Care Specialist Resume Sample
Danial Stracke
6338 Devante Point,
New York,
NY
+1 (555) 154 5953
Work Experience
Patient Care Specialist
09/2016
-
PRESENT
Detroit, MI
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Assesses patient’s social network, inclusive of all dependencies and support systems
- Ensures appropriate utilization of medical facilities and services within the parameters of the patients’ benefit and/or CMC decisions
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Responds to in-bound calls to resolve questions and customer needs for all areas of Customer Relations, Licensing Sales and Collections. Helps customer’s complete online portal sales, reporting, and payment transactions as needed
- Ensure implementation is in accordance with detailed designs
- The issue of any purchase orders
Critical Care Specialist
03/2012
-
05/2016
Boston, MA
- The purchase of goods without specific permission
- The purchase or use of any products outside the normally issued range
- Bachelors in Healthcare, Business Administration or a related field are required
- Prior experience working with all levels of organization including senior management and physicians
- Strong project management, quantitative and analytical skills particularly in projecting and monitoring payer net revenue on the basis of existing revenue and cost data
- Capable of working toward specific strategic objectives and managing deadlines
- Detailed knowledge of Microsoft Office products, Excel, Access and PowerPoint
Plant Care Specialist
09/2009
-
01/2012
Philadelphia, PA
- Review a member’s enrollment or claims history including all debits and credits and claims detail level at the member level for a multi-year period ensuring accuracy of billing and enrollment and application of deductible and member responsibility
- Utilize the Florida Blue Call Strategy to provide outstanding customer service and call resolution to our members; follow-up on issues to ensure resolution for customer
- Evaluate data through questioning, probing, and reasoning for process improvements
- Research and resolve sales and service related inquiries for all lines of business, health and ancillary products, meeting established expectations for quality, productivity and timeliness
- Including customer service experience (retail, face to face, phone, chat, experience with financial reconciliation and accounting activities and/or claims processing)
- Collaboration relationship building with external partners, such as sales agents, brokers, consultants, key accounts, providers and vendors
- Resolve/respond to customer inquiries and concerns, using sound problem solving and decision making skills
Education
William Penn University
2004 - 2008
Bachelor's Degree in Nursing
Professional Skills
- Excellent organizational and time management skills, excellent analytical and problem solving skills. Excellent verbal and written communication skills
- Strong communication skills; verbal and written; specifically, for strong listening skills and persuasion skills
- Excellent written and oral communication skills and organizational skills required. General knowledge of computer skills required
- Excellent written and oral communication skills. Administration and organizational skills. Interpersonal skills
- Strong PC and internet skills with very good organization and work prioritization skills
- Technical Skills – Demonstrates necessary eagerness to acquire necessary technical knowledge, skills and judgment to serve customer needs and accomplish goals
- Excellent presentation skills and organizational skills required
How to write Care Specialist Resume
Care Specialist role is responsible for organizational, customer, interpersonal, computer, microsoft, analytical, general, health, organization, database.
