
Resourceful Support Coordinator known for high productivity and efficient task completion. Possess key skills in client relationship management, problem-solving, and project coordination. Excel using empathy, communication, and adaptability to meet diverse client needs and foster positive outcomes.
Resolved patient inquiries in a single call by demonstrating knowledge and empathy.
▪ Recognized patterns of inconsistent and/or inaccurate claims filing and billing practices.
▪ Reviewed accounts and initiated pro-authorizations for services, medications, and procedures.
▪ Collected demographics, insurance details, and clinical information to meet all reimbursement requirements.
▪ Followed up on denied requests and work to resolve issues
.
▪ Greeted all customers and provided prompt, courteous customer service and assistance.
▪ Provided a neat and clutter free work area.
▪ Processed cash and all major card transactions with speed and efficiency in a busy retail store.
▪ Closed and opened the store which required punctuality and the ability to accurately close out
▪ registers.
▪ Maintained a perfect attendance record while frequently stepping up to substitute for absent
▪ personnel during other shifts.
▪ Collected money for emergency visits, procedures, and/or doctor appointments.
▪ Assisted patients with setting accounts on payment plans and collected insurance information to
submit a claim to insurance companies.
▪ Went over itemized billing with patients. Explaining any medical terminology, the patient was
unfamiliar with.
▪ Corresponded to patient and physician’s questions regarding EOB’s, patient balances, co-pays,
deductibles, write-offs, etc.
▪ Worked with Medicaid, Medicare, Commercial Insurances and Worker’s Comp Insurances.
▪ Recognized patterns of inconsistent and/or inaccurate claims filing and billing practices among
customers and providers.
Cashier/Customer Service Representative
▪ Ensured productivity met or exceeded service and quality standards.
▪ Adhered to HIPAA policies and protocols, becoming HIPAA certified.
▪ Navigated through multiple computer applications with speed and accuracy.
▪ Provided support for pharmacy information management system to retail pharmacy employees.
▪ Answered incoming chats from employees.
▪ Explained copays, deductibles, coinsurance, and out of pocket maximum to members.
▪ Called other insurance companies and healthcare physicians on behalf of members per the
T
▪ Ensured clients received their medications on time.
▪ Supported clients who cannot move on their own.
▪ Helped clients bathe, dress, eat, etc.
▪ Assisted client with physical therapy exercises.
▪ Provided necessary housekeeping to maintain a clean environment.
▪ Informed physicians or supervisors about uncommon events.
▪ Acted quickly and responsibly in cases of emergency.
▪ Updated and maintained patients’ records.
▪ Researched denied claims, conducted coding reviews of medical records, and supported
documentation against denied claims.
▪ Provided information to patients about referrals to other doctor’s offices, specialists, and
surgeons.
Patient Engagement Specialist | H