Administrative Assistant Call Center
Resume:
ELIZABETH EDOUARD
Cranston, RI 02910 401-***-**** ***********@*******.***
SUMMARY
Dedicated bi-lingual professional who can speak French, Creole, and Spanish with an outstanding 15+ years of experience in the Healthcare Industry. I am currently seeking to utilize my educational background and profession in Administration. Previous work experience also includes call center, customer service, organization, prioritization, delivering quality expectations in a timely manner. As an individual I am always striving for success as well as enhancing my knowledge.
EXPERIENCE
Interplex Engineering Products July 2021-October 2022
Administrative Document Specialist, Quality Department
Managed Quality Management System documentation control
Provided support in QMS yearly recertifications
Prepared quality daily, weekly and corporation monthly metrics report
Submitted purchase requisition
Provided support as an intermittent calibration technician
Seven Hills November 2020-March 2021
Administrative Assistant
Greeted visitors and transferred correspondent phone calls
Organized and filed patient records
Entered patient demographic and billing information
Kept patient records up to date with necessary documentation
BCBSRI/ NTT DATA, Inc. December 2019 – October 2020
Workforce Scheduling and Planning Analyst
Monitors different line of business for real time agents’ adherence
Manages agent schedule and regulate VTO/PTO according to company needs
Moves agents at different times of the day to their respective attribution
Runs intraday reports and sends it out to an assigned distribution list
BCBSRI/NTT DATA, Inc. April 2017 – December 2019
Data Entry and Conversion Senior Associate
Run a weekly batch by scanning/processing daily reports
Conduct various tasks in batching accurately and timely
Gain knowledge through distributing BPO couriers for each line of business
BCBSRI/DELL/NTT DATA, Inc. January 2014 – April 2017
Administrative Analyst/Coordinator
Conduct, monitor, and coach bilingual representative to reach their performed goals
Create Service Operations Plan (SOP) in changing the clerical process
Addressing client complaints and inquiries
Oversee workstation access request and coordinate moves for new hires and existing employees
Assist manager in keeping track of weekly calendar for scheduling conflicts
Fulfilled customer service member requests
BCBSRI September 2013 – January 2014
Medicare Telephonic Enrollment Rep, Call Center
Assist members with completing their telephonic enrollment application
Answered member concerns and issues
Transferred calls to designated department when mostly acquired
CVS CAREMARK/THERACOM April 2013 –August 2013
Benefit Investigator
Interacted with various insurance companies, patients, and doctor office in resolving various issues and inquiries.
Run pharmacy benefit claims
Processed mail delivery prescriptions
TRAVELERS August 2011 – February 2012
Claims Processing Specialist
Reviewed 1000 compensation claims
Distributed claims to their assigned queues
Assisted the pre-scanning department to sort documents
STEWARD ST ANNE’S HOSPITAL, PATIENT FINANCIAL DEPARTMENT July 2011-August 2011
Medical Billing, Intern
Have some knowledge in Pre-authorization procedure requested by health insurance carrier or managed care providers
Verify eligibility in bad debts accounts for sleep studies patients
Assisted in preparing bad debts monthly financial reports
Retrieve Explanation of Benefits for Medicare patients
BCBSRI/DELL October 2005 – October 2010
Membership Associates
Reviewed and validated each member application for accuracy and completeness
Verified group medical eligibility and properly enrolled members
Handled high level dedicated group accounts
Identified and researched errors in discrepancy enrollment reports
Assisted clients in entering correct information in the online enrollment system
VISITING NURSE ASSOCIATIONS OF RHODE ISLAND September 2005-October 2005
File Clerk, intern
Sorted and filed patient’s demographics, admission records, and CMS-claims
Created charts for admitted patients
Performed an internal audit in reconstructing the filing room
DAY CARE CHILDREN’S PARADISE CENTER, Inc. August 2001 – November 2003
Executive Assistant/Office Manager
Managed the day care center and after school program child registration office
Oversight human resources, payroll distribution, and onboarding new hire responsibilities
Assisted in business improvement, implementations, and conducted concurrence meetings
UNIVERSITY MEDICINE FOUNDATION, Inc. May 1999-June 2001
Data Clerk, 3rd Party Billing department
Searched carrier batch report that match with CMS-claims
Attached batch report with CMS claims and mailed to designed health insurance carrier
Processed daily mails and distributed to each
Entered Patient’s diagnostic code into a database
CERTIFICATIONS
Medical Administrative Assistant Certification, Career Education of Institute, RI September 2005
Medical Billing Specialist, Health Care Training Services, MA June 2011
Medical Billing and Coding Specialist Certification, Healthcare Training Services, MA April 2013
EDUCATION
Bachelor of Science, Paralegal, Roger Williams University, Bristol, RI June 2001
Associate of Science, Paralegal, Community College of RI, Providence, RI December 1999
SKILLS
Healthcare policies and guidelines
Computer Competence
Fast Learner
Administrative processes
Call center Onboard for new hire
Attention to Detail
People Skills
Timeliness
Accuracy
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