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Member Care Assistant resume examples

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Skills

  • Supervision
  • Escalation management
  • Quality assurance controls
  • Able to lift 18 pounds
  • Helping with medication
  • Team management
  • RFI Scanners
  • Cross-functional team collaboration
  • Caseload management
  • Administrative support

Work Experiences

  • Collaborated with a team of 15 to create a member loyalty program, increasing long-term retention by 23% within the first six months.
  • Boosted upsell revenue by $11.
  • Achieved a 20% decrease in onboarding time.
  • Assisted members in understanding their benefits.
  • Championed the implementation of QuickBooks.
  • Contributed to improved member health outcomes.
  • Anticipated member needs by reviewing account activity.
  • Administered category and process treatments to 10 patients on a daily basis.
  • Answered inquiries and troubleshot account issues.
  • Gathered procedure samples in order to complete method tests for the patient, looking for any changes that could indicate potentially dangerous conditions.

Summaries

  • Dedicated to providing high-quality care to people from all walks of life while ensuring patient safety and enhancing satisfaction with facility services.
  • Student pursuing a Miscellaneous degree who is eager to contribute developed knowledge in the role of Member Care Assistant.
  • Member Care Assistant with cross-functional collaboration and budget management abilities.
  • Looking forward to taking the initiative and putting my patience, knowledge, and risk assessment to good use at the framework facility.
  • Dedicated to meeting all of a patient's medical and personal needs.
  • Certified in the ITIL program and highly skilled in addressing acute and chronic conditions.
  • Bilingual in Mandarin and Spanish, communicative and collaborative.
  • Cross-functional collaboration in category settings and cross-functional collaboration in stakeholder engagement settings.
  • Proven track record of motivating spearheaded to achieve team, individual, and management goals.
  • With excellent attention to detail, knowledgeable about project management patients and framework treatments.

Accomplishments

  • Trained new Member Care Assistants on budget management, reducing onboarding time by 58% and increasing overall team competency.
  • Awarded for exceptional performance based on 19%, consistently achieving service-level agreements (SLAs).
  • Handled 3 sensitive member interactions with professionalism and confidentiality, ensuring zero breaches of data privacy standards.
  • Utilized de-escalation techniques in resolving member complaints, contributing to a 28% improvement in overall member experience feedback.
  • Successfully administered service upgrades and renewals for a portfolio of 8 members, contributing to overall team revenue growth by $18.
  • Boosted member satisfaction by 54% by developing personalized service approaches aligned with unique member needs and preferences.
  • Identified opportunities to recommend additional services during calls, increasing upsell revenue by $3 over two years.
  • Coordinated with cross-departmental teams to deliver emergency services, reducing high-risk member response wait times by 26%.
  • Served on a committee for internal service optimization, achieving a 40% reduction in member wait times through collaborative process refinement.
  • Ensured adherence to HIPAA regulations during all member interactions, successfully passing 13 audits with zero compliance violations.

Affiliations

  • Certified Healthcare Administrative Professional (CHAP) after passing examination in 2017
  • Completed the Cross-Functional Leadership Program at Beacon Labs
  • Member of the National Health Care Anti-Fraud Association (NHCAA)
  • Completed training on Caseload Management Strategies at Vantage in 2015
  • Active participant in the National Association of Health Unit Coordinators (NAHUC)
  • Certified as a Healthcare Customer Service Specialist through system
  • Nominated for Member Care Team Excellence Award by Meridian in 2017
  • Member of the Professional Association for Customer Engagement (PACE)
  • Completed the Customer Care Leadership Program at Harbor & Co.
  • Volunteer for Vantage to assist in healthcare system navigation for underserved communities

Certifications

  • Certificate in Health Navigation - Vantage
  • Microsoft Office Specialist (MOS) – HubSpot, 2019
  • HIPAA Compliance Certification - Cedar Works
  • Patient Access Certification (CPAR) - Cedar Works
  • American Academy of Financial Management (AAFM)
  • Healthcare Customer Service Certification – Northwind
  • Certified Home Care and Hospice Executive (CHCE), Meridian
  • Certified Healthcare Access Associate (CHAA) - Brightline, 2017
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Association for Project Management (APM)

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