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Senior Enrollment System Support Analyst Resume

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SUMMARY:

  • More than 34 years’ experience in the health insurance industry with experience in claims processing, customer service, provider services, PPO coordination, group enrollment, member service analysis, and systems and reporting
  • Knowledge of medical terminology including CPT and ICD - 9 codes

WORK EXPERIENCE:

Confidential

Senior Enrollment System Support Analyst

Responsibilities:

  • Completed complex error report processing and status reporting. Monitored downloads for two system interfaces and other related projects as requested by management.

Confidential

Enrollment Analyst Specialist

Responsibilities:

  • Audited and analyzed processing issues to the specific to enrollment system. Assisted in the implementation of new products and procedures.

Confidential

Systems and Reporting Analyst

Responsibilities:

  • Audited and analyzed revenue and enrollment systems processing issues identified by enrollment staff. Troubleshot problems and recommended changes.

Confidential

Enrollment Analyst

Responsibilities:

  • Advanced Analyst duties including a new system upgrade.

Confidential

Service Analyst

Responsibilities:

  • Entry level Analyst included the ability to troubleshoot system issues within the department. Liaison with the EDS department to have the issues tested and corrected.

Confidential

Group Enrollment Specialist

Responsibilities:

  • Answered phone calls from customers. Processed enrollment forms, allocated cash, and answered written correspondence.

Confidential

Benefits Technician Trainee

Responsibilities:

  • Completed on proprietary automatic claims processing system.

Confidential

PPO Coordinator

Responsibilities:

  • Provided assistance to contracting providers participating in the PPO line of business.

Confidential

Provider Service Specialist

Responsibilities:

  • Answered phone calls from hospital and doctors’ office personnel.

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