Benefits Account Manager
Resume:
Vivian Mata
San Angelo, TX *****
acs591@r.postjobfree.com
Objective: Obtain a position where my abilities, education and experience can be utilized for professional growth.
Skills:
Excellent computer skills.
Organizational and prioritization skills.
Multi-tasker.
Proficient in Microsoft Word, Excel, Outlook and Power Point
Excellent writing and communication skills
Professional appearance.
Dependable and willing to learn.
General lines Texas license
Experience: 1/2015-Current McAnally Wilkins, Inc Midland, TX
Benefits Account Manager
Submit RFP to carriers and present to clients.
Present RFP’s to employers
Implementation of new healthcare plans, renewals
Explain benefits to employees and answer any questions research and resolve any issues revolving benefits or payment of claims.
Process cancellations and enrollments, adhering to State and Federal Legislation
Liaison between employer and carriers
Experience: 11/2012-11/2014 Angelo Behavior Center San Angelo, TX
Office Manager
Manage the daily operations for 3 doctors.
Responsible for hiring and managing 3 employees.
Handle all billing and accounts receivable
Train employees and educate on different Health care insurers and their policies and benefits.
Research and resolve any claims that are not being paid.
Experience: 04/2010-01/2011 Hollin Leon Harris, CPA San Angelo, TX
Executive Assistant
Greet clients, answer and screen calls, take messages, schedule appointments.
Data entry for accounts receivable and payable for clients.
Process payroll for specific clients.
Contact clients and request any missing documentation needed for accounting purposes.
Electronically submit sales tax payments and tax payments for clients.
Other duties as assigned.
Experience: 04/2009-10/2009 Workforce Solutions San Angelo, TX
Summer Youth Stimulus Coordinator (Temporary)
Responsible for the successful implementation of the summer jobs program for the Concho Valley region.
Ensure that contract requirements are fulfilled.
Recruit employers to participate in program.
Recruit, interview and place youth in appropriate positions.
Supervise and monitor the performance of employees.
Report progress to the board members on a weekly basis.
Oversee job placement of youth, monitor progress and address any issues or concerns that employers or youth have.
Responsible for all summer youth payroll.
Monitor and ensure that all labor laws are followed at each employer site.
Experience: 08/2008-02/2009 Account Control Technologies San Angelo, TX
Client Service Representative
Liaison between the client and ACT.
Interpret and understand contracts.
Ensure that ACT follows all contractual guidelines.
Travel to client’s company location, participate in training.
Assist management in the implementation of new contracts.
Assist with interviewing of potential employees, call and verify past employment.
Experience: 3/2005 – 5/2007 Performant Audit Recovery San Angelo, TX
Customer Service Liaison
Instrumental to the startup of the Medicare MSP project (RAC)
Recruited, interviewed and assisted with hiring of qualified staff.
Established work flows and wrote training material.
Assisted with benefits presentations and enrollment.
Read and interpret contracts and ensure that DCS was meeting contractual agreements.
Extensive knowledge in Coordination of benefits, claims processing, HIPAA and Senate Bills.
Reviewed, tested and approved system changes.
Review all disputes and/or appeals.
Performed quality assurance checks on MSP packages released.
Supervised unit consisting of 5 to 10 employees.
Monitored employee’s performance and conducted yearly evaluations.
Experience: 1/1999 -3/2005 BlueCross and BlueShield of Texas San Angelo, TX
Claims Supervisor
Supervised Specialty unit which consisted of Coordination of benefits, MSPand refund recovery unit.
Participated in recruiting, interviewing and hiring of staff.
Extensive Human Resources training.
Managed and distributed inventory.
Assigned to manage special projects on three different occasions.
Trained staff, monitored performance, performed yearly evaluations.
Education: 1988-1989 Howard College Business Management
2004-2005 University of Phoenix Business Management
References: Available upon request.
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