Customer Service Office
Resume:
Donna Daughenbaugh
South Holland, IL *****
***************@***.*** - 708-***-****
WORK EXPERIENCE
Government Contracts
Kelly Services /Blue Cross Blue Shield - Chicago, IL 2014 to September 2014
Responsibilities
Compile government contracts for Medicare Medicaid, Medicaid, Long Term Care, Behavioral Health.
Answer calls pertaining to contract enrollment with federal requirements. Processes all enrollments and dis-enrollments.
Skills Used strong organizational, presentation, communications, data entry, and customer service skills.
Accomplishments
Compile all the contracts after signatures of provider’s were in place. Verifying all the physician credentials on doctor's roster. Routed contracts for signature, loaded into system, then scanned document, return a copy of signed contracts back to provider.
Knowledge of Medicare, Medicaid, Long Term Care, Behavioral Health requirements and to help select the proper contract for the provider. Basic Excel, Word.
CONTRACT ADMINISTRATION
Kelly Services-Computech/ Blue Cross Blue Shield - Chicago, IL - January 2013 to May 2013
.Identified, analyzed, and researched legal and contractual issues within corporate timeframes.
*Ensured compliance with HIPAA privacy, State, and Federal regulations.
*Served as a liaison between all departments and vendors to ensure accurate and efficient information retrieval.
*Created PDF files for benefit booklets and uploaded documents into an employer - member viewing portal.
*Archived and maintained files.
*Provided administrative support and guidance as needed.
Contract Administrator
Jacobson Temp/ Blue Cross Blue Shield - Chicago, IL - 2010 to 2012
Identified, analyzed, and researched legal and contractual issues within corporate timeframes.
*Ensured compliance with HIPAA privacy, State, and Federal regulations.
*Served as a liaison between all departments and vendors to ensure accurate and efficient information retrieval.
*Created PDF files for benefit booklets and uploaded documents into an employer - member viewing portal.
*Archived and maintained files.
*Provided administrative support and guidance as needed.
Project Lead Mail Center
WellPoint, Unicare - Chicago, IL - February 2005 to July 2010
Responsibilities
Conducted daily office administrative functions including billing, invoicing, document management and disbursement.
*Negotiated pricing with vendors regarding office equipment, supplies, printing services and maintenance.
*Ships and receives product and supplies, sorts, distributes and handles incoming and outgoing mail/ faxes as well as applies necessary postage.
*Managed incoming and outgoing Fed Ex, and UPS packages.
*Participated in the cross training of new associates.
*Assisted the Supervisor with performances reviews providing feedback and mentorship.
Accomplishments
Reduced paper cost by 7% by investigating and recommending an unincorporated vendor that provided a higher quality product at a lower cost.
Reorganized and implemented a return mail system saving the company $2000 in the first year by preventing a repeat of wrong addresses going out every month.
Skills Used
Problem--Solving, increasing profit, tracking details, keeping records, analyzing, resolving conflicts, communicating, motivating and decision making.
Premium Specialist
WellPoint, Unicare - Chicago, IL - August 1999 to February 2005
*Acted as a communication liaison between internal and external customers.
*Performed billing functions including accounts receivable, adjustment, reconciliations, and collections.
*Distributed and monitored monthly billing for Medicare, Cobra, and Direct Pay.
*Balanced accounting ledgers and prepared refunds when needed.
*Processed coverage terminations for coverage due to non-payment of premiums.
*Communicated with members on a monthly basis regarding delinquent payments.
EDUCATION
Business
Fenger High School - Chicago, IL
1965 to 1969
SKILLS
Working knowledge of MS Word, Excel, PowerPoint.
ADDITIONAL INFORMATION
Communication Skills
HIPPA Compliance
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