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

Enthusiastic Sales Operations Specialist eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of SORT and Solaris system. Motivated to learn, grow and excel at UnitedHealth Group.

Skills
  • Healthcare Insurance Knowledge
  • SORT/Solaris
  • FQT/QQT
  • Medical office administrative support
  • Medical terminology
  • Medical Billing and Coding
  • Patient Relations
  • Interdepartmental Collaboration
  • HIPAA Compliance
  • Medical Records Review
  • Insurance claims
  • Insurance authorization
  • Insurance verification
  • Customer Relations
Work History
11/2020 to Current
Sales Operations Specialist Arrow Electronics Pittsburgh, PA,
  • Responsible for daily support of 51+ Central Region new business quoting and installation function.
  • Work closely with account executives to maintain operational infrastructure supporting quoting and new sales.
  • Frequent interaction with external brokers and/or agencies.
  • Use Excel, word, Adobe Writer and file manipulation.
  • Internal and External customer relationships.
  • Work within mandated timelines and expectations.
  • Adherence to productivity metrics.
  • Handle overflow of other VO roles during peak times.
  • Professional and thorough communication skills both verbal and written.
  • Multi task many projects that may or may not be related.
  • Follow through on projects that may require start and stop work flow.
  • Research for answers to case-specific questions from brokers/clients.
  • Keep internal and external customers informed of progress on shared projects.
  • Navigate and update various tracking systems with progression information.
  • Prioritize, perform and document work.
  • Respond to routine or standard requests.
  • Use existing procedures and facts to solve routine problems or conduct routine analyses.
  • Worked HEDIS operations during peak season.
  • HEDIS indexing medical records
  • Work with provider offices to obtain medical records.
07/2020 to 11/2020
National Sales Operations Specialist Hospice Of Chattanooga Chattanooga, TN,
  • Worked with United Healthcare as a contractor.
  • Responsible for daily support of 2-99 new business quoting and installation function.
  • Worked closely with account executives to maintain operational infrastructure supporting quoting and new sales.
  • Frequent interaction with external brokers and/or agencies.
  • Use Excel, word, Adobe Writer and file manipulation.
  • Internal and External customer relationships.
  • Work within mandated timelines and expectations.
  • Adherence to productivity metrics.
  • Handle overflow of other VO roles during peak times.
  • Professional and thorough communication skills both verbal and written.
  • Multi task many projects that may or may not be related.
  • Follow through on projects that may require a start and stop work flow.
  • Research for answers to case-specific questions from brokers/clients.
  • Keep internal and external customers informed of progress on shared projects.
  • Navigate and update various tracking systems with progression information.
  • Prioritize, perform and document work.
  • Respond to routine or standard requests.
  • Use existing procedures and facts to solve routine problems or conduct routine analyses.
01/2018 to 07/2020
Patient Care Coordinator Trugreen Brigham City, UT,
  • Insurance Authorizations.
  • Insurance Verification.
  • Scheduling appointments.
  • Confirm patient appointments.
  • Enter patient information into medical records system.
  • Instruct new patients in completion of medical history information and forms.
  • Maintain patient schedules, charts, file logs, records and confidentiality of medical information.
  • Performs documentation, benefits, insurance verification for all scheduled and supply orders for patients and obtains all reference/authorization information.
  • Sends or receives medical records to/from all parties as required via mail, fax or other means.
  • Administrative support to the COO for operation meeting by preparing reports.
  • Educated patients by explaining preparation instructions for upcoming procedures and tests.
  • Encouraged patients to schedule recommended tests and procedures.
  • Maintained confidentiality of patient data and condition at all times to safeguard health information.
02/2017 to 08/2017
Customer Service Representative Penn Home Medical Supply, LLC City, STATE,
  • Receive and process incoming durable medical equipment orders.
  • Insurance authorizations.
  • Insurance verification.
  • Scheduling patients.
  • Customer Service.
  • Order supplies and maintain inventory.
  • Working with patients and physicians' offices to obtain necessary documentation.
  • Responded to customer requests for products, services and company information.
  • Effectively communicated with customers about account changes, new medical products or services and potential upgrades.
  • Encouraged patients to schedule recommended tests and procedures.
  • Maintained confidentiality of patient data and condition at all times to safeguard health information.
09/2014 to 12/2016
Medical Assistant/Service Leader J.C. Blair Medical Services, Inc City, STATE,
  • Managed office staff schedule for PTO and coverage.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Managed master calendar and scheduled appointments for 2 providers based on optimal patient loads and clinician availability.
  • Maintained current and accurate medical records for patients.
  • Completed clerical duties and tasks for clinic administration.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Adhered to strict HIPAA guidelines at all times to protect patient privacy.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients.
  • Kept waiting room neat and organized at all times.
  • Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
  • Maintained detailed records of test results by entering data and patient information into computer.
  • Conducted preliminary evaluations, including measuring weight, temperature and blood pressure, and documented results with accuracy.
  • Oriented and trained new staff on proper procedures and policies.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Explained procedures to patients to reduce anxieties and increase patient cooperation.
  • Obtained all prescribed laboratory testing.
  • Conducted machine safety checks according to facility policy.
  • Submitted prescriptions to pharmacy via phone, fax or web.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Entered procedure codes and diagnosis codes into medical billing software.
  • Reviewed and sent medical records to other physicians upon request.
  • Filed and retrieved patient records for provider.
Education
Expected in 07/1992
Certificate: Medical And Legal Secretarial Certificate Program
Huntingdon Area Senior High School - Huntingdon, PA
GPA:
Expected in 06/1989
Diploma:
Huntingdon Area High School - Huntingdon, PA
GPA:

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Resume Overview

School Attended

  • Huntingdon Area Senior High School
  • Huntingdon Area High School

Job Titles Held:

  • Sales Operations Specialist
  • National Sales Operations Specialist
  • Patient Care Coordinator
  • Customer Service Representative
  • Medical Assistant/Service Leader

Degrees

  • Certificate
  • Diploma

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