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Entry Representative Data

Location:
Waltham, MA
Posted:
September 25, 2022

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Resume:

Meredith B. Rosen

** ***** **., **** *, Waltham, MA 02453 781-***-**** **************@*****.***

www.linkedin.com/in/meredithbrosen

HIPPA COMPLIANCE TRAINING

DATA ENTRY / ADMINISTRATIVE ASSISTANCE / SCANNING & DATABASE MANAGEMENT

Computer Skills: Microsoft Office (Word, Excel, Outlook, Data Entry);

Diverse Office and Administrative Skills for a Variety of Industries

PROFESSIONAL EXPERIENCE:

Senior Whole Health/Molina Healthcare (Integrated Resources) April 2021-August 2021

Administrative Assistant/Mailroom Clerk, Waltham, MA

Looked up different types of medical insurance correspondence letters using Casetrakker

Printed up pending letters to mail them to members and then documented it in Casetrakker

Responded to Letter Alerts in Casetrakker by mailing requested documentation and documenting it in the system

Used postage machine to stamp all the letters I needed to mail

Assisted the Central Services Mail Department in catching up on backlog to move them ahead

A.I.M Mutual Insurance Companies (Robert Half International) July 2018-March 2019 & July-Nov. 2019

Office Services/Scanning & Data Entry Clerk, Burlington, MA

Sorted, Scanned, and Indexed Policy and Claims Documentation; used Laserfiche for scanning

Indexed documentation in Quickfields using Policy and Claim Numbers

Checked Policies and Claims in Tropics that could not be found in Quickfields

Completed projects including: purging files and cleaning file room; electronic data backup

Executive Office of Health and Human Services (ACE Employment) Oct. 2017-Nov. 2017

Office Assistant Intern, Boston, MA

Sorted and filed payroll documentation for State Agencies: Department of Children and Families, Department of Youth Services, Office of Elder Services, Department of Transitional Assistance

Entered and Approved overtime hours for employees

Overhauled the agency filing system according to regulatory standards

Tufts Health Plan (Baystate Staffing) Oct. 2016-March 2017

Enrollment Data Entry Representative, Watertown, MA

Updated Medicare patients’ Primary Care Physicians and Insurance Payment changes in system

Checked Insurance Plan types for Supervisor; faxed documents to Mass Health Enrollment Center

United Health Group (Maxim Staffing Solutions) July 2013-Sept. 2016

Network Associate, Waltham, MA

Processed hundreds of providers’ credentialing insurance applications for the entire Northeast US region

Checked hard copy and the online application on Counsel for Affordable Quality Healthcare (CAQH) database for accuracy prior to submission to Credentialing Department

Checked database Facets database for provider information and credentialing purposes

Entered data Recruitment and Salesforce databases; contacted providers for record updates

Received a Bravo Award for quick learning of new computer software databases

Meeks and Zilberfarb Orthopedics January 2008-May 2011

File Clerk & Medical Records Editing Assistant, Brookline, MA

Assisted the doctors in preparation for patient visits: compiled and updated patients’ charts

Gained experience using CareTracker, Caregroup Portal, and Beth Israel Hospital network systems

EDUCATION:

Framingham State College, Bachelor of Arts, English December 2006

Massachusetts Bay Community College, Associate of Liberal Arts May 2004



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