FLORENCE LEWIS
***** ****** ****, *******, ******** 48235 C: 313-***-**** ******@*****.***
Summary
Analyst with extensive experience in Membership and Billing. Proficiencies
include Microsoft Office Suite and query building in Access.
Skills
Client-focused Microsoft Office
Report generation and analysis Training and development
Computer proficient Quick learner
Results-oriented Creative Problem Solving
File/records maintenance
Experience
Analyst – Membership and Billing Current
Blue Care Network of Michigan Southfield, M
Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Managing the 834 File and Membership for 40+ groups.
Technician - Membership and Billing Dec 2014 - 2019
Blue Care Network of Michigan Southfield, MI
Assist supervisor and management with resolution of problems; conduct special
assignments as requested and prepare reports and/or analysis, documenting the results
with recommendations to management. Assist with the design, development,
modification, testing, implementation and maintenance of assigned systems. Compile
and analyze data and produce routine and non-routine reports, presentations, letters,
communications and graphics. Assist personnel (both internal and external) by answering
questions, supplying information and training.
Group Inquiry Representative May 2008 to Dec 2014
Blue Care Network of Michigan Southfield, MI
Investigate, process, resolve and respond to employer groups, agents, and managing
agents concerning enrollment, eligibility and premium issues via telephone and email.
Educate new and existing employer groups about BCN policies and procedures. Record
pertinent facts regarding inquiries, and update appropriate files.
Customer Service Representative 2 / Service Recovery Aug 2000 to May 2008
Blue Care Network of Michigan Southfield, MI
Investigate, process, resolve and respond to member, provider, or beneficiary inquires
via telephone and walk-in room. Investigate quality of care issues. Direct and/or
adjudicate claim-related inquiries. Educate new and existing members, providers, or
beneficiaries concerning BCN policies and procedures. Record pertinent facts regarding
inquiries, and update appropriate files.
Education and Training
Bachelor of Science, Health Services Administration 2017
University of Detroit Mercy Detroit, MI
Activities and Honors
Graduated Cum Laude