Human Resource Quality Assurance
Resume:
Estelle Jennings
************@*****.***
CAREER PROFILE
A talented and accomplished Administrative Professional with extensive experience operating in healthcare and nonprofit environments. A consistent history of providing collaborative problem solving, project planning and task coordination. I have demonstrated strengths in Health Insurance, Human Resource Operations, Payroll, and Business Administration.
SUMMARY OF SKILLS
Health Insurance Enrollment knowledge
Excellent written and verbal communication skills
Credentialing and Human Resource knowledge
Medical terminology and Appointment Scheduling (IDX)
Payroll, Accounts Payable, Kronos and Lawson Software
Microsoft Word, Excel, Outlook, PowerPoint
EXPERIENCE
Independence Blue Cross, Philadelphia, PA 3/20/2018 - Current
Quality Assurance Data Analyst
Responsible for auditing enrollment submissions in automated system.
Generate and process various quality reports.
Facilitate QA enrollment, including quality control/analysis of data to ensure accuracy of captured information.
Analyzes enrollment data to provide custom reports outlining critical information supporting QA.
Maintains established quality and quantity production standards.
Independence Blue Cross, Philadelphia, PA 10/2013 – 3/2018
Enrollment Specialist
Reviews submitted enrollment documents and verifies eligibility of request.
Takes initiative to check questions or unusual situations with management or the customer in accordance with established guidelines.
Contacts customers about enrollment discrepancies and documents call for future reference.
Ensures thorough and timely completion of request for additions, changes and terminations to group subscriber and dependent records.
Makes new group welcome calls.
Handles enrollment request received via system from other departments.
Assists others in responding to and resolving all inquiries in a courteous, professional and timely manner.
Performs other duties as assigned.
Albert Einstein Hospital, Philadelphia, PA 10/2001 – 10/2013
Administrative Assistant,
Assistant to the Business Manager with calendar management and office management.
Create and processes check requests and purchase requisitions for the department
Manage human resource paperwork i.e. I9’s, W2’s, and employee files
Responsible for departmental payroll
Order office supplies.
Create and edit correspondence and memorandums.
Process credentialing and recredentialing for clinician files
Generate monthly reports for quality assurance in Excel.
Gaudenzia Inc, Philadelphia, PA 9/1998 - 10/2001
Administrative Coordinator
Responsible for creating all patient and employee files.
Performed intake procedures for patients.
Processed check requests and purchase requisitions.
Ordered all office supplies.
Generated monthly reports for quality assurance with Excel
Cobbs Creek Nursing Center, Philadelphia, PA 10/1995 – 7/1998
Human Resource/Payroll Coordinator
Responsible for new hire processing of employee’s documentation.
Responded to all Human Resource inquiries about employee benefits.
Maintained employee files and screening of resumes.
Coordinated submission of employee unemployment claims.
Processed payroll utilizing the Kronos system and downloaded to Automated Data Processing.
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