Benefits professional with substantial experience in managing and optimizing employee benefits programs. Known for strong focus on team collaboration and consistently achieving positive outcomes. Reliable and adaptable, with robust analytical skills and keen understanding of benefits administration.
Overview
6
6
years of professional experience
Work History
Health Benefits Specialist
Medica
Minneapolis, MN
02.2025 - Current
Educated patients on available benefits, addressing inquiries to enhance understanding and access.
Collaborated with healthcare providers to streamline benefit verification processes for improved efficiency.
Strengthened relationships with pharmaceutical representatives to stay informed about new medications entering the market that may impact patient benefits or require additional authorization steps.
Established a positive rapport with patients during encounters while maintaining strict confidentiality standards as required under HIPAA regulations.
Served as a resource for clinical staff members needing clarification on benefit-related issues or seeking guidance on complex insurance scenarios impacting patient care.
Fertility Coordinator
Progyny
New York, NY
06.2024 - 11.2025
Collaborated with a multidisciplinary team to provide comprehensive care and support to patients undergoing fertility evaluations and treatments.
Utilized the member portal and contact center platforms to manage appointments, review benefit coverage, and ensure efficient call handling, maintaining adherence to performance metrics.
Documented patient interactions accurately in EMR/CRM systems and managed administrative tasks to facilitate seamless patient care.
Educated and supported patients on treatment steps, timelines, and logistics, ensuring compliance and timely access to benefits through effective communication and coordination.
Benefits Administration/Pharmacy Support Specialist
Cigna (Department of Defense)
Dallas, TX
10.2020 - 04.2024
Delivered comprehensive support for benefits-related inquiries, enhancing employee understanding and satisfaction.
Assisted in developing and implementing benefits policies, ensuring alignment with company objectives and regulatory requirements.
Coordinated with third-party providers to resolve escalations and maintain seamless service delivery, while ensuring compliance with HIPAA and pharmacy regulations.
Managed daily call volume with a 95% QA score, utilizing systems such as Cigna RxConnect and Salesforce CRM to document interactions and verify prescription benefits.
Revenue Auditor
Choice Hotels
Dallas, TX
04.2021 - 09.2022
Provided exceptional customer service by addressing and resolving client inquiries and issues efficiently, contributing to enhanced guest satisfaction and loyalty
Managed reservations and bookings using Choice Hotels' proprietary systems to enhance client experience.
Analyzed customer feedback to identify trends, implementing solutions that enhanced overall satisfaction ratings.
Investigated discrepancies discovered during auditing process.
Managed sensitive client information with utmost discretion, protecting both the company''s reputation and client trust in our services.
Conducted comprehensive audits of revenue streams to ensure compliance with financial regulations.
Education
High School Diploma - Business Development / Management Technology, Business Development / Management Technology
Cedar Hill High School
Cedar Hill
06-2015
Skills
Customer Relationship Management (CRM)
High-Volume Call Center Operations
Data Entry & Quality Control
Microsoft Office (Excel, Word, Outlook)
Communication & Interpersonal Skills
Multichannel Support (Phone, Chat, Email)
Complaint Handling
Insurance regulations
Medicare expertise
Claims processing
Benefits administration
Insurance verification
Timeline
Health Benefits Specialist
Medica
02.2025 - Current
Fertility Coordinator
Progyny
06.2024 - 11.2025
Revenue Auditor
Choice Hotels
04.2021 - 09.2022
Benefits Administration/Pharmacy Support Specialist
Cigna (Department of Defense)
10.2020 - 04.2024
High School Diploma - Business Development / Management Technology, Business Development / Management Technology