referral and eligibility coordinator level iv resume example with 13 years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
Summary
Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Bilingual individual committed to engaging others and delivering exceptional service. Ready to tackle new challenges in an office-based environment. Reliable professional offering an extensive career promoting positive customer experiences. Sharp Eligibility Specialist boasting expertise in managing and eligibility information for members and groups.
Skills
- Applicant support and service
- Telephone etiquette
- Knowledgeable in [Software]
- Recordkeeping and data input
- Advocacy and Counseling
- Instructing customers
- Insurance billing
- Customer service
- Communications
- Invoice generation
- Problem resolution
- MS Office
- Issue and conflict resolution
Education and Training
Cesar Chavez High School Laveen, AZ Expected in 05/2005 ā ā High School Diploma : - :
Experience
Apria Healthcare - Referral and Eligibility Coordinator, Level IV
Rapid City, SD, 10/2016 - Current
Rapid City, SD, 10/2016 - Current
- Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Improved rate of resolved trouble tickets by implementing [Describe process].
- Reviewed criteria for different aid programs to determine eligibility for various applicants.
- Continuously applied quality-improvement methodologies to improve work processes.
- Cultivated effective fact-checking and research talents from daily reviews of program eligibility requirements.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Analyzed information from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to assess clients' abilities, needs and eligibility for services.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Processed benefits applications, which included documents for food stamps and medical assistance.
- Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services.
The Hertz Corporation - Insurance A/R Specialist
Brookfield, WI, 10/2013 - 10/2016
Brookfield, WI, 10/2013 - 10/2016
- Provided advanced support for [Type] projects with strong documentation, reporting and customer service skills.
- Enhanced client satisfaction ratings by resolving difficult customer issues through completion.
- Offered every client knowledgeable and supportive assistance to meet all needs and build loyalty.
- Listened to clients' needs and assisted with identifying and securing appropriate services.
- Used multiple resources and tools for evaluating and presenting solutions.
- Utilized expertise in [Software] to produce [Description of results].
- Oversaw daily [Function], [Function] and [Function] to enhance business operations.
- Managed procedures for start-up, daily operations and shutdowns.
Apria - Patient Account Resolution Specialist
City, STATE, 06/2010 - 10/2013
City, STATE, 06/2010 - 10/2013
- Set up plans to handle payments, payment plans and defaults on balances.
- Negotiated dispute resolution and communicated resolution status to customers.
- Performed full research to check claims and possible solutions to individual issues.
- Informed customers about issue resolution processes and progress and negotiated resolution of disputes.
- Reviewed accounts with aging balances and contacted customers to review options.
- Evaluated each customer's situation with fresh eye in order to develop most effective solution.
- Completed documentation for all actions and customer interactions.
- Methodically resolved active claims by analyzing possible discount violations, PODs, shortages, returns and related advertising.
- Partnered with cash application team and credit manager on timely and accurate posting of remittances.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Interfaced with customers to bring accounts current with suitable repayment plans.
- Improved operations by working with team members and customers to find workable solutions.
- Leveraged [Software] to input and compile data gathered from various sources.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
Subway - Manager
City, STATE, 05/2008 - 06/2010
City, STATE, 05/2008 - 06/2010
- Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
- Monitored supplier operations to verify quality, delivery schedule and conformance to contract specifications.
- Evaluated store performance by receiving, analyzing and incorporating feedback from store inspections to implement action plans for improvements.
- Evaluated operational trends and made proactive strategy adjustments to maintain alignment between performance and objectives.
- Recruited and hired qualified candidates to fill open positions.
- Greeted and encouraged feedback from customers to implement in-store operational changes.
- Assigned tasks to associates to fit skill levels and maximize team performance.
- Promoted employee safety awareness based on understanding of regulatory mandates and organizational best practices.
- Facilitated month-end journal entries, account reconciliation and invoicing using [Software].
- Conducted inventory counts by assessing current state of inventory integrity against target accuracy levels and tracking variances.
- Trained employees on additional job positions to maintain coverage of roles at all times.
- Automated office operations, managed client correspondence and tracked records.
- Assessed, optimized and elevated operations to target current and expected demands.
- Generated reports to assess performance and make adjustments.
- Forecasted trends in expected business levels and adjusted labor and inventory to match expectations.
- Recruited, hired and trained new employees, including monitoring and review of individual performance.
- Remained calm and professional in stressful circumstances and when dealing with unhappy customers, effectively diffusing situations.
- Mitigated risk by ensuring regulatory compliance for required licensing.
- Directed schedule of weekly projects and anticipated timelines for milestones and completion dates.
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Resume Overview
School Attended
- Cesar Chavez High School
Job Titles Held:
- Referral and Eligibility Coordinator, Level IV
- Insurance A/R Specialist
- Patient Account Resolution Specialist
- Manager
Degrees
- High School Diploma
By clicking Customize This Resume, you agree to ourĀ Terms of UseĀ andĀ Privacy Policy
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