Post Job Free

Resume

Sign in

Customer Service Project Management

Location:
Harrisburg, PA
Posted:
December 19, 2023

Contact this candidate

Resume:

June *, ****

To Whom It May Concern:

Please consider reviewing the attached resume for the Associate Benefit Coding Analyst position that was posted on February 21, 2018.

The past six years I have been a Coding Analyst within the Benefit Coding Projects Unit where I have led numerous projects while obtaining both coding and project management experience.

I am looking forward to the opportunity to use my current skillsets while obtaining more knowledge in a new area of customer service.

I appreciate your time and look forward to potentially meeting with you in the future.

Thank you for your time.

Kiesha Jenkins

Kiesha Jenkins

Objectives

To obtain a position within a team-based environment that will build on skillsets previously obtained, while allowing for growth both personally and as a team leader.

Accomplishments

Lean Six Sigma Yellow Belt Certification

Sixteen years of various claims experience spanning Customer Service, ITS BlueCard, Technical Training Specialist and Benefit Coding.

Four years of experience in call center environment handling member and provider inquires.

Six years of experience as a Technical Training Assistant within Training Lab.

Six years of experience managing projects and mentoring in a team based environment.

Programming and Software Skills

Six years of experience with Benefit Coding Maintenance in the Claims Processing Business Rules Engine (CPBRE) Application

Statistical Analysis System (SAS) Portal

Research using the following applications:

oIntegrated Customer Information System (ICIS)

oHealth Care Code System (HCCS)

oICIS Web - Client/Group data

oOSCAR Claims Web Application (OCWA)

oFinancial Investigation Reporting System for Tomorrow (FIRST)

oHARRIET

oINSINQ

oNaviNet

Experience in Microsoft Office products, particularly in Word, Access and Excel

OSCAR (IMS) - TSOF (BMP)/RADAR

Inter-plan Teleprocessing System (ITS)

Professional Experience

Associate Benefits Coding Analyst October, 2011 – Present

Benefit Projects

Assisted with research, coding, and implementation of benefit changes for Strategic Initiatives, State and Federal mandates and Global Projects

Perform system testing for benefits/DLPS coding group and product applications.

Provided support and managed various projects.

Mentored fellow analysts.

Supported multiple releases

Collaborate in workgroup streamlining guidelines for efficiency and accuracy.

Obtained experience with FLOW, MURT, ACCESS, PAL, COGNOS

Technical Training Assistant November, 2005 – October, 2011

Training Lab

Spearheaded technical direction and support to service representative trainees.

Review performance by means of coaching and mentoring.

Created weekly status reports for quality, production and adherence goals through the NICE system.

Collaborated with Bluecard Host, CRNDA, SMOPS, Partnership, SSCO, National Dedicated/Non Dedicated and PA Business providing specific guidelines for the trainee's transition to their dedicated area.

Initiated weekly huddles to address any questions, concerns or inquiries.

Provide general direction managing call volume and the closing of inquiries.

Provider Service Representative July, 2001 – November, 2005

Provider Services

Assisted Providers via telephone and NaviNet.

Analyzed and processed claims out of problem CCPL Locations.

Handled Irate Provider Cases assigned by Director and Supervisor.

Assisted with system release rotations.

Assisted in a Technical Assistant capacity when necessary.

Assisted other departments with high priority questions.

Community Involvement

NBMBAA – VP of Recording

Record and distribute all board meeting minutes with previous and current event information.

Coordinating and awarding scholarships for our Leader of Tomorrow students.

Swatara Tiger Football Association – Board of Directors Secretary

Organizing guidelines, protocol and procedures for the leagues schedule and registration



Contact this candidate