Healthcare Customer Service Specialist

MYRA JONES

Grambling, LA ***** 501-***-**** **********@*****.***

SUMMARY

Patient-focused Healthcare Customer Service Representative with background in managing patient inquiries, resolving issues and providing information on healthcare services. Strong communication skills and ability to maintain positive relationships with patients, families and medical staff. Proven record of improving customer satisfaction and streamlining processes for better efficiency in healthcare environments.

SKILLS

Record maintenance

Insurance claims follow-up

Strong interpersonal skills

Data entry proficiency

Patient confidentiality

Patient eligibility verification

EXPERIENCE

07/2022 to 02/2025 Healthcare Customer Service Representative Allay Health, Remote

Verified patient demographic information in order to ensure accuracy of data entry.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Provided top quality control and eliminated downtime to maximize revenue.

Explained various admission forms and policies, acquiring signatures for consent.

Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.

03/2020 to 07/2022 Customer Service Representative Sykes Call Center, Remote

Set up debt payment plans based on client credit, income and assets. Complied applications and paperwork and double-checked for accuracy.

Created marketing materials to promote mortgage services within the community.

Evaluated and approved loan applications based on established criteria.

Gathered client debt, credit and income information to determine loan eligibility.

12/2015 to 03/2020 Lead Medication Technician

Brookdale Assisted Living Conway, AR

Transported specimens, laboratory items or pharmacy items, verifying proper documentation and delivery to authorized personnel. Educated patients on medication purposes, dosages, and potential side effects.

Assisted nurses with wound care for pressure ulcers, bed sores and surgical site wounds.

Provided advice on over-the-counter medications as needed based on patient's condition.

08/1992 to 12/2015 Certified Nursing Assistant

Salem Nursing Home Conway, AR

Participated in educational programs related to nursing assistant skills development.

Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.

Examined and treated patient lacerations, contusions, and physical symptoms and referred patients to other medical professionals. Cleaned and sanitized patient rooms according to established protocols.

Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.

Answered call lights promptly and responded to patient needs accordingly.

EDUCATION AND TRAINING

05/1991 High School Diploma

Osceola High School Osceola, AR

CERTIFICATIONS

CNA Certified

Phlebotomy Certified

Competency Certification

Safety Precautions and Fall Preventions Certification Introduction to Dementia Care Certification

Clients Right HIPPA and Elder Abuse Prevention Certification Paraprofessional Teacher Aide Certified

Texas Adjusters License

Allstate Virtual Assist Certification

State Farm Property Online Certification

USAA Certification

REFERENCES

References available upon request.

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