all patient demographic, insurance and financial data and obtaining authorization for services as necessary
Calculates and collects cash payments appropriately, ensuring daily reconciliation of change fund and cash deposit
Accurately schedules patient appointments and tests using departmental guidelines and procedures
Works with uninsured or under-insured patients to identify payments resources
Maintains current knowledge base related to CMS, third party payors and organizational policies and procedures relevant to registration and scheduling of patients
Works with the clinical and provider staff to determine medical necessity of services and completion of required documentation
Communicates patient care needs to members of the health care team
Participates in maintaining compliance with regulatory standards and inventory management by maintaining/organizing non-clinical supplies, patient waiting areas and work areas
Organizes and performs work effectively and efficiently
Accurately documents relevant patient care information in the medical record within the prescribed timeframe
Maintains and adjusts schedule to enhance team performance
Performs other duties as assigned to meet the needs/goals of the department and the medical center
Education: High school diploma or equivalent required; college or advanced education at technical or secretarial school preferred
Licensure / Certifications: None required; certification as Certified Patient Access Technician (CPAT) or Certified Health Access Associate (CHAA) preferred
Experience: 1-year business office experience in health care/insurance setting with computer knowledge and data entry skills. Spanish speaking skills preferred

161

Patient Access Technician Resume Examples & Samples

Works with the clinical staff to determine medical necessity of services and completion of required documentation
Performs other duties as assigned, including ALL aspects of the PAT job duties as necessary
Licensure / Certifications:Certification as Certified Patient Access Technician (CPAT) or Certified Health Access Associate (CHAA) preferred

162

Manager Patient Access Resume Examples & Samples

Manages the staff
Monitors departmental budgets and regulatory compliance
Assists in developing, implementing and maintaining performance improvement and quality assurance programs
Determines, coordinates and supervises daily staffing assignments and staffing levels
Ensures associates reporting to position meet competency standards
Minimum two (2) years of management experience required. Experience directly applicable to the area managed required

163

Director, Patient Access Resume Examples & Samples

Prepares and administers departmental performance evaluations
Promotes departmental and organizational activities for providing courteous customer service to patients, families, visitors and external customers
Participates in Leadership Development activities; implement strategies and processes to improve employee morale and performance
Establishes a centralized Community Health Pre-Arrival Service center to improve access in the Community clinics
Oversees facility operations of Community Health Pre-Arrival service functions (e.g. pre-registration, benefit verification, pre-authorization, admission/ registration, service pre-payment, scheduling for all specialty and primary care clinics, etc) to ensure daily operations are maintained according to defined customer service standards
Reviews Community Health access service team performance to ensure timeliness, accuracy, compliance and standards fulfillment as defined in service level agreements. Prepare reports to share with appropriate senior executives and board members
Oversees management of Community Health access Service personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate. Perform staff reviews and prepare performance documents for direct reports
Maintains positive relationships and align service standards with members of the Revenue Cycle Team. Promotes and contributes positively to the team by working to assist co-workers, contributing ideas and problem solving with co-workers and contributes positively to intra-departmental and inter-departmental relationships
Bachelor's degree in Business, Healthcare or related field of study from an accredited college or university
8 plus years of hospital registration management, billing or reimbursement experience
10 plus years of management experience
Master's Degree in Business, Healthcare or a related field of study of study from an accredited college or university
10 plus years of hospital registration management, billing or reimbursement experience

164

Patient Access Apprentice Resume Examples & Samples

Education. High school graduate or GED
Experience in the health industry is preferred. Customer service in a clinical setting is preferred. And able to work in a high volume, fast paced work environment and perform and prioritize multiple tasks simultaneously
Keyboard and data entry skills required. Computer experience is required with Microsoft Word, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems
Ability to deal effectively with verbally offensive and/or distressed patients and their families
Requires the employee to have experience with or the capability to be trained to a high degree of in analytical and complex problem solving
Mathematical skills sufficient to calculate financial formulas to support applications for Free Care eligibility
Must have the interpersonal skills to deal effectively, cordially and compassionately with a diverse group of patients, physicians, other staff personnel as well as outside hospitals, agencies and the general public. These skills must include the capacity to be sensitive to the individual problems of each patient in obtaining patient information while maintaining a high level of accuracy, solving complex patient placement and payment problems
Must have strong customer service skills with the sensitivity and intuition to detect hidden stresses of problems with the ability to be resourceful and creative in their resolution. Must maintain a high energy and positive outlook, as well as a calm an impartial response in dealing with a wide variety of complains, personalities, levels of stress, complicated situations, illness and urgent demands
Ability to learn how to accurately identify the correct insurance payor out of the constantly changing insurance products, each with potentially multiple and differing contracts applies to the patient being registered

