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Click here or scroll down to respond to this candidateCandidate's Name
Chicago, IL Street Address
EMAIL AVAILABLESUMMARY OF QUALIFICATIONS Strong analytical skills with extensive experience working in administrative assistant/office support roles Ten years of experience in healthcare management/health insurance administration industry Proficient to excellent skills using Microsoft Office Suite applications, the internet and networking sites Extensive knowledge of office management, inventory control, operating and maintaining office equipment Strong customer service skills, proven ability to engage, establish rapport and find solutions PROFESSIONAL & ADMINISTRATIVE EXPERIENCEHireOps Staffing, LLC, Blue Cross/Blue Shield of IL, 300 E. Randolph, Chicago, IL 01/05/19 - 05/06/23Under the supervision of the HEDIS Coordinator, worked as a member of the medical record review team to complete HEDIS reviews in accordance with NCQA guidelines and technical specifications. Responsible for providing administrative support for the Health Effectiveness Data and Information Set(HEDIS) project.Beacon Hill Staffing, Evolent Health Systems, 300 S. Riverside Plaza, Chicago, IL 02/2017 07/2017EDI Healthcare Analyst, Data Entry Specialist (Client-State of Indiana Medicaid System) Successfully implemented MDwise (Indiana Medicaid System) into Evolent Health Systems IT operations. Provided technical support during and after implementation for healthcare electronic data interchange applications. Using SpecBuilder- Edifecs, EDI technology software, formatted insurance claims and claim acknowledgments in accord with HIPAA and health insurance guidelines. Contracting Opportunities with Robert Half International, Chicago, IL 01/2015 2/2017Most recent assignments have been in the healthcare/health insurance industry, involved with insurance navigation, inputting data/files into new electronic filing systems, administrative duties, customer-facing skills, and data entry. Experienced working with sensitive PHI and maintaining HIPAA compliance.Vizient Inc. (Healthcare Services), Receptionist/Customer Service (11/2016-12/2016) Maintained and updated internal systems due to the transfer of insurances to the various Affordable Care Act programs on a regular basis Navigated multiple medical management databases to determine health insurance and coordination of benefits prior to registration of patients, including Medicare and Medicaid databases and multiple insurance company websites to insure proper insurance coverage and assignment Coordinated insurance verification, and updated patient information, working patients and primary care facilities, doctor referrals Customer Service Representative with University of Illinois Health and Hospital System Patient AccessOffice Team, Chicago, IL06/2011-12/2012Customer Service, Reception and Office Support assignments in Chicago metro area Wells Fargo Insurance and Financial Services Department, Receptionist Source Media Transitions Convention, McCormick Place, Chicago, IL Wells Fargo Home Ownership Informational Event, United Center, Chicago, IL Candidate's Name Business Support Services, Savannah, GA 07/2010-06/2011Independent Contractor Organized tax records for individuals and small business owners Quick Books set-up for self-employed individuals and consultants Collected data and prepared final documentation and presentations for professional organizations such as the African American Association of Museums Analyzed questionnaire data and created final document presentation for the Ossabaw Island FoundationSouthern LNG Elba Island, Savannah, GA 05/2005-07/2010Administrative Assistant Project Management Team Tracked and reported team hours and I-Card expenses on a weekly basis Ensured timely and accurate invoicing and monitored receivables for project Coordinated travel and meeting schedules for senior managers and team leaders Planned on-site meetings and events, organizing setup of meeting venue, audio visuals, catering needs Conducted safety compliance and environmental awareness orientations for all visitors and contractors on natural gas facility siteEDUCATIONNortheastern Illinois University, Chicago, IL 08/1991- 05/1994 Bachelor of Arts Degree (Linguistics/Intercultural Studies) |
