Healthcare benefits professional with experience in claims analysis and eligibility coordination, recently promoted within Benesys, Inc. Known for improving processing efficiency, reducing document backlogs, and collaborating with Building Trades business agents to ensure accurate member enrollment and coverage.
Overview
7
7
years of professional experience
Work History
Eligibility Coordinator
BENESYS, INC.
Troy, MI
06.2024 - Current
Promoted from Healthcare Benefit Specialist based on strong performance, accuracy in claims analysis, and process efficiency improvements
Liaise with Building Trades business agents to ensure accurate eligibility, enrollment, and benefit coverage for both new and current participants
Reduced document backlog from approximately 300 per client to zero within one month by improving processing workflows, ensuring timely and accurate eligibility updates
Coordinate with internal departments to resolve complex eligibility and coverage issues in a timely and accurate manner
Analyze medical claims to ensure billing and procedure codes are accurate for both providers and members
Resolved claim issues using systems such as El Dorado, OnBase, Microsoft Office, Benefit Driven, and Legacy—saving management approximately 60 minutes daily
Assisted union members with inquiries regarding deductibles, out-of-pocket costs, dental/vision benefits, and MRA/Benny card usage
Collaborated with internal teams to ensure accurate benefit processing and consistent service delivery
Veterinary Assistant
GRIFFITH VETERINARY HOSPITAL
Whitmore Lake, MI
11.2021 - 05.2024
Amplified sales in Heartgard and Nexgard by selling annual doses to clients, personally selling over 250 doses within the course of 6 months by increasing company presence while interacting in-person.
Maintained client relationships with over 150 clients to create meaningful relationships so the clients and animals felt valued and heard.
Trained new hires and lab technicians to set up lab work, draw blood, take X-rays, and manage the reception desk - triggering a 20% salary increase over the course of 15 months.
Specialized in client relations, taking patient vital information, communication with management, and assisting in surgical procedures.
Assisted 3 veterinarians and 2 veterinary technicians with surgeries and dental procedures while maintaining a sterile environment.
Assistant Teacher
IXL LEARNING CENTER
South Lyon, MI
03.2019 - 11.2021
Provided one-on-one support to students who needed additional help with assignments and new concepts.
Created individual multisensory development plans based on the child's individual needs and collaborated with the parents of the child to create a custom learning plan for them.
Trained and mentored a team of five new employees leading to a significant reduction in onboarding time and improved overall team performance ranging from the infant room to preschool ages.
Designed classroom themes based on the month's learning concept to help engage the children with a fun and creative way to enhance their development.
Played an instrumental role in triggering a 10% pay increase after 12 months of working at IXL.