165

Sch Patient Access Specialists Resume Examples & Samples

Minimum of 6 months of experience in one or more of the following: insurance, admitting, billing , or collections in a healthcare setting
Documented knowledge of Medical Terminology or completion of Medical Terminology class (in-person or online)
Minimum of 6 months experience in Customer Service in one or more of the following: retail store cashier, salesperson, call center representative
Able to operate office equipment such as PC, printer, fax machine, calculator
Excellent phone and communication skills
Able to effectively prioritize work responsibilities
Able to recognize and resolve problems
Able to take initiative to carry out responsibilities
Previous Clerical or Healthcare experience
EPIC experience
Interviews and Registers all customers including IP, OP, ED and 23-Hour Observations
Processes pre-admission testing, pre-registration
Schedules, revises or cancels patient appointments in the iSparrow (EPIC) System
Works closely with the House Supervisor and other nursing staff regarding IPs, bed placement and transfers
Assists Physicians and clinical caregivers in obtaining medical records
Assumes the Switchboard as assigned
Handles incoming and outgoing mail and operates the postage machine when assigned
Verifies all Out Patient registrations and processes the MSPQ as appropriate
Provides departments with required forms and collects paper signatures or E-signatures needed to complete their services
Provides comfort measures and customer service gestures to patients and families
Rotates to other Patient Access Specialist Positions as assigned
Performs registration audits and coverage verifications, secures insurance authorization numbers as required
Monitors work queues and makes appropriate corrections to accounts
Performs overhead paging, text paging, silent drills, and other Emergency Management support activities

166

Patient Access Resume Examples & Samples

Windows-based computer skills
2 or more years in either customer service or health related field
Medical terminology background

167

Patient Access Director Resume Examples & Samples

Bed size: Up to 300 beds
Ability to manage a budget
Proficiency in Regulatory requirements
Thorough knowledge of Insurance
Ability to Delegate successfully
Three (3) to five (5) years Management in a Revenue Cycle, Business Services, or Acute Health Care environment preferred

168

Patient Access Resume Examples & Samples

Also works as team member and positively accepts change throughout the Hospital
Critical to this position is understanding the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Hospital
Reporting to the Manager/Supervisor, this position is responsible for completing the registration and insurance eligibility processes with Patient Access Services and creating the first impression of the Hospital's services to patients, family members and other external customers
The PAS Representative must be capable of articulating information in a manner patients, guarantors and family members know what to expect and what their financial responsibilities will ultimately be
The PAS Representative works directly with medical staff, nursing, ancillary departments, insurance carriers and other external professionals to assist patients in obtaining health care and financial services
The Patient Access Services (PAS) Representative must have a working knowledge of the managed care environment, third party reimbursement, hospital and community services and hospital and health care policies

169

Supervisor, Patient Access Resume Examples & Samples

Establishes work schedules for the Patient Access Department. Provides “On Call” support during week-end and holiday periods as needed
Responsible for the recruitment and retention of qualified staff members
Establishes work assignments to staff according to departmental and hospital needs to ensure appropriate standards are met. Monitors employee performance
Conducts periodic staff meetings to facilitate communication and provide appropriate
Using audit process monitors admitting and outpatient registration documents and reports to ensure accuracy of demographics and billing information. Provides feedback to employees regarding errors and disciplinary action when appropriate. Ensures Insurance verification is completed per department standards
Responsible for the appropriate orientation, development and on-going training of staff members. Develops and implements effective training programs to address training needs of the department
Facilitates employee in-service education regarding regulatory and provider changes to ensure awareness and proficiency for all points of registration. Manages department compliance with established policies and procedures of SJHS, regulation of applicable regulatory agencies and standards of JCAHO
Establishes procedures for financial counseling to review inpatient information to ensure accuracy for demographic and/or insurance billing information. Insures timeliness of authorizations and UM notification
Establishes effective pre-admissions department to ensure accuracy of information, verify benefits and ensure that necessary prior authorizations are obtained before elective procedures
Ensures excellence in customer service through employee development, according to hospital standards and utilizing performance improvement techniques
Responsible for appropriate conduct management of staff members. Perform conflict resolution, present employee commendations, conduct problem solving and implement progressive disciplinary actions appropriate to SJHS policies and procedures
Reviews departmental budget variance reports to ensure compliance. Participates in budget process with Manager or Director. Assists in the development, implementation and control of the department budget. Provides justifications for budget variances
Maintains knowledge of Managed Care, Medicare and Medi-Cal requirements concerning admitting and registration. Attends meetings, seminars and in-services to keep abreast of rapid changes in managed care environment

