Cynthia Timms
Summary
Executive Administrator with proven expertise in staff training and onboarding process optimization at Blue Cross Blue Shield. Skilled in MS Office Suite and SharePoint, with a strong focus on quality review and compliance. Demonstrated ability to manage complex data and enhance team collaboration, driving operational efficiency.
Overview
15
15
years of professional experience
Work History
Executive Admin
Blue Cross Blue Shield
05.2017 - 05.2024
- Assisted staff of 30 Medical Directors in the Appeals Department
- Training and Developing Medical and Support Staff
- Onboarded New employees
- Setup User IDs and Company and role codes for employees
- Submitted/Completed Travel Itineraries via Concur
- Completed reimbursement for Employee Costs
Health Care Advocate
Blue Cross Blue Shield
04.2016 - 05.2017
- Assisted Members with government health risk assessments
- Contacted members via telephone
- Detailed research to locate members using customized databases for search engines
- Created/Edited spreadsheets using Excel and MS Word
- Transferred troubled calls to Crisis Lines
- Interacted with License Practical Nurses, and Social Workers Completed Government Contracts for members with Medicare and Medicaid
Administrative Support Representative - HEDIS
Allstate
05.2015 - 12.2016
- Assist with monitoring the measures of specific Measures for compliance
- Drug plans for Medicare and Medicaid about 5-star measurement steps
- Assist members with customer service-related questions and concerns
- Update/Edit Excel reports
- Onboard medical staff for employment with BCBS
- Take monthly/weekly minutes for staff meetings
- Update employee's profiles
- Add/Edit user's request for access to requested work groups, drives, and files
- Update/Edit Excel reports correcting via QSHR
- Entering measure-specific and testing information into the QSHR database
- Organizing/tracking records of assignments
- Quality review on returned medical records
- Ensured that records are legible and contain customer-identifying information
- Faxed out medical record requests to physician offices
- Sort incoming records to the proper work area in the workflow
- Contacted doctor's offices for additional HEDIS-specific requests
Administrative Support Research Specialist - HEDIS
Cigna
01.2016 - 04.2016
- Making outbound calls to obtain confirmation of medical records for quality review reporting
- Effective communication, computer, and clerical skills.
- Tracking assigned research claims utilizing OnBase
- Contacted providers to complete the Hedis applications via phone/fax.
- Manage substantial amounts of data electronically
- Imported documents utilizing company internal applications
- Abstracting documents from electronic storage devices
- Expertise working with Hedis Measures for: CCS, EED, BPD, COL, TRC, PPC, WCC, CBP, BCS, COA, HBD.
Data Entry Representative
Blue Cross Blue Shield
04.2014 - 05.2015
- Used computerized systems to gather customer information
- Ensured adequate editing methods to update Agent and Agency information
- Assist with office mailings for on-boarding
- Process and handle the onboarding process for State form Agents
- Set up and create new customer accounts / Update/Edit customer's account information
Customer Service Representative
FTD Incorporated
11.2013 - 03.2014
- Assisting customers with inbound customer service
- Prepared reports for on-call support
- Handling incoming customer-related inquiries
- Contacting internal/external support to complete inquiries
- Handled trouble-reporting calls and specialized customer calls
Customer Service Representative
Xerox Corporation
03.2013 - 09.2013
- Conducts outbound calls in a sales capacity
- Provided accurate product information according to standard scripts and procedures to facilitate sales activity
- Gather information by inquiring about potential service needs
- Communicates appropriate options focused on identified caller needs
- Used a computerized system to gather information, build caller profiles, and log outbound
- Help with training new hires, and troubleshooting support to lower-level staff members
Patient Service Representative
Kelly Services (Advocate Home Health) & (Advocate Hospice)
08.2011 - 03.2013
- Edited/updated Assist with hospice & health consulting
- Handled incoming stress calls
- Implemented reports - Work with Doctors for Medicaid and Medicare Payments
- Setup Schedules for on-call nursing support
- Handled incoming orders/supplies
- Compiled/distributed all incoming mail
- Completing/updating medical record files
Admin Support /IT Support
Adecco Staffing (GE)
11.2009 - 07.2011
- Interface with GE IM entities such as Energy Services IT, TSG (network, phone, security), and Engineering
- GE Help Desk and CompuCom desk-side support.
- Entered Requisitions for Contractors and Engineers in PeopleSoft for Blueprints for turbine Creations
- Processes workflows for new computers, accessories, and software
- Help troubleshoot IT issues for the Chicago office
- Interfaced with internal and external team members for all IT projects/issues.
- Manage office phone/VM system & security system
- Coordinate tasks with HRM and hiring manager
Education
Human Resource Certificate -
College of DuPage
04.2022
Associate's degree -
College of DuPage
06.2021
Certificate - Telecommunications Technology
Aims Community College
Greeley, Colorado06.2005
Professional Human Resource Program -
De Paul University
Chicago, Illinois01.2005
Executive Computing Program Diploma -
De Paul University
Chicago, Illinois06.1992
Credited Hours - Fashion Design
College of DuPage
Glen Ellyn, Illinois08.1991
Credited Hours - Computer Programming
DeVry Institute of Technology
Chicago, Illinois09.1982
Skills
- SharePoint and SAP 50
- MS Office Suite 2014
- Novell and NT support
- GroupWise and Sysco
- NW administration
- PeopleSoft and Salesforce
- Simnet and Workday
- Prime and VMS
- Siebel and producer management
- Aerial and facets
- QSHR and OnBase
- Quality review and Iris
- Cotiviti and emulator
- WIM, ERS, and image management
- ECM and smart UM
- QNXT and QMRM
- Dynamo and Avaya phone system
- Concur, IMS, and TSO support
- RUMBA, CBIS, ATS, and clarify support
- Desktop/laptop support, installation, troubleshooting, maintenance
Hardware Maintenance
- Desktop/Laptop Support
- Installation
- Troubleshooting
- Implementation/troubleshooting
- Maintenance Support
- Hewlett Packard
- Data South
- Intermec
- HP Color Printers
- PC Support
Mainframe Applications
- IMS
- TSO
- RUMBA
- CBIS
- ATS
- Clarify
Medical Software
- Prime
- VMS
- Siebel
- Producer Manager
- Aerial
- Facets
- QSHR
- OnBase
- Quality Reviewer
- Iris
- Cotiviti
- Emulator
- WIM
- ERS
- Image
- ECM
- Smart UM
- QNXT
- QMRM
- Dynamo
- Avaya Phone system
- Concur
Timeline
Executive Admin
Blue Cross Blue Shield
05.2017 - 05.2024
Health Care Advocate
Blue Cross Blue Shield
04.2016 - 05.2017
Administrative Support Research Specialist - HEDIS
Cigna
01.2016 - 04.2016
Administrative Support Representative - HEDIS
Allstate
05.2015 - 12.2016
Data Entry Representative
Blue Cross Blue Shield
04.2014 - 05.2015
Customer Service Representative
FTD Incorporated
11.2013 - 03.2014
Customer Service Representative
Xerox Corporation
03.2013 - 09.2013
Patient Service Representative
Kelly Services (Advocate Home Health) & (Advocate Hospice)
08.2011 - 03.2013
Admin Support /IT Support
Adecco Staffing (GE)
11.2009 - 07.2011
Human Resource Certificate -
College of DuPage
Associate's degree -
College of DuPage
Certificate - Telecommunications Technology
Aims Community College
Professional Human Resource Program -
De Paul University
Executive Computing Program Diploma -
De Paul University
Credited Hours - Fashion Design
College of DuPage
Credited Hours - Computer Programming
DeVry Institute of Technology
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