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.
Objective : Dynamic Health Concierge with 2 years of experience in customer service and healthcare support. Skilled in educating clients about health benefits and navigating complex medical systems. Committed to enhancing patient experiences through effective communication and problem-solving. Eager to leverage my expertise in a collaborative environment that prioritizes exceptional care and support.
Skills : Exceptional Customer Service Skills, Collaborative Teamwork, Adaptable And Quick Learner, Driven To Achieve Organizational Success
Description :
Educated members about benefits, claims, eligibility, COB, HSA, and FSA for various insurance plans.
Utilized persuasive communication to encourage members in adopting available health benefits.
Addressed and resolved issues escalated to the supervisor level, improving service quality.
Conducted thorough research to resolve complex medical benefits and claims inquiries.
Collaborated with various departments to ensure compliance and accuracy in service delivery.
Employed CPT and ICD-10 codes daily to support claims processing and documentation.
Experience
0-2 Years
Level
Entry Level
Education
AAS Health Sciences
Health Concierge Specialist Resume
Objective : A proactive Health Concierge Specialist with 5 years of experience in enhancing patient care and navigating healthcare systems. Proven ability to educate clients on health benefits and resolve issues efficiently. Passionate about fostering positive patient experiences through clear communication and personalized support, while collaborating with multidisciplinary teams to achieve optimal health outcomes.
Skills : Healthcare Coding, Health Education, Crisis Management, Communication Skills, Empathy
Description :
Guided members in understanding their health insurance benefits and locating in-network providers.
Clarified claims processes and adjustments, ensuring transparency and trust.
Resolved diverse member issues, demonstrating adaptability and problem-solving skills.
Utilized various communication tools, including phone, email, and chat platforms, to assist clients.
Conducted virtual training to enhance team efficiency across all age demographics.
Developed individualized programs that catered to unique member needs and preferences.
Educated beneficiaries on their rights and benefits, fostering informed decision-making.
Experience
2-5 Years
Level
Junior
Education
B.S. Health Admin.
Health Concierge Resume
Headline : Accomplished Health Concierge with over 7 years of experience in optimizing patient care and streamlining healthcare navigation. Proficient in assisting clients with health benefits, resolving inquiries, and enhancing overall patient satisfaction. Dedicated to fostering positive experiences through effective communication, problem-solving, and a patient-centered approach.
Analyzed provider contracts to ensure accurate claims processing and benefits information.
Reviewed overpayment cases and authorized checks for reissue, ensuring compliance with regulations.
Utilized extensive knowledge of FSA, HSA, and health reimbursement accounts to assist clients effectively.
Drafted detailed responses for member appeals, enhancing transparency in communication.
Provided comprehensive eligibility and benefit information to clients and providers through effective communication.
Created and delivered a PowerPoint presentation on wellness incentives, boosting new hire engagement.
Certified in STARS system for managing provider referrals, resolving billing issues efficiently.
Experience
5-7 Years
Level
Senior
Education
B.S. Health Admin.
Health Concierge Coordinator Resume
Summary : Dedicated Health Concierge Coordinator with a decade of experience in optimizing patient care and navigating complex healthcare systems. Expertise in educating clients about health benefits and resolving inquiries efficiently. Adept at fostering positive patient experiences through clear communication and personalized support, committed to enhancing healthcare access and quality.
Skills : Patient Advocacy, Healthcare Navigation, Appointment Scheduling, Insurance Verification, Medical Record Management, Problem Solving
Description :
Conducted monthly audits of call quality for customer service representatives, ensuring compliance with standards.
Educated members on their Aetna coverage, improving understanding of benefits.
Managed a team of 10 CSRs to address escalated calls and resolve complex issues.
Facilitated communication between providers and members regarding billing inquiries and claims.
Promoted patient incentives for Lockheed Martin, successfully reducing financial burdens.
Utilized ICD-9 codes for accurate claim processing and billing.
Reviewed and resolved claims with members, enhancing satisfaction and trust.
Experience
7-10 Years
Level
Management
Education
B.S. Health Admin
Health Concierge Resume
Summary : With a decade of experience as a Health Concierge, I excel in enhancing patient satisfaction and facilitating seamless navigation through healthcare systems. My expertise lies in effectively educating clients about health benefits and addressing their unique needs. I am dedicated to improving patient experiences through empathetic communication and proactive problem-solving in a collaborative healthcare environment.
Skills : Wellness Coaching, Professional Communication, Healthcare Management Software, Analytical Skills, Resource Coordination, Follow-up Care
Description :
Effectively managed a high-volume of inbound and outbound patient calls, ensuring timely assistance.
Provided accurate information regarding health benefits and services to clients, enhancing their understanding.
Addressed and resolved patient concerns with empathy and professionalism, fostering strong relationships.
Gathered and verified all necessary patient information for efficient service delivery.
Documented, researched, and resolved patient service issues accurately to maintain high satisfaction levels.
Efficiently handled calls in a fast-paced environment, maintaining composure and focus under pressure.
