LiveCareer-Resume

csr resume example with 10+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Highly motivated professional with strong clinical abilities working with adolescents, and elderly patients. Proactive and organized with a passionate commitment to first-rate patient care. Core competencies include excellent communication, time management skills, and handling tasks with accuracy. Seeking a challenging opportunity that will allow me to apply my education and skills.

Skills
  • Call Center Operations
  • Quality assurance controls
  • Office equipment proficiency
  • Problem-solving abilities
  • Clerical support
  • Microsoft Office expertise
  • High-energy attitude
  • Customer relations
  • Schedule mastery
  • Inbound and Outbound Calling
  • Data evaluation
  • Data entry
  • Scheduling and calendar management
  • Excel spreadsheets
  • Resourceful
  • Insurance eligibility verifications
  • Understands grammar
  • Billing and coding
  • Medical terminology
  • Strong problem solver
  • Self-starter
  • Workers' compensation knowledge
  • Treatment plans knowledge
  • Patient assessment
  • Emotional awareness
  • Assistance program knowledge
  • Customer service
  • Proficient in ICD-10 and CPT coding System
  • Managing patient cases
  • Clinical Documentation
  • Adhere to HIPPAA guidelines
Experience
CSR, 04/2021 to 07/2021
Gate GourmetLas Vegas, NV,
  • Educated patients about their condition, medication, and assist with securing funds for medical care Monitor and update all patient scheduling in coordination with available physicians.
  • Created strategies to meet quality assurance and other key performance metrics for the program.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Answered numerous inbound calls per day and directed to individuals or departments.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Documented conversations with customers to track requests, problems and solutions.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Counseled and made recommendations to patients, caregivers and families about communicative strategies and devices.
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.
  • Exceeded customer satisfaction by finding creative solutions to problems.
Care Coordinator, 12/2020 to 04/2021
A Helping Hand HomecareLas Vegas, NV,
  • Educated patients about their condition, medication, and assisted with securing funds for medical care.
  • Formulated care plans to address patient’ s health care needs, and schedule routine follow- ups
  • Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
  • Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
  • Communicated with patients with compassion while keeping medical information private.
  • Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
  • Solicited medical history information from patients to provide best and most effective medical advice.
  • Collaborated with multidisciplinary team to establish record of comprehensive patient care plans.
  • Streamlined discharge planning to create efficient, patient-oriented care strategies.
  • Facilitated ongoing case management services to support successful outcomes and meet stabilization goals.
  • Cooperated with local service providers, outreach workers, case managers and collaborative agencies to facilitate services for members.
  • Developed comprehensive client-driven case plan with short and long-term goals.
  • Protected patient data in alignment with HIPAA privacy protocols.
  • Constructed case notes and comprehensive reports for data entry into Carelogic portal.
  • Advocated for members and families to coordinate care and navigate resources within Tennessee Health Link system.
CASE MANAGEMENT COORDINATOR CLINICAL, 03/2017 to 12/2020
Catholic CharitiesTampa, FL,
  • Managed medical- only and low- to mid- level lost- time worker' s compensation claims under close supervision.
  • Processed worker' s compensation claims while simultaneously facilitating treatment plans and services in collaboration with all claim parties.
  • Provided recommendations to case management when working status changes due to functional limitations or medical instability.
  • Handled difficult case situations with tact and professionalism to maintain positive working relationships.
  • Discussed client advocacy and referral services, supporting families with education and resources.
  • Reviewed casework documentation for accuracy, clarity, detail and objectivity relevant to caseload.
  • Assigned cases to employees, prioritizing tasks to meet upcoming deadlines.
  • Promoted collaboration across multiple service lines to support workers comp clients.
  • Coordinated support services and optimized communication between healthcare workers and patients.
  • Informed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
  • Collaborated with various healthcare providers to facilitate doctor appointments and delivery of healthcare equipment.
  • Communicated with legal services providers, social services agencies and local judicial systems regarding cases.
  • Used facility EMR system to update patient records, transmit prescriptions and transfer files.
CLERICAL SPECIALIST (Public Health), 06/2011 to 03/2017
SHELBY COUNTY HEALTH DEPARTMENTCity, STATE,
  • Oversaw all aspects of the public assistance program.
  • Interviewed recipients at specified intervals to certify their eligibility for benefits leading to a 36 % increase in families receiving aid.
  • Evaluated financial data to determine recipient eligibility status.
  • Investigated applicants for public assistance to gather information pertinent to their applications.
  • Organized files, developed spreadsheets, faxed reports and scanned documents to bolster organizational workflow.
  • Answered approximately numerous phone calls daily and pleasantly welcomed visitors to office.
  • Responded quickly to codes and coordinated efficient and skilled care.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments.
  • Assessed clients' eligibility for federal and state benefits programs.
Case Manager Aide, 08/2009 to 02/2011
Mid-State OpportunitiesCity, STATE,
  • Prioritized calls, messages and email to smoothly manage case-related communications.
  • Prepared weekly and monthly reports outlining clients' compliance with case plans.
  • Uploaded, reviewed and tracked daily mail into case management system.
  • Built and maintained strong relationships with patients by successfully resolving issues and responding promptly to phone inquiries.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Answered questions and responded to inquiries to deliver high level of service to patients.
  • Collaborated with social workers to support patients.
  • Educated patients on various resources, services and programs to maximize care.
  • Maintained thorough and accurate records outlining program operations and participant progress.
Education and Training
BACHELOR OF ARTS, MAJOR: SOCIAL WORK, Expected in 05/2014 to UNION UNIVERSITY - Memphis, TN,
GPA:
ASSOCIATE DEGREE: MAJOR IN SCIENCE, Expected in 01/2008 to SOUTHWEST TENNESSEE COMMUNITY COLLEGE - MEMPHIS, TN
GPA:

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Resume Overview

School Attended

  • UNION UNIVERSITY
  • SOUTHWEST TENNESSEE COMMUNITY COLLEGE

Job Titles Held:

  • CSR
  • Care Coordinator
  • CASE MANAGEMENT COORDINATOR CLINICAL
  • CLERICAL SPECIALIST (Public Health)
  • Case Manager Aide

Degrees

  • BACHELOR OF ARTS, MAJOR
  • ASSOCIATE DEGREE

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