170

Manager, Patient Access Systems & Quality Resume Examples & Samples

5 years of experience in healthcare management, administration, or consulting
2 years of experience in working with finance and revenue cycle leaders and staff, including senior administration, to define data and functional requirements of systems, reports, and analytical output
Experience in quality assurance, process improvement, and project management
Experience in project management, including leading teams during system implementations and upgrades
Ability to interpret medical billing for both hospital and professional services
Demonstrated outstanding customer service experience
Demonstrated knowledge of hospital and physician patient access systems and processes
Must possess and demonstrate excellent communication, organizational, and interpersonal skills
Proven aptitude for problem-solving and strategic thinking
Knowledge of key Children's Healthcare of Atlanta patient access applications, e.g., Epic Resolute, Cadence, and Prelude, or comparable system
Able to function in a dynamic environment subject to impromptu changes in schedules and priorities
Ability to communicate well and present findings verbally and via presentations, spreadsheets, and written documents
Ability to multitask and work both independently and within teams
Demonstrated ability to develop and manage budgets and other financial skills
Proficient at a high level in the use of Microsoft Excel, Word, and PowerPoint
Oversees technology system used by Patient Access staff systemwide, including admitting/registration, scheduling, and patient accounting applications
Possesses detailed knowledge of core patient access systems and all bolt-on software solutions
Serves as primary point of contact for both internal and vendor support resources
Partners with Information Systems & Technology to identify appropriate support mechanism to achieve resolution
Monitors outstanding issues and reports impacts as needed
Manages team responsible for developing and delivering system and process education to any staff member responsible for scheduling, verification, registration, and other patient access functions
Leads Patient Access quality assurance and educational initiatives and provides trends, issues, and concerns to Revenue Cycle and other leaders
Ensures optimal, continual compliance with all governmental, payor, and regulatory agency requirements by routinely analyzing standards, regulatory rules, and policies and develops/implements activities and policies/procedures to meet requirements
Directs formulation of responses to governmental, payor, and regulatory inspections
Develops, coordinates, and participates in ongoing, multifaceted quality assurance program by assessing and monitoring operational processes to ensure safe, efficient, and quality performance standards for patients, visitors, and employees
Manages orientation, competency assessment, and mandatory education for front-end Revenue Cycle staff
Develops and manages a patient education program for front-end Revenue Cycle teams
Acts as lead resource in coordinating patient access and revenue cycle system enhancements, upgrades, and replacements with Information Systems & Technology, Supply Chain, and other areas/departments as needed
Works as key team member with project manager to provide all necessary information for coordination of key revenue cycle projects
Directs projects and project teams related to implementation of system access strategic plan, operational improvement of department, and accomplishment of department goals, including evaluating trends, research and financial data, core processes, and infrastructure related to projects
Makes recommendations, develops implementation plans, and manages implementation
Supports Director, Access in developing and implementing marketing and public relations plans
Responsible for all aspects of managing and leading a team including: interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees
Mentor team members to encourage personal and professional growth
Encourage ongoing skill development by providing opportunities for continued education

171

Supervisor, Patient Access Resume Examples & Samples

Responsible for training new associates and provide ongoing education and communication to staff. - Review to ensure 100% compliance with uLearn requirements is met. - Evaluates staff to ensure compliance with departmental competencies is met invoking additional training as needed
Bachelors in healthcare administration, finance, or related field and one year of healthcare billing, registration, or patient business services; OR high school diploma/equivalent and four years of healthcare billing, registration, or patient business services; OR equivalent combination of education and experience is required
Knowledge of insurance pre-certification/pre-authorization, managed care, medicare/medicaid and commercial insurance plans

172

Rehab Patient Access Service Coordinator Resume Examples & Samples

One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting. Rehab Office Coordinators, front desk doctor’s office, and Patient access services experience preferred
Familiarity with and understanding of hospital admissions, patient account systems and major health insurers and general coverage issues preferred. Previous cashiering experience helpful
Demonstrated typing proficiency, personal computer and CRT experience required; Tempus One Scheduler experience preferred and medical terminology
Demonstrated interpersonal, oral and written communication skills required

173

Director Patient Access Resume Examples & Samples

Leads the Patient Access function including setting business objectives, shaping the customer experience with Actelion Pathways access support and services, and managing the team and our vendors to achieve operational excellence
Manages the Patient access team including setting goals, creating development plans, mentoring and managing performance
Provides development opportunities to staff to enable upward advancement opportunities and strengthen areas of expertise
Designs and manages new initiatives to improve the customer experience in partnership with pharmacy access, managed markets, and commercial
Responds expertly and efficiently to the ever-changing landscape of healthcare, reimbursement, competition and market trends to optimize access to therapy at all times
Serves as the Actelion representative to senior leadership teams at our external patient access partners
Fosters a collaborative relationship with our patient access partners to optimize the mutual value of the relationship, identify new and better ways to work together and provide open and honest feedback as appropriate
BA/BS with 15 years relevant experience of which ten years are in biopharmaceutical industry with significant concentration in hub operations, healthcare reimbursement and/or specialty pharmacy; equivalent combination of advanced degree and less experience may be considered

174

Supervisor Patient Access Resume Examples & Samples

Experience with hospital environment and scheduling systems Experience with process improvement, analysis and change implementation Thorough knowledge of Departments operation as it relates to scheduling systems Competent on MS Office products. Ability to set goals and judge results in accordance with the highest standards; care with sensitivity and respect; advance care through development of new ideas and technology; promote teamwork to achieve CHOCs mission; and understand and exceed customer expectations. Exceptional Communication and interpersonal skills are required in order to effectively interact with the scheduling staff, our providers and the community
2 years of supervisory experience
Two years college course work

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