Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary
I am a bilingual person seeking a full time position with a reputable company where my many acquired skills and experience can be fully utilized and where I can make a notable contribution by making use of my passion of working with people 
Core Qualifications
  • Medical Terminology
  • Health Care 
  • Team Player
  • Multi Tasker
  • Team Leader
  • Customer Service 
  • Case Management 
  • Team Building 
  • Workers Compensation
  • Long Term Care 
  • Sales
05/2011 to 07/2015
Client Care Liaison University Of Wisconsin Madison Sturgeon Bay, WI,
  • Private Pay Intake As a Client care liaison, my duties included: Inquiry intake for nationwide company and introduce the caller to our Home Health Services.
  • Obtain all information from caller for services required, inform caller of Home Health Services Accent Care can provide, using inside sales techniques.
  • Negotiate rates for personal care services as needed and collected credit card payments Secure commitment for date and time of assessment, data entry, notify the proper care Center that an assessment has been or needs to be scheduled and executed.
  • Handle triage calls by assisting the callers with their issues or concerns.
  • Perform data entry duties for multiple departments while maintaining a busy switchboard all while providing excellent customer service.
  • Workers Compensation Intake Take initial referral by phone or email.
  • Work with office staff to determine appropriate clinical referrals and staffing levels.
  • Obtain MD order and hospital reports as needed.
  • Work with sales teams to identify contract opportunities.
  • Negotiate rates for skilled services as needed.
  • Obtain proper authorization from the Nurse Case Managers and/or Adjusters.
  • Perform data entry for multiple departments.
  • Medical Terminology all while maintaining a busy switchboard and providing excellent Customer service.
05/2007 to 06/2011
Staffing Coordinator Greystone Healthcare Management Inverness, IL,
  • My primary duties as a Staffing Coordinator were: · To find a perfect match for our clients based on their specific needs within their region.
  • Update case managers with information using flow sheets that kept them abreast of all the · Current activities for each client on my region on a weekly basis.
  • Ensure that the front office is presentable for visitors while managing a busy switchboard.
Care coordinator my Accent Care , ,
  • To identify, evaluate, coordinate, and monitor all Case Management care and services provided to the Choice Medical Group / Choice Physicians Network patient and the Horizon Valley Medical Group population, including but not limited to, ambulatory, home health care, Hospice and DME all while following the Scan Snp's Transitional Care members.
  • To serve as liaison for acute care, Hospice and skilled nursing facilities and agency's · To notify the PCP of member enrollment into case management · Also keeping the PCP informed anytime the member has an ER visit or any recent Hospitals stays and following up by retrieving and faxing the H&P's to the PCP along with the Nurses recommendations for new referrals to be considered and submitted by the PCP as needed for specialist.
  • UM Review for the members files as need, by calling specialist and confirming and verifying the member keep his or her appointment and requesting the office visit notes and attached them to the file for the nurses review and including when's the next follow up visit scheduled for the members chart.
  • Manage the continuum of care for identified long term or catastrophic cases.
  • Ensure appropriate levels of care and services through prospective · Concurrent and retrospective review of health care services · Provide relevant and measurable outcomes to the Utilization Management Committee, and contracted health plans.
  • Problem-solve negotiate and demonstrate independent decision-making · Prioritize with excellent organizational skills, responding to multiple demands and timeliness · Demonstrate professional written and verbal communication skills and presentation skills using the English and Spanish languages · Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or member of the business community and possess excellent customer service skills.
Staffing Coordinator and Receptionist , ,
  • Preparing daily and weekly routes for RN, LVN, PT, OT out on the field Effectively planned schedules so that unnecessary trips would be eliminated and valuable time was not wasted.
  • Monitored doctors' orders and ensured that they were all received, performed, Signed off and filed with each patient's chart.
  • Greeted and accommodated all guests and customers.
  • Managed the front office.
  • Ensured that inventory of supplies was maintained and organized.
  • Answered all incoming calls and routed incoming mail.
  • Performed general filing duties, including new patient folders.
  • Answered general questions and helped to resolve minor complaints.
Expected in
Alton Education - Santa Ana, CA
acute care, agency, Case Management, credit, Client, clients, excellent customer service, Customer service, excellent customer service, data entry, decision-making, email, English, faxing, filing, front office, Home Health, Hospice, inside sales, inventory, notes, managing, Medical Terminology, mail, office, Network, next, nursing, organizational skills, presentation skills, sales, Spanish, Staffing, switchboard, phone, triage, verbal communication skills, written

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