High School System
Resume:
Tammy Peters
**** **** ******* *** *** #****
Katy, Texas 77493
Phone: 281-***-****
Email: *****.******@*****.***
Professional Overview
Energetic, result-oriented team-player eager to bring strong work ethics to a growing
Company who needs top-level support. Excellent computer skills; ability to work
Independently or as part of a team to meet project deadlines; high level of adaptability.
Summary Skills
Type 40 wpm
Employee trained and development
Filing and Data archive
Health insurance processing
HIPPA compliance
Self started with professional manner
• 10-key proficient
• Insurance Eligibility Verification
• Data Entry
• Microsoft Office, excel, word, outlook
• Highly organized with superior attention to detail
Work Experience
Jacobson Solutions
Chicago, IL
October 2011 Priority Health
December 2011 Grand Rapids, MI
• Entrusted with Medicare Beneficiary information for input into the IKA system .
• Compared Medicare Beneficiaries information with CMS, IKA and Facets systems from the TRR report making corrections as necessary.
• Verified Eligibility through Various Government Websites (Infocrossing, CMS)
• Manually enter Personal information into the Facets System from the EDI file.
October 2010 Regence
April 2011 Seattle, WA
• Entrusted with company information for input from the CRM system into the Facets systems
• Entrusted with Personal information when loading member’s eligibility from a spreadsheet and the Crest File into the facets system.
• Verified information for accuracy
December 2002 Texas HealthSpring
May 2010 Houston, TX
Senior Enrollment Specialist
• Entered Medicare Beneficiaries into the MHC system
• Terminated Members from the Health Plan
• Audited Application with System for Input Accuracy
• Uploaded Daily Work into the CMS system
• Verified Eligibility through Various Government Websites (Infocrossing, CMS and TMHP)
• Compared CMS information and MHC information from the weekly TRR report
• Verified information with member for accuracy and understanding of the HealthPlan.
• Assisted other departments with grievance complaints
• Other duties as assigned
September 1999 Amcare HealthPlan
December 2002 Houston, TX
Senior Enrollment Specialist
• Entrusted with company information and their employees for input into the GBase system
• Audited member applications for Input Accuracy
• Terminated Members and companies from the Health Plan
• Called companies HR for missing information on employees applications
• Other duties as assigned
November 1980 NACM of Texas
May 1999 Houston, TX
MIS/Data Entry
• Manually entered credit information into the system WYSE System
• Investigated companies history
• Loaded various types of magnetic media into the system
• Trained Companies on Remote access into the system
• Assistant to the Manager
• Other duties as assigned
Education
June 1975 Eldorado High School
Albuquerque, NM, USA
High School Diploma
September 2011 Home study coarse for Medical Terminalogy.
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