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Managed Care Specialist Resume Example

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MANAGED CARE SPECIALIST
Summary

Energetic, professional, and gifted at analyzing issues and Process Operations. Highly trained and knowledgeable offering exemplary skills in effective communication, Trouble-shooting, and Problem-solving. Valued as both an employee and a team player. Looking for a Process Operator position within your establishment.

Skills
  • Health information systems
  • Patient safety
  • Personnel management
  • Schedule management
  • Friendly, positive attitude
  • MS Office proficiency
  • Inbound and outbound calling
  • Customer Service
  • Quality assurance
  • Project management
  • Problem Resolution
  • Software troubleshooting
  • Employee management
  • Credit card payment processing
  • Stockroom procedures
  • Staff training and development
  • Time Management
Experience
Managed Care Specialist|Lake Charles Memorial Hospital - Lake Charles, LA|07/2020 - Current
  • Communicated with patients with compassion while keeping medical information private.
  • Solicited medical history information from patients to provide best and most effective medical advice.
  • Maintained daily calendars, set appointments with clients and planned daily office events.
  • Scheduled and confirmed appointments.
  • Greeted visitors, assessed needs and directed to appropriate personnel.
  • Directed clients to appropriate personnel to address concerns, resolve complaints or answer account-related questions.
  • Answered and directed incoming calls using multi-line telephone system.
  • Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
  • Received incoming packages and mail, dispersed parcels and correspondence and shipped outgoing items daily.
  • Managed more than 100 incoming calls per day.
  • Entered data in Imed and Allscripts software to keep records of patient information.
  • Sorted incoming mail and directed to correct personnel each day.
  • Answered calls to help over 100 patients each day.
Customer Service Associate|Lowe's Home Improvement - Sulphur, LA|01/2019 - 07/2020
  • Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
  • Reviewed account and service histories to identify trends and issues.
  • Met and exceeded productivity targets by handling every interaction with top-notch customer service.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Educated customers on special pricing opportunities and company offerings.
  • Processed customer account changes, using Genesis.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Trained 3 new employees each month in procedures and policies in order to maximize team performance.
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Answered 60+ inbound calls per day and directed to designated individuals or departments.
  • Delivered service and support to each customer, paving way for future business opportunities.
  • Forecasted credit needs and client payment abilities to support accurate and effective decision-making.
  • Double-checked account and application information provided by clients to assist in making accurate credit decisions.
  • Handled payment and loan collection for over 50+ clients worth over $8000.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Assistant Manager|Hibbett Sporting Goods - Sulphur, LA|05/2017 - 01/2019
  • Planned and prepared workflow schedules, delegating tasks for 5-member team.
  • Collaborated with store manager to develop strategies for achieving sales and profit goals.
  • Analyzed trends, identifying consumer demand and forecasting seasonal trends to streamline operations.
  • Conducted job interviews, led employee performance evaluations with constructive feedback and rewarded top sales performers to attract and retain top-quality personnel.
  • Completed inventory audits to identify losses and project demand.
  • Analyzed monthly sales and performance reports to support operational planning and strategic decision making.
  • Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies.
  • Organized schedules, workflows and shift coverage to meet expected business demands.
  • Enforced company policies and procedures to strengthen operational standards across departments.
  • Delegated daily tasks to team members to optimize group productivity.
  • Cultivated hands-on training, assessment, guidance and performance monitoring programs to coach and mentor employees.
  • Implemented training processes for newly hired employees and supervised department managers, shift leads and production personnel.
  • Assisted with purchases, locating items and signing up for rewards programs.
  • Promoted specific item options to drive sales and achieve add-on purchases.
  • Scanned customer purchases, supporting transactions to streamline sales process.
  • Operated cash register, collected payments and provided accurate change.
  • Completed daily recovery tasks to keep areas clean and neat for maximum efficiency.
  • Welcomed customers, offering assistance to help find necessary store items.
  • Processed all sales transactions accurately and promptly to prevent long customer wait times.
  • Trained new team members in cash register operation, stock procedures and customer service.
  • Helped customers find specific products, answered questions and offered product advice.
  • Assisted customers with account updates, new service additions and promotional offers.
Sales Associate|Kmart - Lake Charles, LA|08/2015 - 07/2016
  • Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
  • Answered incoming telephone calls to provide information about products, services, store hours, policies and promotions.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Ticketed items with pricing and markdowns and restocked sales floor according to merchandising plan.
  • Facilitated positive guest experiences by promptly locating desired items for customers.
  • Performed stock processing by filling and stocking floor racks and backstock racks.
  • Followed company standards for merchandise presentation and planograms of best apparel and displays.
  • Transferred and received liquidated merchandise from outside vendors.
  • Processed sales transactions using POS system and returned receipts and payment cards to customers.
  • Recovered clothing items from fitting rooms and returned to specified department areas.
  • Communicated item availability with retail team members and shoppers.
  • Helped customers sign up for loyalty programs and submitted completed paperwork.
  • Readied merchandise for sales floor by marking items with identifying codes and accurate pricing.
  • Stocked shelves and supplies and organized displays to focus customer attention on specific items.
  • Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items.
  • Engaged positively with each customer, providing professional and polite support for sales and service needs.
  • Counted cash, made change and stored coupons to keep organized and balanced cash register drawer.
  • Managed and processed customer payments made by credit and debit cards as well as cash and provided correct change if applicable.
  • Followed store opening and closing procedures as per company guidelines.
  • Cleaned jewelry cases daily with glass cleaner and dusters to keep all displays pristine.
Education and Training
Alfred M. Barbe High School|Lake Charles, LA|05/2016High School Diploma
Louisiana State University At Eunice|Eunice, LANursing
  • Major in Nursing
  • Minor in Computer Science
  • 3.5 GPA
Sowela Technical Community College|Lake Charles, LA|Expected in 07/2021Associate of Applied Science: Process Technology
  • Major in Process Technology
  • 2.8 GPA
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Resume Overview

Companies Worked For:

  • Lake Charles Memorial Hospital
  • Lowe's Home Improvement
  • Hibbett Sporting Goods
  • Kmart

School Attended

  • Alfred M. Barbe High School
  • Louisiana State University At Eunice
  • Sowela Technical Community College

Job Titles Held:

  • Managed Care Specialist
  • Customer Service Associate
  • Assistant Manager
  • Sales Associate

Degrees

  • High School Diploma
    Nursing
    Associate of Applied Science : Process Technology

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