LiveCareer-Resume

precertification specialist resume example with 9+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Reliable,committed high-quality worker. Skilled in helping modernize workplaces and maintaining high levels of organization. Resourceful and personable with excellent multitasking abilities. Dependable with track record of success in work field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.

Skills
  • Reliable & trustworthy
  • People skills
  • Data management
  • Problem resolution
  • Computer skills
  • Flexible schedule
  • Planning & organizing
  • Critical thinking
  • Knowledgeable in Microsoft Office Suite
  • Telephone etiquette
  • Recordkeeping and data input
  • Team collaboration
  • Team Building
  • Excel spreadsheets
  • Decision-making
  • Administrative skills, duties
Education and Training
Buckhorn High School New Market, AL Expected in 05/2014 High School Diploma : - GPA :
Strayer University Washington, DC Expected in 12/2022 BBA : Business Management, Project Management - GPA :

GPA: 3.6

  • Honor Roll Student
  • Dean's List Honoree
Strayer University Washington, DC Expected in MBA : Contracts Management - GPA :
  • Currently enrolled in MBA Program
Experience
St Luke's Hospital Of Chesterfield Mo - Precertification Specialist
Ladue, MO, 04/2018 - Current
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Explaining benefits process and which programs were available.
  • Coordinated with other departments to promote prompt processing of client applications.
  • Entered client information and files into databases for further review and tracking.
  • Reviewed applications to verify client information and resolve discrepancies.
  • Conducted outreach programs and promoted new programs to communities and prospective clients.
  • Managed intake of new claims and performed routine follow-ups.
  • Gathered financial information from clients regarding income, assets and debts.
  • Explained reasons behind application denials and recommended further action.
  • Responded to client inquiries and concerns and escalated complex problems to department supervisors.
  • Developed thorough knowledge of financial aid programs to recommend relief options matching client needs.
  • Offered administrative task assistance and performed database updates, email communication and document processing.
  • Compiled data from source documents prior to data entry.
  • Communicated with patients with compassion while keeping medical information private.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Completed relevant insurance and other claim forms.
  • Transcribed recorded practitioners' diagnoses and recommendations into medical records.
  • Compiled and coded patient information or data in appropriate computer system.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
Lhc Group - Unit Secretary
Auburn, AL, 04/2016 - 04/2018
  • Managed unit call reception and routed calls to correct department.
  • Provided patient information to facilitate timely admissions and discharges.
  • Maintained strong and trusting rapport with patients and all healthcare staff to build relationships.
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Monitored unit supply levels and notified management of ordering needs.
  • Retrieved physicians' paperwork, including lab test requests.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Transcribed doctors' orders, including medication and lab test requests.
  • Compiled physical and digital documents, charts and reports.
  • Drafted and distributed memos and emails for entire unit.
  • Supervised order fulfillment and inventory management services to ease operations and support administrative and healthcare staff.
  • Documented and responded to incoming correspondences to address questions.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
  • Maintained organized filing system of paper and electronic documents.
  • Coordinated communications, taking calls, responding to emails and interfacing with clients.
  • Processed documents and materials for dissemination to appropriate parties.
  • Answered telephone calls to give information to callers, take messages or transfer calls to appropriate individuals.
  • Anticipated leadership needs by preparing or gathering records, reports and correspondence.
  • Produced and distributed memos, newsletters and other forms of communication.
  • Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
  • Engaged with patient family and friends to provide courteous visit experience.
  • Answered signal lights, bells and requests-for-service to assist patient services fulfillment.
  • Assessed vitals and noted medical information to report changes to nursing staff and physicians.
  • Promoted patient satisfaction by assisting with bathing, dressing and exercising.
  • Documented nursing assessments, treatments and follow-up care to maintain patient safety and optimize workflow.
  • Recorded patient conditions and vital signs before and after medical operations.
  • Protected patient, self and others from injury during transfers, lifts and transports by using proper equipment and body mechanics.
  • Demonstrated respect and regard for dignity of patients, families and fellow employees to promote professional, responsible and courteous environment.
  • Took patients' blood pressure, temperature and pulse and documented height and weight.
  • Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
Arbor Company - Resident Assistant
Knoxville, TN, 05/2013 - 03/2016
  • Maintained clean and well-organized environment for client happiness and safety.
  • Improved patient outlook and daily living through compassionate care.
  • Supervised medication administration, personal hygiene and other activities of daily living.
  • Managed administrative tasks, maintenance requests, room change process and incident reports.
  • Developed strong and trusting rapport with patients to facilitate smooth, quality care.
  • Served as positive role model for diverse group of individuals.
  • Devised various activities for social, educational and recreational resident programs.
  • Made beds daily and performed light housekeeping duties in resident apartments and common areas.
  • Cared for incontinent residents, routinely checking clothing and linens to keep clean and dry.
  • Aided residents with ambulation or walker, cane and wheelchair use.
  • Completed routine rounds, checking with residents to meet care needs.
  • Transported residents to activities and meals.
  • Communicated with families or advocates to discuss resident needs and progress.
  • Motivated clients to participate in new activities to broaden skills.
  • Participated in departmental, organizational and community meetings.
  • Engaged with patient family and friends to provide courteous visit experience.
  • Answered signal lights, bells and requests-for-service to assist patient services fulfillment.
  • Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Documented nursing assessments, treatments and follow-up care to maintain patient safety and optimize workflow.

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Resume Overview

School Attended

  • Buckhorn High School
  • Strayer University
  • Strayer University

Job Titles Held:

  • Precertification Specialist
  • Unit Secretary
  • Resident Assistant

Degrees

  • High School Diploma
  • BBA
  • MBA

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