Career Focus
Energetic and reliable with working with a diverse group of people. Excellent communication and computer skills; ability to work independently or as part of a team to meet project deadlines; multicultural awareness with a high level of adaptability.
Core Qualifications
Critical thinker
Energetic and organized
Self-starter with professional manner Planning/Coordinating
Excellent communication skills
Highly organized with superior attention to detail
Microsoft Office, Excel, PowerPoint Power Point presentations
● Administrative operations
● Team building
● Employee motivation
● Claims appeal procedures
● Business correspondence
● Health insurance processing
● HIPAA compliance
● Insurance eligibility
● Verification Online claim submission
● UB-92 billing forms
Accomplishments
Operations
● Collaborated with [teams/departments] to ensure smooth work flow and efficient organization operations.
● Accountable for all operations of busy office, including [areas of responsibility].
Computer Proficiency
● Created PowerPoint presentations that were successfully used for business development.
Multitasking
● Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.
Document Organization
● Developed and created effective filing system to accelerate paperwork processing. File Management
● Prepared monthly reports for records, closed terminated records, completed final audit of charts and insured that all documentation has been received and filed.
Administration
● Performed administration tasks such as filing, developing spreadsheets, faxing reports, photocopying collateral and scanning documents for inter-departmental use.
Data Entry
● Reviewed and updated client correspondence files and scheduling database.
Administration
● Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.
Billing
● Cooperated with Medicare, Medicaid and private insurance providers to establish relationships and resolve billing issues.
Customer Service
● Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
Patient Billing
● Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Education
University of Phoenix 2012
Phoenix , AZ, USA
Healthcare Administration
University of Phoenix 2010
Phoenix, AZ, USA
Healthcare Administration
AA
Delta School of Business 1993
Lake Charles, LA, USA
Business Management
Keywords
Medi-cal, Medicare, MS Word, MS Excel, MS Outlook, reports, documentation, medical billing, insurance billing.
Work Experience
Benefits Enrollment Specialist
October 2010 to December 10,2010
Mercer – Houston, TX
Provide excellent service to group leaders, subscribers, providers and other authorized representatives in resolving inquiries pertaining to enrollment guidelines, web-based applications, explanations of general procedures, contract coverages, and billing procedures.
Coordinate enrollment activities to ensure necessary information is collected and disseminated to appropriate internal areas, (i.e., benefits, claims, underwriting, finance, etc.)
Analyze, review and process electronic eligibility discrepancy reports to ensure accurate system files. Knowledgeable and proficient with the system in order to access essential information to
accurately and efficiently process, maintain and service group and subscriber files.
Generate accurate and timely group billings and perform the required administrative tasks to ensure enrollment guidelines are followed.
Establish and maintain positive team working relationships with customers, vendors and coworkers Assist with the training of new employees into the enrollment tea...
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