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Team Coordinator Resume Example

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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)

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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

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