Customer Service Program Assistant

Marianna D. Croce Cell: 716-***-****

*** ***** ***** ****: 716-***-****

North Tonawanda, NY 14120 e-mail: *********@***.***

EMPLOYMENT EXPERIENCE:

Senior Insurance Program Assistant 10/09- 05/25

Niagara County Risk Management, Lockport, NY

Assist both the Director and Principal Insurance Program Assistant of Risk and Insurance Services department in Technical and clerical duties

Supervision of clerical employee(s)

Orientations for new employees for healthcare insurance

Handle Active/Retiree Healthcare Issues

Update database for Healthcare Insurance as well as accounting database

Faxing, answering phones, scanning, e-mailing, scheduling appointments/meetings for Director as well as interdepartmental meetings

Process voucher’s for entire department through New World on a daily basis for issuing of payments

Handle Insurance billing issues between employees and Insurance company

Schedule and organize Niagara County Employee Health Fairs

Perform tasks as assigned

Handle open enrollment for Healthcare Insurance for Active Employees and Retirees of Niagara County

Insurance Program Clerk 03/05-10/09

Niagara County Risk Management, Lockport, NY

Performed moderately difficult and varied clerical tasks in accordance with standard procedures and policies related to the County’s risk and insurance programs

Maintains retiree and worker’s compensation files and inputs data into computerized database system

Apply payments to database system. Process and mail collection letters for overdue payments

Maintained and updated database and files including address and coverage changes, Medicare eligibility and disability records, and notified appropriate parties of the change

Processed reimbursement of Medicare Part B checks for eligible retirees biannually and processed compensation checks

Responded to any verbal or written requests from retirees

Sorted, indexed, copied and filed correspondences, invoices, requisitions, charts, reports, and other office records

Maintained office inventory and ordered office supplies

Operated standard office equipment including copier, adding machine, laser jet printer, fax machine, scanner and personal computer

Medical Claims Examiner 08/03-03/05

Nova Healthcare/Independent Health, Williamsville, N

Administration of Preferred Provider Networks in conjunction with plan provisions

Determination of Benefit Assignment, validation of charges, Applicability of COB

Validation of procedures (CPT, ICD-9, ADA, HCPCS)

Adjudicate claims within acceptable time parameters

Administrative Assistant (Temporary position) 09/02-11/02

Metropolitan Life Insurance, Williamsville, NY

Assisted Managing Director

Performed general multi-task office duties

Travel arrangements

Scheduling

Administrative Assistant in Multi-specialty Group 10/99-05/02

Katonah Media Group, P.C., Katonah, NY

Assistant to CFO/Administrator

Credentialing/Re-credentialing with Insurance companies

Scheduling employee recruitment, advertising, and general multi-task office duties

Underwriting Supervisor/Senior Underwriter 10/92-01/99

Medical Professional Liability Insurance Company, Bedford Hills, NY

Supervised Underwriting Department- Underwriter’s, Assistant Underwriter’s, clerical staff…etc

Initiated action to remove unprofitable accounts from the book of business

Determined the conditions for accepting and continuing coverage in accordance with company standards

Contributed to the overall profitability of the medical professional liability book of

Business

Bank Teller 05/85-10/92

Key Bank, Mahopac, NY

Handled all banking transactions for members

Balance bank teller drawer

Processed mail

Opened new accounts as needed

Assisted Branch Manager of all necessary duties

SUMMARY:

Over 10 years experience in a healthcare setting

Received Medical Coding Certificate in June 2003

Award recognition in Strathmore Who’s Who, 2002 Edition

Fast learner, trustworthy, reliable, honest, professional, and team player

Proficient in Microsoft Office, internet, dictation…etc.

EDUCATION:

Microsoft Office Excel 2003 (04/09)

Introduction to Word 2007 (07/08)

Professional Medical Coding Cert, AAPC (Bryant & Stratton), Lackawanna, NY 09/02-06/03

B.A. Major in Graphic Design, SUNY College at Buffalo, Buffalo, NY 09/85-12/87

Associates in Fine Arts/Liberal Arts, Westchester Community College,Valhalla, NY 09/83-05/85

REFERENCES: Furnished upon request

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