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Medicare Enrollment Specialist Sample Resume Format in Word Free Download
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Kaia Lee
309 Franklin Street, Denver, Colorado 80001
720-232-9876
Personal
Statement
I am a very positive person with a great
personality, who has a ambitions attitude to succeed in any given environment.
I have a very extensive background in the Healthcare field, helping people has
always been my passion. I am seeking a position where I can excel in my
profession while giving my best to my employer.
Work Experience
Medicare
Enrollment Specialist (Aug-
2011- March-2012)
Anthem
Blue Cross Blue Shield, Denver, Co
Responsibilities:
Ability to understand
complex scenarios and making independent decision based on researched performed
in several different database systems to determine the best plan of action. Ability to switch between multiple plans with very little time
transaction. Processing large medical
claims, responsible for verifying eligibility, posting payments. Provide claim
status and problem solving in resolution of claim issues. Answered between 75
to 100 calls daily.
• Solid understand of Facets Enrollment Systems.
• Knowledgeable of Microsoft Word, Excel, Spreadsheet, Hands on with CMS,
SMS systems, TRR, image viewer, CMS MARx system. Knowledge of how CMS
guidelines apply in the corrections process.
• Working knowledge of health care policies/procedure.
Staff
Recruiter (Nov
-2010 – Jul -2011)
Adecco
Staffing,
Westminster, Colorado
Responsibilities:
Develop and executed recruiting plans.
Network through industry contacts, association memberships,
trade groups and employees.
Lead the creation of a recruiting and interviewing
plan for each open position.
Efficiently, effectively filled open positions.
Post openings in newspaper advertisements, with
professional organizations, and in other position appropriate venues.
Administrative duties and record keeping.
Setup new employee accounts and handle pay rates,
time cards, processing payroll checks.
Complies and prepares and maintains payroll
reports and statistics, reviewed,
Customer Service Representative/
Finical Counselor (Jan-2010 –
Sep - 2010)
Qwest
Communication,
Sandy Springs, Georgia
Responsibilities:
Handle all customer accounts, set up payment
plans, updating account information, and opened new accounts.
Processing payments and applied the appropriate
credits to correct accounts.
Received inbound calls volumes from 100-200 daily.
Processed debt collection and handle all customer
issues.
Patient Care Technician/ Unit Clerk
(July-2007 – Aug -2009)
Emory
Crawford Long Hospital/ Cardiac Unit, Atlanta, Georgia
Responsibilities:
Worked with patients and taking their necessary vitals,
assisting them with the patients walking, feeding, and bathing.
Preformed
daily wound care procedures and assisted in after surgery recovery care.
Performed range of motion exerciser to all Cardiac
patients.
Unit Clerk:
Entered all doctors orders in the computer
systems.
Processed new patient charts for doctors review.
Answering all coming phones Filed all lab test,
diagnostic results, or other information.
Healthcare Patient Record Management experience.
Medical Record Scanning (EMR).
Sorting out, compiling of the medical billing,
coding drafts once they have been successfully done.
Handling different types of insurance claims,
insurance policies and even fraudulent insurance practices.
Preparing invoice for each patient.
Patient Care Technician/Unit Clerk (May- 2006 – May-
2007)
Lutheran
Medical Center, Wheat ridge, Colorado
Responsibilities Consist of:
Answering phones, schedule appointments, greeting patients,
and type the doctor’s letters and memos.
I submitted medical claims forms, update patient files,
and arrange for hospital admissions.
I frequently assisted with the billing and some
bookkeeping for the unit.
Medical Duties:
I prepared patients for examinations, taking
medical histories, and assisting the physicians during the examination.
I also was able to explain medical procedures to patients
call in prescriptions in to pharmacies, collect laboratory specimens.
I.V. Certified I was able to draw blood upon
request, start I.V's and perform electrocardiograms
Unit Secretary
North
Potomac Hospital, Aurora, Colorado
Responsibilities:
Answering Call, sending out fax and ordering
supplies for the Unit.
Encode in the computer all physicians’ orders.
Responsible for record keeping documents at the
time they are admitted and discharged from the hospital; file and organized and
labeled test given to the patients.
In charge of processing all patients documents and
billing; also scheduled all appropriate test, checkup for the patients.
Set up nursing schedules for oncoming shifts.
Patient Care Tech/ Unit Secretary
(Feb -2004 – Feb -2005)
Rose
Medical Center, Denver, Colorado
Responsibilities consist of:
Performing or assisting the client or patient to
complete personal hygiene needs, including bathing grooming, skin care, oral
hygiene, bathing and toileting needs. Motored and documented the patients care
depending on the established criteria.
Performing or assisting client or patient with
certain medications or treatments.
Monitoring vital signs as adumbrated in the care
plan and reporting any variation to normal readings to of a Nurse in a
well-timed manner, also assisted with startup I.V. Upon arrival as requested.
IV certified.
Unit Clerk
Answering all incoming calls, order all medical,
food supplies for the Unit.
In charge of processing all patients’ documents
and billings; also schedule all appropriate tests, checkups for patients.
Entering all doctors orders in a timely manner
Break down of all medical charts for record
keeping coordinate billing.
Healthcare Patient Record Management experience.
Medical Record
Scanning (EMR).
Education
Bachelor-
Jones University, Denver, Colorado
Bachelor Degree in Healthcare Management
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