Program Coordinator Medicare & SHIP Specialist
Resume:
Brenda Richburg
Sumter, SC ****0
**************@*****.***
A Program Coordinator with extensive experience in Medicare and Medicaid services, including Senior Medicare Patrol, State Health Insurance Program.
EXPERIENCE
Santee-Lynches Regional Council of Governments, Sumter SC— Senior Medicare Patrol Program Coordinator/State Health Insurance Program Coordinator (SHIP)
2014—2024
• Sucessfully received certification for the SHIP program, enhancing service quality for Medicare and Medicaid beneficiaries.
• Efficiently managed enrollments in Medicare, Medicare Advantage and Prescription Drug Plans, ensuring compliance and accuracy.
• Conducted informative sessions on Senior Medicare Patrol, educating seniors on error, fraud, and abuse.
• Delivered educational presentations on Medicare across four-county region.
• Guided beneficiaries in selecting appropriate Medigap Supplemental policies..
• Diligently documented beneficiary interactions in the company system, ensuring accuracy and timely follow-up.
Humana Military Healthcare Services, Blue Cross Blue Shield, TRICARE Finance Associate, Columbia. SC, Shaw Air Force Base, Sumter, SC— Beneficiary Service Representative
1998-2014
• Accurately balanced accounts and performed accounting duties, contributing improvement in financial reporting accuracy.
• Educated and guided military members and their families on TRICARE benefits, enhancing their understanding and plan utilization.
• Conducted individual and group briefings, on TRICARE benefits among the military communities.
• Proactively updated and corrected authorizations, ensuring accuracy and compliance with healthcare regulations.
• Successfully processed and completed TRICARE Prime enrollments, ensuring timely and accurate application handling.
• Identified incorrectly processed claims, improving claim accuracy and beneficiary satisfaction.
EDUCATION
Saint Leo University, Shaw Center, Sumter, SC —Bachelor of Arts Degree in Human Services
Central Carolina Technical College, Sumter, SC — Paralegal Certificate
SKILLS
Program Coordination, Customer Service, Educational Outreach and Presentation, Data Management and Reporting
AWARDS
Humana Military Healthcare Services Commander’s Award 2007, 2008, 2010, 2012
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