Personal Caregiver Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:

Experienced Patient Financial Services professional with over 16 years of experience in Specialty Pharmacy. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational performance. Consistently saved costs while increasing profits.

Skill Highlights
  • Insurance verifying
  • Project management skills
  • Self motivated and goal oriented
  • Microsoft Word, Excel, PowerPoint, SharePoint
  • Medical insurance
  • Document filing
  • Regulatory Compliance
  • Documentation
  • Member Presidents Council for Quality Excellence
  • Departmental HR systems (Workday/Kronos) Liaison 
  • Branch SME responsible for review, update and implementation of policy and procedures
  • Patient Financial assistance Supervisor
Professional Experience
Personal Caregiver, 2014 to 06/2019
Lhc GroupClanton, AL,

Provided round-the-clock care for seriously ill family members,
• Helped clients maintain optimal health by overseeing medication administration and all doctor's appointments
• Kept close eye on client vital signs, administered medications and tracked behaviors to keep healthcare team well-informed
• Administered medication as directed by physician
• Conferred with Hospice staff to discuss patient condition and medical care, helping to optimize treatments and enhance outcomes
• Maintained clean, safe and well-organized patient environment
• Turned and positioned bed bound patients to prevent bedsores and maintain comfort levels
• Provided assistance in daily living activities by dressing, grooming, bathing and toileting patients
• Kept household areas clean and well-stocked, ran errands, managed laundry and completed weekly grocery shopping

Billing and CollectionsSupervisor, 06/2001 to 11/2013
Argo AiAustin, TX,

Specialty Pharmacy and Pharmacy Benefits Manager

-Set strategic goals to assure organizational goals for revenue and quality would be met or exceeded. Manage payroll, performance and productivity; for up to 40 physical and remote employees; that consistently met or exceeded organizational goals. Resolve escalated and highly escalated customer service issues. Special projects as assigned.

  • Developed DB to assist in documentation, tracking and management of employee, team and departmental goals
  • Introduced comprehensive training modules to improve quality and increase productivity
  • Reduced discharged A/R from $4 million to $250,000 within 12 months
  • Mentored over 2 dozen highly qualified professionals who received personal coaching and development leading to advancement in organization
  • Assisted pharmacy team by on-boarding 1,000 patients from Medco to Accredo Specialty Pharmacy
  • Contributed to consolidation of all reimbursement policies and procedures for 3 branch locations
  • Reimbursement Liaison to major payers, manufacturers and network clients
  • Contributed to successful training and transition of back office team in New Delhi, India allowing for processing of additional 2000 prescriptions/ day
  • Contributor to IT as regular UAT and feedback liaison presenting and working through programming and enhancement projects.
Insurance Analyst, 12/1999 to 06/2001
Good Shepherd RehabGlenside, PA,

-Increase efficiency and revenue through quality by performing audits, trend analysis and periodic training of employees. Provide financial assistance as well as counseling to needy patients and their family. Utilization reporting and credentialing as required for managed care contracts.

  • Optimize Medicaid reimbursements by creating database summarizing program requirements for all 50 states
  • Produce policy and procedure documents based on departmental needs
  • Improve billing quality from 80 to 96% through audit and training based on audit trend analysis
  • Generate utilization and wholesale billing reports accurately for $1 million clients to insure timely payments
  • Assist with system merger by reviewing,updating and purging databases and relevant procedures.
Patient Account Representative, 10/1997 to 05/2001
Accredo-An Express Scripts CoCity, STATE,

-Perform initial insurance verification and obtain prior authorizations for new patients. Bill paper and electronic claims for payment. Resolve rejections and denials. Followup , review and resolution of aging balances including refunds and adjustments.

  • Optimized communications by persuading management to utilize system notes instead of patient files
  • Achieved lowest bad debt discrepancy ratio 0% in organizational history
Education and Training
Certificate: CBCS Medical Billing and Coding, Expected in 2018
Southwest Tennessee Community College - Macon Cove Campus - Memphis, TN
Specialization Certificate: Project Management Principles and Practices, Expected in 2015
University of California, Irvine - Irvine, CA
Bachelor of Arts: Social Science/ Business Administration, Expected in 1982
Nazareth College of Rochester, NY - Pittsford, NY,

PTCB - Certified Pharmacy Technician 2001 to present

Certified Medication Therapy Management Pharmacy Technician-January 2017

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Resume Strength

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Resume Overview

School Attended
  • Southwest Tennessee Community College - Macon Cove Campus
  • University of California, Irvine
  • Nazareth College of Rochester, NY
Job Titles Held:
  • Personal Caregiver
  • Billing and CollectionsSupervisor
  • Insurance Analyst
  • Patient Account Representative
  • Certificate
  • Specialization Certificate
  • Bachelor of Arts

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