Nkwinkeh Nchijie

(Southfield, MI)

Recruiter’s Summary:

• Nkwinkeh with experience as in data entry, Benefit Analyst. Customer Service with CVS health, Michigan Department Of State Mdhhs Data Entry.

• Proficient with claim, medical terminology, Customer support, data processing, member benefits and health plans, Medicare, BCBSM MA claims, prior authorizations, coverage,eligibility,premium payment and billing, and Medicaid.

• Good working experience with validating data accuracy and preventing erroneous or duplicate entries and Experience with direct customer interface including providers, members and other health plans.

• He is skilled in Google Suite, Salesforce, Microsoft Project, Microsoft Office, iOS, spread sheet, Data collection

• with typing speed 40 -45 WPM.

• Local to MI and available to start immediately 24 hour prior notice for interview. Education: -

Bachelor’s Degree in computer science, Oct - 2012 – Dec -2015 University Of Buea

Skills: -

• Microsoft office suite

• {Access,Excel,Word,Outlook}

Data entry,

• Excel spreadsheet creation

• Funding process,

• Data processing needs

• TRACE FORCE SQL

• Microsoft teams

• Software troubleshooting

• detail oreinted

• Databases

• Salesforce

• Sale

• Retail

• Customer support

• Filing

• Microsoft Access

• Windows

• Banking

• Research

• Medical terminology

• Sales

• Help desk

• Google Suite

• Logistics

• Financial services

• Microsoft Project (5 years)

• Data collection

• Analysis skills

• DynamoDB (1 year)

• Microsoft Office (3 years)

• iOS

• Mac OS

• Cms (3 years)

• CD COB (2 years)

Professional Experience:

CVS Health Jan 2022 to Present

Data Entry/Benefit Analyst.

• Experience posting and reconciling claim refunds is preferred.

• Knowledge of and/or ability to research, interpret and apply Medicare and BCBSM MA Part C/D COB policies.

• Ability to independently research and analyze data.

• Knowledge of CMS compliance guidelines, MAPD plan requirements related to COB and CMS MSP regulations.

• Knowledge of BCBSM MA claims, enrollment, imaging and other relevant systems.

• Experience with direct customer interface including providers, members and other health plans.

• Ensure that the census is entered into the operating system accurately and is valid coverage

• Provide written or verbal assistance to agent - channel partners regarding status of or information contained in contracts and credentials, as well as explanation of federal, state

• Creating Patient Intake Form within a short deadline

• Performing timely entry of data into systems, validating data accuracy and preventing erroneous or duplicate entries

• Ensure that client goals are exceeded

• Copying any information if needed from batches

• Submitted prior authorizations to get insurances to cover specific medications

• Verify all participant, prescriber, and medication detail information to ensure accurate processing of all orders

• Helped customers with prescription benefits

• Set up of new stores being added to companies large chain

• Performed administrative work such as copying, faxing, and filing

• Assisted with several pilot programs and projects within the department

• Worked in 2 departments (Data Entry and Card Production)

• Participate in counseling on prescription medications, and OTC products, and respond to patient requests regarding drug information

• Achieve daily work flow efficiencies

• Assist internal customers with security issues Data entry as directed by team leaders

• Counsel patients on proper medication use, side effects, and disease management

• Continuing education per software system compliance

• Maintained accurate inventories and ensured that locations were

• Sort and distribute incoming mail

Michigan Department Of State Mdhhs Data Entry Jan 2020 to Jan 2022 Customer Service/Data Entry

• Talking with customers on the phone and getting sensitive information and keying it into the system TRACE force system and working with the local health department and following the state required guidelines for quarantine

• Preparing and sorting documents for data entry in regards to covid 19 protocol as per CDC and local health department guidelines

• Entering data into database software and checking to ensure the accuracy of the data that has been inputted

• Resolving discrepancies in information and obtaining further information for incomplete documents

• Creating data backups as part of a contingency plan

• Responding to information requests from authorized members

• Testing new database systems and software updates Testpoint Diagnosis Mi Jan 2017 to Dec 2020

Data Entry Specialist/Customer Service

• Complete all assigned data requests and tasks within required time frames while maintaining a high level of quality. - Maintain a 99% accuracy rate by assessing client and account documents for errors according to standard practices.

• Contact customers to resolve issues with their source data.

• Guarantee 100% customer confidence and satisfaction by educating them on the company's confidentiality policy and procedures regarding their sensitive information

• Work with brain injury patients

• Provide housing accommodations

• provide and collect insurance information from insurance companies

• Input data of patients daily progress and key in patients health records and medication use.

• Talk to insurance companies and bill insurance companies on a monthly basis.

Contact this candidate