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Office Administrator Resume

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San Antonio, TX

SUMMARY

Office Administrator with a background in the healthcare and government industries. Strong skills in using computer systems, human resources, legal interviews and daily operations. Disciplined, dedicated team player with the ability to pull people and processes together to meet company goals. Focused on meeting detail information and adhering to compliance and legal guidelines.

PROFESSIONAL EXPERIENCE

Confidential, 1999 - PRESENT
Rep II Resolution 2006 - Present

  • Responded and processed attorney and record company requests for pharmacy records in accordance with HIPAA requirements, in conjunction with corporate legal department.
  • Documented, tracked, and evaluated all submitted requests for Power of Attorney.
  • Participated in audit activities to ensure Caremark and affiliates remain in compliance with HIPAA and other laws and regulations.
  • Applied policies and procedures related to the member's right to access their Health Information.
  • Managed all billing records to maintain account information for 700-3500 accounts.

E-Mail Rep 1, Level E 2001 - 2006

  • Researched and resolved customer issues, providing timely responses to service inquiries received via e-mail and written correspondence.
  • Wrote responses for Senior Management inquiries on benefit plans.
  • Reviewed free-form e-mail inquiries for a team of 14 members to insure HIPAA compliance.
  • Addressed escalated issues receive from all levels of management to include Supervisors through Executive level.

Rep 1, Customer Care I 1999 - 2001

  • Acted as the Primary Resource in handling customer contacts via telephone.
  • Delivered healthcare plan specific information through timely interaction.
  • Displayed empathy, assurance and confidence.

Confidential, 1986 – 1993
Office Manager/Legal Services Technician

  • Managed staff of 6-11 to include hiring, training, mentoring and discipline.
  • Provided legal services to a client population of over 30,000 military and civilian personnel.
  • Provided initial legal counseling and directed work flow.
  • Drafted, edited, and prepared legal documents to include civil law, personal property, medical malpractice, hospital recovery and Federal Tort Claims Act.
  • Prepared performance appraisals, effectiveness reports for military and civilian personnel.
  • Provided extensive counseling, explained legal proceedings, and coordinated legal action with all parties involved in court-related proceedings.

EDUCATION

B.A. Major: Interdisciplinary Studies

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