Data Entry Customer Service

ELYSIA GIERMANSKI

Phone: 732-***-**** ad07gg@r.postjobfree.com

HEALTHCARE ELIGIBILITY ENROLLMENT SPECIALIST

Over 15 years of experience in the healthcare industry with a strong history of managing claims through network processes, including: reversals, distributing re-pricing, and claims data entry. CORE STRENGTHS:

• Office Management, Data Entry, Customer Service, Healthcare Eligibility Claims Processing PROFESSIONAL EXPERIENCE

Marshalls, Kearny, NJ (2023 – Present)

Sales Associate

• Manage stocking of merchandise

• Assist customers throughout the store

• Assist management

• Monitor customer traffic at checkout

Cigna (QualCare Inc), Piscataway, NJ (2011 – 2020) Eligibility Specialist (2012 – 2020)

• Processed enrollment applications, terminations, and updates

• Collaborated with COBRA coordinator to provide termination data

• Prepared HIPAA certificates

• Troubleshooting member and client/HR issues

Medical Claims Analyst (2011 – 2012)

• Managed claims flow through network processes

• Distributed re-pricing and claims, Data entry of claims for re-pricing

• Requested hard copies and additional claim details to ensure accurate processing

• Reversed claims with networks

Dr. Howard Clark (private practice), Clark, NJ (2008 - 2011) Medical Assistant/Receptionist

• Answered phones & greeted patients in a friendly & professional manner

• Coordinated all appointments in the scheduler

• Processed claims utilizing ICD9 & CPT CODES

• Performed injections and urinalysis testing

• Assisted physician and managed day to day office duties TOOLS:

Microsoft Office Suite, Medisoft Clinical EMR (Electronic Medical Record Software), ICD9 and CPT billing codes, CPR/CCI Registry Eligibility

• EDUCATION/CERTIFICATIONS:

• Cardiovascular Technologists Certificate Program: Graduated 2011Sanford Brown Institute, Iselin NJ

• Medical Assistant Program: Graduated 2007 from Sanford Brown Institute, Iselin NJ

• Office System Technology Certificate Program: Graduated 2002 from UCVTS Scotch Plains NJ Thank you for your consideration.

Elysia Giermanski 732-***-****

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