Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Motivated professional Adept at building productive relationships, resolving complex issues and winning customer loyalty. Bringing years of experience in maintaining customer satisfaction and contributing to company success.
Skills
Documentation and control
Credit and collections
Clear oral/written communication
Program Management
Project Management
Team Building
Office administration
Organizational skills
Bookkeeping
Data Management
Scheduling
Event planning
Team Leadership
Account Reconciliation
Budgeting
Strategic Planning
Excellent multi-tasking ability
Friendly nature
Account management
Quality assurance
Customer service
Data Entry
Key holder experience
Professional telephone demeanor
Service standard compliance
Work History
02/2019 to CurrentQuality Assurance AnalystAon Corporation | Columbia, MD,
Supported company in maintaining work environment focused on quality, communication, collaboration, integration and teamwork.
Wrote, edited and updated project manuals and technical documentation used by quality assurance team.
Appointed as main corporate office contact, handling all questions and issues from customers and vendors.
Maintained knowledge of regulatory requirements, to include accrediting bodies, federal, state and local requirements, as well as the ISO 9001 standards to provide the best customer support and satisfaction.
Monitored process checks for proper completion and correct frequency.
Assisted is resolving quality issues while improving operations and providing exceptional customer support.
Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
07/2017 to 11/2018Legal Assistant/Medical Review and Demand SpecialistHammack Law Firm | City, STATE,
Surpassed performance goals by approaching all interactions with resourcefulness, organization and client-centric solutions.
Carried out a variety of day to day functions in a Personal Injury Law Office such as meeting with clients, assisting attorneys with all of the daily file preparation and case management.
Thrived in the fast-paced environment, maintained deadlines and provided excellent service to clients while working with medical providers to facilitate treatment.
Responsible for reviewing each individual medical record to check for missing documentation, reviewed physicians notes to confirm and highlight the evidence and value of each case.
Drafted demands and worked directly with the insurance companies, our clients and attorney to get the best settlement for all clients.
Cultivated long-lasting client relationships based on trust and solid understanding of their needs .
04/2010 to 04/2017Case Manager and Office ManagerCore Health Centers | City, STATE,
Responded to and effectively resolved problems within the administrative programs, staff management, quality assurance standards, and implemented improvements in case management services to better serve each patient.
Reviewed medical files and addressed patient concerns as they relate to acute and chronic medical conditions that would directly pertain to patients' disability entitlements.
Served as the lead point of contact for the Administrator while implementing effective office management procedures in order to improve administrative functions and prevent potential problems from escalating.
Reviewed patient's medical insurance policies and determined eligibility of medical treatments and proposed payment options and deductible cost.
Monitored cases by verifying clients' attendance, observing and evaluating treatments and responses, advocating for special needs services and entitlements, while obtaining additional resources and providing personal support to each patient.
Coordinated schedules, distributed work assignments, and collaborated with personnel in order to establish an effective Team Working Environment.
Effectively conducted pre-certification of admissions and special procedures with insurance companies in order to determine and confirm eligibility for medical treatments.
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
Education
Expected in High School Diploma | Pickens High School, Pickens, SCGPA:
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School Attended
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SWU
Job Titles Held:
Quality Assurance Analyst
Legal Assistant/Medical Review and Demand Specialist
