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Customer Service Insurance

Location:
Houston, Texas, 77072, United States
Posted:
May 25, 2010

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Rhonda Willis

**** * ******** *** ****

Houston, TX 77072

Phone: (832) ***-****

E-mail Address: abmrkl@r.postjobfree.com

Objective

To obtain a mid-level position which will enable me to enhance my current

skills in the health insurance field.

Qualifications

Operating Systems: Windows 98/XP/VISTA, Software: Microsoft Word, Excel,

Access, Outlook, Internet Explorer; Systems: OMS, SmartMerge, Medipac,

Siebel, PeopleSoft; Citrix, Facets, Macess, Fazal, AppXtender; Filing, Data

Entry 11,000 ksph, 10 Key Calculator, Typing 40-45 wpm, Customer Service,

Telephone Etiquette

Education

2005-2006 Houston Community College

Pursuing Associates Degree in Accounting and Certificate in Human Resource

Management

1993-1997 Barbara Jordan High School for Careers

High School Diploma

Relevant Experience

08/09 - 05/10 TexasHealthspring Enrollment

Reconciliation Specialist

Submit daily workload data file to Infocrossing for submission to CMS.

Reconcile enrollment, identify discrepancies and send appropriate

notifications to members. Research and resolve complex enrollment issues.

Identify members that have to pay late enrollment penalties and notify CMS

with the correct number of uncovered months.

07/07 - 02/09 Universal American Enrollment Supervisor

Processed weekly and monthly CMS reply reports by updating the appropriate

membership system and sending any membership notification required by CMS

in compliance with CMS timelines. Researched and resolved any membership

discrepancies within CMS timelines, including submitting and tracking of

Regional Office Letters. Processed daily batch error reports. Contacted

external agencies to resolve membership discrepancies. Coordinated special

projects.

08/02 - 03/05 RD Enterprises LLP Administrative

Clerk/Customer Service

Entered all incoming purchase orders, for specialty boutiques and major

department stores. Generated sales orders. Assisted with general office

administrative tasks which included filing, faxing, printing/maintaining

reports, and miscellaneous customer related tasks. Maintained customer

accounts. Generate invoices and calculate freight charges for orders

shipping. Assist customers with invoice questions, corrections and tracking

information. Approved and issued return authorizations for damaged and

defective merchandise.

11/98 - 06/00 GC Services Benefits Clerk

Assisted employees with questions or concerns about their insurance

coverage. Verified medical coverage for employees from hospitals and

doctor's offices. Filed insurance applications, workers' compensation

files, long and short-term disability, medical billings, and insurance

policies. Set up new employees onto the Ceridian payroll system for benefit

deductions and coverage. Distributed mail. Ordered office supplies and

insurance materials for the regional offices. Sent COBRA notices to former

employees. Performed general office duties and assisted with various

projects.

Other Experiences (Temporary and Contract Positions)

02/07 - 07/07 Insurance Overload Staffing

Universal American Enrollment Specialist

09/06 - 01/07 Coworx Staffing

Mercer HR Consulting Participant Services Rep

05/06 - 08/06 Insurance Overload Staffing

HAS W/C Bill Processor

07/05 - 04/06 QuadraMed

Harris County Hospital Dist. Lead Data Entry Clerk



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