Project Assistant Consultant Resume profile, NY - Hire IT People

Objective

To secure a career opportunity where my 25 years of work experience can be best put to use. I have the equivalent of a Bachelor's in training and experience. Also, I have worked directly for Presidents, CEO's and others in upper management and I have managed four 4 others and have been the lead of groups of up to 10 people.

Professional Profile

Associate of Science Degree in Computer Programming and Business, Florida National University
Proficient in Excel, PowerPoint, Word, Outlook, Access, QuickBooks, etc. and in proprietary software, such CRM, AMISYS, emdeon, Portico, DataCap/FileNet, TrueCase/Care and more
Bilingual: English and Spanish native read and write
Analytical yet decisive and action-oriented
Ability to work with time limits and prioritize work
Work well independently with a high degree of discretion and sound judgment
Displays a positive, confident attitude highly self-motivated and accountable
Open to change and new information quickly adapts behavior and work methods in response to new information, changing conditions, or unexpected obstacles
Accepts personal accountability for actions or inactions
Mentors others and leads by example

Experience

Confidential

Project Assistant Consultant

Project assistant for medical disposable accounts. Executed incoming purchase orders and all required sourcing and purchasing for disposable medical supplies from major industry retail medical supply sources. Supported Sales Management ensuring timely and accurate order processing, invoicing, reporting and providing proof of delivery for each shipment. Acted as point-person to handle any and all issues from drop-ship patients and sponsor medical supply clients such as the Univita network. Skill sets include Excel, QuickBooks, Bright Tree and Word, as well as, abilities to learn and execute proprietary programs.

Confidential

Bilingual Member Services Representative Coordination of Benefits Specialist

In the member services department, I answered incoming bilingual calls concerning supplies and orders billing Medicare Part B, private insurance and troubleshooting malfunctioning equipment nebulizers, insulin pumps. For the sales department I made outbound calls to solicit customers to fill their order for the month.
In the coordination of benefits COB department I answered incoming calls from Medicare beneficiaries, providers, physicians, and other suppliers with the Initial Enrollment Questionnaire IEQ, the Data Match Project, and the Voluntary Data Sharing Agreement VDSA. I reviewed, investigated and updated COB files. In-depth knowledge of the COB guidelines and state regulations concerning COB was required, as well as knowledge of the Medicare Secondary Payer regulations.

Confidential

Bilingual Provider Member Services Representative.

Responsible for developing and enhancing bilingual customer relationships by responding to HMO/PPO member and provider inquiries regarding: eligibility, benefits, out-of-pocket costs, claim status, claim reprocessing, demographic changes, material requests, PCP changes, provider search, pharmacy support, Complaint, Grievance Appeals, COB and Medicare Parts A, B, C D.

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Project Assistant Consultant Resume Profile

NY

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