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Benefits Operations Administrator Resume Example

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BENEFITS OPERATIONS ADMINISTRATOR
Professional Summary
Skills
  • Core Benefits administration
  • MS Office Suite

 Reporting Services


Work History
Benefits Operations Administrator , 10/2011 to Current
Ascensus – Minneapolis , MN
  • Serve as health benefit consultant for three companies (10,000+ employees) providing resolutions to issues and concerns with health care benefits such as medical, dental, vision, etc.
  • Review and provide updates to medical vendors to correct effective dates, adding and removing members and their dependents as needed, confirming that members are in their correct benefit plans.
  • Work closely with clients and vendors to ensure continuing coverage and reinstatement for members.
  • Create and maintain standard operating procedures  to ensure that plan provisions are being followed. 
Benefits Administrator, 01/2008 to 01/2011
Bickford Senior Living
  • Answer inbound calls from clients, assisting with inquiries on eligibility audits.
  • Audit documentation received for eligibility compliance.
  • Act as support matter expert for internal audit team.
01/2007 to 01/2008
  • Answer inbound calls from customers and insurance agents, assisting with billing and insurance inquiries.
  • Process billing reports.
  • Communicate with collection agency to correlate records.
Customer Service Consultant, 01/2003 to 01/2007
Carmax
  • Answer inbound calls from insurance agents, assisting with underwriting, billing and endorsements.
  • Communicate with debt recovery department to make corrections to billing when applicable.
01/1999 to 01/2003
  • Review provider charge tickets for dates of service, procedures, diagnosis, patient identification and provider signature for accuracy.
  • Enter appropriate charges into billing system.
  • Perform the task of returning incomplete charge tickets for correction.
Unit Secretary, 01/1998 to 01/1999
Bickford Senior Living
  • Secretarial duties in the emergency department answering phones, entering orders for lab tests, x-rays, etc. into the computer system.
  • Assist family members of patients with room assignments.
  • Initiate trauma codes through phone system for attending physician.
Education
Diploma: Word Processing, 1993
Miller Motte Business College - City, State
Employee of the month, GMAC Insurance, November 2007 Certificate Medical Coding, Forsyth Technical Community College, 2002 Certificate Unit Secretary, Forsyth Technical Community College, 1999:
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How this resume score could be improved?

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56Fair
Resume Strength
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  • Word choice
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  • Measurable results
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Resume Overview

School Attended

  • Miller Motte Business College

Job Titles Held:

  • Benefits Operations Administrator
  • Benefits Administrator
  • Customer Service Consultant
  • Unit Secretary

Degrees

  • Diploma : Word Processing , 1993
    Employee of the month, GMAC Insurance, November 2007 Certificate Medical Coding, Forsyth Technical Community College, 2002 Certificate Unit Secretary, Forsyth Technical Community College, 1999 :

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