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Senior patient service representative skills for your resume and career
15 senior patient service representative skills for your resume and career
1. Patients
- Led team of 6 performing insurance verification and authorization retrieval to ensure patients were covered for dialysis treatment.
- Interacted extensively with patients and insurance representatives to explain and educate patient on billing procedure.
2. Patient Service
Patient service also called patient care service are those activities carried out by the staff for or on behalf of a patient to provide the care that allows timely access to their needed services following the best practices. Examples include services like development and maintenance of patients records, admission to service, assignment of personnel, involvement in the patient's care, etc.
- Managed & supervised Patient Service Representatives & scheduled day to day work activities.
- Proof all Patient Service Representative's work and follow-up as needed.
3. 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.
- Do daily huddles to prep for the patient care and needs for there visit.
- Provided quality patient care and managed schedule for busy vascular surgeon.
4. Patient Appointments
- Schedule outpatient appointments/testing and hospital admissions upon request.
- Managed the retrieval of medical records for physicians prior to new patient appointments.
5. Insurance Eligibility
- Validated insurance eligibility via electronic verification and third party contact.
- Obtain patient demographics, insurance eligibility and enter in the computer.
6. Insurance Verification
- Assess patient Eligibility for insurance verification and reconcile patient's accounts.
- Acquire insurance verification/authorizations prior to procedures.
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Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.
- Manage front-end operations to ensure timely scanning of medical records and registration of patient accounts.
- Update patient accounts as well as problem solve various issues that are presented to me in a timely manner.
8. Phone Calls
Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.
- Receive inbound phone calls regarding collection accounts.
- Updated patient insurance information, receive, screen, and transfer phone calls in a professional manner.
9. Patient Demographics
Patient demographics carry basic information about a patient admitted to a healthcare facility. These demographics help in patient identification and allow the hospital management to categorize the information. This characterization helps in making the process of statistical analysis easy. Patient demographics normally include; date of birth, gender, ethnicity, sex, address, contact information, and medical history.
- Enter patient demographics, insurance information into salesforce.
- Ensured complete and accurate registration, including patient demographic and insurance information to coordinate patient's clinical background and referral needs.
10. EMR
- Scheduled patients using state-of-the-art EMR, oversaw physician calendar, correspondence, and communicated with referring physician offices.
- Provided patient-specific notations in EMR system to assist practitioners in providing tailored treatments.
11. Surgery
- Transferred to the Mayo Hospital to there as a Scheduler on 5 West for Cardiovascular & Thoracic surgery and Orthopedic Surgery.
- Register patients for all radiology, laboratory, nuclear medicine, physical/occupational/speech therapy, direct admits, urgent care and surgery.
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.
- Contacted insurance companies for patient billing operations including knowledgeable in ICD-10, CPT, online insurance eligibility/authorizations, and scheduling diagnostic/specialty referrals
- Completed orders for billing purposes in accordance with computer system protocol, CPT criteria, and regulatory guidelines.
13. Front Desk
- Handled tasks such as scheduling and acted as liaison with management for concerns of the front desk staff.
- Oversee the front desk coordination.
14. 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.
- Reviewed and updated patient registration/demographic information.
- Captured or confirmed personally identifiable information, demographics and insurance information in the Global Patient Registration (GPR) system.
15. Insurance Benefits
- Explain insurance benefits/patient financial responsibility.
- Call and verified patient demographic information Verified insurance benefits coverage via internet Registered patient information into the computer and process insurance information
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List of senior patient service representative skills to add to your resume
The most important skills for a senior patient service representative resume and required skills for a senior patient service representative to have include:
- Patients
- Patient Service
- Patient Care
- Patient Appointments
- Insurance Eligibility
- Insurance Verification
- Patient Accounts
- Phone Calls
- Patient Demographics
- EMR
- Surgery
- CPT
- Front Desk
- Patient Registration
- Insurance Benefits
- Medicaid
- Schedule Appointments
- Insurance Carriers
- Billing Issues
- PSR
- Patient Charts
- Outbound Calls
- Billing System
- EOB
- Insurance Billing
- Payment Arrangements
- ICD-9
- Primary Resource
- Computer System
- Patient Inquiries
- Appeals
- Hippa
- Customer Issues
- HIPAA
- Patient Payments
- Patient Calls
- Departmental Policies
- Medical Claims
- Registration Process
- A/R
- Insurance Coverage
- Inbound Calls
- IDX
- Charge Entry
- Credit Card Payments
- Direct Calls
- Office Equipment
Updated January 8, 2025
