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Harbor UCLA Med CTR - Patient Resource Worker Resume Example

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Penelope Perry
XXXX X XXXXX XX, Gardena, CA 90248
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXX
Professional Summary
Highly self motivated Patient Resource Worker with over 10 years career experience in the Healthcare field. I am dedicated to patient care.  I am motivated to provide excellent customer service and to provide patients with the best knowledge of the available healthcare programs. I am well organized and able to prioritize caseloads to generate results.  I am self driven and am looking for growth in the healthcare field.
Skills

Dedicated & Dependable Bilingual (Spanish/English)

Team Leadership Affinity,Orchid, MEDS, LEADERS knowledge

Great Attitude Customer Service

Medi-Cal, ADAP, BCEDP Applications Microsoft Word,  Microsoft Excel

Active Listening    Critical Thinking

   Judgment and Decision Making

Experience
Patient Resource Worker Aug 2006Present Harbor UCLA Med CTR Torrance, CA I financially screen patient or their relatives to obtain identifying info, financial an other eligibility data and enter info in the HIS.  I conduct face to face interview wit patients to obtain accurate and complete registration info.  I make appropriate program referrals to Medi-Cal,ATP,BCEDP, and other healthcare programs.  I receive financial data to determine patient's ability to reimburse the County for medical care.  I verify insurance coverage and existing governmental proof of eligibility.  I consistently obtain MEDS/LEADER printouts to determine patient's eligibility.  I call insurance companies to verify eligibility and benefits.  I work with the 270 and Rev360 to verify payer resources to generate revenue.  I explain available programs to the patients and inform them of the time frame in which to apply for the programs.  I explain the reduced payment options and the ATP program.  I refer patients without existing financial resources to a PFSW or an appropriate facility staff member.  I completed and submitted applications for the ADAP and BCEDP programs.  I answer all incoming phone calls in a pleasant and courteous manner.  I direct the telephone calls to the appropriate place of business.  I schedule clinic appointment for various speciality clinics.  I rotate to different workstations troughout the department, as requested, in order to meet the needs of the department.
Patient Resource Worker Mar 2006Aug 2006 LAC+USC Med CTR Los Angeles, CA I did registration for the Emergency Department.  I financially screened patients or their relatives to obtain identifying information, financial and other eligibility data.  I conducted face to face interviews  with patients to obtain accurate and complete registration info.  I also made appropriate program referrals to Medi-Cal, ATP, and other healthcare programs.  I received financial data to determine patient's ablity to reimburse the County for medical care.  I verified insurance coverage through MEDS and LEADER to determine patient's eligibility. 
Client Service Representative Jul 2001Mar 2006 CompSpec Inc. Glendale, CA

I serviced several hospital facilities in the Los Angeles area.  I interviewed patients and/or their relatives to obtain financial and other eligibility data.  I assisted patients in preparing, completing, and processing Medi-Cal and other healthcare programs applications.  I conducted face to face interviews with patients to complete Medi-Cal applications.  I verified insurance coverage and existing governmental proof of eligibility by using Meds and Leader.  I analyzed financial data and reviewed medical records to establish patient eligibility for County healthcare programs, such as Medi-Cal.  I completed bedside Medi-Cal  applications at multiple hospitals and submitted them to the nearest district office.  I also did home visits to get Medi-Cal applications completed.  I completed Victims Of Crimes applications.  I copied medical records to have them reviewed for patients that wanted to appeal Medi-Cal denials.  I determined whether patients had healthcare coverage and identified the billable resource for collection.  I explained available programs t the patients and informed them of  the time frame in which to apply for the programs. 

Education
General Ed Classes Jun 2012 El Camino College Torrance, Ca
High School Diploma : General Studies Jun 1998 Gardena High School Gardena, Ca
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Resume Details

This is a real resume for a Patient Resource Worker in Gardena, California with experience working for such companies as Harbor Ucla Med Ctr, Lac Usc Med Ctr, Compspec Inc. This is one of the hundreds of Patient Resource Worker resumes available on our site for free. Use these resumes as templates to get help creating the best Patient Resource Worker resume.

Previous Companies:

  • Harbor UCLA Med CTR
  • LAC USC Med CTR
  • CompSpec Inc

Previous Job Positions:

  • Patient Resource Worker
  • Client Service Representative

Schools:

  • El Camino College
  • Gardena High School

Level of Education:

  • High School Diploma

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