Yyyyyy x. yyyyyy

Highly Accomplished, Quality-Focused Customer Service Leader who offers proven experience in client / customer relations across healthcare, insurance, and risk management industries, as well as a prior job background in IT, technical support, and hospitality markets. Top Performer who makes sound decisions to reflect positively on key operations in alignment with an employer s vision. Ambitious Self-Starter who rises above challenges to achieve winning outcomes, including quickly adapting to evolving scenarios to reach high productivity levels, as well as independently resolving issues to boost success.

Career Highlights Include:

  Regularly surpassing expectations within autonomous or collaborative environments.

  Quickly learning new processes and procedures, and multitasking to accomplish goals.

  Demonstrating sharp analytical abxxxxxxities and superior attention-to-detaxxxxxx to resolve issues.

  Continually providing creative solutions to urgent issues using strong communication skxxxxxxls.

  Achieving status as a Certified Graduate of the Boyd Travel & Business School in Pittsburgh.

Customer Care Coordinator New Rehab Numotion, Lombard, XXXXXX 2016 Present

Capitalize on the opportunity to lead forward-thinking care coordination initiatives as the primary point-of-contact for rehab orders, including ensuring all assigned orders are quickly and accurately processed to meet client mobxxxxxxity needs. Expertly verify benefit eligibxxxxxxity, determine co-insurance and deductibles, collect co-pays, and describe covered equipment as necessary. Request, collect, and review order documents (i.e. Functional Mobxxxxxxity Evaluation (FME) and Letters of Medical Necessity (LMN).

  Conducted comprehensive research of equipment on various vendor websites.

  Seamlessly fielded questions from physician offices regarding Numotion products.

  Successfully serve as integral member of Assistive Technology Professional (ATP) team.

Referral Specialist AIM Specialty, Westchester, XXXXXX 2016

Initiated and managed clinical referrals for pre-authorization, including contacting physician offices to obtain demographic data. Responded to inbound calls initiating exam requests in alignment with established processes whxxxxxxe meeting and / or exceeding quality and production standards.

  Liaised between hospital, physicians, patients, vendors, and referral sources.

  Optimized services excellence by assigning escalated referrals to appropriate staff.

Program Coordinator Centene Corporation, Chicago, XXXXXX 2014 2016

Strategically steered initiation of authorization requests for output or input services in alignment with prior authorization list, including researching claims inquiries specific to department and responsibxxxxxxity. Ensured ongoing member compliance by verifying appointments, obtaining lab results, and assessing inpatient census. Identified members without a PCP and referred them to Member Services. Screened members by priority for case management assessments. Liaised among members, healthcare professionals, and medical powers of attorney.

  Proactively participated in marketing and outreach meetings to represent plans.

  Contributed talent in coordinating services with community-based organizations.

  Expertly entered assessments and authorizations into the TruCare workflow system.

Associate Production Specialist AON Corporation, Lincolnshire, XXXXXX 2004 2014

Played a vital role in supporting critical decision-making for complex, highly active accounts, including continually providing creative solutions to urgent issues using strong communication skxxxxxxls to achieve success. Promptly resolved inquires via Facetime, IM, phone, and Live chat associated with all ACS service delivery and provided integral consultative services. Processed renewals, including ensuring system records were accurate to guarantee output and client deliverables were produced per guidelines and policy detaxxxxxxs.

  Expertly completed quality assurance objectives in a timely manner.

  Identified and retrieved compliance documents essential to process renewals.

Microsoft Office Professional (Word, Excel, PowerPoint, Access, Outlook) ￨ ACS Bridge ￨ Champion

Choices ￨ Quicken ￨ Lotus Notes ￨ Microsoft Publisher ￨ SharePoint ￨ Maxxxxxx Merge ￨ Internal Systems

Yyyyyy x. yyyyyy

Date

Hiring Agent Name

Company Name

Address

City/State/Zip Code

Dear__________________:

I am exploring a new career opportunity within a challenging [ Insert Job Title ] role, and I believe that I can make a positive contribution to your success.

To acquaint you with my background, I can offer proven experience in Client / Customer Relations, Care Coordination, Account Management, Client Needs Analysis / Assessment, Conflict Resolution, Cross-Functional Team Communications, and Customer Service within healthcare, insurance, and risk management industries. I am also highly skxxxxxxled in Data / Records Management, Process Optimization, and Regulatory Compliance, among other areas.

Currently, as a Customer Care Coordinator (New Rehab) for Numotion, I expertly serve as the primary point-of-contact for rehab orders, including ensuring all assigned orders are quickly and accurately processed to meet client mobxxxxxxity needs. Within this role, I verify benefit eligibxxxxxxity, determine co-insurance and deductibles, collect co-pays, and describe covered equipment as necessary. I also request, collect, and review order documents (i.e. Functional Mobxxxxxxity Evaluation (FME) and Letters of Medical Necessity (LMN).

A sample of my accomplishments include:

  Conducting comprehensive research of equipment on various vendor websites.

  Serving as an integral member of the Assistive Technology Professional (ATP) team.

  Seamlessly fielding questions from physician offices regarding top Numotion products.

[ Suggestion! Optional! Address Here Any Skxxxxxxls / Qualifications / Achievements Relevant to the Job Posting. REMOVE this before sending]. As this is just an example of my abxxxxxxities, please refer to my enclosed resume for additional experience.

As a proven leader, I am positioned to deliver both immediate and long-term results with a continued commitment to exceeding your team s goals. I am eager to discuss how my qualifications uniquely match your current and future needs, and look forward to interviewing with you soon.

Sincerely,

Yyyyyy x. yyyyyy