close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Patient Care Coordinator
Please provide a type of job or location to search!
SEARCH

Patient Care Coordinator Resume Example

Love this resume?Build Your Own Now
PATIENT CARE COORDINATOR
Summary

IT Professional with background in Health Care. Strong technical proficiency with work history in health insurance. In-depth knowledge of Oracle coupled with trouble shooting and customer support capabilities. Proven history of strong work ethic, leadership and flexibility.

Skills
  • Solid leadership and management skills along with the ability to build professional working environment for both office patients, and medical teams
  • Strong analytical skills along with the ability to research, evaluate, and solve complex administrative and operational problems
  • Excellent organizational and time-management skills with the ability to handle multiple priorities within specific deadlines
  • Proficiency with MS Office Suite, EMR/PM system, database application and Internet, including knowledge of using office equipment
  • Strong reporting and documentation skills with the ability to handle and maintain confidentiality of medical records
  • Project Management
  • Records maintenance
  • Regulatory requirements
  • Schedule management
  • Health information systems
  • Claims processing
  • Organizational skills
  • Performance metrics
  • Providing customer support
  • Mac and PC proficiency
  • Technical Troubleshooting
  • Call center experience
  • Recording support tickets
Experience
Patient Care Coordinator06/2018 to CurrentTrihealth, Inc.Oxford , OH
  • Served as advisory resource by providing patient and family care expertise in form of educational materials, videos and latest information from CDC.
  • Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.
  • Submitted various medication requests electronically.
  • Improved patient feedback by 60% in 2 years.
  • Implemented new hire training to further develop skills and initiate discussions on task prioritization.
  • Worked closely with store manager to maintain day-to-day operations.
  • Ordered all supplies needed for pharmacy and kept tabs on inventory levels.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
  • Drove process, efficiency and quality improvements, resulting in 36% increase in patient discharge times.
  • Added more than 82% in revenue between 2018 and 2019.
Provider Claim Analyst03/2015 to 06/2018Cancer Care NorthwestSpokane , WA
  • Service areas of: CA, MO, KY, OH, GA, FL, IN, IL Coordination.
  • Spearheaded claims negotiations up to $200K and contributed to litigation processes for unsuccessful settlements.
  • Based payment or denials of medical claims upon well-established criteria for claims processing.
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
  • Documented file notes clearly and concisely in Oracle, Athena, and Kareo.
  • Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
  • Efficiently and effectively processed a large volume of medical claims on a daily basis.
  • Gathered and documented evidence to support authorization denials.
  • Created master spreadsheet to record procedures, denials and approvals.
  • Led training initiatives to optimize productivity.
  • Worked closely with employees and managers at all levels.
  • Handled and processed variety of claims, including Medical and Dental.
  • Maintained 97% accuracy rate when preparing weekly spreadsheets and project reports for management based on data from various sources.
  • Achieved high quality marks on quality assurance evaluations through 2018.
Health Information Specialist08/2014 to 03/2015Children's Hospital & Research CenterSan Leandro , CA
  • Indiana Medicaid eligibility review via Manage Care.
  • Vision, Dental, Pharmacy Benefit Coordination.
  • Reimburse customers for payments made that should have been covered.
  • Help with member appeals for denied claims, authorizations, and pharmacy authorizations.
  • Explain coverage or denial of claim to inquiring members.
  • Coordinating with Care Coordination, to schedule appointment and home visits.
  • Upgraded medical record documentation system to meet federal and state regulations, continually monitored medical records and contacted physicians for deficient or delinquent data.
  • Facilitated document import into electronic health records using variety of applications and workflows, executed scanning and indexing and organized patient records for quick reference.
  • Addressed customer information requests promptly and courteously, maintained strict confidentiality and respect and identified potential improvements to inquiry response processes.
  • Streamlined day-to-day office processes to meet long-term goals.
  • Took part in meetings and committees to discuss such topics as electronic health records and communicate best ways to improve workflows.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Set up patient charts and documented information in various company software.
  • Pulled patient records and transferred information to appropriate parties.
  • Logged all requests for medical records into spreadsheets.
  • Assessed departmental operations to determine areas for customer service improvement and support.
  • Drove quality customer experiences by leading retention strategy development and conflict resolution to improve overall support delivery.
  • Trained new hires on relationship building, benefit-oriented sales presentations, sales processes and protocol, product knowledge, customer needs analysis and overcoming objections.
Pharmacy Technician03/2012 to 08/2014CVSCity , STATE
  • Verified insurance benefits to refill medications by examining formularies and calling insurance companies for exceptions.
  • Used 8-point check system to verify labeled prescriptions.
  • Teamed with peers, technicians and other pharmacists to prioritize and complete orders.
  • Efficiently responded to voicemails from healthcare providers and customers.
  • Reviewed and monitored patient medication files and lab data in hospital setting.
  • Trained new technicians to provide excellent customer service which resulted in higher customer satisfaction scores.
  • Managed medication stocks, including conducting counts, labeling products and maintaining controls.
  • Interpreted and processed medication orders under supervision of pharmacist.
  • Improved drug inventory management procedures to reduce overhead and eliminate backorders or overstock.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
Education and Training
High School Diploma03/2012Pike High SchoolCity
  • English/ Language Arts 8 credits Including a balance of literature, composition and speech.
  • Mathematics 6 credits 2 credits: Algebra I 2 credits: Geometry 2 credits: Algebra I
  • Science 6 credits 2 credits: Biology I 2 credits: Chemistry I or Physics I or Integrated Chemistry-Physics 2 credits: any Core 40 science course Social Studies 6 credits 2 credits: U.S. History 1 credit: U.S. Government 1 credit: Economics 2 credits: World History/Civilization or Geography/History of the World
  • Directed Electives 5 credits World Languages
Certificate: Covid-19 Contract Tracing01/2021Johns Hopkins UniversityCity
  • Bloomberg School of Health and courtesy of Bloomberg Philanthropies., the natural history of SARS-CoV-2 and case investigation: Johns Hopkins
  • Coursework in Public Health, Epidemiology
  • Volunteered at Julian Center
Certificate: Google IT Professional01/2021Coursera
  • Course in: CompTIA A+, Network+ and Cyber Security+
  • Professional Certificate is licensed under a Creative Commons Attribution 4.0 International License
  • American Council on Education (ACE) ACE CREDIT®
  • At&t Believe Scholarship Recipient 2020
Certificate: Network +Expected in 05/2021CompTIA
Build Your Own Now

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:

77Average
Resume Strength
  • Completeness
  • Formatting
  • Word choice
  • Length
  • Typos

Resume Overview

School Attended

  • Pike High School
  • Johns Hopkins University
  • Coursera
  • CompTIA

Job Titles Held:

  • Patient Care Coordinator
  • Provider Claim Analyst
  • Health Information Specialist
  • Pharmacy Technician

Degrees

  • High School Diploma 03/2012
    Certificate : Covid-19 Contract Tracing 01/2021
    Certificate : Google IT Professional 01/2021
    Certificate : Network + Expected in 05/2021

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Patient-Care-Coordinator-(Full-Time---60-Hr/Wk)-resume-sample

Patient Care Coordinator (Full Time - 60 Hr/Wk)

Rocky Mountain Care.

City , STATE

PATIENT-ADVOCATE-/CLINICAL-CARE-COORDINATOR-resume-sample

PATIENT ADVOCATE /CLINICAL CARE COORDINATOR

Novo Nordisk

Fremont , CA

Lead-Patient-Care-Coordinator-resume-sample

Lead Patient Care Coordinator

Williamsburg Physical Therapy

Rockville , MD

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.