Patient Care Advocate Resume Sample
Celia Jones
37818 Demetris Shoals,
Chicago,
IL
+1 (555) 127 8457
Work Experience
Senior Patient Care Advocate
07/2016
-
PRESENT
Chicago, IL
- Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety
- General PC knowledge including Microsoft Office and Internet
- Answer questions related to pharmacy benefits, while
- Outreach to medical doctor’s office to verify
- Work collaboratively with other customer service represents
- Provide on-the -job training for new or existing reps. Work collaboratively with other CSA’s/CSR’s to ensure that best-practices are shared
- Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider’s office
- Conducts face-to-face education with the member and their family, in the provider’s office, about care gaps identified, and barriers to care
Patient Care Advocate
11/2010
-
05/2016
Los Angeles, CA
- General PC knowledge including Microsoft Office and Internet; Excellent verbal presentation and communication
- Work collaboratively with other CSA’s/CSR’s to ensure that best-practices are shared
- Provide on-the -job training for new or existing reps. Work collaboratively with other CSA’s/CSR’s to ensure that best-practices are shared. Other special projects as assigned
- Outreach to medical doctor’s office to verify prescription(s)
- Outreach to medical doctor’s office
- General PC knowledge, including Microsoft Office and Internet
- Adapt in a dynamic work environment learns quickly, solve problems and make decisions; Willingness to work a flexible schedule for peak call times
- Work to research and resolve problems in a timely manner
- Assist members in understanding and maximizing the use of their pharmacy distribution program
Clinical Patient Care Advocate Clinical Call Center
05/2006
-
10/2010
Houston, TX
- Use computerized system to gather information and respond to questions
- Document issues and resolutions in a common database
- Microsoft Office and Internet
- Some college helpful/desired
- At least one year of ESI front end experience as a data entry technician
- Pharmacy Technician Trainee license to start and then certified Pharmacy Technician during applicable state guidelines
- Become certified in each MRT and FE process by a Subject Matter Expert (SME)
Education
University of Phoenix - Oregon Campus
2000 - 2005
School's Degree in Healthcare
Professional Skills
- Strong problem solving and good decision making skills
- Critical Thinking skills to balance multiple priorities
- Utilize excellent overall communication skills to provide superior service to all segments of the process
- Outstanding internal customer service skills
- Experience training and coaching of less experienced staff- patience to explain details and processes repeatedly
- Experience in Social work experience
- Develops designs and produces program manuals by utilizing creative and technical writing skills to meet program specific requirements
How to write Patient Care Advocate Resume
Patient Care Advocate role is responsible for research, reporting, database, training, basic, health, general, administration, compliance, education.
To write great resume for patient care advocate job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Patient Care Advocate Resume
The section contact information is important in your patient care advocate 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 Patient Care Advocate Resume
The section work experience is an essential part of your patient care advocate 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 patient care advocate responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular patient care advocate position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Patient Care Advocate resume experience can include:
- Exercise good, sound professional judgment and decision making
- Demonstrate active participation in the Medicare Service Center environment through exchange of information, escalation of issues and reporting trends
- Customer Service experience
- Work with team and contribute to positive team experience
- Maintain quality, quantity and effectiveness standards as determined by departmental management
- Understanding of how database applications function
Education on a Patient Care Advocate Resume
Make sure to make education a priority on your patient care advocate resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your patient care advocate 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 Patient Care Advocate Resume
When listing skills on your patient care advocate 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 patient care advocate skills:
- Demonstrated PC skills and basic data entry skills
- Excellent phone presentation skills and communication
- One to three year's experience as patient liaison or related education and/or experience in dealing with patient/customer complaints and follow up action plans
- Previous administrative experience and/or letter writing required
- Work experience in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment is required
- Solid MS office abilities and knowledge paired with working knowledge of how database applications function
List of Typical Skills For a Patient Care Advocate Resume
1
Skills For Patient Care Advocate Clinical Call Center Cranberry Resume
- Seeking individuals that lead with compassion and enjoy making a difference in others lives, every day
- Available and flexible in scheduling to meet the business requirements of the position including overtime, evenings, and weekends
- Provide on-the -job training for new or existing representatives
- Handle challenging customers in a professional manner; Ability to adapt in a dynamic work environment
- Customizes, analyzes and recommend modifications to existing financial procedures as defined by multiple contracts to management
- Alerts management in quantitative terms, to the particulars of deviations in financial reporting, and recommends changes to prevent reoccurrence
2
Skills For Clinical Patient Care Advocate Clinical Call Center Resume
