Capable Patient Services Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
14
14
years of professional experience
Work History
Patient Services Representative
Prisma Health Family Medicine Walhalla
03.2021 - Current
Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
Reviewed and corrected claim errors to facilitate smooth processing.
Increased efficiency of office operations through proper management of medical records and filing systems.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Took copayments and compiled daily financial records.
Assisted patients in filling out check-in and payment paperwork.
Balanced deposits and credit card payments each day.
Served as a key point-of-contact between physicians, nurses, technicians, administrators, other professionals involved in the provision of quality medical services.
Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
Assisted with billing inquiries and insurance verification, resulting in a smoother financial experience for patients.
Facilitated patient education by providing clear explanations of treatment plans and addressing any concerns or questions.
Enhanced communication between patients and healthcare providers, ensuring timely delivery of test results and medical advice.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Stayed calm under pressure to and successfully dealt with difficult situations.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Providing excellent customer service by promptly answering patient inquiries.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Patient Services Representative
Prisma Health Oconee Urology
07.2010 - 03.2021
Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
Reviewed and corrected claim errors to facilitate smooth processing.
Increased efficiency of office operations through proper management of medical records and filing systems.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Took copayments and compiled daily financial records.
Assisted patients in filling out check-in and payment paperwork.
Balanced deposits and credit card payments each day.
Served as a key point-of-contact between physicians, nurses, technicians, administrators, other professionals involved in the provision of quality medical services.
Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
Enhanced communication between patients and healthcare providers, ensuring timely delivery of test results and medical advice.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Stayed calm under pressure to and successfully dealt with difficult situations.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Resolved patient billing issues in line with established guidelines.
Answered incoming calls, scheduled appointments and filed medical records.
Education
Medical Office Specialist
Tri County Technical College
Pendleton, SC
06.2010
High School Diploma -
West-Oak High School
Westminster, SC
06.2001
Skills
Insurance Verification
Patient Registration
Appointment Scheduling
Patient confidentiality
HIPAA Compliance
Medical Terminology
Customer Service
Multitasking and Organization
Problem-Solving
Team Collaboration
Money Handling
Patient check-in
Registration and Admissions
Phone and Email Etiquette
Payment Processing
Information Collection
Referral Coordination
Clerical and Filing Support
Communicating to Patients and Families
Patient documentation
Caring and Empathetic
Punctual and Hardworking
Schedule Coordination
Insurance verifying
Registration and Scheduling
Multi-Line Telephone Systems
Attention to Detail
Insurance Authorizations
Document filing
Documenting and Recording Information
Explaining Policy and Procedures
Gathering Information from Patients
Payment Collection
Scheduling Diagnostic Procedures
Timeline
Patient Services Representative
Prisma Health Family Medicine Walhalla
03.2021 - Current
Patient Services Representative
Prisma Health Oconee Urology
07.2010 - 03.2021
Medical Office Specialist
Tri County Technical College
High School Diploma -
West-Oak High School
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