Activations Specialist resume example

Responsible for coordinating, scheduling, and facilitating Peer Review calls for several board-certified surgeons to discuss requests for medical procedures that have been denied by the member’s insurance company. TurningPoint Healthcare is a third-party company that works with several insurance plans to review and determine medical necessity for certain elective orthopedic and spine surgeries. It works with physicians to review cases based on insurance policy and evidence-based literature. I am effectively able to communicate with hundreds of providers that service thousands of members from large insurance plans. The coordinator is also responsible for staging peer review notes, assisting in preparing the physician, and documenting a summary of the conversation. Coordinators also assist Clinical Operations Representatives with answering inbound calls, initiating a pre-authorization requests, triaging faxes with clinical information, and assisting the notifications department with generating letters. I personally assisted with the hiring of five additional coordinators, and actively participate in the training new-hires. I have participated in new-hire interviews and some HR duties.

Temporary unpaid internship taken during my BS-HSA undergraduate curriculum. I worked for over 150 hours in a non-clinical position within the organization. While in the emergency department, I was responsible for registering patients and their visitors, record initial chief complaint and be able to identify symptoms requiring immediate attention. I was able required to multi-task in a high stress environment while maintaining strong levels of accuracy and attention to detail. Assisted in verifying patient insurance information and handling confidential medical records. Generated cost estimates for patients with co-payments and insurance while also attempting to collect payment for services at discharge. Answer emergency patient service calls for registration when ambulance was in-bound. Reviewed reports and spreadsheets regarding current collection standings and wrote a report about increasing collections within the ED. Used strategic planning to help create team collection goals and increase revenue.

Started as a Customer Service Representative for a commercial and residential waste and recycling hauling company. Was recognized for my great verbal and written communication skills and exceptional customer service. I was then trained and promoted to an inside sales representative. I evaluated customer issues and complaints to resolve any service issues. I handled all incoming and escalated customer service and sales requests with my territory. I participated in community events to help advertise and market the company’s services to potential clients. Frequently exceeded the $2,400 monthly sales quota and renewed at least ten existing client contracts monthly. Successfully negotiated deals, drafted contracts, and submitted paperwork for new and existing service changes. I personally created multiple training tools and scripts for proper phone etiquette to assist in new customer service training, and received perfect surveys for “secret shopper” customer service calls.