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

Dedicated professional with over 15+ years of experience in office settings providing exceptional clerical and operational support. Ability to thrive in team-based or independently-motivated settings. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

Skills
  • Status meetings
  • Accurate recordkeeping
  • Program follow-up and assessment
  • Ongoing client support
  • MS Office expertise
  • Patient relationship management
  • Document management
  • Care planning
  • Program coordination
  • Interdisciplinary teamwork
  • Insurance billing
  • Invoice generation
  • Problem resolution
  • Team building
  • Customer service
  • Communications
  • Administrative support
Experience
06/2016 to 04/2021
Service Coordinator Agreeya Solutions Norristown, PA,
  • Maintain confidential member documentation to prevent data compromise and comply with HIPAA regulations.
  • Educate Legal Advocates/ Guardians/Member on various resources, services and programs to maximize care.
  • Establish and maintained quarterly contact with members' or designated family members and complete Outreach screenings to check on member for changes to medical conditions.
  • Coordinate services for multiple individuals and families.
  • Identify and contact appropriate community resources on behalf of members.
  • Solicit feedback from staff and volunteers to improve existing programs.
  • Identify gaps in current services and develop relationships with potential providers, including charitable organizations, schools and government agencies.
  • Built and maintain strong relationships with members and families by successfully resolving issues and responding promptly to phone inquiries to deliver high level of service or care.
02/2014 to 05/2016
Customer Service Representative Rich Products Corporation Houston, TX,
  • Assisted approximately 60+ members each day with health plan insurance questions.
  • Answered 60+ inbound calls per day and directed to designated individuals or departments.
  • Answered customer questions and addressed concerns, resulting in 90% reduction in complaint calls.
  • Delivered high level of service and support to each member by asking probing questions
  • Applied cultural knowledge and interpersonal abilities to help members open up and explain concerns.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Documented conversations with members (LAR) to track requests, problems and solutions.
  • Handled over 30+ translation calls per day with open and clear communication skills useful for efficiently getting to root of each issue.
  • Consulted with members regarding Driscoll Health Plan needs, addressing benefit concerns.
  • Provided detailed monthly departmental reports and updates to senior management.
08/2010 to 01/2014
Billing Coordinator Analysis Group Boston, MA,
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Kept up-to-date with details of insurance plans and company requirements.
  • Prepared accounts for financial audits and supported audit process.
  • Submitted appeals on behalf of patients for denied claims.
  • Reported past due payments to collections department.
  • Input details into accounts and tracked payments.
  • Responded to telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
  • Completed documentation, reports and spreadsheets of financial information.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Gathered information to produce accounts payable reports for review.
  • Maintained accounting ledgers by verifying and posting account transactions.
  • Facilitated payment of invoices due by sending bill reminders and contacting patients
03/2005 to 07/2010
Patient Coordinator University Of Utah Medical Group Park City, UT,
  • Attended educational workshops and classes to increase professional knowledge and expertise.
  • Collaborated with interdisciplinary healthcare professionals to develop and modify individualized care plans for patients in multiple units.
  • Coordinated care for patients, including overseeing admission processes and managing patient flows.
  • Provided daily, structured routines for senior patients to reduce stress and anxiety.
  • Performed comprehensive patient assessments and interviewed patients to compile medical histories.
  • Ensured patient files were pulled and insurance verified before patient's appointment.
Education and Training
Expected in
: Medical Office Specialist
Careers Centers of Texas - Corpus Christi, TX,
GPA:
Expected in 06/1995
High School Diploma:
Robstown High School - Robstown, TX,
GPA:

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Resume Overview

School Attended

  • Careers Centers of Texas
  • Robstown High School

Job Titles Held:

  • Service Coordinator
  • Customer Service Representative
  • Billing Coordinator
  • Patient Coordinator

Degrees

  • Some College (No Degree)
  • High School Diploma

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