HEALTHCARE EFFECTIVENESS AND INFORMATION SET COORDINATOR (HEDIS) Summary To obtain position utilizes enhances education work experience Potential career advancement. Recognized long hours, commitment customers, attention detail follow up. Work well team member independently pressure. Demonstrates ability meet needs patrons, dependable, hardworking punctual. Excellent basic clerical computer skill including knowledge Microsoft Office. Excellent interpersonal, listening communication; written spoken skills. Sound ability keep sensitive information confidential. Sound organization skills, goal- oriented, proactive, excellent reporting. Highlights Proficient Healthcare Effectiveness Data Information Set (HEDIS) Proficient Georgia's Medical Management Information System (MMIS) Proficient Georgia Registry Immunization Transactions Services (GRITS) Excellent communication skills Advanced clerical knowledge Filing data archiving Medical billing Accomplishments Provided award winning customer service Consumer Cellular well AARP Members ordering easy use cell phones Experience Healthcare Effectiveness Information Set Coordinator (HEDIS) 04/2014 Current Company Name City State Handle inbound/outbound member calls assist obtaining service, appointment scheduling, arranging transportation, initiating reminder calls, e-mails and/ faxes. Educate inform members current past due clinical services improves member health outcomes increases Health Plan HEDIS rates. Conduct HEDIS provider chart request calls support medical record capture HEDIS supplemental data review abstraction. Record document member provider outreach activity using Microsoft Office Suite applications web-based technology. Review member plan eligibility using Georgia's Medical Management Information System (MMIS). Review member claims data determine need services using Health Plan Proprietary Information system Georgia Registry Immunization Transactions Services (GRITS). Identify refer members internal programs services i.e. Case management Disease Management, Maintain strict confidentially compliance Health Insurance Portability Accountability ACT outreach activities. Data Entry/File Clerk/ Receptionist/ Customer Service Rep 10/2013 01/2014 Company Name City State Entered information lease system. Pulled, Filed, Organized Resident Lease's, Numeric Alphabetic order. Worked front window signed assisted walk-in clients. Answered incoming calls, provided information properties move-in ready, contact leasing agents information assist information property, transferred calls appropriate department. Customer Service/ Pharmacy Technician 10/2012 08/2013 Company Name City State Provided customer service patients wanted needed save money name brand prescription drugs. Activated/Deactivated Rx Discount cards qualifying non-qualifying patients. Assisted pharmacist pharmacy technicians proper steps bill Rx discount cards. Verified card benefits, provided override codes needed reversed paid claims upon request. Passport II Specialist 02/2012 09/2012 Company Name City State Provide General Information customers need assistance obtaining U.S. Passport. Educate customers personal account information minors Passport. Customer Service/ Inbound Sales Rep 01/2011 12/2011 Company Name City State Provided award winning customer service Consumer Cellular well AARP Members ordering easy use cell phones. Took bill payments well made payment arrangements account balances. Customer Service/ Inbound Sales Rep 08/2010 01/2011 Company Name City State Assisted ordering large appliances phone customers. Provided online assistance needed education appliances. Assisted setting appointments cleaning repair delivery. Customer Service/ Sales Rep 06/2008 12/2009 Company Name City State Provided award winning customer service Sprint/Nextel satisfy customers every call. Assisted customers paying bills well reading bills, sold phones accessories, ported customers Sprint/Nextel. Handled account modifications account needs. Assisted technical support Peek device activated deactivated services needed upon request. Debt Collector 02/2008 05/2008 Company Name City State Assisted every day transactions instructed. Attended Owens Community College work hours. File Clerk Backup Receptionist 08/2007 10/2007 Company Name City State Alpha Numerical Medical Record Filing Claims Department. Sales Associate 05/2006 12/2006 Company Name City State Performed duties instructed. Education H.S. Diploma 2007 Humanities Science Institute (ICI) City State Skills Customer service, delivery, faxes, Filing, Insurance, Microsoft Office Suite, Management Information System, reading, scheduling, technical support, technician, phones. transportation