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medicaid representative data analyst resume example with 4+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Skills
  • Written and Verbal Communication
  • Multitasking and Prioritization
  • Service Level Agreements
  • Strategic Thinking
  • Account Services
  • Customer Service
  • Workload Prioritization
  • Customer Surveys
  • Data Analytics
  • Contract Negotiation
  • Customer Needs Assessment
  • Conflict Management
  • CRM Software
  • Team Collaboration
  • Issue Resolution
  • Non-compliance Assessments
  • Risk Management
  • Verbal and Written Communication
  • Quality Control Data Compilation
  • Adaptability and Flexibility
  • Quality SOPs Development
  • Quality Issue Identification
  • Product and Service Knowledge
  • Market Research and Analysis
  • Critical Thinking
  • Data Entry
  • 45 wpm Typing Speed
  • Data Entry and Maintenance
  • Call Documentation
  • Customer Account Management
  • Telephone Etiquette
  • Active Listening
  • People Skills
  • Good Work Ethic
  • Friendly, Positive Attitude
  • Organizational Skills
  • Basic Math
  • Word Processing Software
  • Health Record Index Maintenance
  • Patient Medical Records Maintenance
  • Insurance Billing
  • Office Health Records Preparation
  • Medical History Recording
  • Workers' Compensation Forms
  • Medical Terminology
  • Patient Rights
  • Protected Health Information
  • Medical Information Computerization
  • Customer Service Support
  • Interpersonal Skills
  • Help Desk Support
  • Microsoft Certification
  • Email Support
  • High attention to detail
  • Strong communication skills
Experience
11/2021 to 02/2022
Medicaid Representative/Data Analyst Cae Phoenix, AZ,
  • Assisted with efforts to track, evaluate and report on impact of programs using multiple data sources.
  • Utilized data analysis to monitor process efficiencies and identify data integrity exceptions.
  • Generated reports and obtained data to develop analytics on key performance and operational metrics.
  • Identified needs of customers promptly and efficiently.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
  • 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.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Answered questions and responded to inquiries to deliver high level of service to patients.
  • Informed applicants of other agencies providing useful or related assistance.
  • Maintained positive working relationship with fellow staff and management.
  • Maintained updated knowledge through continuing education and advanced training.
02/2020 to 01/2021
Quality Assurance Specialist Investar Holding Corporation Mamou, LA,
  • Collaborated with management to discuss effective plans for resolving major quality problems.
  • Consulted with management and personnel to educate on QA standards.
  • Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues.
  • Initiated change management practices that created new revenue streams and streamlined operational efficiencies.
  • Used quality monitoring data management systems to compile and track performance at team and individual levels.
  • Designed forms for documentation of testing procedures and results, identifying fields of measurement relevant to increasing production consistency.
  • Fostered culture of analytical thinking and precision to diagnose quality issues.
  • Enhanced customer satisfaction ratings by building client rapport and timely resolving crises and issues.
  • Prepared reports to communicate results of quality inspection activities to management.
  • Partnered with training and operational leaders to develop strategies to enhance customer experience.
  • Contributed to business growth by confirming customer satisfaction with service and quality.
  • Analyzed quality assurance data to identify trends and develop and implement corrective action plans.
  • Determined training needs of staff and organized training interventions to achieve quality standards.
  • Compared and analyzed actual to expected results and reported deviations for resolution.
01/2019 to 12/2019
Eligibility Specialist/Customer Service Representative Maryland Health Department City, STATE,
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Set up and activated customer accounts.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Processed benefits applications and documents for food stamps and medical assistance.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Reviewed applications to verify client information and resolve discrepancies.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Gathered financial information from clients regarding income, assets and debts.
  • Managed intake of new claims and performed routine follow-ups.
  • Entered client information and files into databases for further review and tracking.
09/2016 to 01/2019
Customer Service Representative Maryland Health Connection City, STATE,
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Consulted with customers to resolve service and billing issues.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Upheld quality control policies and procedures to increase customer satisfaction.
  • Made outbound calls to obtain account information.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Set up and activated customer accounts.
  • Collaborated with management to discuss effective plans for resolving major quality problems.
  • Consulted with management and personnel to educate on QA standards.
  • Monitored QA procedures for adherence by employees, notifying personnel of non-compliance issues.
  • Partnered with training and operational leaders to develop strategies to enhance customer experience.
  • Executed test cases and logged generated various reports and graphs for further analysis.
Education and Training
Expected in 02/2023 to to
Google Project Management :
Coursera Courses - ,
GPA:
Expected in 09/2020 to to
Associate of Science: Health & Human Services
Ultimate Medical Academy - Clearwater - Clearwater, FL
GPA:
Expected in 06/2011 to to
High School Diploma:
Edmondson Westside High School - Baltimore, MD,
GPA:

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Resume Overview

School Attended

  • Coursera Courses
  • Ultimate Medical Academy - Clearwater
  • Edmondson Westside High School

Job Titles Held:

  • Medicaid Representative/Data Analyst
  • Quality Assurance Specialist
  • Eligibility Specialist/Customer Service Representative
  • Customer Service Representative

Degrees

  • Google Project Management
  • Associate of Science
  • High School Diploma

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