Tamika Sewell

215-***-****

adykry@r.postjobfree.com

Summary

Over 20 years’ experience in several Administrative Support roles. An individual with in-depth knowledge of the HealthCare Industry and Customer Care Management. A Reliable and Diligent individual strongly committed to professional growth and development, manifesting professional interpersonal and communicative skills along with an ability to multi-task in challenging fast paced environments.

Highlights

Microsoft Office Medical Terminology

PromptPA/ Salesforce/ CRM PBM/ Argus RxNova/ ExpressScripts License/Certifications & Training

Life, Accident & Health Insurance License Pharmacy Technician Certificate Professional Experience

Ballot Processor PeopleShare/City of Phila Office of HR 5’2023

Preparing, Extracting and Organizing ballots for Primary Election Medical Leave 11’22-3’2023

Health Ins Agent ResultsCx/Humana Phila, PA 8’22-10’2022

Humana Medicare Advantage and Prescription Drug Plan Transition and Enrollment Member Service Representative AmeriHealth Admin Phila., PA 40hr/w 6`22-8’2022

AHA Individual Member/ Provider Benefit & Eligibility Inquiries

Web Tech Support, Additional duties as needed.

Assoc Customer Service Representative Highmark BCBS Phila., PA 6`21-5’2022

Individual Member/ Group Benefit & Eligibility Inquires, Claims Verification and Processing

HRA-HSA-FSA Spending Account Updates/ Verification; Web Tech Support Member Service Associate Black Doctors Consortium/Express Employment Phila, PA 2’2021

Client Registration & Appointment Management for Covid-19 Vaccinations

Prepared correspondence and other General Office Duties as needed. Health Ins Agent/MSO/Web Specialist BCBSM/ResultsCX Blue Bell, PA 9`18-12`2020

Plan Transition and Enrollment for Humana Advantage & RX Drug Plans

Humana & Blue Cross Blue Shield Benefits & Eligibility Inquiries and Coordination

Claims Processing and Electronic Billing, Humana Mail Order and Dept Research

Basic Web troubleshooting, Account issues and General inquiries Customer Experience Representative AmeriHealth/ Careers USA Phila., PA 2`18-6`2018

AHA Benefit and Eligibility Inquires via telephone, internet & Written Correspondence

Performance reviews and accurate tracking of AHA Claim Payments, Benefits & Member Share

Assistance w/ Grievance & Appeal Processing

Health Insurance Agent Humana/Results Co. Blue Bell, PA 9`17-12`2017

Enrollment and Plan Transition for potential and existing members

Benefits Coordination & Account Inquiries, Eligibility & Demographic updates as needed. Customer Service Representative United Health/ PeopleShare Horsham, PA 8`16-6`2017

Processed Medicare Health Insurance claims, payments, and general service orders.

Used applicable system tools and resources to produce quality spreadsheets and letters.

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