Objective

To obtain a position in the Health Care Service Field where I can utilize my knowledge of providing excellent customer service and administrative support to members and healthcare professionals while achieving the goals and objectives of the company.

Summary of Qualifications

 Expertise in working independently in the accomplishment of a wide variety of duties, including setting priorities and coordinating work.

Employment History

Empire Blue Cross Blue Shield Health Insurance Company, Verification Specialist

South Brunswick, New Jersey                                                                   2013- Present

• Review and validate provider/hospitals credentials by phone, fax, or mail for our provider directory
• Re-credentialing paperwork and maintaining a database of practitioners' training, education, licensing, and experience information
• Verifies insurance coverage by phone, fax, or mail
• Resolves any coverage issues
• Inform provider/hospital of current and available health plans
• Research information that cannot be answered by staff to make sure all information is accurate and up to date in data base.

Community Options Inc., Community Support Group Home Manager/ Support Staff

Princeton, New Jersey                                                                                     2010- 2013

• Managed Community Support Staff in addition to completing performance and staff evaluations.
• Monitored and maintains residential budget, schedules required staff trainings, seminars, and conferences.
• Monitored fiscal, medical, personal and IHP documentation to ensure accuracy, and schedules house and vehicle maintenance.
• Assisted in maintaining of individual finances and reports health and medical needs of individuals.
• Built a support network between the individuals and community members.
• Prepared progress reports.
• Served as an active member of each person's Inter-Disciplinary Team (IDT), which included involvement in Individual Habilitation Plan development.

• Submits monthly written reports to the appropriate individuals outlining operational status, progress, and concerns.
• Updated reports on client’s daily goals and achievements, on each individual. Made weekly schedules of work and/or events for the group.

Education

Capella University                                                                             

Bachelors in Psychology

Start date: April 2013- Currently Enrolled

Harris School of Business and Technology                                                   Graduated -March 2009

Hamilton, New Jersey

Office Technology Program / Legal Office Technology

Certified Legal Assistant

High school Diploma

Computer Skills

• Microsoft Office

• Power Point

• Outlook

• Excel

References available upon request