Administrative Assistant Quality Assurance
Resume:
Maritza Rodriguez
*** ***** ******, *** ***** Elmwood PK NJ 07407
PH: 201-***-**** email: *.*************@*****.***
Highly accomplished result driven experienced professional. Proficient in in Team building,
leadership strengths with proven ability to train, motivate team, and manage client
implementations to be delivered on time and within budget. Maintained ongoing communications
between cross functional areas and management team throughout projects to ensure necessary
commitment for a successful project. Highly organized, with the ability to multi-task in a fast-
paced environment, and responds quickly to and efficiently to problems. Dedicated, resourceful
with in-depth knowledge of principle methods and procedures of benefit installation, testing,
migration, process, projects and operations. Committed to the implementation of all projects
through proven skills in research, analytics, technical solutions and communication. Learns
quickly and thrives on challenges. Innovative thinker adept at problem solving and conflict
resolution. Demonstrated skill with managing resources and multiple priorities by creating
strategic partnership to achieve aggressive goal.
Skills
• Benefit Administrator, Houston, Eclipse, CBM, MAC
• Microsoft Windows, Excel, Word, Outlook, Internet Explorer, Safari
• Adobe-Acrobat Reader, Mainframe, Remedy Service (Incident and Problem Management
Systems).
• Epicenter, TSG Test Tool (CERT CAT Test Tool), and SharePoint.
• Bilingual English Spanish
Testing Analyst- Benefit Validation Group
Express-Scripts
May 2013 – December 31, 2013 - Franklin Lakes, NJ
Temporary Position
• Processed standardized benefit design requests in the ESI systems, Assisted with more complex
request or projects as needed. Tracked and reported progress to ensure deadlines were met.
• Created and maintained client specific documentation related to benefit requests.
• Performed verification/QA and system testing before implementation and within contractual
timeframe agreements. Validated all new, manual, and or non- standard setups.
• Verified and ensured accuracy of benefit setup information completed by other analyst. Worked
with the CBA team with any questions that may have resulted from testing error reports that came
back with certain errors.
• Provided consultative support to internal and external clients by researching and assisting with
resolution of benefit related issues. Provided benefit and/or group analysis and systems support
and escalated issues when needed.
Maritza Rodriguez
155 Grove Street, 2nd Floor Elmwood PK NJ 07407
PH: 201-***-**** email: *.*************@*****.***
• Provided quality assurance checks for CBA team to ensure accuracy. Documented client related
benefit activity for all testing reporting and tracking.
• Provided all necessary forms needed to create benefit setup testing as required.
• Participated in weekly meetings to review new requirements and discuss status of in progress
testing activity.
Administrative Assistant
Veritas Healthcare Management
September 2012-May 2013- Secaucus, NJ
• Administrative Assistant for a Medical Billing Company, Provides support to the Director of Finance,
and Credentialing Specialist.
• Compose and produce business correspondence, reports, and related materials and or guides the work of
other staff that produce materials.
• Maintain appointment calendar, schedule meetings, compose reports, letters and memoranda and make
travel arrangements.
• Coordinate all logistics for meeting and conferences. Secure facility audio/visual equipment, catering
and confirm attendees.
• Prepare materials for meetings/conferences, record-meeting minutes, and type and distribute.
• Ensure confidentiality and control access to sensitive information, respond to inquiries and requests for
information requiring knowledge of departmental procedures.
• Assist the Credentialing Specialist ensuring that the providers have the proper credentials to work in a
medical position.
• Coordinate the verification process with all aspects related to the credentialing of Physicians and Allied
Health Professionals.
Customer Support Greeter/Administrative Assistant
Vitamin Shoppe
April 2012-May2012- North Bergen, NJ
Temporary Position
• Created a positive first impression to visitors and associates, establishing eye contact and greeting.
Provided necessary information to visitors and notified the associate their visitor has arrived.
• Screened telephone calls to direct callers to appropriate associate, answered all incoming telephone calls
promptly and courteously.
• Provided administrative Support to the Human Resource Department by updating the company’s
organizational charts, ordered department supplies adhering to budgetary guidelines.
• Scanned all personnel files and other documents requested or subpoenaed and distributed to appropriate
parties, assisted with the preparation of and distribution of bulk mailings.
• Performed all duties as assigned by the Manager of Associate Relations accurately and timely, and in a
cooperative manner.
• Promoted teamwork by building positive working relationships with all associates, doctors and visitors
by being cooperative and providing assistance when needed.
Benefit Consultant Leader
Medco Health Solutions
May 2008- July 2010- Franklin Lakes, NJ
Maritza Rodriguez
155 Grove Street, 2nd Floor Elmwood PK NJ 07407
PH: 201-***-**** email: *.*************@*****.***
• Responsible for system configuration for new client installs and existing client changes based on
requirements provided by our largest client, United Health Group.
• Participated in weekly meetings to review new requirements and discuss status of in progress install
activity.
• Assessed client benefit submission, identified client intent and determined client request level of
complexity to complete required documentation.
• Provided client benefit support to offshore consultants.
• Documented client related benefit activity for all clients reporting and tracking.
• Managed projects to update Client information for Benefit set-ups.
• Developed skills as a Subject Matter Expert for the following topics: Mail-Formulary Rebate, Claims
Submission changes, and PPO.
• Responsible for processing between 100-250 Siebel requests annually.
• Responsible for processing between 1100-1500 benefits installs annually.
• Prepared all necessary forms needed to create benefit setup in as required.
• Provided quality assurance checks for my team members to ensure accuracy.
• Assisted Account Coordinators and Account Managers with benefit inquiries and concerns
Eclipse Analyst
Medco Health Solutions
April 2002- April 2008- Franklin Lakes, NJ
• Responsible for entering information submitted by the Benefit Installation Team into the Eclipse
platform.
• Organized and facilitated classroom training for new hires and cross-trained current employees.
• Assisted with the development and maintenance of training curriculum and materials.
• Identified process improvements and training gaps and communicated them to the management team.
• Worked with the Benefit Installation team to correct errors transmitted by the client into the Eclipse
platform.
• Worked with Project Managers, Coordinators, and IT to migrate United Health Group into Medco
systems. Worked into moving United Health Group clients into new system (Eclipse) specifically
designed for United Health Group.
• Responsible for working on Screen Scraper report of all client errors that we may have received prior to
migration and post migration. These reports included any error produced by Auto Group Load submitted
by client, as well as worked with Account Management to resolve any errors that may have arise.
Client Profile Analyst
Medco Health Solutions
April 1998- April 2002- Franklin Lakes, NJ
• Entered data received by Account Management into Medco systems.
• Escalated concerns to Medco Account team and management.
• Determined data is entered per the performance guarantees as dictated by Medco’s contract.
Maritza Rodriguez
155 Grove Street, 2nd Floor Elmwood PK NJ 07407
PH: 201-***-**** email: *.*************@*****.***
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