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Assistant Supervisor Clamis Processor Resume Example

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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Highly motivated and committed Administrative Professional with proven history of superior performance, team organizer strong ability to multitask and prioritize workloads with little or no supervision. Dependable detail-oriented broad experience includes Customer Service, Credit Card Bankruptcy and Medical Billing recognized for exemplary customer service and team collaboration. Detail oriented professional looking to bring my background and team building skills to a deadline-driven environment.

Accomplishments
  • Supervised team of 6 staff members.
  • Documented and resolved system issues.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Product Promotion - Up-sold products and motivated customers to upgrade current product plans.
  • Customer Relations - Earned highest marks for customer satisfaction, company-wide.
  • Collaborated with team of 4 in the development of the TSYS system.
Skills
  • Staff motivation and discipline Strong communication skills
  • Quality-oriented team player Recruiting skills
  • Employee training Time management
  • Process updates Reliability
  • Flexibility Strategic thinking skills
  • Active listening Creativity
  • Ability to assess employees’ strengths and weaknesses and compassion
  • Employee motivation and discipline
  • Training and mentoring
  • Team Building
  • Consulting
  • Business administration
  • Business planning
  • Staff Management
  • Leadership
  • Negotiation
  • Positivity
  • Reliability
  • The ability to keep customers information confidential
  • Strong charisma
  • Project planning
  • Compassionate
  • Patient-focused care
  • Adaptable
  • Efficient and reliable team player
  • The ability to share clear messages and make complex ideas easy to understand
  • Creativity
  • Time management
  • Empathy
Work History
03/1997 to 06/2020
ASSISTANT SUPERVISOR/CLAMIS PROCESSOR People Incorporated Taunton, MA,
  • Coordinated with internal departments to maximize operational efficiency across production and administrative areas.
  • File paperwork and submitted reports to upper management.
  • Organized schedules, workflows and shift coverage to meet expected business demands.
  • Identified and corrected performance and personnel issues to reduce impact to business operations.
  • Assisted Management in evaluating employee performance and cultivating improvement initiatives.
  • Oversaw employee supervision, client satisfaction, and daily work.
  • Updated policies and procedures to maximize team efficiency and productivity.
  • Maintained positive work ethic and commitment to providing excellent service to improve operations efficiency and customer satisfaction.
  • Delegated daily tasks to team members to optimize group productivity.
  • Trained multiple employees on best practices and protocol while managing the team to maintain optimal productivity.
  • Supported Supervisor by preparing production reports and collating quality documentation.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.
  • Revised work practices to improve efficiency, boost quality and meet production goals.
  • Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
  • Coordinated with supervisor to balance staffing as workloads changed.
  • Recommended changes to policies and procedures to maximize team efficiency and productivity.
  • Submitted documentation and reports to upper management.
  • Completed yearly evaluations, set realistic goals and determined pay raises.
  • Maintained compliance with company policies, objectives and communication goals.
  • Provided coaching and counseling to 5 employees to encourage professional growth as well as meet short- and long-term goals.
  • Utilized standard operating procedures, effective crew resource management, communication and procedures specified in company operation manual.
  • Mentored newly hired employees on day to day process and developed training manual for all co-workers to use for reference purposes.
  • Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
  • Provided supportive link between external customers and internal operations.
  • Developed training, task and process guidelines and communicated clear and concise directions to employees.
  • Evaluated employees' strengths and assigned tasks based upon experience and training.
  • Evaluated employee performance monthly and coached and trained accordingly, increasing quality of work and employee retention.
  • Created efficient work schedules for each team member to maintain deadlines and keep shifts properly staffed.
  • Set overall vision and provided team leadership.
06/1996 to 03/1997
CUSTOMER SERVICE REPRESTENTATIVE Intermedia Marketing City, STATE,
  • Answered 80 plus inbound calls per day and directed to designated individual or departments.
  • Cultivated impactful relationship with customers and drove business development by delivering product knowledge.
  • Consulted with customers to determine the best methods to resolve service and billing issues.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Assisted customers by answering questions and fulfilling requests.
  • Answered questions about store policies and concerns to support positive customer experiences.
  • Helped customers complete purchases, locate items and join reward programs to promote loyalty, satisfaction and sales numbers.
02/1994 to 04/1996
MEDICAL BILLING SPECIALIST Corum City, STATE,
  • Contracted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Accurately coded diagnostics and prepared billing statements for patients.
  • Applied payments, adjustment and denials into medical manager system.
  • Posted and adjusted payments from insurance companies.
  • Submitted refund requests for claims paid in error.
  • Identified errors and refiled denied or rejected claims quickly to prevent payment delays.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Accurately posted and sent out all medical claims.
  • Located errors and promptly refiled rejected claims.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Verified proper ICD-9 coding on claims.
  • Analyzed medical records to satisfy insurance company mandates.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Filed and updated patient information and medical records.
  • Input information into computerized patient record system.
  • Researched and followed up on denied insurance claims.
  • Transferred balances to correct payers.
Education
Expected in 06/1986
DIPLOMA: COATESVILLE AREA
Coatesville Area Senior High School - Coatesville, PA
GPA:
Expected in
: Business Administration
DeVry Institute - Philadelphia, PA,
GPA:

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Resume Overview

School Attended
  • Coatesville Area Senior High School
  • DeVry Institute
Job Titles Held:
  • ASSISTANT SUPERVISOR/CLAMIS PROCESSOR
  • CUSTOMER SERVICE REPRESTENTATIVE
  • MEDICAL BILLING SPECIALIST
Degrees
  • DIPLOMA
  • Some College (No Degree)