Patient Access Services Resume Samples

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M Brakus

Markus

Brakus

60750 Vanessa Stream

Philadelphia

+1 (555) 950 4175

60750 Vanessa Stream

Philadelphia

Phone

p +1 (555) 950 4175

Experience Experience

New York, NY

Patient Access Services

New York, NY

Kirlin-Howell

New York, NY

Patient Access Services

This list of essential duties and responsibilities is intended to provide a representative summary of the major duties and responsibilities performed
Act cooperatively and responsibly with patients, visitors, co-workers, management and clients
Works collaboratively with Nursing and Social Services to ensure accuracy of data
Reports all Quality indicators for identification of trends to determine where training deficiencies exist. Implements corrective action plans as necessary to deploy training modules to both individual colleagues and project leadership
Adheres to Quality Assurance measures and metrics which report any trends or process improvement opportunities for each project, office, and RCS division
The primary focus of this position is to consistently review the performance of completed work for all operational colleagues providing consistent feedback to QA leadership
Working knowledge of MS Office Products

Phoenix, AZ

Patient Access Services Rep

Phoenix, AZ

Lind Group

Phoenix, AZ

Patient Access Services Rep

Determines upfront payment or deposit based on the patient’s third party coverage and requests following department scripting for POS collections. Logs payment, produces receipt and prepares deposit records according to cash handling policy and procedure
Promotes a positive image to patients, visitors and physicians by adhering to the MedAssets+precyse Core Values of Courage, Authenticity, Respect, Excellence, and Service
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
Interacts with patients, physicians’ offices, and ancillary departments
Interviews patients, to gather demographic and insurance information to pre-register or register them in the computer system
Provides Advanced Beneficiary Notices, HIPAA, Patient Rights and benefit assignments as directed
Verifies patient’s insurance eligibility and benefits

present

Boston, MA

Operations Lead, Patient Access Services

Boston, MA

Vandervort LLC

present

Boston, MA

Operations Lead, Patient Access Services

present

Assist with development of program utilization reports to be provided to the field
Provide insight about data quality issues, and participate in key initiatives to make improvements
Assist PAS management with vendor escalations
Compile RAS Team best practices to identify opportunities for process improvements; initiate improvements department-wide
Assist in the maintenance and enhancement of RAS systems to ensure data quality, includes organizing or participating in relevant cross functional meetings
Work in concert with PAS Leadership and RAS team to ensure vision and objective of RAS team are met
Act as the liaison between the PAS management and the RAS team

Education Education

Bachelor’s Degree in Business Management

The Ohio State University

Bachelor’s Degree in Business Management

Skills Skills

Considerable ability to resolve problems related to the position
Ability to effectively involve department staff in the application of quality measurement and improvement tools
Demonstrated ability to quickly learn new technologies and systems and provide instruction on complex processes
Ability to comfortably and effectively facilitate meetings and feedback sessions
Ability to appropriately prioritize and carry-out work
Ability to coach employees
Capable of assisting managers with decisions and activities
Effective use of all Windows-based applications such as Word, Excel and Power Point
Skilled in fostering a positive workplace culture and building inclusive workplace teams
Skilled in overseeing the efforts of individuals within the department

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Patient Access Services Representative Resume Examples & Samples

Ensure all insurance verification and authorizations are obtained prior to services being rendered when applicable
Ensure all notes/events are documented in the facilities Electronic Health Record (EHR)
Ensure all signatures are obtained to complete a registration or admission; this includes the consent/living will, HIPAA, and Important Message from Medicare (IMM)
Ensure collection of co-payment/deductible amounts on insured patients or submit to supervisor or designee for review/approval prior to outpatient procedure or inpatient discharge; or at time of discharge from ED
Ensure collection of self-pay customers, set up necessary financial arrangements or submit to supervisor / designee for review and approval prior to outpatient procedures or inpatient discharge; or at time of discharge from ED
Ensure complete and accurate information for patient documentation, including demographic and billing information per department guidelines
Ensure compliance with guidelines and duties as assigned per policy. This includes EMTALA, JCAHO and HIPAA regulations. It is the representative’s responsibility to remain well informed through the intranet and/or department manual
Ensure coverage is maintained at the needed level by fulfilling the rotation call list as needed
Ensure favorable communication is promoted within the department and between other departments of the hospital
Ensure our patients and other customers are top priority and respond to their needs in a timely manner
Ensure the daily deposits are completed, primarily by the designated representative

