- Montgomery Street, San Francisco, CA 94105
- H: (555) 432-1000
- C:
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- Date of Birth:
- India:
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Self-motivated Benefits Specialist proudly offering five years' experience. Looking for advancement opportunities in a Healthcare environment. Motivated and effective leader with a strong background in Substance Abuse. Professional with benefits inquiry and claim submission. Directed and built strong teams to achieve company goals.
- Claims Processing
- Utilization Review
- ICD-9, ICD 10 Coding
- 70 WPM
- Salesforce CRM
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- Medisoft, Collaborate, Tier
- Zirmed/Waystar
- KiPU EMR, Sunwave
- Relationship building and management
- Operations
|
Customer Service Representative, 01/2013 - 01/2014
Akzo Nobel N.V. – Warwick, ND,
- Answered over one-hundred incoming calls for Google's high volume call center
- Troubleshoot user devices i.e smart phones and tablets
- Attentively listened to callers' needs to ensure excellent customer experience
- Established well-detailed notes while interacting with customers
Business Development /Health Insurance Specialist, 08/2014 - 03/2015
The Mitre Corporation – Fort Walton Beach, FL,
- Welcomed visitors upon arrival of Recovery First's facility
- Operated with high integrity, built trust and earned sustained credibility
- Met with prospective companies to talk about services that were offered by Recovery First while
- Initiated outbound administrative requests by phone and in writing to accomplish proper follow up
Department Manager, 04/2014 - 08/2019
Banyan Treatment Centers / New Leaf Billing, Inc. – City, STATE, USA
- Implemented successful strategies and operations that assisted with the growth and initial start of Banyan's in-house billing company (New Leaf Billing Solutions.)
- Worked actively with the President of New Leaf and other department managers
- Demonstrated clear written and oral communications skills when obtaining authorization with health care professionals
- Reviewed over 100 patient files and records, chief complaints including allergies, diagnosis, medications and immunization statuses
- Suggested ideas for day to day operations for each individual department along with creating monthly department quotas
- Applied performance data through activity reports run directly through Salesforce, listened to calls for quality assurance
- Checked all work resulting in improved call time and benefit accuracy
- Oversaw and improved the Insurance Department
- Created performance goals for employees and provided positive feedback on methods
- Cultivated positive rapport with fellow departments to boost company morale and promote employee retention
- Developed and implemented plans to minimize long hold times, incorrect insurance benefit information, incorrect claim submission and appropriate kickback
- Created the department handbook to focus on equipping employees to independently meet department standard along with policy and procedures
- Held monthly meetings with all department staff
- Provided hands on training and re-training if needed
Bachelor of Science: Information Technology, Expected in 07/2023
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Henry Ford College - Dearborn, MI
GPA:
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