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Administrative Assistant Health

Location:
Cocoa Beach, Florida, United States
Posted:
February 18, 2019

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Resume:

Lee Anne Parrish

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

Cape Canaveral, Fl. 32920

321-***-****

OBJECTIVE

Obtain a challenging Administrative position within an organization that will allow me to utilize and expand my professional experience. Strong desire to continue training for growth and long-term employment.

PERSONAL STRENGTHS

I am a diligent, dependable, and detail oriented individual whose enthusiasm is driven by customer satisfaction. I work well with others individually and in a team environment. My diverse computer experience allows me to quickly grasp new concepts and learn quickly. My dependability and loyalty to others makes me an excellent asset to any corporation.

COMPUTER/ADDITIONAL SKILLS

·Proficient in several Software applications to include MS Office, Greenway Price Suite, Brevard MLS, Real Time Eligibility (ProdigyMD), Availity, and additional databases as required.

·Type 65 wpm, 10-key by touch, multi-line phones

EXPERIENCE

Customer Care Specialist 2014- present

Health First Health Plans, Rockledge, Florida

Respond to customer inquiries by researching, understanding and documenting plan information related to:

·Covered Benefits and exclusions, including prescription drug coverage

·Eligibility, enrollment and disenrollment

·Participating providers

·Claims payments and processes

·Authorization processes

·Premium Billing

·Plan guidelines

·Trained in multiple lines of business including Medicare, Commercial and Provider calls

·Providing accurate and professional service to customers, adhering to applicable department policies

·Contributing towards meeting departmental performance goals (average speed of answer, service level, abandonment rate).

·Attending and participating in staff training sessions and department meetings

·Actively monitoring current Call Center performance in order to prioritize time

·Demonstrating advanced knowledge of Health First Health Plans medical and pharmacy benefits, provider reimbursements, Medicare program administration and benefits, and Employer Group Health Plans operations and resources

·Demonstrating advance knowledge of Health First Health Plans operations and resources

·Demonstrating proficiency with core applications, including Health First Health Plans administrative system, pharmacy system software, and web portals

·Demonstrates role model behavior

Administrative Assistant, 2007 – 2014

Brevard Ear, Nose & Throat Center, Rockledge, Florida

·Converted patient records and charts from a manual to a completely automated computer software system (Greenway Prime Suite) to increase efficiency

·Determined co-pay amounts and deductibles using Real Time Eligibility (ProdigyMD) to verify and determine patient benefits and eligibility to include Medicare, Tricare, Medicaid, and most commercial Healthcare plans

·Utilize Availity, a health information network that transports administrative, financial, and clinical information between providers through a secure healthcare website

·Collected office surgery deposits, co-pays, and insurance deductibles as required and determined by their insurance carrier prior to office visits and scheduled procedures

·Processed all patient Insurance referrals

·Maintained all patient charts by adding new and updating existing patient records

·Compiled computer generated reports

·Scheduled office appointments, cat scans, and diagnostic testing procedures with patients on a daily basis

·Scanned all HIPAA (Health Insurance Portability and Accountability) and patients history forms

·Trained new employees

Real Estate Assistant/Property Management, May 1989 – May 1993

Coldwell Banker, Cocoa Beach, Florida

·Supervised the rentals of over 200 seasonal and long term rental properties

·Updated and maintained all rental and for sale listings in the MLS database

·Responsible for the advertising of all real estate listings, open houses, and rentals properties

·Completed all real estate contracts and rental agreements for approximately 20 agents

·Collected and deposited all rent checks, security deposits, and escrow monies

·Scheduled all rental repairs, cleanings, and showings

·Provided rental owner’s with 1099’s annually



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