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

Skilled and dependable professional with 20 years experience in Healthcare seeking a position that offers professional challenges utilizing interpersonal skills, excellent time management, problem-solving skills while maintaining highest standards of ethics and professionalism.

Skills
  • Organized and Efficient
  • Excellent Oral and Written Skills
  • Bilingual Spanish and English
  • Critical Thinking & Problem Solving Skills
  • Process Improvement
  • Interpersonal & Analytical Skills
  • Flexible & Adaptable
  • Leadership & Management Skills
  • Organization & Time Management
  • Teamwork & Collaboration
  • Data Interpretation
Work History
Patient Access Representative, 10/2015 to Current
Boston Medical CenterBoston, MA,
  • Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Offered simple, clear explanations to help patients and families understand hospital policies and procedures.
  • Facilitated communication between patients and various departments and staff.
  • Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
  • Mentored and train staff.
Strategic Operations Supervisor , 11/2016 to 08/2021
Downer Edi LimitedSomerton, AZ,
  • Delegated daily tasks to employees, streamlining daily progress and efficiency.
  • Worked directly with management, and various departments to brainstorm, discuss strategy and mitigate issues.
  • Communicated with staff, patients and healthcare providers to encourage highest quality of service.
  • Conducted root cause analysis in deficient areas to identify and resolve central issues.
  • Organized simultaneous ongoing projects, delegating personnel and resources to optimally meet business goals and minimize redundancies.
  • Applied statistical methods to solve specific problems in Claims Billing, Member Eligibility, Provider Contracts, and managed assigned deliverables related to study.
  • Maximized team knowledge and productivity by training, monitoring and directing employees in application of best practices and regulatory protocols.
  • Analyzed program data to provide input for key decision making and strategic planning.
  • Generated reports detailing findings and recommendations.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Performed annual evaluations and reviews for employees.
  • Provided supportive link between external customers and internal operations.
Supervisor, 11/2001 to 11/2016
Texas Heath Care PLLCCity, STATE,
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Oversaw billing and collection of medical claims for various provider specialties and payers.
  • Overall refund checks on overpayments. Provider incentive payments.
  • Successfully managed high volumes of client-facing interactions and established strong rapport with physicians, medical and laboratory staff and patients.
  • Supported and coached outsourced offshore team.
  • Streamlined operations of multiple lines of business within organization.
  • Set overall vision and provided team leadership.
  • Handled customer and patient complaints, resolved issues and adjusted policies to meet changing needs.
  • Repaired equipment to keep jobs moving smoothly in mail room.
  • Interviewed, hired and trained new employees for production positions.
  • Developed training, task and process guidelines and communicated clear and concise directions to employees.
  • Worked with management team to implement proper division of responsibilities.
  • Evaluated employee performance and coached and trained to improve weak areas.
  • Maintained compliance with company policies, objectives and communication goals.
  • Audited provider billing and records and documented for education and training.
Education
Diploma: General Studies, Expected in 05/1999
Amon Carter Riverside High - Fort Worth, TX,
GPA:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Disclaimer

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

92Good

resume Strength

  • Formatting
  • Length
  • Personalization
  • Strong Summary
  • Target Job
  • Typos
  • Word Choice

Resume Overview

School Attended

  • Amon Carter Riverside High

Job Titles Held:

  • Patient Access Representative
  • Strategic Operations Supervisor
  • Supervisor

Degrees

  • Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in: