JENNIFER GREER
Raleigh,NC
Summary
Highly skilled and accomplished customer service professional within the healthcare/benefits specializing in medical billing, insurance verification, and similar related patient service experience. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
1
1
Certificate
Work History
Benefits Advisor
CNO Financial
Orlando, FL
02.2021 - 06.2023
- Conducted in-depth analyses of employee benefit plans, including health care, retirement, and other benefits.
- Assisted employees in understanding their benefits package, enrolling in programs, and making changes as needed.
- Provided advice on a variety of topics related to employee benefits such as eligibility requirements and premium payments.
- Managed communications between insurance companies, employers and employees regarding plan details.
- Collaborated with vendors to troubleshoot any discrepancies or issues related to billing or enrollment procedures.
- Coordinated with payroll staff to ensure accurate deductions are taken from employee paychecks for benefit contributions.
- Ensured all documents pertaining to employee benefit plans were maintained accurately and securely.
SENIOR CUSTOMER SERVICE SPECIALIST
WEB BENEFITS DESIGN
Orlando, FL
10.2017 - 02.2021
- Assisted customers by answering questions, addressing concerns and providing current account information.
- Responded quickly to any escalated issues or disputes from customers.
- Oversaw and guided team of 7 to handle customer call escalations, training and mentoring new employees on customer service and order processing.
- Audited customer account information to identify issues and develop solutions.
- Assisted employees with enrolling in benefit plans and explained plan options.
- Explained the impact of life events such as marriage or divorce on benefits enrollment status.
- Provided guidance on Cobra processing procedures to ensure timely payments.
BENEFITS SPECIALIST
AON HEWITT
Orlando, FL
04.2014 - 08.2015
- Identified health benefit plans that addressed customers’ specific needs
- Served as a primary customer liaison to resolve any benefit-related issues
- Achieved high sales goals by effectively matching plans to customers’ needs
- Provided personalized service solutions
- Consistently achieved high quality scores and exceeded sales goals
- Consulted with customers to review health-related products and services
- Discussed customers’ needs and assisted with customized best solutions
- Achieved a 100% daily average for the company’s quality sales standards and sales closings.
Insurance Verification Specialist
Express Scripts
Orlando, FL
10.2010 - 07.2012
- Ensured all insurance, demographics and eligibility information was obtained and entered into the system accurately
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Maintained quality assurance of 90% or better.
- Assisted with co-pay, vouchers programs and sponsorship.
Education
Associate of Applied Science in BUSINESS MANAGEMENT, FINANCE & BUSINESS DEVELOPMENT -
COLUMBIA COLLEGE
01.2018
Skills
- Microsoft Office
- Claim Processing
- HIPPA Policy & Legal Compliance
- Type 30wpm
- Patient Service Experience
- Data Entry
- Troubleshooting Skills
- De-Escalation Techniques
- Billing Support
- Insurance Verification
Timeline
Benefits Advisor
CNO Financial
02.2021 - 06.2023
SENIOR CUSTOMER SERVICE SPECIALIST
WEB BENEFITS DESIGN
10.2017 - 02.2021
BENEFITS SPECIALIST
AON HEWITT
04.2014 - 08.2015
Insurance Verification Specialist
Express Scripts
10.2010 - 07.2012
Associate of Applied Science in BUSINESS MANAGEMENT, FINANCE & BUSINESS DEVELOPMENT -
COLUMBIA COLLEGE
Certification
FL& MI State Licensed 215- Health & Life Insurance including Annuities & Variable
Affiliations
- writing
- professional communication
- researcher
- leadership
- collaboration and teamwork
- project management
Accomplishments
- team collaboration kudos
- leadership role honors
- client/employee kudos
Computer Programs
- Microsoft Office
- Lotus
- NICE
Professional Highlights
- Pharmacy Technical Support Experience
- Responsible for receiving and reviewing prescription prior authorization request.
- Utilization of excel spreadsheets to document calls and faxes.
- Identified drug names, indications, and doses.
- Provided technical support and problem-solving skills to reach resolutions.
- Maintain calls for insurance authorizations, benefits claims, rejection overrides, and general assistance copay.
- Enforces HIPAA standards.
- Explained perimeters and provide authorization on plan rejections due to limitations and plan exclusions.
- Patient Care Advocate Experience
- Assisted customers with questions and concerns from members, providers, and physicians.
- Demonstrated proper time management and outstanding organizational skills.
- Provide information regarding the use of pharmacy benefits.
- Used multiple computer systems to gather and respond to information.
- Maintained databases of patient information.
- Provided all needed corrective actions to assure that all customers were satisfied.
- Handled inbound calls providing customer service and support.
- Primary resource in handling pharmacy contacts.
- Insurance Verification and Sales Experience
- Accurately enter patient information into database, while communicating with medical office.
- Prepare patient information and files and attach all needed documents.
- Effectively process all patient information.
- Proficient in use of Lotus and Nice applications.
- Prepare and expedite referrals for patients.
- Investigate eligibility of benefits and determine coverage choices.
- Assess patients’ life history to determine plans needed.
- Provide information on types of plans, and assist patient in making correct determinations.
- Assist with documentation and process of reimbursements to health savings accounts.
References
References available upon request.
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