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
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Experience
Managed Care Specialist|Promedica Senior Care - Black Hawk , CO|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|Massage Envy - Carrollton , TX|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|Mighty Fine Burgers Fries & Shakes - Sunset Valley , TX|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|Carejourney - Arlington , VA|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|City, State|05/2016High School Diploma
Louisiana State University At Eunice|City, StateNursing
- Major in Nursing
- Minor in Computer Science
- 3.5 GPA
Sowela Technical Community College|City, State|Expected in 07/2021Associate of Applied Science: Process Technology
- Major in Process Technology
- 2.8 GPA
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Resume Overview
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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