Collaborated with healthcare providers to ensure patient needs were addressed promptly and effectively.
Experience
10+ Years
Level
Executive
Education
B.S. Health Admin.
Health Concierge Consultant Resume
Objective : With 5 years of experience as a Health Concierge Consultant, I excel in navigating healthcare systems and enhancing patient care. My expertise includes educating clients on health benefits and resolving complex issues efficiently. I thrive in collaborative environments, committed to delivering outstanding support and fostering positive patient experiences through effective communication and personalized service.
Skills : Healthcare Technology Proficiency, Administrative Support Skills, Time Management, Community Outreach
Description :
Managed high call volume with professionalism and empathy, ensuring patient satisfaction.
Educated clients on health benefits and medical coverage options.
Resolved issues regarding claims and provided timely follow-up.
Delivered exceptional customer service in a fast-paced call center environment.
Conducted thorough research on unresolved issues and communicated solutions effectively.
Partnered with teams to meet and exceed client expectations through best-in-class service.
Processed transactions and ensured accurate resolution of patient inquiries.
Experience
2-5 Years
Level
Freelancer
Education
B.S. Health Admin.
Health Concierge Resume
Objective : Compassionate Health Concierge with two years of experience in guiding patients through healthcare complexities. Adept at communicating health benefits and providing personalized support to enhance patient satisfaction. Driven to foster positive interactions and improve overall healthcare access while collaborating closely with diverse teams.
Skills : Proficient In Ms Office Suite, Familiar With Windows Os, Skilled In Internet Research, Experienced With Lotus Notes, Accurate Data Entry Skills, Effective Call Management
Description :
Managed customer service inquiries through various communication channels, ensuring a positive experience.
Educated clients about health benefits and assisted them in making informed healthcare decisions.
Explained plan benefits clearly to enhance understanding and utilization.
Reviewed and verified medical claims for accuracy, ensuring timely processing.
Coordinated with healthcare providers to resolve patient-related issues effectively.
Conducted follow-ups on customer requests to ensure satisfaction and resolution.
Prepared and distributed educational materials and enrollment kits to clients.
Experience
0-2 Years
Level
Entry Level
Education
A.S. Health Sci.
Health Concierge Advisor Resume
Headline : Results-oriented Health Concierge Advisor with 7 years of experience in enhancing patient engagement and navigating healthcare systems. Adept at providing personalized support, educating clients on health benefits, and resolving complex inquiries. Committed to fostering positive patient journeys through effective communication and strategic problem-solving in collaborative settings.
Skills : Healthcare Software Proficiency, Patient Interaction Management, Interpersonal Communication, Data Entry Accuracy, Records Management, Numerical Data Management
Description :
Served as the primary liaison for plan sponsors, members, and healthcare providers.
Educated customers on benefit plans and available services to enhance their experience.
Customized interactions based on individual patient needs and preferences.
Coordinated with plan sponsor liaisons for urgent updates and issue escalation.
Worked alongside the Health Insurance Marketplace to facilitate seamless enrollment processes.
Managed the escalation call line, providing resolution for complex inquiries.
Developed patient education materials to improve understanding of health benefits.
Experience
5-7 Years
Level
Senior
Education
B.S. Health Admin.
Health Concierge Resume
Summary : As a seasoned Health Concierge with a decade of experience, I specialize in enhancing patient navigation through complex healthcare landscapes. My strengths lie in educating clients about their health benefits and ensuring their needs are met promptly. I am passionate about creating exceptional patient experiences through tailored support and effective communication in collaborative healthcare settings.
Skills : Quality Assurance In Healthcare, Empathy And Compassion, Health Program Development, Data Analysis, Feedback Collection, Service Excellence
Description :
Collaborated with Prior Authorizations team to expedite pre-certification processing.
Managed member inquiries via email, ensuring prompt and accurate responses.
Guided new hires through the transition process, enhancing team integration.
Maintained organized electronic and physical files for efficient information retrieval.
Oversaw inventory and procurement of necessary office supplies.
Drafted correspondence, reports, and memos to facilitate communication.
Experience
7-10 Years
Level
Management
Education
B.S. Health Admin.
Health Concierge Resume
Summary : Dedicated Health Concierge with a decade of experience in optimizing patient support and navigating intricate healthcare environments. Proficient in educating clients about health benefits and addressing their unique concerns. I am committed to enhancing patient satisfaction through empathetic communication and personalized assistance, ensuring seamless healthcare experiences for all.
Skills : Healthcare Management, Quality Assurance, Patient Satisfaction, Health Literacy, Cultural Competence
Description :
Coordinated internal and external appointments, ensuring efficient scheduling and communication.
Utilized Microsoft Office Suite to maintain accurate records and streamline operations.
Provided comprehensive support to department personnel, including answering inquiries and managing documentation.
Welcomed and assisted visitors, enhancing their experience within the healthcare setting.
Emphasized UPMC's core values in all interactions to foster a positive environment.
Served as the primary contact for patients, addressing concerns and facilitating care.
Guided patients and families through hospital navigation, ensuring access to necessary services.
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