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Click here or scroll down to respond to this candidate9:43Davis Professional Resume...Candidate's Name
visshatoya.: mail.comPHONE NUMBER AVAILABLEProfessional Profile .* 10+ Years Professional Healthcare Experience * Managed Care and Pharmacy Experience* High Volume of Calls * Texas Life, Accident, Health, & HMO License #: 1920520 + Insurance Sales,Insurance Authorization + Prior Authorizations, EOBs, Eligibility, Enrollment + Claims,Appeals, Billing * Medicare, Medicaid, HIPPA + Proficiency in Microsoft Office Suite * Extensive HRISexperience (Workday, Dayforce, ADP, Ultipro, etc).Professional ExperienceBuilders FirstSource, Inc. Dallas, TXOctober 2021 CurrentHR Benefits AnalystEnsure accurate and timely benefit auditing and reportingDirectly report any auditing and/or software configuration issues to ManagementAssign work task and tickets to the appropriate party for processingAssist with Vendor billing and payment requestProcess Life Claims and Beneficiary OutreachesUpdate Plan Guides and Intranet to ensure the most up to date information is available to teammembersBenefit Census ReportAssist with Onboarding for New Hires and AcquisitionsOneSource Virtual, Inc Irving, TXJune 2018 October 2021Sr. Benefit Specialist* Heavy Reporting* Workday HRIS experience - auditing to ensure HRIS and vendor information is up to dateand well managedWorkday Enrollment / Open Enrollment and Life EventsOutreach to New Hires and employees requesting benefit changesProcess Dependent Audits by reviewing employee submitted documents and makingoutreachesProcessed Monthly Workday Termination Reports, Weekly BPAT reports, Carrier ErrorReportsDeath Claims, Workers Comp Claims & Medical Support OrdersLocktonAugust 2017 June 2018Benefit specialist+ Process IRS Qualifying Life Events and review supporting documentation to ensuredocument is sufficient.* Assist employees with new hire and annual enrollment submissions+ Educate employees on enrollment guidelines & restrictions* Follow-up with employees to ensure enrollment & documentation is received by thedeadline.* Follow-up with clients to ensure timely resolution to employee issues* Communicate with carriers to assist with eligibility updates, employee claim issues, ID cardrequest, etc.* Compose Benefit Packets.* process benefit payments* research claims to ensure payments are received in a timely manner and to ensure claimsare paid correctly based on plan benefitsOptum (Different Contracts) Richardson, TXNovember 2012 June 2017March 2015 June 2017Customer Service Representative (United Healthcare Campaign)* Handle up to 75 inbound and outbound calls regarding insurance authorization, benefits, andclaims ED |
