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

Experienced and goal-oriented medical professional with a track record of consistently meeting and exceeding established goals and objectives related to management, training and education and client relations. Skilled in building long-term relationships with all levels of hospital staffs, outpatient facilities and pharmaceuticals. Achieved significant results related to promoting organizational growth and staff development. Customer-focused communicator with ability to understand and convey complex product information develop rapport, building strong relationship with customers. Motivated and ambitious with excellent interpersonal skills.

Skills
  • Pharmacy Benefits
  • Quality improvement
  • Business prospecting
  • Sales Strategies
  • Product Benefits
  • Customer Service
  • Relationship building
  • Excellent interpersonal skills
  • Client relations
  • Quality improvement
  • Rapport building
Work History
01/2018 to 06/2020 Pharmaceutical Representative Community Health System | Johnson, AR,
  • Experienced and goal-oriented medical professional with a track record of consistently meeting and exceeding established goals and objectives related to management, training and education and client relations.
  • Skilled in building long-term relationships with all levels of hospital staffs, outpatient facilities and pharmaceuticals.
  • Achieved significant results related to promoting organizational growth and staff development.
  • Customer-focused communicator with ability to understand and convey complex product information develop rapport, building strong relationship with customers.
  • Motivated and ambitious with excellent interpersonal skills.
  • Went to different medical centers, hospitals and pharmacies to educated about new products.
  • Attended sales meetings, conference calls and training session when required.
  • Researched and studied the latest products and all side effect, ingredients and other misc information.
  • Conducted a needed analysis of optional client's current situation and well as financial future goals.
  • Answered all questions and concerns from physicians and pharmacies concerning new products.
  • Maintained detailed database of prospects and customers, documented calls to facilitate follow up.
  • Provided superior customer service utilizing a high-touch, customer approach focusing on collaboration and communication.
  • Participated and identified on various of process improvements related to health care system enhancements that helped reduced handle times while ensuring complete and accurate information.
  • Worked and collaborated with department training and quality staff to identify system enhancements to meet the needs of each are.
  • Worked with Clinical Pharmacist to resolve problems, improve operations and provide exceptional customer service.
  • Increased customer satisfaction and repeat business through relentless pursuit of resolutions to problems.
10/2015 to 12/2018 Clinical Insurance Analyst Fox Valley Pulmonary Medicine | City, STATE,
  • Processed authorizations for procedures, medications, and diagnostic testing.
  • Reviewed and reprocessed denied claims.
  • Followed federal/state regulations including Medicaid/Medicare and Commercial insurance for processing of prior authorizations.
  • Collected and reviewed all patient forms with appropriate clinical documentation.
  • Maintained good communication with the patient, physician, clinical services team, reimbursement services team.
  • Assisted in managing day-to-day operations of the clinic.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Accurately inputted all patient and insurance information into company's computer system using Epic Software.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Verified client information by analyzing existing evidence on file.
  • Worked with MD's and Nurse Practitioners to resolve problems, improve operations and provide exceptional customer service.
01/2012 to 09/2015 Medical Insurance Specialist Aurora HealthCare | City, STATE,
  • Adhered to all of the policies and procedures set forth by Aurora Health Care.
  • Demonstrated accuracy and thoroughness; monitored own work to ensure quality.
  • Reviewed an multitude patient cases per week and verified insurance coverage information.
  • Verified insurance coverage/processed prior auths for multiple speciality medications and communicated benefits to patients and physicians office by phone.
  • Troubleshooted claims for procedures and analyzed discrepancies and appealed denied claims on the providers behave.
  • Performed many tests/procedures and gave injections/vaccines within clinic as ordered under the direction and supervision of Physician.
  • Assisted on minor surgical procedures within clinic.
  • Assisted in managing day-to-day operations of the facility when needed.
  • Exhibited objectivity and openness to others views; contributed to building a positive team spirit; put success of team above own interests; supports everyone's efforts to succeed.
Education
Expected in Associate | Medical Assisting Milwaukee Career College, , GPA:
Accomplishments
  • Registered Medical Assistant (RMA).
Affiliations

Completion of Inbound Closer Accelerator Course through Traffic and Funnels

Certifications

Certified Inbound Closer

CPR/First Aid

Registered Medical Assistant

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Resume Overview

School Attended

  • Milwaukee Career College

Job Titles Held:

  • Pharmaceutical Representative
  • Clinical Insurance Analyst
  • Medical Insurance Specialist

Degrees

  • Associate

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