Patient care representative resume examples from 2026

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Updated March 26, 2025

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Patient care representative resume

Virginia Carpenter

(580) 555-0553 | vcarpenter@example.com

Lubbock, TX | 22198 N. Second Rd. - 48384

Work experience

2020 - Present
Patient Care Representative, Univ Med Cent of Fresno - Lubbock, TX
- Process patient accounts, follow up on insurance
- Make calls to patients, insurance companies, and doctor's offices to recoup monies for services rendered within the facility.
- Created the template for CPT handbook used by Pre-Authorization department.
2017 - 2020
Patient Accounts Clerk, Univ Med Cent of Fresno - Lubbock, TX
- Developed and reviewed patient care plans initially and PRN.
- Check personal information and insurance.
- Experienced phone calls to insurance companies to verify the check information via missing patient accounts.
2015 - 2017
Volunteer Patient Representative, Boys & Girls Clubs of America - Atlanta, GA
- Improved communication efficiency as primary liaison between departments, clients and vendors.
- Oversee registration staff and revenue processes for Gilab Cardiology Radiology and the out patient lab.
- Serve as a CPR instructor.
- Handled phone calls and correspondence from the patients.

Skills

Insurance Companies
Staff Members
Vital Signs
Training Materials
Gospel
Patient Rooms
Communication
Humanitarian Assistance
Icd-9
CPR

Education

Bachelor's Degree, Health Care Administration (2012 - 2015)
Colorado Technical University
Colorado Springs,

Patient care representative resume

Judith Stewart

(760) 555-4688 | jstewart@example.com

Pittsburgh, PA | 95026 W. Maple Ave. - 60531

Work experience

2017 - Present
Patient Care Representative, Aspen Dental Management - Pittsburgh, PA
- Utilize electronic medical records and scanned documents to determine and schedule appropriate exams.
- Consult with insurance companies to verify member's eligibility, benefits and authorizations for durable medical equipment.
- Provide exceptional customer service while interviewing patients in a fast-paced environment and to obtain registration information.
- Provided excellent customer service and patient care.
2014 - 2017
Clerical Associate, Arizona State University - Phoenix, AZ
- Call and write insurance companies to follow up on accounts.
- Computed and processed order/data entry of services provided.
- Applied medical terminology knowledge to schedule patient care referrals and appointments.
2009 - 2014
Patient Care Specialist, TriWest Healthcare Alliance - Phoenix, AZ
- Process medical referrals from VA and providers, attach medical documentation to veterans authorizations for payment processing.
- Take appropriate measures to comply with HIPAA regulations to protect privacy of Veterans health information.
- Call insurance companies to obtain pre-certification information for patient's Hospital visit.
- Compiled medical records and charts.

Skills

Patient Complaints
Computer System
Patient Care
Medical Records
Physician Orders
PSR
EMR
PCR
Patient Access
Treatment Plans

Education

Bachelor's Degree, Medical Assisting Services (2001 - 2004)
San Joaquin Valley College
Visalia,

Patient care representative resume

James Diaz

(760) 555-2359 | jdiaz@example.com

Glen Allen, VA | 19198 E. Evergreen Rd. - 34531

Work experience

2020 - Present
Patient Care Representative, Virginia Women's Center - Glen Allen, VA
- Scheduled medical appointments, assisted with medical referrals and maintained medical records
- Make outbound calls to MD offices, patients, manufactures, and insurance companies.
2017 - 2020
Patient Care Representative, Patient First - Glen Allen, VA
- Operated medical records database; entered patient demographics, insurance information & searching for patient history.
- General knowledge of the functions of the emergency room and handling of patients in a very high stress and busy environment.
- Assisted patients in acquiring their personal medical records.
2016 - 2017
Communications Officer, Tarrant County - Fort Worth, TX
- Transmit to all units' information received of emergency via computer.
- Certified CPR/First Aid, EMD, EFD, EPD, and FTO.
- Answer calls from neighboring police departments, tow companies answering questions & generating report numbers when needed.
- Help law enforcement maintain safety throughout the community by provided appropriate and accurate information when needed.

