Customer Service Patient Access

SUMMARY

EDUCATION PROFESSIONAL EXPERIENCE

SKILLS

CERTIFICATIONS

Corona, CA

****************@*****.***

THERESA YOUNG 951-***-****

Patient Access Representative

Highly motivated and professional individual with over 15 years of experience providing high-level support and customer service. Proficient in managing calendars, organizing meetings, handling confidential documents, and communicating with internal and external providers Possess exceptional communication and interpersonal skills with a proven ability to work independently and as part of a team. Sanford Health

February 2025 - March 2025

Reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if insurance meets prior authorization criteria.

Collects necessary documentation and communicates with third party payers, healthcare professionals and customers to prioritize requests.

Verifies patient registration and confirms benefit coverage, including deductibles and out-of-pocket expenses; researches and verifies covered benefits for ordered tests, procedures, and other services.

1994-1997

Strong organizational and time-

management skills

Exceptional communication and

interpersonal skills

Ability to work independently and as part

of a team

Detail-oriented and able to handle

multiple tasks simultaneously

Cisco

ADP

Onelink

Epic

Epremis

RxHome

Diamond

OHSMS

Tridiuum1

Opas

Tapestry

Certified Conventioal Underwriter

Patient Access Representative

Psychiatric Social Clerk

Corona High School

Kaiser Permenente 2007 - 2025

Managed calendars, scheduled appointments, and arranged meetings

Prepared and distributed reports, presentations, and other materials for UBT meetings

Secretary for Assistant Chief of Staff Psychiatry

Assistant for Riverside University Health System Coordinator Interviews patients via phone or face-to-face to obtain pertinent and confidential background information

Provide secretarial service as requested by Psychiatrist or Therapist

Type correspondence, forms, and reports

Assists with schedule template changes

Coordinates in-house and outside referrals using Tapestry and Sharepoint

Operates in a high volume, highly structured environment by responding to incoming calls

Applies critical thinking to complex guidelines, and using multiple call center specific systems

Promotes, ensures, and improves excellent customer service to internal/external customers

Uses tact and diplomacy in handling difficult interactions with members

Contact this candidate