Health Information Representative I resume example with 6+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Effective Senior Customer Service Specialist with 10+ years of experience assisting customers using active listening and customer needs assessment to offer targeted solutions. Consistently friendly and professional when handling diverse customer needs in high-volume call center environments. Smoothly manage workflow and optimize team strengths to meet service quotas.
Skills
Customer Experience
Ability To Manage
Outbound and Inbound Calls
Verbal And Written Communication
Microsoft Office Suite
Technical Documents Comprehension
Professional Manner
Customer Service Support
Schedule Appointments
Human Resources
Excellent Interpersonal Skills
Audit
Work History
10/2022 to 12/2022Health Information Representative IIconma, L.L.C. | , , Albany, NY Work At Home
Developed appropriate and accurate written and oral responses to communicate scientific and health information to public.
Followed up with patients about medical and healthcare processes.
Resolved concerns with products or services to help with retention and drive sales.
Answered average of 70 calls addressing customer inquiries, solving problems and providing product information.
Offered internal and external customers first-rate customer service to maximize satisfaction and business success.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Provided initial contact between distinct Care Management programs and specific identified members.
Handled inbound/outbound enrollment and engagement calls with eligible members to provide information regarding medications.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
11/2021 to 09/2022Health Information Specialist LeadSodexo Usa | , , Albany, NY
Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
Directed and assisted pulling and procurement of medical files according to established procedures.
Maintained relationships with medical providers, suppliers and reporters.
Monitored and tracked inventory, assigned work tasks and adjusted assignments based on priorities.
Trained and backed reception area, on-call and distribution runs to facilitate quality customer care.
Followed up with patients about medical and healthcare processes.
Retrieved medical data for physicians and patients.
06/2021 to 09/2021Coordinated Care SpecialistThe Millennium Group | , , Work At Home
Facilities and Providers Reach out to obtain prior authorization for testing and OP, IN, procedures, and ER admission.
Input all patient data regarding claims and prior authorizations into Salesforce accurately.
Authorized surgical and medical requests by applicable plan guidelines.
Tracked referral submission before facilitation of prior authorization issuance.
Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Managed over 50 provider calls per day.
04/2019 to 03/2021Customer Service ICentene (Fidelis Care) | , , Latham, NY
Cultivated customer loyalty, promoted repeat customers and improved sales
Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions
Assisted customers with setting appointments, shipping and special order requests, and arranging merchandise pick-up at other locations
Consulted with outside parties to resolve discrepancies and create effective solutions
Provided primary customer support to internal and external customers in fast-paced environment
Presented insurance options to customers in order to close sales on new policies
Processed 50 invoices daily and mailed documentation to clients
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
01/2017 to 02/2019Operations Support Specialist Cox Automotive Inc. | , , East Greenbush, NY
Researched, Updated all required materials needed for Dealerships and Department of Motor Vehicle
Copied, logged, scanned supporting documentation
Answered average of 100 calls, emails and faxes per day, addressing dealership inquiries, solving problems and providing new memo information
Obtained documents, clearances, certificates and approvals from local, state and federal agencies
Verified data integrity and accuracy
Entered details such as payments, account information and call logs into computer system
Sorted and placed mail into mailboxes with accuracy and efficiency
Weighed letters and packages and calculated costs based on classification, weight, and destination
E-mailed Dealerships, Vendors and D.M.V with shipping updates
Handled high volume paperwork and collaborated with accounting department to resolve invoicing and shipping problems
10/2015 to 02/2017Shipping and Receiving ManagerLord & Taylor | , , Albany, NY
Verified that all returns were being completed within 24-hour timeframe from receipt in fulfillment area
Unloaded incoming trucks and properly staged inventory
Prepared envelopes, packages, containers and pallets with correct merchandise counts
Reviewed daily queue report daily to ensure all orders were processed within shipping system
Promoted and maintained safe work environment ensuring compliance with company safety policies
Trained and developed new sales team associates in product knowledge, selling techniques and company procedures
Performed basic mathematical calculations to check weights and dimensions of shipments
Coordinated efficient storage areas to optimize materials movements and minimize labor hours
Negotiated with various freight companies and received annual contracts resulting in cost savings of 40%.
