Overview
Work History
Education
Skills
Timeline
Generic

ElizeBeth Bonz

Overview

8
8
years of professional experience

Work History

Health Insurance Claims Adjudicator

Blue Care Network Of Michigan
03.2023 - Current
  • Safeguarded patient confidentiality during the adjudication process by adhering to HIPAA guidelines and ensuring secure storage of personal information.
  • Developed comprehensive understanding of medical terminology, coding systems, and billing procedures for accurate claim processing.
  • Reduced error rates in claims adjudication through meticulous attention to detail and thorough documentation review.
  • Maintained compliance with industry regulations and company policies while adjudicating health insurance claims.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Paid or denied medical claims based upon established claims processing criteria.

Customer Service Representative/Help Desk Support Specialist

Blue Cross Blue Shield Of Michigan
02.2023 - 03.2023
  • Streamlined help desk operations for increased efficiency and improved response times.
  • Walked user through series of steps to determine problem and implement likely solution.
  • Responded to inquiries by phone and email.
  • Assisted internal CSRs with questions on claims, benefits and billing issues.
  • Assisted Agents with billing, claims, and benefit questions.
  • Encouraged internal representatives for jobs well done.

Interim Analyst (ODLM)

Blue Cross Blue Shield Of Michigan
10.2022 - 02.2023
  • Collected, arranged, and input information into database system.
  • Gathered, organized and input information into digital database.
  • Assisted in creating webpages for internal help system used by representative.
  • Created OBN's from employer health insurance choice in benefits to assist representatives in quoting benefits to members.
  • Assisted in daily operations surrounding employee benefits packages.

Customer Service Representative 3/Customer Service Representative/Help Desk Support Specialist

Blue Cross Blue Shield Of Michigan
04.2022 - 10.2022
  • Streamlined help desk operations for increased efficiency and improved response times.
  • Walked user through series of steps to determine problem and implement likely solution.
  • Responded to inquiries by phone and email.
  • Assisted internal CSRs with questions on claims, benefits and billing issues.
  • Assisted Agents with billing, claims, and benefit questions.
  • Encouraged internal representatives for jobs well done.

Provider Service Representative 2

Blue Cross Blue Shield Of Michigan
01.2020 - 04.2022
  • Assisted providers with claims, billing, and benefit questions.
  • Assisted in reprocessing claims based on member benefits.
  • Enhanced customer satisfaction by swiftly addressing and resolving service-related issues.
  • Handled provider inquiries and suggestions courteously and professionally.
  • Answered provider telephone calls promptly to avoid on-hold wait times.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Educated providers about billing, payment processing and support policies and procedures.
  • Assisted with preauthorizations and provider appeals.

Customer Service Representative 2

Blue Cross Blue Shield Of Michigan
07.2016 - 01.2020
  • Handled customer inquiries and suggestions courteously and professionally.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Assisted with claim questions and benefits ensuring members understood their benefits and claims.

Licensed Producer/Customer Service Advocate

Farmers Insurance
02.2016 - 07.2016
  • Assisted with daily organizational information as it pertained to members and their personal lines insurance products.
  • Assisted with questions and claim questions.

Education

Masters of Philosophy - Developmental Psychology

Walden University
Minneapolis, MN
05.2001 -

MBA - Strategic Management

Davenport University
Grand Rapids, MI
05.2001 -

BBA - Health Services Administration

Davenport University
Grand Rapids, MI
05.2001 -

Skills

Claims analysis

Timeline

Health Insurance Claims Adjudicator

Blue Care Network Of Michigan
03.2023 - Current

Customer Service Representative/Help Desk Support Specialist

Blue Cross Blue Shield Of Michigan
02.2023 - 03.2023

Interim Analyst (ODLM)

Blue Cross Blue Shield Of Michigan
10.2022 - 02.2023

Customer Service Representative 3/Customer Service Representative/Help Desk Support Specialist

Blue Cross Blue Shield Of Michigan
04.2022 - 10.2022

Provider Service Representative 2

Blue Cross Blue Shield Of Michigan
01.2020 - 04.2022

Customer Service Representative 2

Blue Cross Blue Shield Of Michigan
07.2016 - 01.2020

Licensed Producer/Customer Service Advocate

Farmers Insurance
02.2016 - 07.2016

Masters of Philosophy - Developmental Psychology

Walden University
05.2001 -

MBA - Strategic Management

Davenport University
05.2001 -

BBA - Health Services Administration

Davenport University
05.2001 -
ElizeBeth Bonz