Follows standard operating procedures in analyzing data from which answers can be readily obtained. down-staffing, up-staffing), Completion of weekly Team Manager Scorecard for review with Operations Manager, Manage program specific performance standards (i.e. Create a Resume in Minutes with Professional Resume Templates, Healthcare Customer Service Representative, Healthcare Customer Service Resume Samples. Senior Customer Service Representative, 2010 – present For your resume structure, you’ll rely on a bullet-based format that covers five key components. Analyzed statistics and compiled accurate reports. For a Customer Service Representative resume, your reverse-chronological work history should be the focus, with your education history and skills coming in second place. Healthcare Resume Statements. As you see in the customer service manager resume sample, there are only three pieces of information that you must list: the type of degree you earned, the date you earned it, and the school you graduated from. Present the most important skills in your resume, there's a list of typical manager, healthcare skills: Proven independent performer; yet able to work effectively in a team environment Working in the customer service industry requires you to use specific software and … A tight customer service schedule is crucial if you want a 100% satisfaction score. Check out the samples below to learn more. Jobs for healthcare IT professionals are … ), Ability to sit and work at a computer for an extended period of time, Develops effective working relationships with internal and external clients, Gain general understanding of HMS and office operations, Receive inbound calls from participants and providers with regards to plan benefits and claim status information, Answer participant/provider questions, as well as question callers to obtain full understanding of what assistance is needed, Document all calls accurately using call tracking system, Monitor call status for responses from other departments, as needed, so call returns are done in a timely fashion, Research caller’s issues/problems and find solutions, Follow-up with caller within a 24-hour period regarding the initial phone call, even if it is just to touch base and let caller know the inquiry is being researched, Local positions would be considered within 50 miles of where you live, As a Dell Associate, you will have access to benefits and retirement plans on the first start day of employment, Ability to perform essential job functions with high degree of independence, flexibility, and creative problem solving techniques, 1 – 2 years prior experience in an inbound call center and/or customer service environment; hospital patient account billing with experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus, Hospital Environment may include direct patient interaction, Answers basic clinical and program inquiries, Coordinates access to therapies, schedules and conducts appropriate follow-up, and facilitates access to appropriate support services, Follows up via phone, mail, and/or fax for missing enrollment information, Identifies other sources of health care coverage for patients through simple queries and use of PayerPlus database, Basic understanding of payer eligibility and benefits, Health care research and analysis skills sufficient to support payer research healthcare policy library and state management, Communicate with Patients and Patients Representatives to resolve healthcare accounts while offering excellent customer service, Maintain diplomacy when addressing matters escalated, Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event, Responsible for meeting monthly goals and quality standards through efficient and accurate work processes, Review open accounts to determine and take appropriate actions through understanding charges, billed claims, payments, denials, adjustments, and refunds, Respond to verbal and/or written inquiries in a timely manner, Process all correspondences with adherence with the Health Insurance Portability and Accountability Act (HIPAA) guidelines where applicable, Knowledge, understanding, and compliance with company policies and procedures, Provide feedback to management concerning possible problems or areas of improvement, High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired, Previous customer service and healthcare receivables experience preferred, Understanding of health insurance providers, Workers' Compensation, Medicare, Medicaid, and liability claims processes and contracts, Excellent interpersonal, written, and oral communication skills, Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification, Educate patients and patient representatives on the eligibility requirements, application process, and verification requirements for applicable programs, Facilitate the application process when appropriate for the patient by assisting the patient in the completing of the application, scheduling appointment interviews and obtaining required verification, Maintain consistent proactive communication with the patient and/or patient representative throughout the eligibility process, keeping the patient informed of the accounts progress, Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance, Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures, Ensure accounts are processed in accordance to Eligibility Program standards, Client expectations, and federal and state regulations including but not limited to, Health Insurance Portability and Accountability Act (HIPAA) guidelines, Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations, Previous healthcare coverage/ eligibility experience preferred, Proficient personal computer skills including Microsoft Office, Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner, Thoroughly review all notes in patient accounts for potential insurance benefit eligibility, Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing, Request necessary documents from client to perform insurance billing, Responsible for accurately tracking payments and payment verifications, Contact patients when additional information is required to complete billing, Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management, High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired, Previous insurance/medical billing/customer service experience preferred, Proficient personal computer skills, including Microsoft Office, Ability to prioritize and organize work in a multitasked environment, Facilitates access to appropriate support services, including reimbursement counseling, nursing hotline, and support, Processes incoming enrollment forms for program, Works on problems of limited scope.
2020 healthcare customer service manager resume