Healthcare Customer Service Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the healthcare customer service job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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E Cormier

Ethan

Cormier

99743 Krajcik Trail

San Francisco

+1 (555) 740 5461

99743 Krajcik Trail

San Francisco

Phone

p +1 (555) 740 5461

Experience Experience

Los Angeles, CA

Healthcare Customer Service

Los Angeles, CA

Schmitt-Rosenbaum

Los Angeles, CA

Healthcare Customer Service

Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers
Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications
Supports payer research, health care policy library, and state management
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
Typically receives little instruction on day-to-day work, general instructions on new assignments
Performs related duties as assigned
Typically receives general instructions on routine work, detailed instructions on new projects or assignments

Boston, MA

Healthcare Customer Service Supervisor

Boston, MA

Dibbert-Abbott

Boston, MA

Healthcare Customer Service Supervisor

Manage staffing in accordance with program specific workflow (i.e. down-staffing, up-staffing)
Completion of weekly Team Manager Scorecard for review with Operations Manager
Manage program specific performance standards (i.e. AHT, Quality Scores, Sales, etc)
Manage financial implications of attrition and attendance by maintaining program-specific goals
Provides regular supervision and mentorship over subordinate staff
Ensure regular and effective communication with subordinate staff on performance, goals, and coaching
Facilitates daily agent coaching and development sessions in both written and verbal format

present

Dallas, TX

Healthcare Customer Service Representative

Dallas, TX

Schaden Group

present

Dallas, TX

Healthcare Customer Service Representative

present

Make recommendations to implement improved processes
Working knowledge of Protected Health Information (PHI), HIPPA
During travel, a weekly per-diem is provided but not while on rotations home
Self-motivation to work under his/her own initiative
Informs management of operational issues impeding performance or customer satisfaction including but not limited to those impacting the customer, client, or the company
Maintains exceptional service and integrity with customers and client accounts through accurate, timely, relevant, and quality work efforts of all inventory assigned to the self-pay billing revenue cycle and call center
Maintain broad knowledge of products, pricing, promotions, procedures, and other important issues through management communications, meetings, client focus groups, and formal training

Education Education

Associate’s Degree in Independence

DePaul University

Associate’s Degree in Independence

Skills Skills

Strong organizational skills; attention to detail
Ability to proficiently use computer and standard office equipment
Basic knowledge of FDCPA
Basic Knowledge of UB-92 and Explanation of Benefits (EOB) interpretation
Ability to proficiently use Microsoft Excel, Outlook and Word
Basic knowledge of CPT and ICD-codes
Learns to use professional concepts; applies company policies and procedures to resolve routine issues
General knowledge of accounting principles, pharmacy operations, and medical claims
Strong mathematical skills
Ability to resolve associate issues effectively and efficiently

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13 Healthcare Customer Service resume templates

Read our complete resume writing guides

Healthcare Customer Service Resume Examples & Samples

We have a variety of work-at-home opportunities, travel assignments and some local positions
Our work-at-home assignments require high speed internet services (non-refundable) and we provide a PC or laptop for the duration of your project
Our travel assignments are located nationwide and may require 100% travel with rotations home every 6-8wks depending on the client requirement
Travel includes your hourly wage, $245/week per diem (paid each Friday ~ no receipts needed, this is yours free and clear), and all travel/hotel/rental car expenses covered in full up front (no out of pocket to you)
THIS is a local assignment that would be within 50 miles of your residence

Healthcare Customer Service Representative Resume Examples & Samples

Maintain a high level of world class customer service/professionalism to a wide range of customers
Recommend products that best suit the customer
Ability to read and interpret documents. Qualifications
Ability to type 30 WPM
Must be at least 18 years of age or older Benefits, Benefits and More Benefits!
Medical, Dental, Vision, & 401k plans
Educational assistance up to $5200 annually
Paid Time Off
Fun working environment!
Company discounts! Local restaurants, gyms, cell phone service discounts, auto, travel, international theme parks and many more!

