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health medicare medicaid soc sec irs specialist resume example with 20+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Dedicated student interested in applying excellent communication and interpersonal skills to a [Job Title] role. Experienced in data entry and handling money. Can quickly memorize product details and build customer relationships.

Dedicated Direct Care Worker passionate about helping clients lead fulfilling lives by managing health-related conditions. Knowledgeable about medication administration, appointments and social activities. Well-organized and compassionate with good relationship-building skills.

Dependable [Job Title] with excellent organization skills demonstrated through history of managing client daily activities, appointments and medication needs. Well-versed in administering medication and monitoring nutrition. Trusted to oversee patients in challenging medical states.

Skills
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Experience
07/2015 to 07/2021 Health/Medicare/Medicaid/Soc.Sec /IRS/Specialist Atria Senior Living Group, Inc. | Albany, NY,

Enrollment,Benefits,ClaimsSpecialist,

DMI Specialist

  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Provided beneficiaries with information about plan benefits and eligibility determinations.
  • Handled new enrollments by entering customers' data and reviewing information.
  • Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
  • Answered questions and responded to inquiries to deliver high level of service to patients.
  • Responded to member questions regarding plan benefits and provisions.
  • Informed applicants of other agencies providing useful or related assistance.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Maintained positive working relationship with fellow staff and management.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Expertly assigned charges and payments for medical procedures.
  • Leveraged [Software] skills to input and compile data gathered from various sources.
  • IRS reference of collections on uneligable claims ,due to wrong filing
  • Workers comp. ,Employer,State workers, Insurance claims
02/2001 to 06/2016 In Home Caregiver/Overseer Atria Senior Living Group, Inc. | Jupiter, FL,
  • Aided with mobility and independence for elderly couple in their home
  • Continued monitored safety throughout home,entry of medical & physical therapist,in home nurses,friends ,neighbors, religious affiliates,transpoters,and other workers for maintaining up keep outside the home
  • Improved patient outlook and daily living through compassionate care along with overseeing all house functions ,Billing,Finances,and bank accounts joint and seperate balance and credit card accounts for maintaining budget that was already set in place for continual up keep of thier home,health etc...to live
  • Scheduling Appts. Needed for healthgcare along with insurance filing upkeep with billing,payments,referrals ,transport scheduling When able I would escort to Dr. Appointments in owned vehicle .
  • In home house *shopping list*along with meal prepping *menus,preparing,serving and assitance if needed
  • Scheduled medications ,assisted in continue monitoring dosage , refills, etc. To maintain physcians prescribed medications and dosages Along with Labs , in home testingand monitoring of ,breathing monitors,Durable medical equipment : wheel chair, concentrators, supplies and scheduling suppliers along with yearly testing etc.....all needs or health related issues of both clients
  • Records for regulary scheduled check ups for Dr. Visits of daily routines,any side affects, or notable changes in pace of cognative skills, memory mental or physical ablities or changes such as depression, regulary checked vitals any changes changes on or injury to skin.... abrasions,cuts,scratches,bruising or bleeding along with urine and bowel checks when performing personal hygiene,scheduling and helping with dental hygiene and yearly Dentist appointments as needed.
  • Up keep with all house performing duties for everyday living
  • Dependancy of Companionship was needed and stronger & closer with loss of spouse, and a smooth transition of last patient into assited living were I continued Basic caregiving skills and closer companionship skills with visits throughout day, evening and nights to check in and to sit with ,play games,eat,and watch TV and interact with othets at facility to build more friendships with others there ,along with salon and nail appointments for us ,companionship role continued after I was relieved of her care by family members that took over everything at which point I attended CNA classes at GlennCove Nursing home ,upon completion and working some pay hours on floor with staff,. I had accident and broke both of my heels that kept me in a hospital bed for 8 months in the living room of my home, unable to see Mrs. Combs or visit , she asked for me to come ,but I was unable and she passed within 2 1/2 months after no contact from natural causes I was told.
  • I Developed strong and trusting rapport with the Couple, They dearly loved me and I dearly loved them ,I am so very greatful for the time that was allowed for a confidential closeness friendship we shared.
08/1997 to 02/2001 Private Caregiver Republic Services, Inc. | Southfield, MI,
  • ROM exercises to maintain musculoskeletal functions and increase strength.
  • Followed care plan and directions to administer medications.
  • Engaged with patients and families to provide emotional support and daily living
  • Ambulated individuals around home, public and medical locations.
  • Assisted patients with daily personal hygiene.
  • Reported concerns to spouse
  • (IDA MAE) to promote optimal care.
  • Monitored temperature, pulse and blood pressure for health and well-being periodically
  • Aided with mobility and independence for disabled individuals and continually monitored safety.
  • Assisted with meal planning to meet nutritional plans.
  • Improved patient outlook and daily living through compassionate care.
  • Maintained clean and well-organized environment for client happiness and safety.
  • Made beds, swept floors and sanitized surfaces to support activities of daily living.
  • Helped client with personal needs from exercise to bathing and personal grooming.
  • Laundered clothing and bedding to prevent infection.
  • Made calls to spouse 3 times or more a day to assure no mental stress ,due to medical condition.
  • Consistant interaction to assure mental wellness
  • Client passed from illness at which time I was released,...
08/2007 to 10/2009 Private Caregiver Republic Services, Inc. | Telford, PA,
  • Engaged with client and family to provide emotional support and daily living needs in early morning and some afternoon and overnight care as I was needed
  • Helped with wheelchair assistance hygiene care ,meals and exercises, occupational and cognitive skills due to severe stroke to left side of body
01/2004 to 12/2007 General Manager McFatter Fence | City, STATE,
  • Completed thorough opening, closing and shift change functions to maintain operational standards each day.
  • Enhanced operational performance by developing effective business strategies, systems and procedures.
  • Recruited, trained and empowered employees to achieve key performance indicators.
  • Coordinated and directed activities of businesses or departments concerning production, pricing and sales.
  • Built and maintained loyal, long-term customer relationships through effective account management.
  • Monitored progress by establishing plans, budgets and measuring results.
  • Directed safety operations and maintained clean work environment to adhere to FDA and OSHA requirements.
  • Forecasted customer demand to set prices or credit terms for goods or services.
  • Maximized time and employee productivity, consolidating data, payroll and accounting programs into centralized systems.
  • Guided management and supervisory staff to promote smooth operations.
  • Developed service and sales strategies to improve retention and revenue.
  • Recruited, interviewed and hired qualified staff for open positions.
  • Tracked monthly sales to generate reports for business development planning.
  • Designed sales and service strategies to improve revenue and retention.
  • Administered employee discipline through verbal and written warnings.
  • Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
  • Created schedules and monitored payroll to remain within budget.
  • Supervised employees through planning, assignments and direction.
  • Delegated work to staff, setting priorities and goals.
  • Trained employees on duties, policies and procedures.
  • Managed inventory levels and conducted corrective action planning to minimize long-term costs.
  • Formed and sustained strategic relationships with clients.
  • Appraised inventory levels on frequent basis, ordering new merchandise to keep quantities well-stocked.
  • Complied with company policies and government regulations to prevent and detect rule violations and protect organization from fines and lawsuits.
  • Implemented successful business strategies to increase revenue and target new markets.
  • Directed or coordinated financial or budget activities to fund operations and maximize investments.
  • Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
  • Prepared staff work schedules and assigned team members to specific duties.
  • Improved productivity initiatives, managing budgets and accounts, coordinating itinerary and scheduling appointments.
01/1997 to 02/2004 General Manager Dollar General | City, STATE,

