LiveCareer-Resume

human resources manager resume example with 10+ years of experience

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

Highly driven, focused and ambitious team player; with very strong medical, insurance and HR experience. Looking to bring my positive characteristics and knowledge to your company!

Skills
  • Excellent time management skills
  • Able to work under pressure
  • Strong costumer service skills
  • Pays attention to detail
  • Team player
  • Flexible
Experience
10/2014 to Current Human Resources Manager Cirtec Medical Corporation | Brooklyn Park, MN,
  • Developed recruitment and hiring policies to ensure a transparent and fair interview and hiring process.
  • Conducted interviews alongside management to ensure the best candidates was selected.
  • Executed onboarding, orientation and benefits processes.
  • Advised employees on vacation and sick time, benefits, job services and employment discrepancies.
  • Processed payroll weekly and maintained strict payroll reports.
  • Worked with management to create performance measurements, employee development and employee compensation strategies.
  • Initiated employee evaluation process and recommended policy changes to help staff progress toward desired goals.
  • Compiled reports to provide management with accurate information and comply with policies and procedures.
  • Identified operational weaknesses to improve or innovate people, programs and processes.
  • Investigated workplace issues with professionalism and sensitivity and detailed incidents in reports to senior executives.
  • Facilitated learning and development programs and initiatives resulting in advancement opportunities for employees.
03/2013 to 08/2014 Medical Payment Claims Adjuster Laser Eye Institute | Troy, MI,
  • Set up and managed high volume new loss and ongoing medical claims do to injuries sustained in motor vehicle or pedestrian accidents.
  • Handled case sensitive claims such as those requiring extensive medical and or psychological treatment as well as those that resulted in a fatality.
  • Made contact with claimants to confirm and discuss coverage, and eligibility while maintaining the highest level of customer service.
  • Discussed if and what injuries were sustained during the motor vehicle accident while reviewing medical reports, proposed medical treatment plans and claimants past medical history to gauge the future of the claim.
  • Made contact with doctors, medical facilities, litigation teams and management when necessary according to the claim.
  • Reviewed claims for accuracy before submitting for billing.
  • Set up independent medical exams for claimants to aid in determining the best course of treatment for the future of the claim.
  • Sent disability checks out accordingly.
  • Always strove to establish and maintain a positive customer relationships while also making timely contact a priority.
  • Attended numerous training courses surrounding client customer service, HIPPA and fraud.
  • Stayed current on benefits claims processing, medical terminology, HIPAA regulations and other procedures that benefited my claims adjusting ability.
03/2012 to 02/2013 Surgical Coordinator Bone And Joint Center | City, STATE, Claire
  • Worked as a liaison between the surgeons and patients.
  • Obtained and verified patients insurance and benefits.
  • Collected pre-authorizations provider forms, medical records provider documents and any additional informant needed from the insurance company to ensure patient coverage and provider payment, aiding in a seamless and stress free process.
  • Reviewed CPT and ICD codes to check accuracy for billing.
  • Gathered patients medical information and reviewed histories to gather any necessary details for surgeons.
  • Discussed and taught patients their pre surgical, surgical and post operative treatment plan.
  • Worked with operating facilities to schedule procedures on behalf of surgeons.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Managed patient check-in and check-out, processed payments and assisted the them to their surgical suite on the day of their procedure.
  • Made sure patient was equipped with all necessary at home post surgical treatment necessities such as medication, medical supplies and durable medical equipment, ex. wheelchair rental.
  • Scheduled patient follow-up appointments as designated by physician.
  • Maintained post operative communication with patients to ensure their healing process and health is progressing according to their discussed post operative treatment plan.
  • Forwarded any time sensitive information to treating provider. while focusing on the patients status.
  • Monitored completion of treatment plan.
Education and Training
Expected in 05/2013 Licensed Practical Nurse | Nursing Maria College of Albany, Albany, NY GPA:
Expected in 06/2002 High School Diploma | Colonie Central High School, Albany, NY GPA:
Certifications
  • Received insurance certifications to process and adjust claims in some Northeastern states.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Maria College of Albany
  • Colonie Central High School

Job Titles Held:

  • Human Resources Manager
  • Medical Payment Claims Adjuster
  • Surgical Coordinator

Degrees

  • Licensed Practical Nurse
  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: