, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
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.
- Status meetings
- Accurate recordkeeping
- Program follow-up and assessment
- Ongoing client support
- MS Office expertise
- Patient relationship management
- Document management
- Care planning
- Program coordination
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- Interdisciplinary teamwork
- Insurance billing
- Invoice generation
- Problem resolution
- Team building
- Customer service
- Communications
- Administrative support
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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.
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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