eligibility analyst senior associate resume example with 17+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - - - -
Professional Summary
Proven customer service skills developed over a 10 year period working for various organizations such as Cigna, Denver Health Medical Center, HCA/HealthONE Excellent interpersonal, verbal and written communication skills 10 years of research experience with an exceptional ability to focus on minor details Excellent computer skills with over 10 years experience working with Microsoft Office programs such as MS Word, MS Excel, MS Outlook and multiple databases including Facets Expert data entry skills, able to type 60 words per minute and perform 10 key by touch Top notch analytical and organizational skills, extremely detailed oriented with the ability to multi-task and complete required tasks and meet strict deadlines in a fast paced work environment Independent worker with an exceptional ability to prioritize tasks and coordinate with team members
Core Qualifications
  • Client-focused
  • Quick learner
  • People-oriented
  • Excellent communication skills
  • Goal-oriented
  • Excellent time management skills
09/2015 to Present
Eligibility Analyst Senior Associate Allied Universal Security Hawthorne, CA,
  • Responsible for managing the electronic eligibility files or manual eligibility data in the core system for at least 50 assigned cases, including the implementation, renewal, and maintenance activities for Cigna Clients.
  • Identify any file formatting or data integrity errors, and partnering with internal and external partners to create a positive client experience.
09/2013 to 09/2015
Account Installation Sr. Associate/Billing Install Analyst Mcguirewoods Llp Charlotte, NC,
  • Managed a Book of Business and processed group medical rates on the Facets platform, across all plans and subgroups for new business, renewals, amendments and terminations.
  • Installed new cases in Facets accurately and timely each month by following the Facets New Group Workflow.
  • Adhered to policies and procedures and attention to detail and accuracy necessary for both the customer and internal customers.
  • Knowledge of proper Facets setup essential for ensuring billing can be released and customers receive accurate billing statements each month.
08/2011 to 09/2013
Document Assistant/Return Mail Processor Behavior Health Network Palmer, MA,
  • Processed incoming and outgoing mail adhering to Document Control policies and procedures.
  • Managed mail processing, sorting and distribution.
  • Managed workflow during peak and low seasons with the goal of leveling work load year round.
12/2008 to 04/2011
Account Installation Associate/Premium Rate Specialist Cigna Healthcare City, STATE,
  • Top performer recognized for 100% accuracy rating for 2010 ensuring customers had correct billing statements Managed caseload of 70 or more customers and ensured all data was properly entered within designated time frames Performed detailed self-audits on existing customers or new customers daily to maintain high level of customer satisfaction Coordinated with multiple internal customers to ensure timely completion of all cases Resolved complex problems by researching technical issues and inputting required corrections in Facets.
01/2008 to 12/2008
Security Coordinator Office Team, Catholic Health Initiatives CHI City, STATE,
  • Set up new user accounts for new employees and made changes for tenured employees to ensure access and provide staff with tools necessary to complete daily operations.
  • Provided access to CHI applications, network and data environments per security policies and operational standards.
  • Coordinated with internal customers to reset passwords, provide access to computer applications, and set up multiple users in support of company operations.
  • Researched account issues to determine origin of access problems and resolve them in a timely manner.
10/2006 to 09/2007
Batch Analyst HCA/HealthOne, Denver Patient Account Services City, STATE,
  • Managed batch report for 6 different facilities to ensure accurate processing of daily payment transactions.
  • Corrected errors on daily report to ensure each transaction was processed in a timely manner.
  • Communicated effectively with internal patient accounting staff via email to obtain accurate data to make payment/charge corrections.
09/2005 to 04/2006
Billing Specialist Ultimate Electronics, Inc City, STATE,
  • Ran daily discoverer reports and determined which Service Requests were completed and ready to be invoiced Determined the correct A/R account for billing purposes and verified all information was accurate Verified warranty status and correct amount to charge the customer Identified and reported billing mistakes to prevent unnecessary write offs Billed approximately 2000 invoices a month worth approximately $200,000.
05/2003 to 09/2005
Lead Clinic Clerk Denver Health Medical Center Outpatient Behavioral Health Services City, STATE,
  • Managed $3,000-$5,000 worth of payments for Behavioral Health Services rendered Prepared money for daily cash deposits and coordinated with campus security for pick up Coordinated with upper management and researched account discrepancies to ensure accurate reconciliation of patient accounts Trained employees to ensure that proper cash handling procedures were followed Provided customer service and managed physicians/counselors daily schedules by scheduling appointments via phone or in person and preparing paperwork Entered billing codes to ensure payment for services and treatments rendered.
05/2002 to 08/2002
Youth Employment Specialist/Coordinator Mayor's Office Of Workforce Development City, STATE,
  • Provided daily employment counseling and job placement services for 15 teenagers per week to assist employers with filling vacancies while providing summer jobs for youths.
  • Coordinated daily with up to 15 different employers per week to match employer needs with youth interest to ensure successful placements.
  • Managed database of 100+ positions available to youth in the citywide teen employment program.
04/2001 to 02/2002
Program Coordinator Community College Of Denver City, STATE,
  • Scheduled orientations for Quickstart Careers, which assisted dislocated workers in furthering their education to obtain stable employment Determined applicant eligibility by adhering to program guidelines to ensure applicant met criteria to receive government funds Reviewed applications for accuracy to ensure all necessary documentation was provided in order to give proper funding to each applicant Assisted in quality job placement for all eligible applicants Established personal contact with perspective employers Maintained contact with employers and conducted onsite visits Tracked and reported attendance and compliance of participants.
Expected in May 2000 to to
B.S: Business Management
Grambling State University - Grambling, LA
Business Management
Professional Affiliations
accounting, scheduling appointments, attention to detail, Behavioral Health, billing, daily cash deposits, cash handling, computer applications, counseling, customer satisfaction, customer service, database, documentation, email, filling, funds, policies, quality, researching, sorting, phone, workflow

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Resume Overview

School Attended

  • Grambling State University

Job Titles Held:

  • Eligibility Analyst Senior Associate
  • Account Installation Sr. Associate/Billing Install Analyst
  • Document Assistant/Return Mail Processor
  • Account Installation Associate/Premium Rate Specialist
  • Security Coordinator
  • Batch Analyst
  • Billing Specialist
  • Lead Clinic Clerk
  • Youth Employment Specialist/Coordinator
  • Program Coordinator


  • B.S

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