Patient Access Customer Service
Resume:
MICHELLE BUCHANAN
CHICAGO, ILLINOIS 60637
************@*****.***
EXPERIENCE
PRE-CERTIFICATION SPECIALIST, MERCY HOSPITAL AND MEDICAL CENTER
. Processing referrals for services and obtaining needed authorizations from the patient’s payor source.
. Contacts insurance companies and other payors to notify of admissions
. Obtains and clarifies procedural and diagnosis information form physician
. Verifies insurance coverage and benefits for patient admissions either electronically or via other media
. Refers patients to financial counselors to assist with payment for services Creates patient pre-registration accounts in the electronic system to allow for the addition of notes to an account
. Performs various clerical tasks to expedite the verification process, including documentation of guarantor information, patient information and protocols 07/2017-11/2017
PATIENT ACCESS REGISTRAR, RUSH OAK PARK HOSPITAL
. Work in all areas of admitting, outpatient and emergency department
. Greet and interview the patient in a courteous and professional manner
. Obtain pre-certification for outpatients and outpatient surgical procedures
. Register in Epic and update patient demographics, subscriber, guarantor and insurance information
. Pre-schedule future patient appointments and pending admission
. Verify all insurance information and obtain managed care authorizations when needed
. Collect bill payments and insurance co-pays
. Utilize Epic and Passport systems
08/2014-10/2016
PATIENT ACCESS REGISTRAR, ST. BERNARD HOSPITAL
. Perform admitting and registration in outpatient, emergency department and immediate care clinics
. Schedule appointments and exams, collect patient demographics, and obtain insurance information
. Verify commercial, Medicare, Medicaid, Managed Care and Workers’ compensation insurances
. Accurately enter physician orders for labs and radiology exams as written
. Scheduled patient appointments for follow-up and aftercare
. Prepare death certificates
. Collect out of pocket payments from immediate care patients
. Utilized Meditech and Passport systems
2
SKILLS
• STRONG CUSTOMER SERVICE SKILLS
• SPANISH SPEAKING
• STRONG EPIC KNOWLEDGE
• ABLE TO WORK INDEPENDENTLY
• STRONG PROBLEM-SOLVING SKILLS
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