Patient Access Services Rep Resume Examples & Samples

Interviews patients in person or by phone to obtain all required information for hospital records and billing systems. Registers or Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures
Maintains an awareness of patient level of comfort during wait. Clinical staff if the patient is unable to wait
Able to perform duties in a stressful environment that may require long periods of sitting, standing or walking to interview patients and process information. The environment may include alarms, occasional loud noises, bright lights and flashing lights. Lift and/or move objects up to 15 pounds is required. Each employee has the responsibility to maintain a clean environment and work in a safe manner at all times
Requires 1 year experience in Patient Access Department and the following criteria: meets expectations or higher on most recent performance evaluation, no active performance improvement plan or disciplinary action in most recent 6 month period. May substitute requirements for 2 years’ experience in patient access, HIM or billing department at another hospital or medical office

Associate Director, Patient Access Services Resume Examples & Samples

Ability to deliver actionable call center and program data
Ability to influence across functions to gain consensus on solutions
Develop and maintain relationships with vendor contacts resulting in strong program performance
Demonstrated ability to successfully motivate and lead a large, newly formed team
Minimum of 8 years’ experience working in pharmaceutical or healthcare services. This experience must include time leading a hub/patient services team at either a vendor providing patient access services, or at an internal manufacturer program
Experience with product support services management and service program development and implementation
Expert understanding of reimbursement solutions and access programs for specialty pharmaceuticals
Experience related to patient access, reimbursement, financial assistance, or PAP for a pharmaceutical product
Commercial experience working on a specialty injectable product
Pharmaceutical marketing or sales experience

Head, Patient & Access Services Resume Examples & Samples

Leads the development and execution of the all patient services and field reimbursement management for all products to ensure an optimal patient experience and appropriate, prescriber-endorsed access to and adherence with our products
BS/BA required along with 10+ years of related experience in the pharmaceutical, medical device, or biotech industry
Prior leadership roles in Patient Services and Field Reimbursement with comparable types of programs that Jazz currently offers
Prior experience in longer term strategy formulation and execution (including complex multi-year program management)
Experience managing vendors including agencies and third party data suppliers
Experience in personnel development and leadership
In-depth knowledge of health care reimbursement practices and compliance and regulatory requirements
Capable of engaging senior Jazz management on patient services, field operations and financial matters (prior performance and near term and strategic outlook)
Prior experience with budget development and control

Supervisor, Patient Access Services Resume Examples & Samples

Excellent written and verbal communication skills required to
Clearly convey issues and resolution to customers and Alkermes stakeholders
Provide clear and specific direction to program team members
Interact with Alkermes hub vendor and fulfillment partners
Ability to manage time and balance priorities based on business needs
Manage multiple projects in fast-paced, deadline driven environment
Work collaboratively across multiple stakeholder groups (marketing, analytics, IT)
Demonstrated leadership abilities
Motivate and lead a newly formed team
Foster an environment conducive to trust, open communication, creative thinking and cohesive team effort
Mentor high performers and coach/manage underperforming team members
Onsite availability to support program operations until 8pm ET, Mon-Fri
Accommodate approximately 10% overnight travel for
Minimum of 3 years’ experience working in pharmaceutical or healthcare services. Experience must include call center management in a healthcare setting
Experience working in a high volume patient services program preferred
Experience analyzing and developing processes to efficiently process data and manage a high volume of transactions
Development of operational reports and dashboards used to monitor program performance
Working knowledge of the compliance and regulatory environment for manufacturers in the pharmaceutical space
Proficiency in Microsoft Outlook, Visio, Word, Excel, and Power Point
Program /product launch experience a plus

