Senior Benefits Specialist at GAINWELL TECHNOLOGIES (2017-10 – 2026-04)
- Educated members and providers of insurance eligibility, current status and coverage options
- Prepared documentations needed for tax purposes and legal cases
- Applied solutions In accordance with state and federal law
- Provided resolutions for overpayments and suspended benefits
- Educated members in billing procedures between multiple insurance carriers
- Reviewed and reconciled refunds and premium payments
- Generated documentation of current and past benefits
- Trained and mentored new team members, accelerating their ramp-up time and supporting consistently high quality scores.
- Cross trained for all 11 member departments and provider teams
- Generated documentation needed and educated members of changes and current status of premiums, spend downs, deductibles and co pays
- Assisted providers with current claim status and payment information
- Recorded and documented incoming prior authorization requests for procedures and prescriptions
- Updated providers with contract and renewal requirements
- Maintained up-to-date knowledge of federal and state regulations impacting member benefits programs.
- Responded to benefit inquiries on plan provisions, benefit enrollments and status changes.
- Ensured company compliance with federal and state laws, including reporting requirements.
- Guided members through the enrollment process for all benefit programs.
- Educated members on benefit programs and eligibility requirements
- Investigated and resolved benefit issues and complaints.
- Matched opportunities with improvements within existing training guidelines and provided solutions
Customer Service Representative/ Scheduling at HEALTHGRADES (2013-12 – 2017-09)
- Matched patients with in-network providers, improving first-call resolution and reducing appointment rescheduling issues.
- Resolved conflicts and provided scheduling for multiple providers in multiple clinics.
- Recorded details of inquiries or complaints to maintain up-to-date records of customer interactions and transactions.
- Built sustainable relationships and trust with customer accounts using open and interactive communication.
- Provided exceptional customer service to clients in fast-paced call center environment.
- Performed data entry tasks accurately and in a timely manner.
- Displayed strong organizational skills while managing multiple projects simultaneously.
- Participated in team meetings to discuss new ideas for improving the overall quality of customer service provided.
- Developed strong customer relationships and loyalty through effective communication.
- Updated and maintained database with accurate customer information
- Navigated multiple computer systems and applications and utilized search tools to find information
Accounts Receivable/Leasing consultant at FISHER PROPERTIES (2010-04 – 2013-12)
- Receive payments and post amounts paid to customer accounts.
- Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment
- Answer customer questions regarding problems with their accounts.
- Record information about financial status of customers and status of collection efforts.
- Prepare and turn over account records to attorneys when customers fail to respond to collection attempts.
- Market vacant space to prospective tenants through leasing agents, advertising, or other methods.
- Investigate complaints, disturbances, and violations and resolve problems, following management rules and regulations.
- Inspect grounds, facilities, and equipment routinely to determine necessity of repairs or maintenance.
- Meet with prospective tenants to show properties, explain terms of occupancy, and provide information about local areas.
- Determine and certify the eligibility of prospective tenants, following government regulations.
- Contact credit bureaus, employers, and other sources to check applicants' credit and personal references.
- Plan, schedule, and coordinate general maintenance, major repairs, remodeling and move in, move out cleaning and inspection for residential properties.
Office Manager/Human Resources at FENSKE SECURITY (2005-08 – 2010-05)
- Supported day-to-day operations of HR functions and duties
- Maintained and updated employee records to support accuracy and compliance
- Managed payroll processing by verifying time sheets and ensuring accuracy of payments
- Coordinated job postings, interviewing and selection process Prepared and set up for new employee orientations
- Processed and reviewed employment applications to evaluate qualifications and eligibility of applicants
- Selected applicants meeting specified job requirements and referred ti hiring personnel
- New account contracts
- Accounts payable
- Accounts receivable
