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Client Service Representative (PRN) Resume Example

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CLIENT SERVICE REPRESENTATIVE (PRN)
Professional Summary

Knowledgeable and dedicated professional with extensive experience in health care. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Skills
  • Demonstrate ability to handle confidential information in a professional manner, while complying with HIPAA and JCAHO guidelines
  • Proficiency in the use of MS Word, Excel, MS Outlook, Epic, Meditech, and Skype for Business
  • Excellent written and oral communication skills
  • Experience providing non- clinical staff training and instructing
  • Possession of interpersonal skills that inspire trust and confidence
  • Coordinate multiple projects simultaneously with efficiency
  • Strong analytical and conceptual thinking abilities
  • Strategic Decision-making skills
  • Exemplary organizational skills, including; efficiency, punctuality, and collaboration in a team environment
  • High-energy attitude
  • Organizational strengths
  • Project management abilities
Work History
Client Service Representative (PRN)07/2019 to Current
UF Health Jacksonville, Jacksonville, FL
  • Maintained accurate record-keeping with proactive attention to client information updates
  • Utilized proper telephone etiquette and asked in-depth questions to immediately find solutions to issues for customers
  • Accurately assign ICD-10 and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record
  • Accepted payment by credit card, offered self-serve payment solutions and explained charges on customer bills
  • Provided excellent customer service by efficiently resolving issues and responding to client inquiries
  • Monitored phone, fax and electronic database systems for incoming customer inquiries
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs
  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
  • Collabroated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
Senior Health & Wellness Coordinator 10/2016 to 03/2019
Florida Blue (Pilot position), Jacksonville, FL
  • Handled difficult phone calls from agitated and sometimes hostile callers as a result of the decision to deny services that did not meet medical necessity
  • Expedited request for prior authorizations, appeals, and external review
  • Coordinated the delivery of high quality, cost-effective care
  • Assessed various types of claims for eligibility for benefits and made decisions within service standards: assessment included evaluation of medical documentation and contractual provisions and pursuing additional information if necessary, to make a sound decision
  • Evaluated the effectiveness of the action plan modifying as needed to ensure effective management of claims
  • Evaluated quality improvement program to enhance patient outcomes
  • Investigated medical forms, records and test results to identify opportunities for case management intervention
  • Enhanced awareness of health resources and worked to connect individuals with programs
  • Collaborated with peers to deliver consistent service and promote customer retention
  • Responded quickly to customer inquiries, asking questions to better understand needs
Pre-Registration Trainer/Educator08/2013 to 10/2016
Parallon- HCA, Orange Park, FL
  • Responsible for core skill set training (New Hire Training) of new Customer Contact Center employees as well as Continuing Education training for existing call center staff
  • Reviewed with patients details regarding meeting their financial obligations; co-pays, coinsurance, deductibles, and related matters
  • Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint Demonstrated proficiency of presentation skills Contributed to the development and enhancement of training materials by providing feedback to leadership on activities and/or content as to relevance, success in the classroom and potential e-learning opportunities
  • Participated in development opportunities to enhance and build training skills and capabilities; reading professional publications, participating in professional organizations, and attending business channel meetings
  • Managed and organized class records and reports
  • Applied proactive behavior management techniques for classroom discpline
  • Encouraged positive self-esteem and mutual respect for others while instilling joy of learning and discovery
Medical Secretary10/2011 to 10/2013
Orange Park Medical Center- HCA, Orange Park, FL
  • Performed non-nursing functions which impacted and contributed to the quality of patient care
  • Established courteous, professional, and cooperative behavior towards patients
  • Executed paperwork as necessary for each patient including patient charts, filing, and follow-up phone calls
  • Performed high-level administrative support for physicians, patients, leadership and the organization
  • Maintained provider correspondence, reports and monthly meeting minutes
  • Demonstrated strong verbal, written, and interpersonal communication skills
  • Addressed, documented, and responded to incoming and outgoing calls and correspondence
  • Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories
  • Created and maintained accurate and confidential patient files
  • Compiled physical and digital paperwork to meet business and patient needs, including charts, reports and correspondence
Education
Bachelor of Science : Health Administration/Health Management, 2019
University of Phoenix - Phoenix, AZ
Certifications

Basic Life Support Provider

Issue date 08/13/2019

Rewal date 08/2021

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Resume Overview

Companies Worked For:

  • UF Health Jacksonville
  • Florida Blue (Pilot position)
  • Parallon- HCA
  • Orange Park Medical Center- HCA

School Attended

  • University of Phoenix

Job Titles Held:

  • Client Service Representative (PRN)
  • Senior Health & Wellness Coordinator
  • Pre-Registration Trainer/Educator
  • Medical Secretary

Degrees

  • Bachelor of Science : Health Administration/Health Management , 2019

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