A Health Concierge is hired to identify and assign primary care providers for all existing and new patients who don’t have a primary care provider. While the actual duties vary from setting to setting, the following are certain core work activities found on the Health Concierge Resume – scheduling and coordinating appointments, coordinating with case management and the hospital outpatient clinics, gathering data relevant to the patient admission, discharge, diagnosis, and insurance; responding to case manager notification, contacting patients and collecting needed information, and following up with patients after they are discharged.
Employers prefer to hire applicants with the following skills – understanding of medical terminology, excellent problem-solving skills, knowledge of identifying ICD -9 and CPT; and working knowledge of all hospital information systems, and moderate computer skills. A high school diploma or GED is sufficient to enter this role.
Summary : Ready for a change but not ready to retire. Looking for a new challenge, willing to learn your systems and processes. Very computer literate, experienced in accounting, medical benefits and claims, extremely customer focused. Able to managing an office, also interested in projects and research. Flexible scheduling is more important than benefits.
Skills : Excellent Customer Service Skill, Team Player, Quick Learner, And Desirous To See The Company Succeed., Microsoft Office Suite.
Description :
Educated members about benefits, claims, eligibility, COB, HSA, FSA, for self-funded and some fully insured plans.
Used sales skills to encourage members to use available benefits and systems for better care and to improve health.
Successfully handled challenging people and situations for a positive outcome.
Resolved issues/complaints escalated to supervisor level.
Researched and resolved complex medical benefits and claims issues.
Collaborated with claims, policy, employer liaisons and other areas remain compliant and avoid errors.
Used CPT and ICD10 codes daily.
Experience
10+ Years
Level
Senior
Education
Bachelor's In Accounting
Health Concierge Resume
Objective : Motivated, versatile customer service professional with a background in home health services and telephone based account services. Taking pride in solid front office skills and multitasking, and in building strong client relations, Demonstrating teamwork through interacting with others to achieve goals while respecting individual differences, sharing credit and accountability for outcomes, encouraging, supporting and actively participating in work activities.
Skills : Microsoft Office, Excel, Coding, Claims Processing.
Description :
Assisted members with confidential health insurance benefits, finding doctors in their network, taking premium payments.
Explained clamrs and andjustments.
Get to experience members in a different problem difficulty and able to assist them, resolve the issue.
Used Phone, computers, oulok, group chat, email.
Virtual trained and assisted with systems, all age groups.
Engaged, consulted and educated members by delivering individualized programs based upon the member's unique needs and preferences.
Assisted beneficiaries with understanding their benefits.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Health Concierge Resume
Objective : As a bright ambitious person, I enjoy working in a fast paced, highly motivating environment, where I can assist others while challenging and expanding my own knowledge. I am seeking a position that will utilize my skills and offer the chance for advancement as well as allow me the opportunity to gain additional skills and experience.
Skills : Microsoft Office, Acrobat, Sharepoint, Bilingual Spanish.
Description :
Analyzed provider contracts for claims and benefit information to determine if a claim has been processed correctly.
Reviewed overpayments, and approved checks for reissue.
Had access to all health accounts and extensive knowledge of FSA, HSA, and health reimbursement accounts.
Analyzed member appeal information and provided a detailed written response of the determination.
Provided detailed eligibility and benefit information to both members and providers via written and oral communication.
Organized and presented a power point presentation on wellness incentives for new hires which increased new hire health and wellness participation.
Certified access to STARS system used for inputting and approving provider/member referrals Resolved billing issues for both members and providers.
Experience
2-5 Years
Level
Executive
Education
Bachelor's In Criminal Justice
Health Concierge Resume
Headline : Health Concierge with over 7 year's customer service/call center experience. Familia ring with medical terminology, insurance policies, ICD-9 codes, Medicaid/Medicare, and HIPAA compliance. Previous team lead and supervisory experience, looking for a position with growth opportunities.
Skills : * CPR/First Aid Certification.
Description :
Performed monthly call quality audits for customer services representatives.
Informed members about their coverage through Aetna.
Promoted to team lead of 10 CSR'S to take escalated calls and resolve floor issues.
Faxed explanation of benefits to providers and assisting them with billing questions.
Promoted incentives for the dedicated unit Lockheed Martin to assist in offsetting their deductible and coinsurance amounts.
Used ICD-9 codes for claim processing.
Reviewed claims with members and resolving billing inquiries.
Experience
5-7 Years
Level
Executive
Education
BS In Health Information
Health Concierge Resume
Summary : Dedicated Health Concierge who provides exceptional customer service through active listening and problem solving. Customer-oriented who is successful at troubleshooting and handling customer issues in a timely manner. Personable and professional under pressure. Patient and empathetic with extensive background in conflict resolution and customer care. Qualified with 20+ years in fast-paced customer service and call center environments.
Skills : Communication , Listening , keyboarding, Letter writing, many pc software applications, business math, and management.
Description :
Effectively managed a high-volume of inbound and outbound customer calls.