To write great resume for care specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Care Specialist Resume
The section contact information is important in your care specialist resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Care Specialist Resume
The section work experience is an essential part of your care specialist resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous care specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular care specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Care Specialist resume experience can include:
- Excellent interpersonal skills, both verbal and written, along with the ability to effectively communicate with all levels of the organization
- Strong analytical skills with good commercial awareness and attention to detail
- First-rate organizational and administrative skills, good time management and ability to prioritize
- Demonstrated empathy and compassion, with outstanding listening and communication skills
- Effective oral and written communication skills and an aptitude for working with other health care professionals
- Effective listening skills with high level of empathy, sincerity, and patience
Education on a Care Specialist Resume
Make sure to make education a priority on your care specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your care specialist experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Care Specialist Resume
When listing skills on your care specialist resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical care specialist skills:
- Excellent organizational and time management skills with a strong attention to detail and the ability to prioritize effectively
- Strong organizations skills and experience with managed care contracting is essential
- Skills to read, write, and perform both numerical calculations and the English language effectively
- Professional telephone skills and ability to communicate effectively in both written and verbal format
- Demonstrating good customer service skills
- Excellent problem solving and reasoning skills while demonstrating accuracy and thoroughness
List of Typical Experience For a Care Specialist Resume
1
Experience For Patient Care Specialist Resume
- Work assigned shift and or nights, weekends, holidays as business needs require , in a production environment answering questions and resolving simple to complex issues
- Communicate effectively with patients, supervisors, physicians, and co-workers both orally and in writing
- Above average initiative and independent thinking skills
- Utilize critical thinking skills and approved levels of discretion/empowerment to diffuse and resolve escalated issues
- Three (3) or more years of experience providing program oversight in an organization consisting of multi-site operations
- Three (3) or more years of experience in a similar role in Assisted Living or Healthcare
- Experience in a Physician clinic setting
2
Experience For Critical Care Specialist Resume
- Receive and respond, in a timely manner ,to all donor requests via phone, email, and mail providing the donor with an unparalleled donor experience
- Recognize invalid/incorrect rejections and be able to follow through with insurance company in obtaining the correct response
- Skilled in providing patient care in accordance with the facility’s applicable standards, policies, and procedures
- Receive and address resident and family concerns in an effective and compassionate manner
- Experience in Trade Services, including the operational, credit, and/or customer service aspects
- Good understanding of Citi’s Trade organization
3
Experience For Managed Care Specialist Resume
- Experience working with SalesForce.com or a similar CRM database
- Waxing, burnishing and cleaning carpets using floor care equipment
- Creating and maintaining processes to measure, analyze, and report data to Marketing for various reasons
- Disinfecting horizontal and vertical surfaces
- Stocking paper products and soap dispensers
4
Experience For Plant Care Specialist Resume
- Providing exceptional service to rental guests, homeowners, and homeowners’ guests
- Assisting the Clinical Pharmacist and department manager with any other activities related to Integrated Care
- Developing patient and staff education materials and serves as a consultant for patient and staff education needs
- Promoting unit specific certifications and advances in education, and participation in the clinical advancement program
- Building relationships with agents and members to maximize retention of business
5
Experience For Floor Care Specialist Resume
- Supporting 3M’s sales and marketing efforts at local, regional and national trade shows/meetings
- Responsible for operation of rotary machines for scrubbing/polishing and spin bonneting
- Gives patients complete information regarding any test or procedures being performed, including any preparation requirements
- Critically evaluate data through questioning, probing, and reasoning for process improvements
- Provide assistance to State members by responding to benefit and claim related inquiries via the telephone and in writing
- Communicates from assigned area the status of rooms to Housekeeping Lead and Admitting