Skills

Patient Referrals
Two Way Radios
EMD
Law Enforcement
CPT
RN
PCR
Patient Care
Alarm Signals
Confidential Information

Education

Bachelor's Degree, Management (2013 - 2016)
University of Houston
Houston,

Patient care representative resume

Julie Rice

(700) 555-6771 | jrice@example.com

San Diego, CA | 56994 N. Elm Ln. - 84136

Work experience

2017 - Present
Patient Care Representative, Neighborhood Healthcare - San Diego, CA
- Provide outstanding communications with patients & patient care safety.
- Conducted inspections of medical records to ensure compliance with agency and facility regulations.
- Perform data entry functions, including patient demographic information and patient updates in a medical records system.
- Scan and sort documents for Medical Records.
2015 - 2017
Authorized Representative, Neighborhood Healthcare - San Diego, CA
- Coded all diagnostic and operative information from medical records using ICD-9, CPT AND HCPCS coding classification system.
- Solved current and past billing problems, Also when needed check patients vitals.
- Update medical records demographic and insurance information.
- Assisted contracted and non-contracted medical providers on verifying their claims status and payment.
- Maintain compliance with EMTALA, DNV, HIPPA and all other hospital and government regulations.
- Trouble shoots problems by seeking out the appropriate people and/or resources Responsible for updating Patient Demographics Reconciles end-of-month closures.
2012 - 2015
Sales/Marketing, Pitney Bowes - San Diego, CA
- Created online marketing campaigns and promotions for both consumer and commercial products and services utilizing web/graphic software and outsourcing as needed.
- Maintain an open door policy which allows direct reports to ask questions and provide guidance & support.
- Migrated Pitney's Global Client Retention team (8 Countries, 200 Users) from the existing Siebel CRM to SFDC.
- Developed new customer relations through telephone contact and sales activity.
- Monitor internal and online marketing and advertising trends that indicate the need for new products and services.
- Tracked and reported all marketing efforts using CRM software.

Skills

Necessary Information
Patient Accounts
Company Website
Customer Relations
Benefit Coverage
Treatment Plans
Physician Offices
Patient Access
Direct Reports
Metrics

Education

Bachelor's Degree, Business (2004 - 2007)
Ashford University
San Diego,

Patient care representative resume

Jeremy Weaver

(730) 555-6110 | jweaver@example.com

Phoenix, AZ | 82856 S. Elm Ln. - 77952

Work experience

2013 - Present
Patient Care Representative, TriWest Healthcare Alliance - Phoenix, AZ
- Manage Out-Bound Calls Scheduling Medical Appointments for Veterans Enter Veteran Information on Excel Spreadsheet Maintain a 120% Scheduling Success
- Mentored and trained new hire PSR s as well as I was a Point of Contact (POC).
- Assisted in the back office with patient care and injections/phlebotomy.
- Registered and scheduled for the Developmental Services Department and Emergency Room while applying EMTALA, JCAHO and HIPAA laws.
- Covered for PBX (Dispatch) Operators, Emergency Room.
2008 - 2013
Representative, Pizza Hut - Las Vegas, NV
- Resolve customer complaints via phone or in person Greet customers warmly and ascertain problem or reason for calling.
- Partner with store management to sell and ensure appropriate inventory levels for sales activity.
- Provided excellence in customer service while assisting in all areas of inventory and display merchandising.
- Trained new hires in Customer Happiness policies, protocols, and product knowledge.
- greeted customers with positive attitude and presented our Great multitasker store sales for the customers.
2004 - 2008
Volunteer Patient Representative, Santa Clara Valley Medical Center - San Jose, CA
- Reconcile money for patient access.
- Assist with patient transportation Helped patient with reading, eating and other daily activities.
- Use Eclinical Works System to record patients information such as medical history, vital statistics and test results in medical records.

Skills

Procedures
Training Materials
Product Knowledge
Hospice
Patient Care
Patient Confidentiality
Emotional Support
Hospital Services
Complex Issues
Icd-9

Education

Bachelor's Degree, Business (2001 - 2004)
San Jose State University
San Jose,

How to write a patient care representative resume

Craft a resume summary statement

Your resume summary sums up your experience and skills, making it easy for hiring managers to understand your qualifications at a glance. Here are some tips to writing the most important 2-4 sentences of your resume:

Step 1: Start with your professional title, or the one you aspire to.

Step 2: Detail your years of experience in patient care representative-related roles and your industry experience.

Step 3: What are your biggest professional wins? Here is your opportunity to highlight your strongest accomplishments by placing them at the start of your resume.

Step 4: Don't forget, your goal is to summarize your experience. Keep it short and sweet, so it's easy for recruiters to quickly understand why you're a great hire.

These four steps should give you a strong elevator pitch and land you some patient care representative interviews.

Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.

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List the right project manager skills

Your Skills section is a place to list all relevant skills and abilities. Here is how to make the most of your skills section and make sure you have the right keywords:

Look at the job listing and skills listed. You need to include the exact keywords from the job description to get your resume in front of an actual human. Do you have those skills? Fantastic! Be sure to list them.
Include as many relevant hard or technical patient care representative skills as possible for each job you apply to.
Be specific with the skills you have and be sure you are using the most up to date and accurate terms.

These five steps should give you a strong elevator pitch and land you some patient care representative interviews.