Education
Expected in 2021Associate Of Science | Health Information ManagementHudson Valley Community College, Troy, NYGPA:
Expected in 2007Associate Of Science | Business Administration And ManagementSullivan County Community College, Loch Sheldrake, NYGPA:
Skills
Customer Experience
Ability To Manage
Outbound and Inbound Calls
Verbal And Written Communication
Microsoft Office Suite
Technical Documents Comprehension
Professional Manner
Customer Service Support
Schedule Appointments
Human Resources
Excellent Interpersonal Skills
Audit
Work History
10/2022 to 12/2022Health Information Representative IElevance Health | ,
Developed appropriate and accurate written and oral responses to communicate scientific and health information to public.
Followed up with patients about medical and healthcare processes.
Resolved concerns with products or services to help with retention and drive sales.
Answered average of 70 calls addressing customer inquiries, solving problems and providing product information.
Offered internal and external customers first-rate customer service to maximize satisfaction and business success.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Provided initial contact between distinct Care Management programs and specific identified members.
Handled inbound/outbound enrollment and engagement calls with eligible members to provide information regarding medications.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
11/2021 to 09/2022Health Information Specialist LeadCIOX HEALTH, Health Information Managment | ,
Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
Directed and assisted pulling and procurement of medical files according to established procedures.
Maintained relationships with medical providers, suppliers and reporters.
Monitored and tracked inventory, assigned work tasks and adjusted assignments based on priorities.
Trained and backed reception area, on-call and distribution runs to facilitate quality customer care.
Followed up with patients about medical and healthcare processes.
Retrieved medical data for physicians and patients.
06/2021 to 09/2021Coordinated Care SpecialistEmblemHealth (CGCGROUP) | ,
Facilities and Providers Reach out to obtain prior authorization for testing and OP, IN, procedures, and ER admission.
Input all patient data regarding claims and prior authorizations into Salesforce accurately.
Authorized surgical and medical requests by applicable plan guidelines.
Tracked referral submission before facilitation of prior authorization issuance.
Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Managed over 50 provider calls per day.
04/2019 to 03/2021Customer Service ICentene (Fidelis Care) | ,
Cultivated customer loyalty, promoted repeat customers and improved sales
Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions
Assisted customers with setting appointments, shipping and special order requests, and arranging merchandise pick-up at other locations
Consulted with outside parties to resolve discrepancies and create effective solutions
Provided primary customer support to internal and external customers in fast-paced environment
Presented insurance options to customers in order to close sales on new policies
Processed 50 invoices daily and mailed documentation to clients
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
01/2017 to 02/2019Operations Support Specialist Cox Automotive Inc. | ,
Researched, Updated all required materials needed for Dealerships and Department of Motor Vehicle
Copied, logged, scanned supporting documentation
Answered average of 100 calls, emails and faxes per day, addressing dealership inquiries, solving problems and providing new memo information
Obtained documents, clearances, certificates and approvals from local, state and federal agencies
Verified data integrity and accuracy
Entered details such as payments, account information and call logs into computer system
Sorted and placed mail into mailboxes with accuracy and efficiency
Weighed letters and packages and calculated costs based on classification, weight, and destination
E-mailed Dealerships, Vendors and D.M.V with shipping updates
Handled high volume paperwork and collaborated with accounting department to resolve invoicing and shipping problems
10/2015 to 02/2017Shipping and Receiving ManagerLord & Taylor | ,
Verified that all returns were being completed within 24-hour timeframe from receipt in fulfillment area
Unloaded incoming trucks and properly staged inventory
Prepared envelopes, packages, containers and pallets with correct merchandise counts
Reviewed daily queue report daily to ensure all orders were processed within shipping system
Promoted and maintained safe work environment ensuring compliance with company safety policies
Trained and developed new sales team associates in product knowledge, selling techniques and company procedures
Performed basic mathematical calculations to check weights and dimensions of shipments
Coordinated efficient storage areas to optimize materials movements and minimize labor hours
Negotiated with various freight companies and received annual contracts resulting in cost savings of 40%.
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