*Certified Food manager

Due to refridgerated inventory

  • Improved productivity initiatives, managing budgets and accounts, coordinating itinerary and scheduling
  • Completed thorough opening, closing and shift change functions to maintain operational standards each day.
  • Recruited, trained employees to achieve key performance expectations of Company.
  • Delegated work to staff, setting priorities and goals.
  • Directed or coordinated financial or budget activities to fund operations and maximize investments.
  • Monitored progress by establishing plans, budgets and measuring results.
  • Administered employee discipline through verbal and written warnings.
  • Forecasted customer demand to set prices or credit terms for goods or services.
  • Coordinated and directed activities of businesses or departments concerning production, pricing and sales.
  • Implemented successful business strategies to increase revenue and target new markets.
  • Built and maintained loyal, long-term customer relationships through effective account management.
  • Complied with company policies and government regulations to prevent and detect rule violations and protect organization from fines and lawsuits.
  • Prepared staff work schedules and assigned team members to specific duties.
  • Recruited, interviewed and hired qualified staff for open positions.
  • Tracked monthly sales to generate reports for business development planning.
  • Structured HR consulting services to support clients during organizational developments and changes.
  • Appraised inventory levels on frequent basis, ordering new merchandise to keep quantities well-stocked.
  • Formed and sustained strategic relationships with clients.
  • Supervised employees through planning, assignments and direction.
  • Enhanced operational performance by developing effective business strategies, systems and procedures.
  • Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
  • Directed safety operations and maintained clean work environment to adhere to FDA and OSHA requirements.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Designed sales and service strategies to improve revenue and retention.
  • Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
  • Managed inventory levels and conducted corrective action planning to minimize long-term costs.
  • Created schedules and monitored payroll to remain within budget.
  • Trained employees on duties, policies and procedures.
  • Guided management and supervisory staff to achieve company led operations.
  • Led employee evaluations to boost performance.
  • Monitored progress by establishing plans, budgets and measuring results
Education and Training
Expected in to to GED | Pulaski County Senior High School, Dublin, VA GPA:
Expected in to to | Nursing Program Tom P Haney Technical Center, Panama City, FL GPA:

Started week 1 of 46 weeks of practical nursing program after CNA Certification had accident woth heels,no longer p

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Resume Overview

School Attended

  • Pulaski County Senior High School
  • Tom P Haney Technical Center

Job Titles Held:

  • Health/Medicare/Medicaid/Soc.Sec /IRS/Specialist
  • In Home Caregiver/Overseer
  • Private Caregiver
  • Private Caregiver
  • General Manager
  • General Manager

Degrees

  • GED

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