Here are example skills to include in your “Area of Expertise” on a patient care representative resume:

Patients
Patient Care
Home Health
Cash Management
Phone Calls
CPT
Medical Terminology
Patient Registration
Excellent Interpersonal
ICD-9

Data Entry
Rehabilitation
Patient Charts
Patient Insurance
Front Desk
Customer Service
Insurance Eligibility
Patient Flow
Insurance Verification
Telephone Calls

PCR
Patient Accounts
Vital Signs
Insurance Benefits
Patient Referrals
Medicaid
Strong Customer Service
HIPAA
Patient Calls
Outbound Calls

Zippia’s AI can customize your resume for you.

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How to structure your work experience

Your work experience should be structured:

With your most recent roles first, followed by earlier roles in reverse chronological order.
Job title, along with company name and location on the left.
Put the corresponding dates of employment on the left side.
Keep only relevant jobs on your work experience.

How to write patient care representative experience bullet points

Remember, your resume is not a list of responsibilities or a job description. This is your chance to show why you're good at your job and what you accomplished.

Use the XYZ formula for your work experience bullet points. Here's how it works:

Use strong action verbs like Led, Built, or Optimized.
Follow up with numbers when possible to support your results. How much did performance improve? How much revenue did you drive?
Wrap it up by explaining the actions you took to achieve the result and how you made an impact.

This creates bullet points that read Achieved X, measured by Y, by doing Z.

Here are effective examples from patient care representative resumes:

Work history example #1

Admitting Interviewer

USMD

Facilitated communication to appropriate personnel regarding patient information as necessary.
Confirmed encounter forms sent out by physicians after a patient's visit and entered ICD-9 codes into BICS for billing purposes.
Ensured accuracy of ICD-9 codes for medical testing.
Informed and stay current with HIPAA/Joint Commissions regulations along with patient confidentiality and organization policies and procedures.
Maintained Joint Commission and HIPPA compliance requirements, cross referencing all patient documents and applicable consent forms.

Work history example #2

Front Desk Coordinator

Best Western International

Utilized professionalism and effective communication when checking in/out guest in order to provide superior customer service and build rapport.
Organized reservation data into company database for monthly reports needed by management.
Processed advanced deposits on 3rd party and prepaid/advanced pay reservations.
Handled active communication with Best Western Corporate, accounting and payments related to online bookings.
Supervised employees, recommended sentencing, and coordinated alternative sentencing with community and non- profit organizations.

Work history example #3

Patient Care Representative

Apalachee Center

Maintained audit system according to policy and procedures to assure completeness, accuracy, and internal consistency.
Operated PBX Switch-bored hospital telephone system.
Collaborated data to assist in maintaining timely deadlines of submission for billing and payroll.
Reviewed denied claims for coding errors and provider information for Medicaid claims.
Utilized Eagle Super billing software application with IDX-Tend appointment Scheduler for medical billing purposes.

Work history example #4

Provider Services Representative (Part-Time)

Hewlett Packard Enterprise

Trained new employees to follow established guidelines on how to professionally interpret Medicaid policies and procedures.
Trained in all aspects of assisting providers with Medicaid.
Assisted in Provider Services with eligibility, UB04 and CMS1500 claims, prior authorizations, certifications, and policy and billing.
Informed Medicare Recipients about premiums and deductibles on their medicare insurance.
Conducted training to providers on Alabama Medicaid software.

Zippia’s AI can customize your resume for you.

Upload a resume

(File formats: .pdf, .doc, .docx)

Add an education section to your resume

Here is the best way to format your education section:

Display your highest degree first.
If you graduated over 5 years ago, put this section at the bottom of your resume. If you lack relevant work experience, the education section should go to the top.
If you have a bachelor's or master's degree, do not list your high school education.
If your graduation year is more than 15-20 years ago, it's better not to include dates in this section.

Here are some examples of good education entries from patient care representative resumes:

Bachelor's Degree in health care administration

Colorado Technical University, Colorado Springs, CO

2012 - 2015

Bachelor's Degree in medical assisting services

San Joaquin Valley College, Visalia, CA

2001 - 2004

Highlight your patient care representative certifications on your resume

If you have any additional certifications or education-like achievements, add them to the education section.

Include the full name of the certification, along with the name of the issuing organization and date of obtainment.

Here are some of the best certifications to have on patient care representative resumes:

Certified Billing and Coding Specialist (CBCS)
Certified Medical Administrative Assistant (CMAA)
Basic Life Support for Healthcare and Public Safety (BLS)
Certified Clinical Medical Assistant (NHA)
Certified Medical Office Manager (CMOM)
Patient Care Technician
Nationally Certified Medical Office Assistant (NCMOA)
Certified Medical Interpreter - Spanish (CMI)

Updated March 26, 2025

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