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patient advocate ii resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Passionate Instructor offering 8 years background teaching courses to students of varying abilities. Recognized for delivering meaningful and informative lectures and maintaining classroom environment conducive to learning. In-depth understanding of different learning techniques and tools. Detail oriented, well-known for promoting positive environments for learners. Reliable and dedicated with excellent interpersonal skills. Expert in various subjects and multiple teaching methods.

Skills
  • Application Support
  • Activity Monitoring
  • Medicaid Knowledge
  • Resource Utilization
  • Relationship Building
  • Conflict Mediation
  • Verbal and Written Communication
  • Proactive Problem Solving
  • Quality Assurance
Experience
Patient Advocate II , 11/11/19 - Current
Maryville Academy Chicago, IL,
  • Provided knowledgeable and compassionate service in response to patient questions and concerns.
  • Managed database of patient information and frequently used computerized systems to track details.
  • Acted as liaison for hospital staff, physicians, patients and family members.
  • Assisted patients in selecting appropriate courses of actions and obtaining needed support.
  • Helped patients understand care, coverage and payment responsibilities and rights.
  • Analyzed accuracy and completeness of patient documents such as insurance claims, medical bills and legal paperwork.
  • Liaised with staff from diverse hospital departments to bring about effective resolutions to range of issues.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
  • Reported liabilities and risk management concerns to supervisor for review.
  • Collaborated with clinical and administrative staff to meet patient needs.
  • Obtained informed consent and payment documentation from patients and filed in system.
  • Explained policies, procedures and services to patients.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
Order Intake- Patient Billing, 4/4/2016 - 11/11/19
Dartmouth College Hanover, NH,
  • Monitored past due invoices and payments to minimize past due balances.
  • Verified patients' benefits eligibility and contacted patients to deliver benefits details and arrange for co-insurance payments.
  • Researched rejections, investigating problems to appeal claims.
  • Verified technical reimbursement questions for providers, billing and coding staff.
  • Maintained confidentiality and integrity of patient data.
  • Enforced adherence to state and federal reporting regulations by performing regular compliance audits.
  • Coded patient care records to provide accurate information for billing.
  • Drafted documents based on payer guidelines and submitted to necessary parties.
  • Determined medical necessity, using individual insurance carrier regulations.
  • Verified clients insurance claims coverage by coordinating with providers.
Bilingual Instructional Assistant, 08/19/98 - 3/5/2015
Richland College, DCCCD City, STATE,
  • Delivered instruction individually or in small groups with support from instructor.
  • Worked with English language learners in small groups to develop fluency.
  • Taught daily life skills and behaviors to students to build practical knowledge.
  • Backed up lessons with personal support, small group instruction and hands-on activities.
  • Organized classroom spaces to meet students' learning needs and smoothly manage planned activities.
  • Assisted in preparing lesson materials and bulletin board displays.
  • Observed student performance and recorded academic and attendance.
  • Attended in-services, workshops and seminars.
  • Distributed tests and collected homework assignments after completion.
  • Monitored computer usage and assisted students with hardware and software issues.
  • Managed computers in classrooms and laboratories and assisted students with computer use when required.
  • Arranged lesson outlines and individual plans according to course syllabus and district requirements.
Administrative Assistant IV , 3/1/2006 - 8/1/2010
Richland College, DCCCD City, STATE,
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Provided secretarial and office management support while building cooperative working relationships.
  • Inventoried and ordered supplies for office.
  • Scheduled appointments, meetings and events for management staff.
  • Responded effectively to sensitive inquiries or complaints.
  • Coordinated appointments, meetings and conferences.
  • Maintained accurate department and customer records.
  • Managed physical and digital files, monitored spreadsheets and updated reports to coordinate project materials.
  • Developed administrative processes to achieve organizational objectives and improve office efficiency.
  • Prepared and prioritized calendars and correspondence.
  • Organized both physical and digital files and updated reports to coordinate project materials.
  • Directed customer communication to appropriate department personnel.
  • Composed correspondence, reports and meeting notes.
  • Tracked and submitted employee timesheets to prepare for payroll processing.
  • Utilized editing programs to proofread content for typo-free emails, memos and documentation.
  • Scheduled staff and monitored resource allocation to provide optimal coverage and service.
  • Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
  • Created spreadsheets in Microsoft Excel for record-keeping and reporting.
  • Kept office equipment functional and supplies well-stocked to promote efficient operations.
  • Coordinated travel arrangements and completed expense reports for travel reimbursement.
  • Coordinated catering services for various functions, including sales trainings and department meetings.
  • Conducted research, compiled and typed statistical reports, synthesized information and provided excellent communication to disseminate information throughout organization.
  • Executed on-time, under-budget projects by solving complex issues for senior leadership.
Education and Training
Associate of Science: Business Administration, Expected in 05/2006
-
Richland College - Dallas, TX
GPA:
Status -
  • Malcolm Baldrige National Quality Award (Given by the Bush admin)
  • Completed Certifications in completing training in various Microsoft programs
  • Additional Coursework in Mentorship program
High School Diploma: , Expected in 01/1990
-
North High School - Omaha, NE,
GPA:
Status -
: Business Administration And Management, Expected in
-
UTD - Dallas, TX ,
GPA:
Status -

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Resume Overview

School Attended

  • Richland College
  • North High School
  • UTD

Job Titles Held:

  • Patient Advocate II
  • Order Intake- Patient Billing
  • Bilingual Instructional Assistant
  • Administrative Assistant IV

Degrees

  • Associate of Science
  • High School Diploma
  • Some College (No Degree)

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