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Benesys Inc - Eligibility Coordinator Resume Example

Nora Butler
XXXX XXXXXX XXXXXX XXX
Huber Heights, OH 45424
Ph: XXXXXXXXXXXX
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Professional Summary

Experienced COB Analyst with expert knowledge of medical terminology and HIPPA compliance. Dedicated and Committed Team-Player with established career working in Health Insurance and Customer Service settings. Support quality patient care and education.

Skills

Customer Services Medical Terminology

CPT & ICD-9-CM Coding Data Entry

Problem Solving/ Critical Thinking Proficient Microsoft Word, Excel, Outlook and PowerPoint

Type 45 WPM

Experience
Eligibility Coordinator Nov 2014Nov 2015 Benesys Inc. Troy, MI

Coordinate/Determine Health and Welfare Benefits for Active and Retired Union Workers following Cobra and CMS guidelines

Run monthly CMS reports according to future Medicare-Aged members

Handle Incoming and Outgoing mail from members and correspondences

Assist Supervisor and Plan Managers with solving issues regarding Fund

Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.

Patient Registration/ Intake Coordinator May 2013Oct 2014 U S Medical Management Troy, MI

Handled all intake processes via phone, fax, email or mail

Verified and entered all new patient insurance information

Communicated with families/caregivers about available services

Coordinated and insured that all patients accounts were given to Schedulers and Patient Care Coordinators in a timely manner

Coordinated and work with DME companies as necessary to provide quality patient care and services requested

COB Analyst/ Data Entry Clerk Jun 2001Jul 2011 Health Alliance Plan Southfield, MI

Determined primary, secondary and tertiary coverage for medical, vision and pharmacy services according to State Law, MSP Law, NAIC guidelines and other requirements

Performed COB recoveries, discoveries and investigated COB savings/claim adjudication

Communicated with other insurance companies, state agencies, providers, external parties and subscribers to obtain and validate COB information required to perform job duties

Input membership information into database

Resolved membership and provider errors from monthly reports

Scanned documents such as claims and invoices before claim processing

Education
Medical Billing and Office Administration Program Madison Heights, MI Ross Medical Education Center Oct 2012
Community Service

Mentor women and teens.

Help with Senior Services in the local neighborhood programs

Volunteer Outreach in the community, Monthly food bank program

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Resume Details

This is a real resume for a Eligibility Coordinator in Huber Heights, Ohio with experience working for such companies as Benesys Inc, U S Medical Management, Health Alliance Plan. This is one of the hundreds of Eligibility Coordinator resumes available on our site for free. Use these resumes as templates to get help creating the best Eligibility Coordinator resume.

Previous Companies:

  • Benesys Inc
  • U S Medical Management
  • Health Alliance Plan

Previous Job Positions:

  • Eligibility Coordinator
  • Patient Registration
  • Intake Coordinator
  • COB Analyst
  • Data Entry Clerk

Schools:

  • Ross Medical Education Center

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