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specialty health representative resume example with 8+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Customer care representative position where my customer relations experience can be fully utilized to improve customer satisfaction and enhance the company brand name. Strong interpersonal skills. Easily adapts to changes. Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings. Uses independent decision-making skills and sound judgment to positively impact company success.

Skills
  • Telecommunications knowledge
  • Strong problem solving ability
  • High customer care standards
  • Active listening skills
  • Customer service expert
  • Telecommunication skills
  • Medical Terminology knowledge
  • Microsoft Office proficiency
  • Time management
  • Excellent communication skills
  • HIPAA compliance
  • Insurance Verification
  • Data Entry
  • Type 60 WPM
Experience
Specialty Health Representative, 11/2015 to Present
Forsyth County, GeorgiaCumming, GA,
  • Handle inbound calls from customers with inquiries and questions regarding their health insurance, wellness programs, prescription plans and help provide the best solutions for the customers' health and financial well-being.
  • Assist in program development with new products and/or services.
  • Process one-time checking and credit card by phone payments.
  • Evaluate information and options and select the alternative that best meet the requirement of the issue(s) presented.
  • Service patients to help better their health.
  • Data entry.
  • 50 + Inbound/Outbound Calls.
  • Insurance Specialist.
  • Benefits enrollment.
  • Onboarded new employees.
  • Completion of quality reviews prior to case determinations.
  • Responsible for auditing PAP applications to the Amgen Safety Net Program and ensuring the correct procedures have been followed and an accurate decision is sent to the patient and physician.
  • Maintained detailed records of patient insurances', documentation of services and case notes.
  • Explained medical care options to help families make informed healthcare decisions.
  • Participated in clinical supervision to maintain professional development.
  • Collaborated with healthcare providers to drive continuity of care.
Customer Service Representative, 01/2015 to 08/2015
ConcentrixCity, STATE,
  • Provided primary customer support to internal and external customers.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Responded to customer requests for products, services, and company information.
  • Updated account information to maintain customer records.
  • Developed customer service policies and procedures to meet and exceed industry service standards.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Processed customer service orders promptly to increase customer satisfaction.
  • Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
  • Exhibited high energy and professionalism
  • Responded proactively and positively to rapid change.
Physical Therapy Student Intern, 06/2013 to 08/2013
Sundance Physical TherapyCity, STATE,
  • Collaborated with hospital departments and community agencies to deliver coordinated care.
  • Designed treatment program to achieve established goals.
  • Conferred with other health care staff to enhance rehabilitation or maintenance of function.
  • Leveraged usual and customary equipment to perform essential functions.
  • Worked one-on-one to restore function, relieve pain and prevent disability.
  • Taught patients how to live within limits of capabilities and celebrated successes.
  • Observed patient tolerance and status during treatment to modify treatment program if necessary.
  • Administered initial and on-going assessments of patient's condition.
  • Coordinated patient care with interdisciplinary team of medical professionals and specialists.
Education and Training
: , Expected in to Certifications And Licenses - ,
GPA:

BLS: CPR/AED for Professional Rescuers and Healthcare Providers

April 2011 to April 2014

Emergency Response

April 2011 to April 2014

Administering Emergency Oxygen

April 2011 to April 2014

First Aid CPR AED

April 2018 to April 2020

Bachelor of Science: Health Promotions, Expected in 05/2013 to Weber State University - Utah,
GPA:

Received certification for training new hires as they enter customer service roles

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Resume Overview

School Attended

  • Certifications And Licenses
  • Weber State University

Job Titles Held:

  • Specialty Health Representative
  • Customer Service Representative
  • Physical Therapy Student Intern

Degrees

  • Bachelor of Science

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