Sales Training

Professional Resume of Rosa Perdue Email:

*.*********@*****.***

OBJECTIVE

Challenging & rewarding position as an Analyst using Medicare

and/or Medicaid skills. Willing to travel.

SUMMARY

Seasoned professional with approximately 8 years combined experience

analyzing and complying with Medicare and Medicaid health benefit policies

and regulations. Routinely analyzed Medicare health benefits policies and

regulations including Medicare Part A (Hospitalization), Part B

(Supplements), Part C (Medicare Advantage and Special Needs), Part D

(Medicare Part-D Prescription Drug Plan); as well as Maryland Medicaid

HealthChoice program and MCO (managed care organization) policies and

regulations. Experienced with Medicare providers (Prescription Drug,

Supplements and Medicare Advantage Providers); and Medicaid Managed Care

Organizations (MCOs). Also experienced in conducting group and individual

presentations & educational consultations, business development, marketing,

customer relationship management, and problem solving. Experienced in MS

Office, Medicare database, PowerPoint, Excel, Access, and querying

databases and obtaining specified information and reports. Self-motivated

with excellent presentation, analytical, computer research, PowerPoint,

time management and customer relationship skills. Quick learner, detail and

results oriented, easy to get along with and a team player experienced in

telecommuting.

ACCOMPLISHMENTS - MEDICARE & MEDICAID

Approximately 8 years experience analyzing and complying with Medicare &

Medicaid consumer health benefits policies, regulations and procedures.

Analyzed and stringently complied with Maryland Medicaid HealthChoice

Program consumer policies/regulations for 4 years.

Analyzed and stringently complied with Medicare health benefit policies and

regulations for almost 3 years.

Extensive training and completion of numerous employer sponsored courses in

Medicare & Medicaid compliance, regulations, policies, marketing

guidelines, enrollment procedures and requirements, benefit entitlements,

Maryland Medicaid healthChoice Plan, and HIPPA regulations (See Additional

Education).

Over 6 years combined experience speaking before groups on Medicare and

Medicaid health benefits entitlements.

Conducted over 300 individual and/or group Medicaid presentations each year

over a 4 year period.

Conducted countless individual and/or group Medicare presentations over a 3

year period.

Successfully completed over 500 Medicare health plan enrollments over a 3

year period.

Successfully completed over 200 Medicaid enrollments per year over a 4 year

period.

Successfully managed Medicare and Medicaid regional customer relations &

established ongoing business relationships with share holders within the

community for almost 8 years.

Stringently complied with Medicare and Medicaid regulations pertaining to

health plans marketing, sales and business development.

Experienced in sales compliance of Medicare Part D Prescription Drug Plans

and Medicare Supplements for 2 1/2 years; Part C Medicare Advantage Plans

including special Needs Plans for 1 1/2 years; and the Maryland Senior Drug

Assistance Plan for 4 months.

EMPLOYMENT HISTORY

Medicare Insurance Representative

United

Healthcare Elkridge, MD November

2007 - January 2009

Medicare Insurance Representative

Humana, Inc. Baltimore, MD

January 2006 - July 2007

Maryland Senior Prescription Drug Plan Educator

GKV Communications, Baltimore, MD

August 2005 - December 2005

Insurance Agent P/T

Landmark Insurance, Princess Anne, MD June 2004-

July 2005

Medicaid Insurance Enrollment Consultant

Health Management Resources Inc., Lanham, MD

January 2000 - May 2004

EDUCATION

University of Maryland University College (UMUC) (1999-

2000, 2005)

Control Data Institute - Computer Programming & Operations

Certificate (1983)

ADDITIONAL TRAINING

MEDICARE TRAINING

Medicare Training - Received extensive employer sponsored training and/or

completed CMS Medicare certification exams from 2005 to 2009 in the

following:

CMS Medicare Sales and Marketing Regulations including CMS Overview,

Medicare Overview, Medicare Mastery, Selling Medicare Products, and

Marketing/Sales Compliance, Orientations, Ethics, Customer Sensitivity

training, HIPPA, and Enrollment requirements.

Extensive classroom and online training and study of Medicare regulations

utilizing various resources including CMS Official Medicare Handbook

(Medicare & You), Medicare Private Fee for Service Plans, Medicare &

Medicaid Coordination of Benefits, Medicare Part A, Part B, Part C, Part D

(Medicare, Medicare Advantage, Medicare Supplements, Medicare Presription

Drug Plan, & Medicare Special Needs Plans)

Medicare Product Certifications - Specifically for United Healthcare,

Humana, Secure Horizons, AARP, EverCare Special Needs Plan, various

prescription drug plans, medicare supplements and other health related

products.

Maryland Medicare Senior Prescription Drug Assistance Plan - Received

indepth classroom training on Medicare Part D Presription Drug Plan

policies, regulations, as well as policies and regulations of the Maryland

Senior Prescription Drug Assistance Plan.

Detailed training on proprietory CRM Oracle based system including how to

submit queries to manipulate data including contacts, sales, transactions,

accounts, campaigns, leads, appointments, dispositioning contacts, and

producing reports.

MEDICAID TRAINING

Extensive classroom training from 2000 to 2004 on Maryland Medicaid

policies, the Maryland Medicaid HealthChoice program, Medicaid enrollment

requirements, health benefit entitlements, and Managed Care Organizations

(MCOs).

REFERENCES AVAILABLE ON REQUEST

Contact this candidate