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Patient Relations Representative Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

Accomplished Customer Service Representative receptive to client needs. A strong work ethic and positive attitude. Accurate, assertive and adaptable. Can effectively multi-task in challenging situations and meet critical deadlines.

Highlights
  • Results-oriented
  • Self-starter
  • Accurate and detailed
  • Resourceful
  • Proper phone etiquette
  • Excellent communication skills
  • Strong interpersonal skills
  • Dedicated team player
Accomplishments

CIT Certified (Client Intervention Training), Cultural Competency, EHR experience with Centricity and Anasazi, CPR and First Aide Certified.

Experience
08/2010 to Current
Patient Relations Representative Kindred Healthcare Mobile, AL,

Manage the receptionist area, including greeting visitors and responding to telephone and in-person requests for information. Confirm patient information, collect copays and verify insurance. Direct patient flow during practice hours, minimizing patient wait time. Properly direct inbound calls in phone queues to improve call flow. Write clear and detailed clinical phone messages for Physicians and MAs . Deliver prompt, accurate and excellent customer service. Ensure HIPAA compliance. Refer clients to other programs and community agencies to enhance treatment processes. Ensure proper care for victims of domestic violence who present to NACASA. Handle incoming and outgoing correspondence, including mail, email and faxes. Remain up-to-date with all insurance requirements, including the details of patient financial responsibilities, Sliding Fee Program, fee-for-service and managed care plans. Evaluate the accuracy of patient charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and insurance information for billing department. Schedule Integration Clinic meetings and assisted with meeting materials and agendas. Write and distribute meeting minutes to appropriate individuals.

04/2005 to Current
Co-Owner/Breeder Primark Braintree, MA,

Manage the receptionist area, including greeting visitors and responding to telephone and in-person requests for information. Confirm patient information, collect copays and verify insurance. Direct patient flow during practice hours, minimizing patient wait time. Properly direct inbound calls in phone queues to improve call flow. Write clear and detailed clinical phone messages for Physicians and MAs . Deliver prompt, accurate and excellent customer service. Ensure HIPAA compliance. Refer clients to other programs and community agencies to enhance treatment processes. Ensure proper care for victims of domestic violence who present to NACASA. Handle incoming and outgoing correspondence, including mail, email and faxes. Remain up-to-date with all insurance requirements, including the details of patient financial responsibilities, Sliding Fee Program, fee-for-service and managed care plans. Evaluate the accuracy of patient charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and insurance information for billing department. Schedule Integration Clinic meetings and assisted with meeting materials and agendas. Write and distribute meeting minutes to appropriate individuals.

03/2010 to 08/2010
Supervisor Iconma, L.L.C. Cedar Falls, IA,

Trained, developed and counseled employees to develop a high performing team. Led regular stand-up meetings, events and continuous improvement projects with measurable goals. Completed key projects on time, on budget and with a high level of accuracy.

1992 to 09/1992
Licensed Office Manager American Family Insurance City, STATE,

Interviewed prospective clients to learn about their financial needs and to discuss any existing coverage. Presented and clearly explained insurance policy options to clients based on their needs and goals. Promoted agency products to customers in person, on the telephone and in writing. Processed applications, payments, corrections, endorsements and cancellations. Promoted client retention through high-quality service and follow through. Developed rapport with the customer base by handling difficult issues with professionalism. Developed life insurance and commercial insurance leads to meet monthly sales targets. Submitted up-to-date activity and production logs to agency management for review. Developed productive working relationships with claims adjusters, lien holders, and other business partners in the community. Managed the day-to-day calendar for the company's senior agent.

02/1988 to 08/1991
Provider Service Representative Blue Cross Blue Shield Of Arizona City, STATE,

Handled 100+ incoming calls from providers daily. Provided accurate and appropriate information in response to provider inquiries. Verified benefits, eligibility and claim status. Assisted providers in contracting with BCBS. Collected customer feedback and made process changes to exceed customer satisfaction goals.

Education
Expected in
High School Diploma: CHAMPS/VICA
Deer Valley High School - Glendale, Arizona
GPA:

CHAMPS (Careers In Health and Medical Professions),

Student government representative for VICA (Vocational Clubs of America) Regional Secretary and Class President, National Honor Society, and Gold Medal recipient for Certified Nursing Assistant through VICA.



References Available upon request.

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Resume Strength

  • Length
  • Personalization
  • Target Job

Resume Overview

School Attended
  • Deer Valley High School
Job Titles Held:
  • Patient Relations Representative
  • Co-Owner/Breeder
  • Supervisor
  • Licensed Office Manager
  • Provider Service Representative
Degrees
  • High School Diploma

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