- Provides a high level of customer service and support internally and externally working as a liaison
- General PC knowledge including, Microsoft Office and Internet
- Ensure all assigned work flow processes are followed meeting CMS and departmental requirements
- Maintain a constant, even and professional demeanor in dealing with staff and other ESI professionals
- Follow Standard Operations and Medicare Compliance Procedures to ensure all items are processed meeting turnaround time commitments
- Analyze data for trend reporting and pattern control
- Report delays to senior leadership as well as providing recommendations with solutions for set guidelines
- Become proficient utilizing multiple systems for research (CRTS, ESD, Facets, Marx)
3
Skills For Coordinator, Patient Care Advocate Resume
- Answer questions while maintaining productivity standards and performance guarantees where applicable
- Input testing authorization and information via eSD and e-fax system
- Microsoft Word Proficient in Microsoft Office such as MS Word, MS Excel and MS Outlook is required
- Oft Excel Ability to use and navigate health service management systems is required
- Proficient in Microsoft Office programs such as Word, Excel and Outlook
- Healthcare Management Systems knowledge
- Licensed Clinical Social Worker (LCSW), Licensed Social Worker (LSW), Certified Social Worker (C-SW), Certified Social Worker in Health Care (C-SWHC), Licensed Clinical Social Worker Certified (LCSW-C)
- Intermediate Healthcare Management Systems (Generic) is required
- Licensed Clinical Social Worker (LCSW); Licensed Social Worker (LSW); Certified Social Worker (C-SW); Certified Social Worker in Health Care (C-SWHC); and/or, Licensed Clinical Social Worker Certified (LCSW-C)
4
Skills For Senior Patient Care Advocate Resume
- Previous experience in data entry, customer service, and claims
- Experience in social work is required
- CERTIFIED PHARMACY TECHNICIANS ONLY: Successfully complete the Pharmacy Technician Certification Board (PTCB) exam
- Shift differentials for weekends and weekday hours after 6pm
- Adapt in a dynamic work environment learns quickly,solve problems and make decisions
- Evaluates and coordinates system process for assigned national customers and product distribution patients requiring home services to include but not limited to: confidentiality agreements, customer correspondence, inventory control, weekly activity reports, and customized billing statements
- Uses independent judgment to identify appropriate Service Delivery Unit by geographic location
- Trains Service Delivery Unit and field staff in program specific procedure functions, process flows, and expectations via telephone, in conjunction with management
- Facilitates questions, provides guidance, and resolves issues as necessary
5
Skills For Customer Service Representative Patient Care Advocate Resume
- Coordinates all aspects of services for referrals to contract facility
- Maintains communication levels with contract facilities to meet the contractual obligations
- Uses discretion to manage pay and expense records to ensure that corporate requirements and contractual obligations are mutually satisfied
- Implements and maintains Quality Assurance and Quality Improvement processes to further increase the level of customer service and to positively impact the financial profitability of business
- Alerts management in quantitative terms, to the particulars of deviations in financial reporting, and recommends changes to prevent re-occurrence
6
Skills For Customer Service Patient Care Advocate Resume
- Identifies and recommends modifications to existing systems
- Analyzes data and investigates errors and omissions to determine the cause of discrepancies and makes corrections
- Manages, evaluates and analyzes the referral database and appropriate software applications program(s)
- Compiles and analyzes trend analysis for business on all aspects of assigned programs
- Monitors and analyzes accounts receivables to ensure timely and accurate receipt of funds, in order to maintain required department standard for Days Sales Outstanding
7
Skills For Specialty Patient Care Advocate Resume
- Provides a high level of customer service and support internally and externally working as a liaison. Notifies management of any deficiencies
- MS Excel abilities (intermediate level)
- Compiles and analyzes trend analysis for business on all aspects of assignedprograms
- Learn quickly and adapt in a dynamic work environment
- Adapt in a dynamic work environment learns quickly, solve problems andmake decisions; Willingness to work a flexible schedule for peak call times
8
Skills For Ubc-patient Care Advocate Resume
- Work with other operational departments to research and resolve mail order claims issues, respond to members, clients and account managers within performance agreement guidelines
- Work collaboratively with other Customer Service Advocates/Customer Service Representatives to ensure that best-practices are shared
- Enter and interpret program materials to determine enrollment criteria
- Explain to the caller or other employees the necessary requirements to be on the program
- Provide SME support as needed
- Willingness to work a flexible schedule for peak calls times
9
Skills For UBC Patient Care Advocate Resume
- Handle complaint inquires in a courteous, professional, timely and comprehensive manner in accordance with internal standards and Medicare guidelines
- Schedules are based on time in position
- Handle inbound and outbound patient and physician calls
- Answer questions from a variety of visitors to the lab about job responsibilities and function
- Assist with work distribution, expedition and the development of work plans for representatives
- Six months or longer time in service required
- Learns quickly, solve problems and make decisions
- Willingness to work a flexible schedule for peak call times (no weekends)
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