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Inquiry Analyst Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Positive and upbeat and I'm successful at balancing guest and business needs. Well-organized in managing check-in and check-out procedures and coordinating services with diverse team members. Good multitasking, planning and communication skills.

Skills
  • Microsoft Office Products (Outlook, Word, Excel, and PowerPoint)
  • Analytical skills
  • Billing
  • Interpersonal
  • Oral
  • Customer Service Experience
  • Team Building
  • Leadership/Training
  • Mentor
  • Research
  • Scheduling
  • Self Starter
  • Team player
  • Verbal communication
  • Written communication skills
  • Time Management
Experience
Inquiry Analyst , 01/2021 to Current
Arrow Exterminators , Inc Decatur, GA,
  • Evaluate performance benchmarks and established review metrics for future tracking.
  • Collect, organize and input information into digital database.
  • Assists with improvements to operations by showing clear connection between current policies and business results.
  • Work successfully with diverse group of coworkers to accomplish goals to meet the needs of our members.
  • Verifies claim data correctness in preparation for processing.
  • Research medical claims for validity to resolve discrepancies.
  • Review history records to determine benefit eligibility for services.
  • Coordinate benefits with our medical insurance plans and Medicare providers.
  • Compose business correspondences for supervisors, managers and other professionals.
  • Define strategies and create a plan to achieve ambitious operational objectives.
Customer Service Representative, 09/2020 to 01/2021
Crystal Clinic Orthopedic Center Hudson, OH,
  • Utilize active listening and communication skills to address customer inquiries
  • Ask probing questions to determine service needs and accurately input information into electronic systems.
  • Document conversations with customers to track requests, problems and solutions.
  • Evaluate customer account information to assess current issues and determine potential solutions.
  • Participate in weekly training sessions to improve product knowledge and enhance company growth.
  • Engage customers and provide high level of service by carefully explaining details about documents.
  • Skillfully and patiently explain current or future plans during open enrollment
  • Investigated and solved routine, complex and long-standing customer issues each day.
  • Demonstrate self-reliance by meeting and exceeding workflow needs.
  • Retain strong medical terminology understanding in effort to better comprehend procedures.
Patient Access Representative, 11/2019 to 05/2020
Brookwood Baptist Health City, STATE,
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Checked claims for errors, corrected issues and mailed out promptly.
  • Utilized customer service skills and detailed system knowledge to support clinic operations.
Member Education Specialist, 05/2017 to 08/2019
BlueCross BlueShield Of Tennessee City, STATE,
  • Maintained organizational knowledge and BCBST policy and procedures to better assist our members.
  • Assisted in Green Belt project to researched all available resources and identify barriers to improve scheduling rate.
  • Accurately prepared written correspondence as well as verbal communication to leadership regarding issues requiring improvements to procedures and methods.
  • Worked under the direction of a Business Analysts to analyze and diagnose workflows, processes, and procedures so that divisional measures are met.
  • Managed CCMS call que daily to ensure timely completion of the task due to the specificity of timeframes for certain call types
  • The ability to multitask while navigating through multiple computer systems.
  • Participated as a team player and mentor new employees during training period.
  • Completed special projects that are given from supervisor and team leaders.
  • Maintained and exceeded telephone performance goals established by the specified division.
  • Took appropriate action to resolve inquiries timely and accurately using first call resolution.
  • Checked incoming data for accuracy and integrity to identify and resolve problems.
  • Designed survey instruments and questionnaires to obtain desired research data.
Education and Training
Associate of Science: , Expected in
to
T.A. Lawson State Community College - Birmingham, AL
GPA:
Interests

Accomplishments:

Documented and resolved barriers which led to being a Top Performer in the Outreach Department.

Suggested new ideas with leadership that our now incorporated in quality measures.

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88Good

Resume Strength

  • Formatting
  • Length
  • Measurable Results
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • T.A. Lawson State Community College
Job Titles Held:
  • Inquiry Analyst
  • Customer Service Representative
  • Patient Access Representative
  • Member Education Specialist
Degrees
  • Associate of Science

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