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Customer Service Medical

Chicago, Illinois, United States
March 13, 2018

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TINA PETERSON **** S. Washtenaw, Chicago IL ***** 773.***.****


Experienced Enrollment Specialist offering 17 years of Healthcare Insurance. Professional, quality focused, detail and team oriented. Hardworking with exceptional analytical and communication skills. Successful track record of handling complicated assignments, medical administrative support and clerical requests. Strategic problem solver, diligent and knowledgeable of all office functions.

Expertise including verifying eligibility membership, building groups and processing electronic data. Superior telephone, customer service and computer skills with proficiency in MS Word, Excel, Access, Outlook, PowerPoint, Windows, Billing Software, and 45WPM. Areas of strength include:

●Customer Service

●Electronic/Paper Charts

●Medical Billing


●Legacy,Facets,Medisoft & Lytec

●Medical Terminology


Cicerone Health 10/2016 to 10/2017

Enrollment Specialist Chicago, Illinois

Built new groups and set up group renewals upon receiving the applications.

Downloaded membership via electronic data, applications and medical records

Loaded rates in the system to allow the group to receive invoices.

Valence Health 03/2015 to 10/2016

Enrollment Specialist Chicago, Illinois

Managed clients account, utilized several monitors multiple monitors on a daily base, assisted with troubleshooting.

Built new groups and set up group renewals upon receiving the applications. Maintained front office operations for alignment with company objectives to streamline the flow and enhance services.

Downloaded membership via electronic data, applications, brokers, and agencies information into the system via application received in a Queue

University of Chicago Medical Center 07/2012 to 03/2015

Patient Service Coordinator Chicago, Illinois

Pleasantly greet patients and family orients newly admitted patients to their rooms.

Answered patient’s intercom and ensured that requests were referred to the appropriate staff immediately.

Entered the information from the Birth Certificate worksheet into the local registrar electronically.

Jacobson’s Solution 10/2010 to 03/2011

Enrollment and Billing Specialist Chicago, Illinois

Loaded and manually corrected and updated eligibility information from the Legacy system to the facets system on a weekly basis.

Applied funds to clients’ accounts monthly that included creating, maintained, and charged patient accounts.

Scheduled organized, and prioritized work to meet customer and provider deadline scheduling demands, promptly, accurately, and efficiently.

Unicare Insurance Co 10/2003 to 04/2010

Membership Specialist III/Claims Approver III/Customer Service Chicago, Illinois

Reviewed and verified eligibility data submitted by clients via tape or other media.

Identified and corrected internal errors

Loaded, corrected and updated member eligibility information on WGS 2.0 system. Provided support to banking and provided relations department with group statements


Career Development Associates, Evergreen Park, Illinois, 2012

Certified Billing and Coding Specialist


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