Team Coordinator Resume Example Lash Group A Pioneer In Reimbursement Solutions For Pharmaceutical Companies And Biotechnology Firms

TEAM COORDINATOR

Objective

Seeking a challenging position utilizing abilities developed through my experience with the opportunity for professional growth based upon performance.

Summary of Qualifications

Driven and compassionate professional with 14 years of healthcare experience.
Personal and professional integrity
Excellent Interpersonal skills
Ability to work independently and highly accountable
Excellent time management skills
Patient-oriented

Strong verbal and written communication
Ability to work in a stressful environment
Self Motivator with a positive attitude
Ability to handle multiple responsibilities and adapt to unique situations and challenges

Professional Experience

Lash Group-A pioneer in reimbursement solutions for pharmaceutical companies and Biotechnology firmsApril 2005 to CurrentTeam Coordinator
Florence, NC

Provide day-to-day directions to Reimbursement Counselors and / or Program Support Specialists
Insure that team members are performing in-line with program standards
Train new and current team members on programs; addresses team members' program questions
Compile and provide a wide range of routine reports related to program operations to Senior program management and clients
Identify opportunities to streamline current processes
Monitor adherence to project plans and standard operating procedures
Audit program activities related to contract and data integrity

Claims Associate I

Data Entry-Key prescreens and sorted incoming claims to determine jurisdiciton
Performed necessary research in order to resolve all online edits and deers discrepancies.
Performed controlled development, either by telephone or written correspondence in order to secure all necessary information upon receipt
Identified and routed first pass claims to medical review as appropriate
Notified Management of providers and beneficiaries that may require education on the (Champus) Blue Cross Blue Shield Program

Assurant Solutions-Premier provider of specialized insurance products and related servicesAugust 2001 to April 2005Hazard Insurance Processer
Florence, SC

Verified that customer policies contains acceptable coverage and disburse premium payments from the escrow account
Made necessary outbound phone calls to insurance agents, and companies to update insurance policies and obtain missing information
Performed maintenance as necessary for policy changes, letters and notices
Insured all items are processed in a timely manner to meet or exceed established standards

Blue Cross Blue Shield (Champus)-Natioanl Healthcare Insurance provider for Uniformed Service memberMay 1999 to July 2001Claims Associate III
Florence, SC

Handled and conveyed telephone inquiries as well as written correspondence
Researched and responded to 85% of all correspondence within 15 days
Responded to incoming telephone inquires with an average talk time of 4.5 minutes per call
Coordinated with various interal departments and Prime Contractors to ensure all issues are solved in a timely manner.
Identified and reported potential fraud and abuse situations to our Program Integrity Officer

Sara Lee Hosiery-Global manufacturer and marketer of high-quality, brand-name products for consumersNovember 1996 to December 1998Packing Machine Operator
Florence, SC

Loaded and operated machines with the correct size and shade of hoisery with the proper packaging. (Completing approximately 100 cases in 8 hours)
Started up machines and set up machines with proper criteria to run the daily production
Ensured quality of products while meeting daily production goals Identified substandard products and re-routed to the appropriate area
Selected, verified, sorted and packed for shipment to customers
Stocked products and received inventory from other plants and departments

Education and Training

Hartsville High SchoolHigh School DiplomaHartsville, SC

Strayer UniverstiyCurrently Attending: Business ManagementCharlotte, NC

Computer Skills

Proficient in Microsoft Office (Word, Excel and PowerPoint)

Resume Overview

Companies Worked For:

Lash Group-A pioneer in reimbursement solutions for pharmaceutical companies and Biotechnology firms
Assurant Solutions-Premier provider of specialized insurance products and related services
Blue Cross Blue Shield (Champus)-Natioanl Healthcare Insurance provider for Uniformed Service member
Sara Lee Hosiery-Global manufacturer and marketer of high-quality, brand-name products for consumers

School Attended

Hartsville High School
Strayer Universtiy

Job Titles Held:

Team Coordinator
Claims Associate I
Hazard Insurance Processer
Claims Associate III
Packing Machine Operator

Degrees

High School Diploma
Currently Attending : Business Management

Team Coordinator Resume Example

Resume Score: 50%

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