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Medical Records Benefits Specialist

Location:
Detroit, MI
Salary:
52,000.00
Posted:
February 28, 2024

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Resume:

Sebrina Taylor-Thomas

PH: 313-***-**** • ad3zh2@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Detail-oriented Human Resource Benefits Specialist with 20 years in benefits coordination. Advocates positive relationships between employees, employers and insurance companies.

Highly skilled in health, life and supplemental insurances. Certified in the states of CA, FL, GA, IL, MI, NY, NC, OH.

Proficient in BenSmart, UltiPro, Windows XP and Microsoft Office software packages.

PROFESSIONAL EXPERIENCE

Educated and advised employees on group health plans, voluntary benefits, COBRA and 401(k) retirement plans.

Acted as first point of escalation for employees on enrollments, verifications and claims and coverage issues.

Guided and mentored other HR team members regarding benefits system tools and capabilities.

Conducted new hire and open enrollment orientations, processed benefit enrollments and managed eligibility files.

Enrolled employees in various counties of the public sector for annual enrollment of their health and life insurance benefits.

Oversaw enrollment of new employees and company-wide yearly enrollment period.

Provided assistance to plan participants by explaining benefits information to ensure educated selections.

Checked accuracy and completeness of benefits applications and documents.

Communicated effectively via email, phone and face-to-face with plan participants to resolve issues pertaining to health and welfare benefits.

Provided detailed information about benefits and limitations of different policies and programs.

Researched and collected data from medical records and Billing and accounts information via telephone interviewing for the Medical Expenditure Panel sponsored by the U.S Public Health Service.

Abstracted medical records by reading CPT-4 and ICD-9 codes.

Contacted nationwide physicians and various heath care facilities that provided patients' medical records and billing that participated in the study.

Prepared various government documents, 513Gs, logouts and initial submissions daily, to be reviewed by different medical branches and divisions of the FDA.

Informed staff members of new health care reforms for 2011 and made changes and allowances for new or deceased family members, for open enrollment period.

EMPLOYMENT HISTORY

Willis Towers Watson

Benefits Enrollment Counselor

Hodges & Mace Benefits Group

Benefits Enrollment Counselor

The Warner Company

Benefits Enrollment Counselor

Mark III Agency

Health & Life Insurance Enroll

Parallax, Inc

Chicago, IL

10/2022 to 11/2023

Atlanta, GA

12/2015 to 10/2019

Baltimore, MD

11/2013 to 12/2015 Charlotte, NC

10/2011 to 11/2013 Rockville, MD

Medical Records Technician 03/2007 to 10/2011

CERTIFICATIONS

Multi-State

Life and Healthcare Insurance Licenses June 1996 - Current



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