Operations and HR Administrative Professional
Resume:
CAROLYN
CHAIRS
*********@*****.***
SKILLS
Reveleer
Member 360
EPDSv2
Implementing Client Care Plans
Issue Reporting
Electronic Medical Record Software
Client Service
Teamwork and Collaboration
Client Intakes
Eligibility Requirements
Case File Management
Data Entry Software
Salesforce
Application Process
Data Analysis
Bankruptcy
Tax Prep
Scheduling and Appointment Setting
Medical Records Review
Quality Reporter (QR)
EDUCATION
Franklin University
Columbus, Ohio
Bachelor of Science: Human Resource Management
Columbus State Community, College
Columbus, Ohio
Associate of Science: Secretarial Studies and Office Administration
Franklin University
Columbus, OH
Bachelor of Arts: Business Administration and Management
PROFESSIONAL SUMMARY
Experienced and driven business services skilled with ability in planning, evaluation, and accountancy. Administer self-motivation for proven organizations. Join forces with members of the organization to achieve business and economic purposes. Proven by 25+ years of profitable business research, while managing multiple priorities with a cheerful outlook. Readiness to take on added responsibilities to meet team goals.
WORK HISTORY
Bucher & Christian - Health Service Facilitator
12/2017 - 04/2025
Mastered the daily standard on completed contact with provider offices 98% of the time.
Generated results by applying virtual tools to bring things into existence for the collection of medical records.
Scheduled onsite appointments and input calendars for multi-states.
Implement ideas and support for team members to follow simpler instructions.
Trains and leads Special handling, Copy Service and Onsite temporary staff for regions.
Populus Group - HEDIS Pursuit Reviewer
12/2016 - 12/2017
Seventy percent of the time supported research within the company claim system.
Efficiently swapped between systems to make sure information obtained is exact.
Reviewed invoices and private email information for medical insurance.
Upload medical records to a secure system.
Transformed plans into action by using educational training to deliver outcomes.
Oversee incoming and outgoing fax documents.
Populus Group - AEP Sales Assistant II
08/2014 - 12/2016
Generate sales reports for Anthem; confirm seminar meetings via outbound calls and emails.
Processes implementation of paperwork for new and existing clients
Mailed information kits and prepared summary of benefits.
Seventy-five percent refer to cases requiring medical review to Health Managers
Take the Lead, 30% of the time via chat with responses.
Evaluate registration forms and Perform research.
Express Scripts - Customer Care Representative
08/2014 - 12/2015
Sixty percent of the time was outbound calls for Medicare and Medicaid clients.
Lead employees through chat, and emails by authorizing the correct information.
Succeed in customer service queries for Medicare clients and update the status of customer benefit plans.
Achieved 97% client service approval ratings.
Noor Inc - Financial Assistant
06/2012 - 09/2014
Twenty percent of the time; Processed weekly pay schedule.
Urbanized accounting agreements
Sixty percent of the time, conduct business records through SAP.
Bare Escentuals - Trainer/Input Specialist
10/2008 - 08/2010
Maintained customer records by updating account information.
Eighty percent of the time conducted skills training for associates. Input inventory using Oracle.
Reduced inventory cost by continued checking of organizational supplies by 30%.
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