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patient representative

  •  Accurately respond to inbound phone calls and processing customer inquiries and requests into the appropriate system or database.
  •  Managing customer conflicts and challenging situations and as needed reporting/escalating issues through the appropriate channels. 
  • Handled all client issues in a discreet, professional manner, delegated responsibly when necessary by transferring calls to another department or referring to outside agencies.
  •  Responded to an average of 60-85 telephone inquiries per day from clients with diverse backgrounds inquiring on complex financial issues in regards to medication refill, claims, appointments and other services like information about clinic or referrals. 
  • Worked as a part of the Medical Record Department.

patient representative

  • Responded to a high volume of patient inquiries regarding intermediary payments on their inpatient and outpatient charges
  •  Verified and resolved reimbursement billing requirements through analysis of regulations pertaining to billed claims
  •  Audited and adjusted payments and charges. Escalated accounts over $1000