- Coordinate/support requests for on-site store trouble shooting and group vendor training
- Responds to documents and orders from physicians regarding the ordering of tests, procedures and appointment with specialist per physician orders
- Collaborate with internal and external partners (Ops, Marketing, Zimmerman, CGS, et al) to determine reporting needs
6
Experience For Consumer Care Specialist Resume
- Uses cleaning and floor chemicals properly according to Joint Commission and OSHA standards
- Handles equipment maintenance needs including reporting problems with equipment and facility timely and appropriately
- Ensure initial and ongoing ARC assessments are timely and accurate
- Audit resident files (ARC and assisted living file) for accuracy and to ensure compliance with regulations and policies
- Organize the Assisted Living office/department and delegate essential functions as needed
- Appropriate state licensing, where required
7
Experience For Breast Care Specialist Resume
- Conferences with patient to explain benefits and financial responsibilities, and arranges for funding programs if necessary
- Schedules patient’s deliveries and addresses all patient needs in one phone call with positive and caring attitude
- Pro-actively direct end-users to DIY (Do it yourself) “Guide-paths” for trouble shooting display and work station systems
- Provide solutions to the customer contracted vendors and make sure any issues are resolved according to customer approved Best Practice standards
- Create Best Practice standards through manuals, wall charts, webinars and demonstration training videos then successfully implement into the program
- Arranges for funding programs if necessary
8
Experience For Wound Care Specialist Resume
- Provide appropriate care for donors reporting complications from their donation
- Provide timely, accurate and helpful answers to donors and staff regarding donor eligibility, complaints and concerns
- Ask probing questions to ensure facts of case are known and in order to provide correct care for donor
- Correct, update and verify changes to donor records to ensure appropriate entry and confidential handling of donor data
- Identify and control impacted suspect products resulting from changes
9
Experience For Digital Care Specialist Resume
- Prepare and provide reports for regions and BHQ regarding donor complication cases as required
- Perform all necessary tasks according to procedure and within established time frames
- Provide all necessary reporting for Resource Development
- Streamline all databases to ensure consistent reporting
- Execute and enhance training programs for teammates and vendors
10
Experience For LVN Care Specialist Resume
- Monitor data and service levels ensuring accuracy
- Motivate/facilitate donors to maximize fundraising
- Implement and manage new projects while ensuring that data hygiene is maintained
- Work assigned shift ( 8-5, 9-6, etc), after successful completion of training
- Fax requests and letters to provider or facility performing test/procedure
List of Typical Skills For a Care Specialist Resume
1
Skills For Patient Care Specialist Resume
- Evidence of excellent telephonic engagement and customer service skills
- PC literate and proficiency with word processing, spreadsheets, database programs, presentation programs and good typing skills
- Excellent time management skills - able to balance field responsibilities along with demands of operating the floor care manager’s office
- Over 3 years and up to and including 5 years of clinical experience where use of clinical knowledge, assessment and evaluation skills are utilized
- Excellent written and verbal skills and ability to probe donors to elicit a complete and accurate health history is required
- Excellent skills required to manage stress involved in meeting goals and deadlines
- Excellent written and oral communications skills are necessary
- Ensures that good patients’ relations are maintained and patients’ claims and complaints are resolved fairly and effectively
2
Skills For Critical Care Specialist Resume
- Excellent diagnostic and critical care skills with expertise in ventilation
- Strong written and verbal communication skills, especially grammar
- Ensures that good patients' relations are maintained and patients' claims and complaints are resolved fairly and effectively
- Utilizes quick computer navigation and skills to provide best customer service experience and one call-resolution
- Strong observational skills
- Demonstrates necessary eagerness to acquire necessary technical knowledge, skills and judgment to serve customer needs and accomplish goals
- Good leadership skills
- Listening skills, polite, courteous, helpful demeanor, patient, and service oriented
- Strong understanding of hospital, physician and ancillary reimbursement methodologies. Experience with contract modeling software
3
Skills For Managed Care Specialist Resume
- Experience, previous experience working with traditional college aged students
- Patient, empathetic and have the ability to listen and respond effectively with the consumer at the forefront of everything that we do
- One or more years of related work experience defined as health insurance, including claims entry and/or customer service experience
