Healthcare Customer Service Representative Resume Sample

Updated: August 26, 2016


Modern and tech-savvy employers are great at performing detailed research to figure out if what you have written in a resume gels with who you are in reality.

Facebook and LinkedIn profiles are checked as soon as a resume is deemed interesting. Make sure that your online presence verifies all that you have written in your resume.

For the format of a resume that is sure to gain interest, refer to the sample below:


Healthcare Customer Service Representative Resume Sample


Douglas Eldered

445 Benton Boulevard ● Kansas City, MO 77002 ● (000) 142-4121 ● dougel @ email . com


Summary: Dedicated and customer service-oriented individual with defined skills in providing exceptional services in healthcare settings. A pleasant person who has an inherent ability to get along with people owing to a helpful attitude.

• Qualified to accurately obtain and process patient demographic, medical and insurance information
• First-hand experience in communicating with patients, hospital staff and visitors in a polite and helpful manner, as reflected in the facility’s policies and practices
• Especially talented in independently prioritizing healthcare customer service work flow including work queue management and insurance verifications
• Track record of effectively monitoring department work queues and providing correlating feedback


• Level 1 Support • Call Handling • Insurance Verification
• Claims Follow-up • Patient Registration • Records Management
• Patient Scheduling • Specialists Connection • Complaint Resolution
• Patient Education • Rapport Building • Vendor Relations


Healthcare Customer Service Representative | 11/2009 – Present
Mulan Healthcare, Kansas City, MO

• Reorganize level 1 support system by incorporating an effective first contact module which increased customer satisfaction
• Successfully resubmit 200 denied claims and pay within a short period of 1 month
• Obtain patient information such as demographics and medical histories and ensure that they are properly recorded
• Verify insurance plans and coverage by creating and maintaining liaison with insurance company personnel
• Review patients’ medical information such as prescriptions for verification and updating purposes
• Assist patients in understanding how their insurance plans work and provide necessary feedback regarding coverage and copays

Customer Service Representative | 8/2002 – 11/2009
Kansas Healthcare, Kansas City, MO

• Implemented a preliminary healthcare education program which proved to be highly successful in providing patients and families with procedural information
• Reduced patient inflow by 50% by introducing an online appointment scheduling system which also resulted in high patient satisfaction
• Followed-up with doctors and other medical professionals to obtain necessary information in order to complete records
• Provided support to patients by educating them on registration and admission procedures
• Collaborated with delivery, sales, respiratory and billing teams to ensure appropriate coordination between departments
• Executed medical equipment and supplies orders to ensure timely delivery and storage

Front Desk Representative | 2/1997 – 8/2002
Absolute Healthcare, Kansas City, MO
• Greeted patients and visitors and provided them with necessary service and procedural information
• Assisted patients in filling out registration and admission forms and obtained necessary information such as medical histories
• Recorded and verified insurance information by contacting insurance companies over the telephone or through email
• Created and maintained effective liaison with vendors and suppliers to ensure timely delivery of medical equipment and supplies
• Verified appointments and assured that emergent cases were handled in a prompt manner

High School Diploma – 1994
Kansas City School, Kansas City, MO