Self-motivated [Job Title] offering a strong work ethic and determination to complete tasks in a timely Claireer. Accurate and detail-oriented with extensive bookkeeping and clerical knowledge.
|
Accounting
- Upgraded accounts payable system to new platform.
Compliance
- Maintained compliance with regulatory standards by training clients on new government specification standards.
Strategy and Planning
- Developed and communicated team Web site.Established policies and procedures for Web site usage.
- Maintain eligibility for Automated, Direct Connection, and Manual accounts.
- Accounts consist of dental indemnity, CIGNA Dental Health (CDH), medical, indemnity, flexcare, RxPrime, vision, non-national, and commercial coverage.
- Interact with different departments (CDH, RxPrime, vendor services) within CIGNA Healthcare to resolve issues due to the different product types each account maintains.
- Establish and test electronic data transfer mechanisms (EDI, FTP, HTTPS) to ensure proper utilization by the customer and accurate feeds to CIGNA.
- Create and test algorithms and program reformatters to accommodate non-standard file transmissions.
- Research and reconcile issues regarding eligibility and transfer mechanisms.
- Liaison to clients and Third Party Administrators regarding problem solving related to health insurance issues.
- Educates client representative on administrative procedures, benefit plans and identifies available resources.
- Understands systems requirements and cutoff dates for daily/weekly/monthly reports in order to ensure that all internal and external process reports contain accurate information.
- Meet and exceed all metrics regarding returning phone calls, emails, and updating client's files to ensure that all customer data is installed in an accurate and timely Claireer.
- Exercise strong organization and communication skills, as well as the ability to perform multiple tasks under aggressive timeframes.
- Assisted in team coaching responsibilities, lead as authorizer in customer service requests and vantive requests for team.
- Independently manage client relationships.
- Oversee the production efforts for client campaigns and yearly marketing efforts.
- Proactively bring new ideas and suggestions to clients.
- Review upcoming client campaigns for production efficiencies.
- Independently solve production problems as they arise.
- Act as a resource to team members for job related issues.
- Work with management to identify and implement internal process improvement Establish and monitor own revenue projection goals.
- Communicate clearly and effectively with clients and colleagues.
- Verify client provided specifications.
- Generate, maintain and update production schedules.
Accounting GPA: 3.0
Criminal Justice Psychology, Political Science and Criminal Justice GPA: 3.0
Accounts Payable, administrative, coaching, communication skills, Credit, client, clients, Customer Service, data transfer, EDI, Front-Office, FTP, Insurance, Teambuilding, marketing, Presentations, problem solving, process improvement, Research, Scheduling, phone, vantive, vision, Written
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy
Disclaimer
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score
could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
resume Strength
- Length
- Measurable Results
- Personalization
- Target Job
Resume Overview
School Attended
- MCC
- National Association of Credit Management (NACM)
Job Titles Held:
- Senior Eligibility Analyst
- Account Manager
Degrees
- Bachelor of Science
- Associate of Science
By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy
Similar Resume
eligibility analyst senior associate
CIGNA Healthcare
Phoenix, Arizona
program eligibility analyst
Community Action Partnership Of San Luis Obispo County
Santa Maria, California
eligibility enrollment analyst team leader
Health Care District Of Palm Beach County
West Palm Beach, Florida
