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Senior Reimbursement Counselor Resume Example

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

Call Center Representative versed in customer support in high call volume environments. Superior computer skills and telephone etiquette. Motivated customer service specialist with over 4 years’ retail experience in a fast-paced, team-based environment. Customer service professional seeking a management role. Skilled in training staff and establishing rapport with clients. Self-motivated with exceptional communication and computer capabilities. Friendly Sales Associate adept at working in diverse retail and customer service environments.

Skills
  • Creative problem solver Multi-line phone talent
  • Trusted key holder Shipping and receiving professional
  • MS Windows proficient
  • Quick learner
  • Strong client relations
  • Local/state health laws knowledge
  • Proficient in cash management
  • Shipping and receiving professional
  • Credit card processing
  • Multi-line phone talent
  • Medical terminology knowledge
  • Art, Quick learner
  • Trial balance, Quickbooks
  • Benchmarking, Receiving
  • Cash management, Reconciling
  • Closing, Recording
  • Contracts, Reporting
  • Creative problem solver, Safety
  • Credit, Sales
  • Client relations, Scheduling
  • Database, Shipping
  • Delivery, Phone
  • Filing, Workshops
  • Financial
  • General ledger
  • Insurance
  • Legal
  • Marketing strategies
  • Medical terminology
  • Meetings
  • MS Windows
  • Networks
  • Nursing
  • Personnel
  • Philosophy
  • Policies
  • Processes
  • Progress
  • Publications
  • Quality
Experience
10/2019 to 04/2021
Senior Reimbursement Counselor The University Of Kansas Hospital Liberty, MO,
  • Called an average of 20 insurance companies per day by addressing customer inquiries, solving problems and provided new product information.
  • Attracted potential customers by answering product and service questions; suggesting information about other products and services.
  • Opened customer accounts by recording account information.
  • Maintained customer records by updating account information.
  • Resolved product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
  • Maintained financial accounts by processing customer adjustments.
  • Recommended potential products or services to management by collecting customer information and analyzing customer needs.
  • Prepared product or service reports by collecting and analyzing customer information.
  • Contributed to team effort by accomplishing related results as needed.
  • Earned management trust by serving as key holder, responsibly opening and closing store.
  • Directed calls to appropriate individuals and departments.
  • Created and maintained an organized database to develop promotional sales.
  • Asked open-ended questions to assess customer needs.
  • Recommended alternative items if product was out of stock.
  • Set up and explained new membership contracts.
  • Described product to customers and accurately explained details and care of merchandise.
  • Implemented marketing strategies which resulted in 70% growth of customer base.
07/2018 to 10/2019
Patient Care Coordinator Nidec Motors Perry, OH,
  • Contributed to team effort by accomplishing related results as needed.
  • Maintained professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
  • Maintained patient care database by entering new information as it becomes available; verifying findings and reports; backing up data.
  • Maintained customer records by updating account information.
  • Maintained quality service by establishing and enforcing organization standards.
  • Maintained financial accounts by processing customer adjustments.
  • Recommended potential products or services to management by collecting customer information and analyzing customer needs.
  • Protected self, co-workers, and patients by following policies and procedures to prevent the spread of bloodborne and/or airborne diseases.
  • Monitored delivery of care by completing patient rounds; documenting care; identifying progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers; interacting with involved departments to negotiate and expedite scheduling and completion of tests, procedures, and consults; reporting personnel and performance issues to the unit manager; maintaining ongoing communication with utilization review staff regarding variances from the care plan or transfer/discharge plan.
  • Complied with hospital and legal requirements by fostering nursing practices that adhere to the hospitals and nursing division's philosophy, goals, and standards of care; requiring adherence to nurse practice act and other governing regulations.
  • Created and maintained an organized database to develop promotional sales.
  • Evaluated outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team; implementing team recommendations.
  • Developed interdisciplinary care plan and other case management tools by participating in meetings; coordinating information and care requirements with other care providers; resolving issues that could affect smooth care progression; fostering peer support; providing education to others regarding the case management process.
  • Set up and explained new membership contracts.
  • Described product to customers and accurately explained details and care of merchandise.
  • Oriented and educates patients and their families by meeting them; explaining the role of the patient care coordinator; initiating the care plan; providing educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements.
04/2018 to 07/2018
Bookkeeping Harry Levine City, STATE,
  • Complied with federal, state, and local legal requirements by studying requirements; Enforced adherence to requirements; filing reports; advising management on needed actions.
  • Developed system to account for financial transactions by establishing a chart of accounts; Balanced general ledger by preparing a trial balance; reconciling entries.
  • Maintained an accurate record of financial transactions using Xero and Quickbooks Invoiced and direct payment processes to the right department.
  • Recorded, Classified and Organized financial transactions.
  • Maintained the trial balance, by a reconciliation of general ledgers Ensured safety and well-being of customers.
  • Maintained subsidiary accounts by verifying, allocating, and posting transactions.
05/2015 to 03/2018
Customer Service Representative Tender Health Care Services City, STATE,
  • Answered an average of 160 calls per day by addressing customer inquiries, solving problems and providing new product information.
  • Greeted customers entering the store to ascertain what each customer wanted or needed.
  • Described product to customers and accurately explained details and care of merchandise.
  • Earned management trust by serving as key holder, responsibly opening and closing store.
  • Developed reputation as an efficient service provider with high levels of accuracy.
  • Scored in top 10% of employees in successful resolution of issues Directed calls to appropriate individuals and departments.
  • Built long-term customer relationships and advised customers on purchases and promotions.
  • Monitored fluid intake and output levels.
  • Assisted patients with daily functions.
  • Managed clinical oversight for 44-bed unit.
  • Completed clinical rotations in Geriatrics.
Education and Training
Expected in 2014
High School Diploma:
James Hubert Blake High School - Norwood, Silver Spring, MD
GPA:
Expected in
Associate of Science:
Howard University - Washington, NW, DC
GPA:
Accomplishments
  • My References are : Scholastic Lawson ( Former Supervisor ) - 2405019375 Sharia Green (Former Supervisor) - 2403550418 Marquita McCullum ( Associate) – 2025779007 Sylvia Ebong (Former Supervisor) - 2023168662.

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Resume Strength

  • Formatting
  • Measurable Results
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • James Hubert Blake High School
  • Howard University
Job Titles Held:
  • Senior Reimbursement Counselor
  • Patient Care Coordinator
  • Bookkeeping
  • Customer Service Representative
Degrees
  • High School Diploma
  • Associate of Science

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