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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 240.694.6815 abc@xyz.com

 

Experienced customer service professional with extensive experience working in a healthcare setting. Team player, able to excel in a fast-paced environment. Offer a strong working knowledge of medical terminology. Adept at determining the best approach for assisting patients and ultimately, foster facility progress. Able to lead and inspire others to achieve more. Seeking a role in the healthcare sector that will allow for continued leverage of existing skills, as well as offer prospects for career advancement in the government sector after completion of M.S. studies.

 

Key Areas of Expertise

 

Customer Service | Communication | Leadership | Networking | Teamwork | Insurance Expertise

Patient Care | Attention to Detail | Time Management | Microsoft Office | Fastrack & Brightree Systems

 

Professional Experience

 

Respira Medical | Patient Care Coordinator (2013-Present)

         Confirm insurance and secure authorizations using CPT, HCPC and ICD9/ICD10 codes

         Respond to phone calls and fax correspondence from referrals to set up C-pap, Bi-pap and other equipment; educate patients on how to use these medical items, including oxygen tanks

         Educate patients on how to use oxygen, C-pap and Bi-pap machines and other medical equipment

         Enter demographic data into internal databases, as well as product delivery tickets and ones for the replenishment of equipment and nebulizer orders

         Deliver crucial documentation to respiratory therapists to set up home appointments; also review and confirm tickets for DME equipment rental and purchase

         Verify demographics and discuss insurance benefits through phone contact with patients

 

Coram Specialty Infusions | Customer Care Specialist/ADMISSION REP (2008-2013)

         Expedited patient s program eligibility through consulting with medical professionals and insurance carriers

         Led admissions for patient referrals by gathering their respective insurance and demographic content; served as the foremost contact across both new and existing accounts

         Tended to reimbursement account, management and sales force matters in an effort to seek issue resolution

         Ensured accuracy of reporting outcomes when entering system content; audited charts and recorded findings

         Confirmed patients insurance and garnered authorizations on patients behalf using CPT, HCPC and ICD9

 

SKY Neuro Rehabilitation | Clinical Facility Director/Case Manager (2007-2008)

         Supervised a driven, dynamic team and worked as the primary contact point for the Therapist

         Drove the coordination of care for rehabilitated brain-injured patients and provided tours to family members

         Communicated directly with insurance providers to secure authorization for patient services rendered and uphold a count to maximize patient outpatient benefits usage

 

           Yyyyyy x. yyyyyy

Continued

 

Clinical Facility Director/Case Manager (Cont.)

         Made certain that patients received optimal rehabilitation and care on a continual basis, in conjunction with other Case Managers in hospital environments

         Organized and facilitated rounds meetings; communicated patient progress to family members post-meeting

         Called on sound interpersonal acumen and superb organizational skills to locate resources in the community to fuel overall patient improvement and increases in independence

         Ensured patients received optimum level of ongoing rehabilitation and care

 

Admissions Coordinator (2005-2007)

         Gathered all referrals to drive timely completion of all phases of the pre- and during-admission processes

         Determined patient eligibility for benefits including programs and specific therapy types

         Worked as an effective intermediary to communicate with patient and their families to build trust; nurtured and ensured encouraging rapport and ongoing development of SKY referral relationships

         Liaised with referral sources including hospitals, doctor offices and subacute facilities to admit prospective patients with care; done with the aid of the Clinical Liaison

 

United Communities Against Poverty | Case Manager (2003-2005)

         Coordinated and carried out effective workshops and educational programs in a nonprofit agency setting, e.g. GED preparation, graduations, training and orientation, as well as other important events

         Offered job development aids focused on preparation and job placement assistance for clients

         Helped clients develop resumes, as well as network with other agencies and organizations

         Delivered career and life counseling, job training and discussion group leadership

         Authored and submitted reports; updated them to maintain accurate customer files that contained all necessary documentation

 

Education

 

Master of Science, Health Care Administration, University of Maryland University College (ongoing)

Bachelor of Arts, Sociology/Social Work, Elizabeth City State University

 

 

 

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