Customer Service Administrative Assistant
Resume:
B EVERLY S. COONEY
Oldsmar, FL 34677
*******@***.***
EXPER IENCE:
NOVEMBER 2000 – MARCH 2013: Eligibility Analyst at U N I TED HEALT H CARE,
O ldsmar, Florida.
• Maintain eligibility data on the appropriate systems for claims processing and
administrative functions.
• Respond to eligibili ty related questions from internal/external customers.
• Provide resolution to service requests (National Pend Queue and Ors)
• Analytical and researching techniques to t rend or quantify projects
• Ini tiate and assist with developments/changes to increase or change quality and
p roductivity
• Preparing, processing, and maintaining new member or group enrollments
• Reconciling eligibility discrepancies, analyzing t ransactional data & submitting
retroactive eligibility changes
SEPTEMBER 1998 – OCTOBER 2000: B illing Supervisor at H EALT HSOUT H,
C learwater, Florida.
• Supervisor of billing and staff of five
• Responsible for billing of 13 facilities for work comp, private insurance, private pay,
and company account
• Responsible for maintain physician data base
• Work with payer relations to resolve credentialing issues with insurance carriers
Team Leader of Patient Accounts Department:
• Responsible for supervision of Patient Account Reps for five major facilities for
collections
• Responsible for all billing and collection functions necessary to obtain
reimbursement of charges generated from patient t reatment
• Act as liaison with clinical staff, patients, workers comp, insurance companies and
various companies as needed to insure capture of charges
SEPTEMBER 1996 – JUNE 1998: A dministrative Assistant at T HE UN I VERSI TY OF
M ED IC I NE AND DENT ISTRY OF NEW JERSEY, ROBERT WOOD JOHNSON
U N I VERSI TY HOSPITAL – T HE BOGGS CENTER, Piscataway, New Jersey.
• Responsible for assisting Program Directors in preparation for Supported
E mployment Training
• Schedule meetings, appointments, and conference calls, t ravel, t raining
sites/materials
• Maintain system to register and confirm participants in UAPNJ Statewide t raining
workshops and conferences
• Prepare expense reports, quarterly status reports and grants
Benefits Specialist in Human Resources:
• Assisted the Director of HR recruiting physicians, verifying credentials, setting up
physicals
• Enrolled employees into the Health & Dental plans and processed changed to
coverage. Prepared Cobra Notices for continued coverage. Worked on benefit related
p rojects.
D ECE MBER 1995 – JUNE 1996 : Administrative Assistant for W ELL INGTON
M ANAGEMENT COMPANY, Wellington, Florida.
• Responsible for assisting Deed Inspector in maintaining properties in Wellington,
u nder the deed restrictions of the Homeowners Association “First Wellington”
• Processed violation correspondence and issued fines to property owners resisting
compliance with restrictions. Monitored and input data on community violation
system
• Directly communicated with property owners to extent time to correct violations and
to issue permits for fences, pools, satellite dishes based on the by-laws of sub-division
DECE MBER 1989 – JUNE 1995: Tech Analyst/Contract Analyst for M E TL I FE,
H auppauge, New York.
• Reviewed and processed beneficiary changes, absolute assignments and life
conversion applications
• Responsible for preparation of contractual material in compliance with Contract
B ureau Directives, state insurance laws and regulations
• Prepared certificates and policies
JANUARY 1988 – DECE MBER 1989: Billing Technician for ST. FRANC IS HOSP ITAL,
I NC ., Memphis, TN.
• Responsible for billing and collections of Medicare/Medicaid and Commercial
I nsurance patient accounts
• Directly communicated with Medicare/Medicaid personnel and Commercial
I nsurance Companies
• Investigated accounts in detail which involved direct patient communication using
CPT-4 / ICD-9 codes
APR IL 1981 – DECE MBER 1987: Operations Consultant for M E TL I FE, Hauppauge, New
York.
• Responsible for assisting sales reps in the issuance of new policies and
administration of existing accounts
• Loaded all coverage information into Inforce and Metfacs systems
• Communicated with customers, sales reps, various internal units and answered 800
customer service line regarding coverage
EDUCAT ION:
H igh School Diploma, June 1979 – Sayville High School, Sayville, New York
COMPUTER SKILLS:
W indows, Microsoft Outlook, M icrosoft Word, M icrosoft Excel, Office Communicator
REFERENCES:
Available upon request
Contact this candidate