Summary
Overview
Work History
Education
Volunteer Experience
Timeline
Generic

CHIQUITA COLLINS

Chicago,IL

Summary

Analytical problem-solver, Highly organized with Excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in medical terminology, reviewing medical records/information, insurance policies, practices and standards.

Overview

19
19
years of professional experience

Work History

CSR (Customer Service Representative)

Social Security Administration
05.2014 - Current


  • Conduct interviews to determine the nature of the callers question or issue; explain technical information, gather facts, evaluate evidence, and take action to resolve problems relating to all Social Security programs
  • Providing beneficiaries with information, advice or instructions about eligibility and benefits paid under Retirement, Survivors, Disability, Medicare Insurance Programs, and the Black Lung and Supplemental Security Income Programs.
  • Effectively explain complex regulations, rules and procedures while adapting to changes within policy, procedures, and technology.
  • Analyze and use logical and deductive reasoning to gather evidence and facts to establish eligibility for benefits or continuing entitlement to benefits.
  • Provide the status to claimants of all levels of the disability claims appeals process for medical and non-medical issues. When a claimant contacts the Teleservice center to inquire the status of a disability claim submitted within the initial claims, appeals and continuing disability review (CDR process), Utilize the appropriate systems application to provide the status such as the Disability Determination Services Query (DDSQ), Query Response Selection List (QRSL), MDW, Continuing Disability Review Mailing Data System (CDRMS), MCS, SSID, FACT, and EVIEW. Once a favorable decision is determined and is available on the record to discuss to the claimant, examine award screens in MCS and provide feedback regarding the time frame of the next steps, which includes the notice of decision from the Administrative Law Judge and Award Letter from the field office.
  • Assist in resolving payment and benefit issues in a timely and professional manner by examining the Modernized Development Worksheet (MDW), Modernized Claims System (MCS), MSSICS, Online Retrieval System (ORS), work notices, student forms, PCACS, and other information utilizing the SSA records systems.
  • Answered constant flow of customer calls with minimal wait times.
  • Examining all non­medical eligibility requirements, which includes all possible exclusions to income and resources before denying claims.
  • Analyze and Process Medicare (SEP) applications.
  • Identifying the need for social services for people interviewed, then, referring them to the appropriate private, non­profit, or government organizations supplying such services.
  • Consulting with coworkers within the TSC, other SSA offices, social agencies, and p
    ublic assistance agencies outside of SSA address issues regarding beneficiaries.

Clinical Laboratory Specialist

Lurie Children’s Hospital of Chicago
04.2011 - 05.2014
  • Technical expert for all aspects of pre-analytical collection of laboratory specimens prior to laboratory analysis and testing
  • Computerize Patient ID (handheld) specimen collection and labeling of blood, urine and salivary samples
  • Obtain blood specimens from patients using standardized venipuncture, capillary, and specialized procedures
  • Release orders from EMR/order test in LIS
  • Verify orders and diagnosis codes with ordering physician as needed
  • Processing of laboratory specimens requiring centrifugation and/or aliquoting
  • Perform POCT
  • Collect specimens by iontophoresis for sweat chloride testing
  • Utilizes the laboratory and hospital computer systems to order and receive specimens
  • Report laboratory results to the physicians and ancillary staff, retrieve collection lists, verify account numbers and modify incorrect orders.
  • Documented and verified patient information using laboratory information system.
  • Adjudicate claims based on diagnosis and testing codes.

Medical Assistant/Laboratory Phlebotomist

Cook County Stroger Hospital (Advanced Care Services)
04.2005 - 04.2011
  • Demonstrate knowledge in handling of patients in the following age groups: newborn, pediatric, adolescents, adults, and geriatrics as they relate to specimen collection for laboratory testing
  • Performs phlebotomy (blood samples)
  • Plan, organize and prioritize workload
  • Demonstrates ability to process specimens for clinical laboratory tests
  • Know and apply criteria for specimen rejection
  • Document collection information
  • Performs routine clerical tasks including using the laboratory computer
  • Prepares and replenishes materials, supplies and reagents.

CSR/Benefit Specialist

Hewitt Associates
08.2006 - 12.2007
  • Advise HR Business Partners (inbound/outbound call center)on all Medical, Dental, Vision policies, Family Medical Leave Act (FMLA), employee accommodations and Americans with Disabilities Act (ADA)
  • Create and update file and system information for Short Term Disability (STD), Long Term Disability (LTD), FMLA, and Workers Compensation
  • 401(K) and profit sharing administration including enrollment and rollovers; researching and correcting contributions, loans, etc
  • Review service award invoices and process for payment.
  • Serve as a main contact for benefit plan vendors and third-party administrators.
  • Administer new hire benefits enrollments, and terminations, including COBRA administration and maintain employee benefit records and group benefits database in compliance with company and local/federal policies.
  • Develop plan analytics, including preparation of reports, materials, and presentations.

Operations Representative

Bank of America
01.2005 - 10.2006
  • Processes transactions in one or more the company’s internal operations to support domestic and international consumer, commercial and wholesale bank businesses or services functions
  • Responsibilities may include: expert level reporting, call center support, reviewing and processing transaction for item processing, sorting using electronic or mechanical equipment, reconciling, statement rendering, MICR/image, float, lock box remittance, ATM deposit, and performing other support operations functions as required
  • Maintain internal operational and financial controls and ensure they meet bank standards.
  • Reviewing and adjusting errors in the processing phase.
  • Ensure quality service and effective and efficient operations support for the assigned is for the internal business partners and/or external customer/clients
  • Perform routine and various item processing functions within a process that has built-in checks and balances.

Education

Medical Assisting, Phlebotomy, Billing And Coding

Illinois School of Health Careers - Chicago
Chicago, IL

Volunteer Experience

Teen Peer Counselor, Chicago Health Connection, Chicago, IL

Timeline

CSR (Customer Service Representative)

Social Security Administration
05.2014 - Current

Clinical Laboratory Specialist

Lurie Children’s Hospital of Chicago
04.2011 - 05.2014

CSR/Benefit Specialist

Hewitt Associates
08.2006 - 12.2007

Medical Assistant/Laboratory Phlebotomist

Cook County Stroger Hospital (Advanced Care Services)
04.2005 - 04.2011

Operations Representative

Bank of America
01.2005 - 10.2006

Medical Assisting, Phlebotomy, Billing And Coding

Illinois School of Health Careers - Chicago

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CHIQUITA COLLINS