Data Entry Associate, Patient Access Services Resume Examples & Samples

Ability to quick and accurately take data from written documents and enter it into a patient database
Document details with attention to data integrity for analysis supporting business objectives
Communicate issues, updates and resolutions to internal and external stakeholders
Critical thinking and problem solving skills needed to address customer concerns and to identify and execute solutions
Working shifts are varied to support operations from 9am – 8pm ET
Minimum 2 years’ experience providing customer service, completing data entry tasks, and/or working in a call center environment
Experience working in a high volume patient services program preferred with medical billing and coding terms preferred
Proficiency in Microsoft Office required
Experience working with or for, a reimbursement hub or healthcare facility is a plus

Patient Access Services Rep Resume Examples & Samples

Interacts with patients, physicians’ offices, and ancillary departments
Interviews patients, to gather demographic and insurance information to pre-register or register them in the computer system
Provides Advanced Beneficiary Notices, HIPAA, Patient Rights and benefit assignments as directed
Verifies patient’s insurance eligibility and benefits
Identifies patient’s financial responsibilities, financially clears and requests payments for services
Calls patients to pre-register or confirm appointments
Demonstrates the ability to think independently, problem solve and recommend solutions that positively reflect and impact the hospital
Call physician offices to obtain prescriptions and authorizations and/or referrals for patient procedures and tests when necessary
The Patient Access Associate performs all of these functions in a manner that complies with standards established by Hospital Administration, Medical Staff, and outside regulatory and accreditation agencies; in a manner that promotes team concepts and reflects the Bayfront Health St Petersburg mission and philosophy

Operations Manager, Patient Access Services Resume Examples & Samples

Develop reports, and analyze data to identify trends related to program performance, reimbursement and access, patient adherence to therapy, and pharmacy performance
Strong writing and presentation skills
Proven collaboration across multiple functions (sales, managed markets, marketing)
Bachelor’s degree strongly preferred
Minimum of 5 years’ experience working in pharmaceutical or healthcare services. This experience must include time working in or with product support services management and service program development and implementation
Experience related to patient access, reimbursement, case management or adherence programs for a pharmaceutical product
Experience managing or working at a vendor providing patient access services

Manager, Patient Access Services Resume Examples & Samples

Ability to analyze and deliver actionable call center and program data
Ability to effectively plan, prioritize, execute, follow up and anticipate problems
Ability to work collaboratively across multiple stakeholder groups (marketing, analytics, IT)
Demonstrated ability to successfully motivate and lead a newly formed team
Consistent operational performance demonstrated meeting operational metrics, SLA’s and other program expectations
Minimum of 5 years’ experience working in pharmaceutical or healthcare services. Experience must include direct employee management in a pharmaceutical commercial services environment and/or leadership responsibility for a 3rd party call center vendor
This experience should preferably include time working in or with product support services management and service program development and implementation
People management experience required, preferably with a large, newly formed team of individuals
Understanding of reimbursement solutions and access programs for specialty pharmaceuticals
Understanding Medical/Legal/Regulatory Review processes at a pharmaceutical manufacturer
Commercial experience working with specialty pharmaceuticals, including reimbursement, delivery methods, payer review requirements, and analysis of payer data
Experience working in or with call center or data entry operations
Experience analyzing data

