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

  • 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.
Diploma: General Studies, Expected in 05/1999
Amon Carter Riverside High - Fort Worth, TX,

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School Attended

  • Amon Carter Riverside High

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  • Patient Access Representative
  • Strategic Operations Supervisor
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