Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Versatile Medical Customer Service Representative known for providing exceptional professional service and supporting complex medical cases. Meticulous recorder of sensitive personal data following appropriate security protocols. Supportive front-line staff prioritizes and triages cases to filter caseload to available physicians. Dedicated Medical Receptionist works productively with diverse personalities and experienced in busy clinical settings. Knowledgeable in schedule, records and front desk management. Offers successful career history comprising more than [Number] years. Dedicated [Industry] professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

  • Electronic Medical Records
  • Insurance Verification
  • Payment collection
  • Patient Scheduling
  • Medical Records Management
  • Interpersonal Communication
  • Medical Coding
  • Claim research
  • Medical terminology
  • Authorizations
  • Appointment Scheduling
  • Professional telephone demeanor
Work History
02/2018 to 12/2020
Medical Front Office Receptionist U.S. Physical Therapy Dover, DE,
  • Completed clerical duties and tasks for clinic administration.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic and health history to keep information current.
  • Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
  • Enhanced office productivity by handling high volume of callers per day.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained current and accurate medical records for patients.
  • Managed multi-line phone system and pleasantly greeted patients.
02/2018 to 12/2020
Prior Authorization Specialist Francisan Health Portage, IN,
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
  • Created and maintained spreadsheets detailing all medical procedures, including applicable denials and approvals.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
04/2016 to 09/2019
Specialty Sales Consultant Jazz Pharma Pittsburgh, PA,
  • Initiated effective sales techniques and drove product sales
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Recommended products to customers, thoroughly explaining details.
  • Responded to customer requests for products, services and company information.
  • Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
  • Answered constant flow of customer calls with minimal wait times.
  • Helped customers complete purchases, locate items and join reward programs.
  • Informed customers of current store promotions to encourage additional sales purchases.
  • Trained new associates on cash register operations, including opening, conducting customer transactions and balancing drawer.
  • Answered questions about store policies and addressed customer concerns.
  • Folded and arranged merchandise in attractive displays to drive sales.
  • Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
  • Offered each customer top-notch, personal service to boost sales and customer satisfaction.
  • Supported efficient and timely replenishment of sales floor merchandise.
  • Organized store merchandise racks and displays to promote and maintain visually appealing environments.
  • Greeted customers and helped with product questions, selections and purchases.
  • Stocked merchandise, clearly labeling items, and arranging according to size or color.
  • Used consultative sales approach to understand customer needs and recommend relevant offerings.
  • Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
01/2015 to 01/2017
Retail Sales Associate Lumber Liquidators, Inc. Oklahoma City, OK,
  • Performed end-of-shift cashout operations according to store policies, maintaining accurate counts and receipt records.
  • Maintained presentable customer areas with diligent cleaning and proactive recovery management.
  • Increased sales by offering advice on purchases and promoting additional products.
  • Folded and arranged merchandise in attractive displays to drive sales.
  • Supported loss prevention goals by monitoring shopper behavior.
  • Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
Expected in 05/2019
High School Diploma:
Desert Pines High School - Las Vegas, NV
Native or Bilingual

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School Attended

  • Desert Pines High School

Job Titles Held:

  • Medical Front Office Receptionist
  • Prior Authorization Specialist
  • Specialty Sales Consultant
  • Retail Sales Associate


  • High School Diploma

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