Operations Lead, Patient Access Services Resume Examples & Samples

Maintain extensive knowledge of Alkermes products, RAS processes and role responsibilities
Act as a dedicated resource to RAS team: Be the “on floor” advisor to assist in solving complex issues that require escalation
Train new hires and participate in ongoing mentoring of team members
Monitor and update the training materials, job aids and work instructions as needed
Assist in the maintenance and enhancement of RAS systems to ensure data quality, includes organizing or participating in relevant cross functional meetings
Provide insight about data quality issues, and participate in key initiatives to make improvements
Compile RAS Team best practices to identify opportunities for process improvements; initiate improvements department-wide
Assist with development of program utilization reports to be provided to the field
Act as the liaison between the PAS management and the RAS team
Assist PAS management with vendor escalations
Work in concert with PAS Leadership and RAS team to ensure vision and objective of RAS team are met
Escalating any unresolved issues to PAS Leadership
Foster an environment conducive to trust, open communication, creative thinking, and cohesive team effort
Bachelor’s degree and 5+ years of experience with exposure or responsibilities related to training, program/project management, and customer care/ case management roles. Will consider other equivalent experiences
Ability to adapt to change, and prioritize in a dynamic and complex environment
Strong interpersonal skills to build and leverage trusting relationships
Ability to travel on occasion when business needs arise
High knowledge of reimbursement (claims, appeals, prior authorization etc.)
Experience working with Pharmaceutical sales teams & sales leadership
Strong analytical skills – ability to understand, create, and interpret reports, as well as maintain spreadsheets
Problem solving skills – ability to identify an issue and use all available resources to find the most effective and efficient resolution
Viewed as a leader with the ability to work independently as well as collaboratively
Seasoned project management skills
Seasoned ability to multi-task, be organized with high attention to detail
Experience and understanding of customer service metrics and operations in the pharmaceutical industry

Patient Access Services Supervisor Resume Examples & Samples

Responsible for the selection, training, scheduling, monitoring, mentoring, evaluating, and coaching the Patient Access Services staf
Assures accurate and appropriate patient registration
Handles escalated customer and patient calls for service recovery
Oversees the financial revenue capture process to secure pre-payments, co-payments and past due balances in an appropriate manner
Monitors quality of services provided and addresses issues proactively
Supports the implementation of a successful and cohesive unit, with a high level of productivity, to achieve overall performance metrics. Provides specific data, measure and targets for the area
Supports the implementation of standardized scheduling processes across the various clinics
Responsible for fiscal management by monitoring budget effectively and proposing alternatives
Implements provisions of the labor contracts in managing people
Assesses and upgrades new software releases that will impact operations
Works in partnership with IT and vendors to maintain functionality of equipment and software applications
Other duties as assigned, after appropriate training
Bachelor’s degree in business management, healthcare management, healthcare administration, a clinical specialty, or another field applicable to the position
Minimum of three (3) years of healthcare experience or related service industry experience with a customer service focus
Considerable ability to resolve problems related to the position
Ability to coach employees
Skilled in overseeing the efforts of individuals within the department
Ability to effectively involve department staff in the application of quality measurement and improvement tools
Skilled in fostering a positive workplace culture and building inclusive workplace teams
Demonstrated ability to quickly learn new technologies and systems and provide instruction on complex processes
Capable of assisting managers with decisions and activities
Effective use of all Windows-based applications such as Word, Excel and Power Point
Ability to appropriately prioritize and carry-out work
Ability to comfortably and effectively facilitate meetings and feedback sessions
Previous experience with Epic and/or other call service software strongly preferred
Bilingual in Spanish, preferred
Leadership and supervisory experience in a fast-paced environment preferred

Patient Access Services Resume Examples & Samples

Oversees and works with staff to ensure compliance with state mandated regulations
Serves a liaison to city and state agencies
Maintains departmental records of every birth occurring at BIDMC
Works collaboratively with Nursing and Social Services to ensure accuracy of data
Notary Public Preffered

Patient Access Services Resume Examples & Samples

Incumbents may be required to perform job related tasks other than those specifically presented in this job description. The following is not an extensive list of responsibilities
This list of essential duties and responsibilities is intended to provide a representative summary of the major duties and responsibilities performed
Verifies insurance eligibility and benefits utilizing electronic or online eligibility tools or by telephone according to payer requirements
Documents Information obtained through insurance verification in the system
Assigns appropriate insurance plan from the payer response or representative
Ensures coordination of benefits are correct
Must have excellent customer service and communicationskills with the ability to effectively calm patients and beable to deal with distressed and / or agitated patients
Advanced medical terminology and health insurance background
High school diploma or Equivalent and some higher education
Minimum of four year’s healthcare setting office experience, registration and Supervision experience
Experience with Windows application systems and some Microsoft Office (Excel preferred)
Professional demeanor and excellent public relations skills

