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Patient access representative skills for your resume and career

Updated January 8, 2025
4 min read
Patient access representative example skills
Below we've compiled a list of the most critical patient access representative skills. We ranked the top skills for patient access representatives based on the percentage of resumes they appeared on. For example, 20.3% of patient access representative resumes contained patients as a skill. Continue reading to find out what skills a patient access representative needs to be successful in the workplace.

15 patient access representative skills for your resume and career

1. Patients

Here's how patient access representatives use patients:
  • Completed registration, insurance/benefit verification/certification for patients seeking emergency care.
  • Recorded patients detailed information and maintained confidentiality

2. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how patient access representatives use customer service:
  • Obtain and complete accurate patient demographic information and provides an effective communication skills, promoting excellent customer service in every interaction.
  • Work with management team on institution-wide process improvement projects to ensure the highest quality of customer service and maximum hospital reimbursement.

3. Medical Terminology

Here's how patient access representatives use medical terminology:
  • Perform secretarial/clerical duties, utilizing knowledge of medical terminology and hospital, clinic, and some laboratory procedures while maintaining HIPPA.
  • Managed cross-functional billing to execute extensive medical transcription and coding by using knowledge of medical terminology, treatments, and medications.

4. Patient Care

Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services. Patient care is described as services provided to patients by health practitioners or non-professionals under guidance.

Here's how patient access representatives use patient care:
  • Assisted team of managers, Radiology personnel and Director of Patient Care in a dynamic customer-oriented organization with heavy patient volume.
  • Provided patient scheduling that streamlined the process for improved patient satisfaction and care management capabilities that helped seamlessly coordinate patient care.

5. Patient Registration

Patient registration means a complex system that needs an acceptable and considerable level of preliminary data input for a patient, including collecting patients' demographic data, getting patients' contact and personal information, and getting the patient's health history.

Here's how patient access representatives use patient registration:
  • Reviewed and updated patient registration/demographic information.
  • Performed patient registration, processed referrals and admissions, scheduled appointments, verified insurance coverage and obtained benefits and authorizations.

6. Insurance Verification

Here's how patient access representatives use insurance verification:
  • Performed insurance verification to determine insurance eligibility and authorization requirements.
  • Captured and entered patient demographic and financial information Gathered information in Patient Management system Coordinated with insurance verification and financial counseling services

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7. Insurance Eligibility

Here's how patient access representatives use insurance eligibility:
  • Validate verification and documentations of insurance eligibility and authorizations.
  • Verified insurance eligibility and obtained initial authorizations.

8. Physician Orders

Physician orders are an instruction or a set of instructions given to a patient by a doctor. This could range from being put on bedrest to being given a prescription to fill and take.

Here's how patient access representatives use physician orders:
  • Coordinated necessary documents for procedure being performed; patient itinerary, admission/physician orders, transfer request, and surgery packets.
  • Ensured efficient throughput by quickly and accurately documenting all patient information, insurance validation, and physician orders.

9. Insurance Benefits

Here's how patient access representatives use insurance benefits:
  • Call and verified patient demographic information Verified insurance benefits coverage via internet Registered patient information into the computer and process insurance information
  • Verified insurance benefits on all admissions and encounters to determine the level of insurance coverage for compliance with hospital admission policy.

10. Health Insurance

Here's how patient access representatives use health insurance:
  • Obtain demographic information from patients including health insurance verification, co-payments, deductibles and insurance authorization needed for testing being performed.
  • Screened registration data by obtaining diagnosis or ICD-9 codes, updated or modified health insurance for accurate eligibility and benefit verification.

11. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how patient access representatives use data entry:
  • Maintain provider information via spreadsheets and provider enrollment software including adding demographics for all providers via data entry in enrollment software.
  • Perform data entry of billing information into billing system and other Business Office applications when required.

12. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how patient access representatives use cpt:
  • Contacted insurance companies for patient billing operations including knowledgeable in ICD-10, CPT, online insurance eligibility/authorizations, and scheduling diagnostic/specialty referrals
  • Carried out functions adhering to the Medicare Compliance Checker guidelines, while being familiar with the CPT & ICD-9 coding system.

13. Cycle Management

Here's how patient access representatives use cycle management:
  • Face to face and telecommunications Revenue Cycle Management Solutions.
  • Maintained waiting area, Drove value based performance through revenue cycle management and solutions.

14. HIPAA

Here's how patient access representatives use hipaa:
  • Trained and implemented HIPAA to ensure that patient information was communicated confidentially, accurately, effectively, and efficiently.
  • Maintained accurate patient information within confidential patient accounts and electronic medical records in compliance with national HIPAA standards.

15. Medicaid

Here's how patient access representatives use medicaid:
  • Work in coordination with Medicaid Eligibility Program Representatives, to identify patients without insurance or under insured and provide appropriate assistance.
  • Verified patients' insurance information by entering Medicaid Website and other insurances websites or called companies for clarification of payment.
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List of patient access representative skills to add to your resume

The most important skills for a patient access representative resume and required skills for a patient access representative to have include:

  • Patients
  • Customer Service
  • Medical Terminology
  • Patient Care
  • Patient Registration
  • Insurance Verification
  • Insurance Eligibility
  • Physician Orders
  • Insurance Benefits
  • Health Insurance
  • Data Entry
  • CPT
  • Cycle Management
  • HIPAA
  • Medicaid
  • Insurance Cards
  • Patient Charts
  • Insurance Coverage
  • Compassion
  • Patient Liability
  • Excellent Interpersonal
  • Computer System
  • Phone Calls
  • Patient Flow
  • Patient Accounts
  • EMTALA
  • Patient Appointments
  • Cash Control
  • Surgery
  • Financial Assistance
  • Home Health
  • Front Desk
  • Patient Insurance
  • Appointment Scheduling
  • Hospital Policies
  • Insurance Authorizations
  • Emergency Room
  • Strong Customer Service
  • Registration Process
  • Radiology
  • Financial Data
  • Outpatient Services
  • Consent Forms
  • Rehabilitation
  • Hippa
  • Patient Data
  • Hospital Services
  • Medical Insurance
  • PET

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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