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Administrative Assistant Service Representative

Location:
Pennsylvania, United States
Salary:
18.00
Posted:
January 05, 2018

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Naja McEachern

**** ****** *** ***. ************ PA 19140 t 267-***-**** e ac3xcd@r.postjobfree.com

Summary: Have worked in business spectrums such as Law, Higher Education and various entities of Insurance. I come to you equip to handle a larger scale of responsibility, adaptable and ready to navigate the newness of a face pace industry and high function work setting. Very thural in communicating, corresponding pertaining to work and timeliness.

EXPERIENCE

Care Management Associate - Aetna Medicare May, 2017 to December, 2017

Caseload reporting morning and afternoon reporting.

Geo mapping for field casmangmebt opportunity and case assignments.

Quota bases direct case assignments per 50 mile radius or other benefit qualifiers.

Engagement based outbound calls made according to thirty a day call requiment.

Schedule successful enrollments or warm transfer members for Nurse consult and Program Intro.

Executed other administrative or support assiments as received.

Care Management Associate - Aetna Medicade February, 2013 to February, 2017

Entered Obstetrical Needs Assessments and created referrals while providing notification or pregnancy related risk.

Managed inbound/outbound phone queue in effort to identify and create new referrals and handle urgent needs.

Conducted intake interviews for case management enrollment via internally used Intervention Assessment Tools.

Solved problems and provided education relating to benefit exclusions, claims, incentives, prior authorizations, transportation and matters involving the online portal and provider network.

Coordinated and arranged for approved expedited plan transfers and assisted with the scheduling or medical, Behavioral Health or Dental appointments.

Member Service Representative – Aetna via Amoore Group January, 2011 to February, 2013

Educated callers on benefit exceptions, plan exclusions and pre authorization processes.

Investigated issues pertaining to claims, grievance, appeals and reimbursements.

Assisted pharmacies with rejection overrides and general billing.

Communicated demographic changes to the state and process returned correspondence.

Administrative Assistant - DeVry University January, 2007 to August, 2010

Performed general office responsibilities, answered phones and greeted and informed students appropriately per individual need.

Generated and distributed the content of mass emails, event confirmations, invitations, letters and flyers.

Coordinated Networking Events, Career Fairs, Alumni Association Meetings and Home Comings.

Arranged for on campus interviews, conferences, meetings, employee trips and advertising.

Updated campus media relative to campus interviews, internships, as well as future events and announcements.

Conducted intake interviews plus searched for and posted career opportunities.

Analyzed results of weekly reports and data sheets for errors and made corrections.

Recorded meeting minutes and distributed follow up summaries via the team.

Supervised student workers to assure that assignments were completed in a timely manner and accurately.

Served as a temporary Liaison to the newly formed Alumni Association and managed all related social media as in Facebook, Twitter and LinkedIn.

EDUCATION

DeVry University, Marketing and Sales BS Anticipated Graduation Date: Sept 2020

The PJA School, Paralegal Studies AS Graduated: June, 2001



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