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Ed Support Services Rep resume example with 19+ years of experience

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

Caring and skilled Health Care Professional passionate about positively impacting programs and helping participants by providing expert support. Familiar with Health Care Support Services and always looking for ways to improve operations and personalize assistance. Well-organized and resourceful with detail-oriented and conscientious approach.

Skills
  • Over 18 years of experience providing customer service to Kaiser Permanente.
  • Health Information Management Applications
  • Health Data Management
  • Patient Information Management
  • Partner with internal and external staff to provide creative and timely solutions to member Concerns
  • Ensures sufficient qualified staff on a daily basis in accordance w/ KP nursing.
  • Workload management system "GRASP". Generated reports with variances between GRASP requirement and actual staffing needs.
  • Works w/or provides necessary information to payroll to ensure employees are paid in Accordance w/ CBAs or other KP policies & guidelines.
  • Interprets coded timecard module that arise & process timecards for payment on a bi-weekly basis.
  • Knowledge of Microsoft Word, Excel, PS3, CICS/REGP, MOS, PTNT and PLMS software systems
  • Health Information System Administration
  • Strict adherence to HIPPA regulation
  • Issue and Conflict Resolution
  • Scheduling and Coordinating
  • Staff Management
Work History
ED Support Services Rep, 04/2018 to Current
Kaiser PermanenteCity, STATE,


  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Cross-trained existing employees to maximize team agility and performance.
  • Document schedules, employee's demographics and other information - to provide complete and accurate reports for clinical department - managers
  • Document complete and accurate TIME keeping and vacation planning - for all clinical department staff.
  • Worked with electronic health records software and database systems.
  • Accomplished multiple tasks within established timeframes.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
ED Clerk, 04/2016 to 04/2018
Kaiser PermanenteCity, STATE,
  • Verify and/or update all demographic information
  • Greeted visitors and directed to different building areas.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Use PARRS to register and log out, request charts, input information and make appointments
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Promptly received and forwarded incoming communications, such as phone calls, emails and letters, to appropriate staff.
Health Plan Representative, 06/2003 to 04/2016
Kaiser Permanente, Redwood CityCity, STATE,
  • Answer high volume of calls and in-person inquiries from internal and external customers.
  • Primary contact for KP members, able to provide satisfactory resolutions in a timely manner - Accurate recording of daily communications
  • Created, organized and maintained paper and electronic member files.
  • Respond to member questions and concerns regarding insurance coverages, services and billing matters.
  • Generate benefit clarification letters for members.
  • Validate enrollment eligibility for San Mateo Family Health Plan.
  • Educate providers, staff and members on health plan benefits and services
  • Provided guidance to member service representatives in resolving escalated issues of a sensitive matter.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Explained medical care options to help families make informed healthcare decisions.
  • Maintained accuracy, completeness and security for medical records and health information.
Education
Business Administration Certificate: , Expected in
- ,
GPA:
Business Administration Certificate: , Expected in
Collegio Reforma - Mexico,
GPA:
Languages
Spanish:
Native or Bilingual
Negotiated:

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Resume Overview

School Attended

  • Collegio Reforma

Job Titles Held:

  • ED Support Services Rep
  • ED Clerk
  • Health Plan Representative

Degrees

  • Business Administration Certificate
  • Business Administration Certificate

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