Healthcare Customer Service Resume Examples & Samples

Customer call center environment experience
HS diploma required, Associates degree preferred
Ability to communicate both verbally and in writing, fluently in English
Ability to build relationships both in person and over the phone
Ability to work proficiently with company software used on the project (i.e. Microsoft Word, Excel, ImageNow, etc.)
Ability to navigate various websites
Ability to sit and work at a computer for an extended period of time
Develops effective working relationships with internal and external clients
Meets attendance guidelines
Gain general understanding of HMS and office operations

Healthcare Customer Service Representative Resume Examples & Samples

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

Healthcare Customer Service Representative Resume Examples & Samples

During travel, a weekly per-diem is provided but not while on rotations home
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

Healthcare Customer Service Representative Resume Examples & Samples

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

Healthcare Customer Service Resume Examples & Samples

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
Typically receives general instructions on routine work, detailed instructions on new projects or assignments
Performs related duties as assigned
Strong interpersonal skills
Ability to proficiently use computer and standard office equipment
Basic understanding of payer eligibility and benefits
Health care research and analysis skills sufficient to support payer research healthcare policy library and state management
Ability to resolve associate issues effectively and efficiently

Healthcare Customer Service Representative Resume Examples & Samples

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
Proficient personal computer skills
Excellent interpersonal, written, and oral communication skills

Healthcare Customer Service Representative Resume Examples & Samples

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

Healthcare Customer Service Representative Resume Examples & Samples

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

Summer Internship Healthcare Customer Service Resume Examples & Samples

Facilitates access to appropriate support services, including reimbursement counseling, nursing hotline, and support
Processes incoming enrollment forms for program
Supports payer research, health care policy library, and state management
Works on problems of limited scope. Follows standard operating procedures in analyzing data from which answers can be readily obtained. Builds stable working relationships internally
Learns to use professional concepts; applies company policies and procedures to resolve routine issues

Healthcare Customer Service Representative Resume Examples & Samples

Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties
Document pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company
Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed
Responsible for securing authorizations and documenting all pertinent information (i.e.): Insurance, Ordering information, Physician information, Tax ID, CPT, HCPCS and ICD 10 codes. Documentation must include, authorization status, authorization number, ordering procedures, verified from, dates approved for and any other pertinent information
Responsible for meeting all patient registration goals in a timely manner to ensure time sensitive requirements are obtained
Working knowledge of Protected Health Information (PHI), HIPPA
Personally responsible, respect for self and others, innovative through teamwork, dedication to caring and excellence in customer service
Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information
Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system
Obtains and accurately completes ABN or MSP forms, when applicable
Obtains complete and accurate insurance information and completes insurance verification by contacting patients, physician offices and insurance/payer regarding the visit
Works according to standard operating procedure during ADT/system downtimes
Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments
Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement
Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy
Responsible for communicating with patients regarding patient financial responsibilities before or at time of service. Informs patients on billing process for facility and providers
Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties

Healthcare Customer Service Representative Resume Examples & Samples

Proactively contact customers using outbound calling technology
Actively participate in ongoing training and compliance to all state rules and regulations
Ensure accuracy of information collected
May need to follow-up and encourage customers to send back required documentation
Conduct effective consultative selling by asking appropriate questions and matching the right product to the customer’s needs, resulting in closed sales as well as increased customer satisfaction
Comply with all do-not-call and insurance regulatory standards
Demonstrated success in an INBOUND OR OUTBOUND SALES
Strong goal orientation. Must provide good examples of how they set challenging goals and strive to achieve personal success
Capacity to learn complex processes and policies
Ability to successfully take tests and retain knowledge
Knowledge of computer operations
Detail oriented with examples of how they have been able to ensure high quality work
Willingness to rotate shifts, as needed
Positive orientation: as in focused on how to achieve success, not on barriers
Dependable and flexible
Good listening and responding skills
Possess a drive to achieve as well as insight into self and others

Healthcare Customer Service Representative Resume Examples & Samples

Consulting with customers to review health related products and services. Discussing customer needs and assisting with the best solutions for their individual situations
Opening and maintaining customer accounts and information
Creating customer solutions with compassion by listening and selecting the best and fastest solution to customer inquiries
Resolving customer technical issues with patience and understanding
Identifying any additional needs the customer may have and helping them to upgrade products or services
Competitive pay plus performance-based bonuses
Career advancement opportunities
Health insurance
Tuition reimbursement
Retirement savings
Paid training
Competency in using MS Windows
Ability to adapt and excel in a fast-paced work environment
Availability to work one weekend day

