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Candidate's Name
E EMAIL AVAILABLE P PHONE NUMBER AVAILABLE A Street Address  Somerville Dr, Rockledge, FLOBJECTIVE KEY SKILLSTo become an integral teammember in an organization thatvalues loyalty and commitment,through utilization of myextensive knowledge andunderstanding of Medicare andcommercial insurance policies toassist in effective medicaldecision making.PROJECT MANAGEMENTSCHEDULINGMEDICAL CLAIMS MGMTMEDICARE HEALTHBENEFITSCOMMERCIAL INSURANCEHEALTH BENEFITSSIX (6) PROGRAMMINGLANGUAGESPROGRAMMINGLANGUAGESCOBOLFORTRANASSEMBLERBASICPASCALMS DOSEDUCATIONAssociate of ScienceInformation SystemsBrevard Community CollegeRockledge, FLRanked top 10% of classCoursework was focused oncomputer programming, businessmanagement, and technicalwriting.EXPERIENCENovember 2018  August2023Medicare Customer CareSpecialistHealth First Health Systems
Rockledge, FLSubject Matter Expert (SME) ofmedical benefit coverages andeligibility responses to patientsand medical offices.Employee of the Month forAugust 2023 for entirety ofHealth First Health Systems.Performed at 95% resolutionfor approx. 75 calls per day asa secondary line of escalation-working to maintain companygoals of resolution on firstcall/contact.November 2007  August2018Regional Customer ServiceManagerPercepta, LLC  Melbourne, FLAttained white belt statusleading charge toimprovements in documentingtelephonic interactions withcustomers of one of the largestvehicle manufacturers in theworld regarding repairs,warranty work, extendedwarranties, and vehicle issues.September 1996  September2005Retail Sales ManagerCircuit City  Melbourne, FLIntegral Technology Managerthrough business wind downoperations in the bankruptcyand liquidation of local storeswithin territory.Succeeded in territory-widecompilation of SWOT analysisof competitors, their products,and marketing strategies tounderstand the competitivemarketplace and salesadvantages.TECHNICAL & SOFT SKILLSMedicare, Amisys, AWD,Microsoft Word (expert),Microsoft Excel (expert),Microsoft Outlook (expert),Evicore, Caremanager, timemanagement skills, positivelearning processes.Candidate's Name
E EMAIL AVAILABLE P (321) 506-6420 A 5041 Somerville Dr, Rockledge, FL REFERENCESJane Doe PHONE NUMBER AVAILABLEJohn Doe PHONE NUMBER AVAILABLEBest Reference Ever (321)111-1111