, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Professional Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Skills
Insurance Knowledge
Data Entry
Organization and Time management
Clerical
Recruitment
Scheduling
Conflict managements
Self-motivated professional
Understanding of medical terms
Prior authorization processing
MS Office
Medical Records Management
EMR / EHR
Sales
Exceptional Customer Service
Work History
01/2021 to CurrentSubject Matter ExpertFlightsafety International Inc. | Mcconnell Air Force Base, KS,
Contact assigned list of Veterans to determine their medical appointment scheduling preference Provider and availability
Liaised with customers, management and V.A to better understand customer needs and recommend appropriate solutions.
Work with leadership team to identify and forward potential Quality of Care complaints
Cross-trained and backed up other customer service managers.
Trained new personnel regarding company operations, policies and services.
Monitored inbound and outbound calls made by 15 employees to provide constructive feedback.
Crafted training materials and ran on-boarding sessions to train 10 incoming team members.
08/2020 to 01/2021Patient Care CoordinatorSmilebuilderz | Lancaster, PA,
Reviewed each step of patient care and made proactive adjustments to avert issues.
Met with patients and families to discuss care and plan of action for future.
Educated patients by explaining preparation instructions for upcoming procedures and tests.
Encouraged patients to schedule recommended procedures.
Scheduled and confirmed appointments
Operated multi-line telephone system to independently handle over 20-40 calls each day.
Checked patient insurance, demographic and health history to keep information current.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Used computer programs and registration systems to schedule patients for routine and complex procedures.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
11/2018 to 07/2020Senior Member Services RepresentativeTremont Credit Union | Milton, MA,
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Provided outreach for additional information for appeals and grievances.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
Responded to customer comments and questions via LiveChat during shifts.
Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned. Takes calls from both members and providers
Met customer call guidelines for service levels, handle time and productivity.
Performed prior authorization review of services requiring notification.
Compliant with all HIPAA, PHI, & CMS guidelines and regulations.
Competent knowledge of health plan products, policies, procedures, benefits, & coordination of benefits.
Efficiently took inbound calls & made outbound calls to and from health providers, pharmacies, & internal company departments with accurate call documentation.
11/2017 to 03/2019Store ManagerHair Club For Men And Women | Houston, TX,
Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings.
Facilitated high volumes of cash, credit and gift card transactions, verifying cash drawer balance at end of each shift.
Managed day-to-day staffing and handled scheduling for all store employees.
Recruited and retained top talent, with focus on completing timely performance evaluations, providing positive feedback and rewarding superior performance.
Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget.
Stocked merchandise, clearly labeling items, and arranging according to size or color.
Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
Education
Expected in 05/2024Associate of Business Administration | Business ManagementCommunity College of Allegheny County, Pittsburgh, PAGPA:
Expected in 06/2012High School Diploma | Westinghouse Academy , Pittsburgh, PAGPA:
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