Director, Patient Access Services Resume Examples & Samples

Establishes adequate controls to ensure that approximately $1 billion in gross patient service revenue is protected via insurance and demographic verification, accurate registration, notifications and authorizations to third party payers
Monitors and reports on key metrics such as cash collections, days outstanding, unbilled, denials, etc., in conjunction with the Senior Director of Revenue Cycle Management and other Finance leadership. Recommends and implements changes where appropriate after thoughtful and measurable analysis
Assists in planning and development of orientation, annual compliance training, and continuing education programs for all Patient Access Services staff
Establishes and maintains controls for coordination of financial counseling operations. Ensures all DHCFP policies and procedures are followed relative to the application and information reporting process
Collaborates with Case Management, PCS, and other clinical areas to support BIDMC's throughput and capacity goals. Serves on many hospital committees that ensure achievement of hospital's operating and strategic plans. Maintains effective communication with BIDMC leadership to ensure that all third party compliance guidelines are met
Has the authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: More than 7 Indirect Reports: None
5-8 years related work experience required and 3-5 years supervisory/management experience required
Problem Solving:Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues
Written Communications:Ability to communicate complex information in English effectively in writing to all levels of staff, management and external customers across functional areas

Director of Patient Access Services Resume Examples & Samples

7+ years of management experience
Extensive experience in call center management, customer, or patient experience
Strong analytic and communication skills
Passionate about patients getting access to the best possible care
Able to lead and influence to all levels of staff
Focused on continuous improvement

Patient Access Services Coordinator Resume Examples & Samples

One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting; 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 preferred
Demonstrated typing proficiency, personal computer, and CRT experience required; Enterprise Scheduling System experience preferred

Patient Access Services Coodinator Resume Examples & Samples

Knowledge of appropriate customer service interaction skills as it relates to greeting and assisting by phone or in person
Skill in presenting a professional demeanor when assisting patients, even when they may be at their worst
Skill in multi-tasking and setting priorities so the most critical are performed first

Patient Access Services Coordinator Resume Examples & Samples

Knowledge of hospital wide and/or department specific computer software and technology
Skill in providing leadership to other medical office staff
Ability to speak effectively before groups of customers or employees of the organization
Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions; ability to deal with problems involving a few concrete variables in standardized situations

Patient Access Services Resume Examples & Samples

The primary focus of this position is to consistently review the performance of completed work for all operational colleagues providing consistent feedback to QA leadership
Adheres to Quality Assurance measures and metrics which report any trends or process improvement opportunities for each project, office, and RCS division
Responsible for constant communication with senior leadership regarding quality monitoring results, any identified and/or recommended training needs and deficiencies, as well as possible project improvement opportunities
Reports all Quality indicators for identification of trends to determine where training deficiencies exist. Implements corrective action plans as necessary to deploy training modules to both individual colleagues and project leadership
Maintain product knowledge expertise including new product roll-outs, upgrades and enhancements
Act cooperatively and responsibly with patients, visitors, co-workers, management and clients
Proven oral and written presentation skills
Minimum of 2 years of experience in Healthcare Revenue Cycle Services preferred
Proven knowledge and experience in all aspects of the healthcare revenue cycle
Proven ability to effectively lead a group and support fellow leadership members
Proven knowledge and experience in analytics and problem solving with the ability to recognize trends or anomalies
Working knowledge of MS Office Products

Director of Patient Access Services Resume Examples & Samples

Oversees and manages the administrative direction for patient registration and insurance verification
3+ years’ experience of management experience in a hospital setting (preferred) with progressive responsibility in healthcare revenue cycle
Prior experience in a healthcare leadership role that includes accountable involvement with the strategy and execution of change and process improvement
Ability to plan, direct and control affairs of large complex registration areas and manage decentralized workforce
Ability to establish rapport and cooperation between staff in patient accounting and health information, utilization review management, IT and all other departments that impact patient access functions
Must possess a working knowledge of patient management and patient accounting functions and metrics, understand how they impact organizational performance, the revenue cycle, and a strong business understanding of the departments overall financial implications to the system
Proven excellence in communication and interpersonal skills, assisting individuals of all levels in the organization in discussing and resolving process flow, process improvement and patient account concerns are required
Union Experience