Answered a constant flow of customer calls with up to 30 calls in queue per minute.
Addressed and resolved customer product complaints empathetically and professionally.
Gathered and verified all required customer information for tracking purposes.
Accurately documented, researched and resolved customer service issues.
Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
Referred unresolved customer grievances to designated departments for further investigation.
Experience
10+ Years
Level
Senior
Education
Bachelor's In Criminal Justice
Health Concierge Resume
Headline : To obtain a position utilizing my organizational and interpersonal skills, while ascertaining experience in this field through commitment, hard work, and leadership, Demonstrating an ability to solve problems through process analysis, communication and innovative thinking to obtain optimum results, Responding to concerns, request, and complaints professionally and efficiently routes them to appropriate departments.
Skills : Customer Service, Computer , Clerical .
Description :
Managed high call volume with tact and professionalism.
Called center environment.
Resolved issues regarding claims and medical coverage.
Provides exceptional customer service.
Issues cannot be resolved, take time to research, and call member back.
Directly responsible for helping bswift meet and exceed client expectations by supporting our clients and their employees with our best-in-class HR software and services.
Processed transactions and resolve issues.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Health Concierge Resume
Summary : To pursue my career in public relations and marketing, while utilizing my limitless skill set of communications and bring dedication, enthusiasm and an exceptional work ethic to any organization based of the experience I have obtained. I am dedicated and self-motivating, able to maintain satisfaction and contribute to company success.
Skills : MS Office, Windows Operating Software, Internet Browsing and Searching, Lotus Notes, Customer Service, Data Entry, Inbound/Outbound Calls, Active Listening, Ability To Multi-Task, Ability To Empathize and Sympathize.
Description :
Handled customer service inquires and problems via telephone, internet or written correspondence.
Helped customer understand all the health h well!ID benefits provided $them, help, make good h) 4care decisions R$get preven%hescreening.
Explained plan benefits.
Reviewed medical and behavioral health claims to verify for accuracy.
Contacted physicians' offices, hospitals, and other facilities to resolve issues.
Researched customer requests and follow up with customers as needed.
Assembled and distributed notices and enrollment kits.
Experience
7-10 Years
Level
Management
Education
BS In Criminal Justice
Health Concierge Resume
Summary : To pursue a challenging and rewarding Health Concierge position with a solid, progressive organization, in a setting that best utilizes my experience training and offers opportunity for career development, Generating and completing all applicable forms and necessary communications and assists with paperwork in accordance with daily responsibilities.
Skills : Microsoft Office 2010, Office Procedures, Communicational Skills, Keyboarding, Formatting, Filing/records Control, 10-Key, QuickBooks, Accounting, And Payroll.
Description :
Acted as the single-point-of-contact for plan sponsors, members and providers.
Educated and assisted customers on various elements of benefit plan information and available services created to enhance the overall customer service experience.
Provided customized interactions based on customer preference and individualized needs.
Contacted the plan sponsor liaisons for emergency updates and escalated issues.
Provided benefit and eligibility information to health plan members and providers.
Worked closely with Health Insurance Marketplace to ensure a seamless enrollment process for new members.
Staffed the escalation call line where I assisted with escalated calls to resolution.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Health Concierge Resume
Headline : Objective is to obtain an entry level Health Concierge position in customer service that will allow me to use my excellent customer service experience to help resolve any issues the company needs assistance with, Taking ownership for surrounding workspaces and maintains them in a neat and tidy manner to promote a positive customer and guest experience.
Skills : Microsoft PowerPoint, Microsoft Office, Microsoft Excel, Filing, Answering Phones, Training, Quality Assurance.
Description :
Worked with Prior Authorizations department to ensure timely processing of pre-certifications.
Responded to email inquiries from members in a timely manner.
Assisted newly hired employees with the transition process from training to the production environment.
Exceeded annual metrics goals for customer relations call quality.
Maintained neat and organized files and electronic databases.
Maintained and purchased office supplies as needed.
Prepared letters, memos, and reports.
Experience
5-7 Years
Level
Executive
Education
BA In Marketing
Health Concierge Resume
Headline : Health Concierge with a professional disposition and a strong work ethic. Experience working effectively with a multidisciplinary team to facilitate a holistic rehabilitation experience for civilians, youth and veterans with various diagnoses such as HIV, substance abuse, mental health diagnoses, criminal history and other disabilities.
Skills : Customer Service, Business Management, Medical.
Description :
Scheduled and coordinated internal and external appointments, calendars, and meetings.
May entail worked with Microsoft Office products such as Word, Excel, Outlook and PowerPoint..
Supported all department personnel with duties including but not limited to answering phones, taking messages, copying, filing and faxing.
Greeted and assisted any visitors to the department.
Acted in a manner that supports UPMC's four core values of quality & safety, care & compassion, dignity & respect, and community.
Acted as initial contact with customers.
Proactively greeted and welcomed patients, families and visitors to the hospital and assists with way-finding, escorting, and information as requested.
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