- Develop critical thinking skills to troubleshoot complex behavioral issues
- Effectively communicate with all levels of management - causes of any floor care issues and solutions
4
Skills For Plant Care Specialist Resume
- Demonstrates excellent written and oral communications
- Basic keyboard, PC office software, and typing skills
- Experience within a medical facility and/or previous floor care experience
- Take initiative, display sound judgment, problem-solve, and effectively troubleshoot
- Customer service experience (retail, face to face, phone, chat) and/or experience with financial reconciliation and accounting activities
- Schedules and prioritizes time for effective territory coverage
- Pre-plans sales calls and maintains efficient time management skills to ensure maximum customer contact and high levels of customer service
5
Skills For Floor Care Specialist Resume
- Developed time management skills
- Intermediate computer skills in Microsoft Office and the ability to type at least 50 wpm
- Demonstrate personal initiative and strive to continuously build knowledge and skill set
- Write and speak (English) effectively for communication with individual members and all levels of other employees within the organization
- Expertise: Knowledge & Skills
- Extensive skills in MS Excel and MS PowerPoint
- The ability to interact effectively and empathetically with management and staff at all levels
6
Skills For Consumer Care Specialist Resume
- Thorough knowledge of organizational behavior and change management concepts and skills
- Using effective cleaning techniques. Operation of all floor maintenance equipment
- Improving patient outcomes through application of evidence based findings to advance nursing practice
- Experience leading or working within a hub or call center operation within the Specialty area, managing REMS programs, and training
- Previous experience with Pre-Authorization, Admitting, Billing, and Coding
- Able to demonstrates maturity and have an understanding surrounding the intimate needs of our consumers
- Provides skilled nursing care in the patient’s home as ordered by the attending physician in conjunction with the plan of care
7
Skills For Breast Care Specialist Resume
- Proven examples of displaying the Reliance values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable
- One year experience with medical coding and data entry. Proficient in use of ICD-9, CPT4 and HCPC coding systems
- Successful completion of ICD-9 and CPT coding classes, or equivalent work experience with coding
- Experience in selling based of GPO contracting
- Including customer service experience (retail, face to face, phone, chat, and/or claims processing)
- Experience working with account reconciliation processing systems
- Exercise good judgment when dealing with coworkers and materials of confidential/sensitive nature
8
Skills For Wound Care Specialist Resume
- Experience in Sales & Marketing (Medical Devices)
- Experience in working with the senior population/Geriatrics
- Successful completion of ICD-10 and CPT coding classes or equivalent work experience
- Prioritize work efforts and multi-task without sacrificing work quality or timeliness
- Strong interest in talent acquisition and recruiting
- The ability to provide excellent customer service while multi-tasking
- Strong desire to succeed whilst demonstrating highly ethical behaviours
9
Skills For Digital Care Specialist Resume
- Previous experience working in a dolphin interactive program
- MS Office Product experience, Navigating the Internet and web-based tools
- Two years’ experience as a Registered Nurse in a clinical care or home care setting
- Strong capabilities in developing queries against relational databases. Ability to use tools such as Oracle SQL Developer
- Strong comprehension, multi-task, decision-making, and self-motivation
- Experience in customer service, sales, or banking
- Professional experience in carpet cleaning and hard surface floor care
- Experience working in a customer service or call center environment
10
Skills For LVN Care Specialist Resume
- Work experience in a HMO or Medical Group/IPA setting
- Experience working in the health care delivery system and case management for children and youth with special health care needs
- Professional housekeeping experience
- Maintain focus in a changing and diverse environment; handle multiple assignments, prioritize tasks, and manage timelines
- Strong understanding of Managed Care: ACA, ACO, PHO, MSO (HMO, PPO and Government programs)
- Strong working knowledge of computer spreadsheet programs and database programs such as Access, CRM Programs
- Lead and consistently demonstrate a complete understanding of The Mirage S.H.O.W. service standards
- Experience working with financial products and services
- Knowledge of CG-CAHPS and experience using data to improve care provided by individual providers, medical groups and provider networks
List of Typical Responsibilities For a Care Specialist Resume
1
Responsibilities For Patient Care Specialist Resume
- Excellent interpersonal skills with the ability to communicate effectively with a wide range of internal and external customer personality types
- Strong time management skills with the ability to stay focused on primary business objectives in a fast-paced and dynamic environment
