Benefits Coordinator Resume Wood Dale, IL - Hire IT People

SUMMARY:

I am a driven individual with exceptional work ethic that has extensive experience in the retail, pharmaceutical, corporate, and healthcare industries.
My valuable experiences include working in management systems, developing projects, auditing, managing execution of workflow, developing processes, PBM, and documentation to ensure compliance with organizational expectations.

Professional Skills:

Capable of assessing, understanding and adapting to new technology platforms rapidly
Aptitude to work as part of a team as well as freely to accomplish goals and meet deadlines
Experience in C++ computer language, Linux, Salesforce, Mac OSX, Windows, Citrix, and SharePoint
Capability to generate reports with accurate information via Microsoft Office Suite
Ability to gather and provide data analysis to improve initiative and fulfill needs of companies
Ability to analyze data, document findings, and create reports based on findings
Ability to work as part of a team as well as independently to accomplish goals and meet deadlines

TECHNICAL SKILLS

Adept with Microsoft Office Suite (Word, PowerPoint, Outlook, OneNote, Excel), Adobe Acrobat
Operating Systems: Windows XP, Windows Vista, Windows 7, 8, 10, Mac OSX, Linux, UNIX
C++ and Linux computer language

PROFESSIONAL EXPERIENCE:

Benefits Coordinator - Confidential, Wood Dale, IL

Responsibilities:

Verify insurance eligibility and benefits for commercial and public health insurances
Calculate pricing, creating invoices, and communicate financial responsibilities to patients
Utilize insurance portals to verify benefits and request authorization for numerous commercial and government insurances including Blue Cross Blue Shield, Aetna, Humana, United Healthcare, IlliniCare, Meridian, CountyCare, etc.
Excel in the conversion of Electronic Medical Records system from I-Emphsys to CPR+ (Citrix Application)
Wide-ranging knowledge of commercial insurances, Medicare, and Medicaid
Knowledgeable in HCPC, CPT, and ICD-10 codes and payer specific specifications/contracts
Support internal department with adjudicating pharmacy claims
Analyze paid claims to ensure that maximum reimbursement has been met

Certified Pharmacy Technician - Confidential, Streamwood, IL

Responsibilities:

Provided quality customer service to patients and healthcare providers through interaction
Focused on dispensing correct medication while preserving time without any errors
Ensured all data entered was correct and precise to prevent errors
Volunteered to be head of flu shot clinic and signed up more than 10 guests per hour to receive their flu shots by being persistent and coordinating benefits of vaccination - 4-hour shifts consisted of 38+ flu shots in consecutive weeks individually