Healthcare Customer Service Manager Resume Examples & Samples

Promotes, maintains, and inspires a positive work environment of trust, respect, and support for all internal/external customers, and staff by adhering to the Adventist Health’s Mission and Values, as well as the hospital performance at a higher level service and accountability strategies
Adheres to the Adventist Health Hospitals’ Code of Conduct at all times
Supervises the daily office operations and staff to ensure smooth flow, optimal productivity, and ensure that all functions adhere to providing excellent customer service in a Call Center environment
Ensures that all calls to department(s) meet or exceed Call Center standards of ensuring satisfactory customer service Ensures that special needs for a procedure are communicated to the appropriate department(s) and individual(s) in a timely manner
Support/problem solving for perform as communication liaison for both internal and external customers
Provides staff with any training pertinent to their job duties
Continuously demonstrates courtesy, effectiveness, and discretion in all communications
Meets as needed with staff to promote communication and teamwork regarding adhering to department service center standards, facilitation of work orders, department compliance in established safety practices and department performance improvements, staff behavior, evaluations, and counseling
Adheres and models all facility policies, procedures and safety practices
Functions as effective team member and facilitate processes within the department and organization
Serves on committees and work groups as requested
Completes other duties as assigned
Graduate of a college/trade school program or have a minimum of three years work experience in the medical industry
Knowledge of computer and one year of hands-on experience in a Call Center environment
Demonstrates excellence in interpersonal relationships and verbal and written communication skills
Demonstrates analytical ability
Demonstrates critical thinking and problem solving
Exhibits well developed organizational skills, with demonstrated initiative and judgment in call center standards and a proven record of service excellence
Demonstrates marketing skills
Demonstrates organization and self-discipline with attention to detail and accuracy
Identifies with mission, vision, and values, for Adventist Health
Possesses physical stamina, known to be hard working and able to cope with multiple internal and external pressures
Demonstrated high regard for the dignity and worth of patients and their families
Committed to upholding and providing services in a manner that is congruent with the Adventist Health’s mission statement
Demonstrates a flexible demeanor

Healthcare Customer Service Resume Examples & Samples

Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program
Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications
Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researches and resolves any electronic claim denials
Researches and resolves any claim denials or underpayment of claims
Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers
Reports any reimbursement trends/delays to supervisor (e.g. billing denials, claim denials, pricing errors, payments, etc.)
Processes any necessary insurance/patient correspondence
Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians
Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process
Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation
Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims
Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action
Typically receives little instruction on day-to-day work, general instructions on new assignments
Ability to build productive internal/external working relationships
Strong negotiating skills
Strong mathematical skills
General knowledge of accounting principles, pharmacy operations, and medical claims
General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred
Global understanding of commercial and government payers preferred
Ability to proficiently use Microsoft Excel, Outlook and Word
Is developing professional expertise; applies company policies and procedures to resolve a variety of issues

Healthcare Customer Service & Inbound Sales Resume Examples & Samples

Competitive hourly wage plus performance-based bonuses
Paid product knowledge, customer service, and sales training
6 months of customer service or sales experience
Authorized to work in the Unites States
A desire to help people prepare for their future healthcare needs

Healthcare Customer Service Represenative Resume Examples & Samples

Access to more than 3,000 online training courses through our Kelly Learning Center
Weekly pay and service bonus plans
Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position by pressing the “SUBMIT RESUME” button below. Please email Kim Smith at smith22@kellyservices.com for any additional questions about the job posting

Healthcare Customer Service Representative Resume Examples & Samples

Essential computer skills on a PC or Mac
Basic knowledge of FDCPA
Ability to work with a team setting and be supportive of the team members

Healthcare Customer Service Supervisor Resume Examples & Samples

Provides regular supervision and mentorship over subordinate staff
Identify and address agent training needs
Manage team’s time entry to ensure 0% discrepancy rate
Manage financial implications of attrition and attendance by maintaining program-specific goals
Manage staffing in accordance with program specific workflow (i.e. down-staffing, up-staffing)
Completion of weekly Team Manager Scorecard for review with Operations Manager
Completion of Team Manager Onboarding
Establish a team environment by coordinating/cooperating with peers, sharing recognition, supporting interdepartmental and company-wide objectives
Objectivity, professionalism and maturity

Seasonal Healthcare Customer Service Representative Resume Examples & Samples

Identifying the prescription drug insurance program needs of the consumer
Recommending the RIGHT insurance package for each consumer; and
Complete each transaction to ensure the consumer's appropriate coverage
Be able to deliver exceptional support for as many as 20 consumers each and every day remembering that behind every call is real person seeking help, guidance, and support
Possess exceptional communication skills and the ability to create meaningful connections
You must be driven by integrity and a desire to deliver an exceptional consumer experience!

Healthcare Customer Service Rep Days / wk Resume Examples & Samples

Knowledge of medical terminology, health care environment, reimbursement landscape, therapeutic and product related knowledge
Understanding and compliance with corporate, divisional, departmental and program specific standard operating procedures
Community College/CEGEP education OR a recognized trade/technical certification
More than six months and up to one year in a previous job or jobs
Required to use menu-driven retrieval and search functions on Windows based applications, web-based applications and proprietary information technology systems; ability to use a switch-based telephony software, etc
Carries out similar tasks or activities within the work group with no management/supervisory responsibilities

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