- Manage time effectively and organize and prioritize tasks and responsibilities
- Good interpersonal communication skills, presents and maintains professional manner
- Type 40 words per minute, perform detailed-data entry, perform extensive internet research, and utilize strong computer skills
- Good communication, interpersonal, and computer skills required
- Proven experience with problem identification and solution
- Custodial work experience - preference for at least 1 year of floor care experience
- Proven B2B telesales or sales experience is, preferably within the areas of F&B, media, advertising and e-commerce
2
Responsibilities For Critical Care Specialist Resume
- Consultation Skills – Ability to think strategically and provide unique solutions to sales leaders and the internal organization
- Experience training customer service personnel and developing collateral training materials
- Experience with cleaning floors, using heavy floor equipment
- Installs and provides effective in-service training on products as required or appropriate
- Consistently demonstrates Comcast values but being an ambassador for the organization
- Previous experience working with a health insurance company
3
Responsibilities For Managed Care Specialist Resume
- Experience in customer service in a medical insurance setting
- Demonstrated ability to present 1:1 or in group settings. Delivers a clear and compelling message tailored to the needs of the audience
- Entry Rate: $11.82+ depending on experience
- Analyse sales reports to proactively identify opportunities and at risk, re-prioritize resources to maximise sales opportunities
- Accepts responsibility and demonstrates support for delegated
4
Responsibilities For Plant Care Specialist Resume
- Knowledge of immunization laws for all states we operate in
- Complete and initiate prior authorizations if necessary
- Complete and initiate prior authorizations
- Provides a best in class customer experience to prospective and current members
- Demonstrates the ability to meet individual performance goals
5
Responsibilities For Floor Care Specialist Resume
- Managed Care or Health plan experience
- Experience within a client management role preferable
- A strong relationship builder, target-oriented, resilient and a team player with a willingness to learn
- Perform independently and prioritize projects and assignments
- Pharmaceutical Sales or Devices Experience
- Floor care experience
6
Responsibilities For Consumer Care Specialist Resume
- Research, investigate and resolve, prior authorization request and appeals from physicians providers health plans, and patients
- Knowledge and skill with Microsoft Office suite
- Experience as a business analyst with pharmacy, healthcare or retail
- Case Management experience
- One to two years’ experience in healthcare industry
- Experience with IDN negotiations
7
Responsibilities For Breast Care Specialist Resume
- Establish priorities, work independently, and proceed with objectives with limited supervision
- Previous experience with crop plants in greenhouse conditions
- Previous experience in greenhouse research
- Demonstrated initiative, teamwork, and leadership qualities
- Be versatile and handle re-prioritization
8
Responsibilities For Wound Care Specialist Resume
- Valid automobile insurance
- Embraces and adapts to change and demonstrates a willingness to learn
- Med/Surg. experience as a Registered Nurse is required
- Perform research to respond to inquiries and interpret policy provisions to determine most effective response
- Good work safety record
- Prioritizes and presents crisis management issues to Supervisor
- Experience in a technology support role
- Entry Rate: To be determined based of experience in floor care
- Experience with Diamond, Siebel, Quest, RBMS, JIVA, and PIP
9
Responsibilities For Digital Care Specialist Resume
- Experience with Continuous Improvement Methodologies and tools
- Think quickly evaluate a situation and develop appropriate cost-effective solutions
- Greenhouse and/or tropical plant maintenance experience is required
- Date Entry Experience
- Scrubbing, buffing, stripping and waxing of hard surface floors
- Willing to pass and maintain a state mandated pesticide training and licensing
- Motivating Others – Creates motivating environment. Empowers others. Brings out the best from peers while fostering teamwork and collaboration
10
Responsibilities For LVN Care Specialist Resume
- Identifying problems, analyzing situations, and rectifying quality of care concerns
- Providing continuing education credit-eligible education programs on wound and skin care topics that support 3M’s business objectives
- Assisting patients in securing financial assistance via copay card or other programs as needed
- Identifying application issues quickly and clearly communicating solutions to the customer
- Coaching/mentoring and career advancement opportunities
- Using appropriate systems and available resources as necessary to assist in responding to each request
- Supporting and providing information to all internal and external customers in a professional and courteous manner
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