Maria Boolukos
Kingston,NY
Summary
Passionate about utilizing organizational, communication, and service skills in a fulfilling work environment. Strong problem-solving abilities, keen willingness to learn, and exceptional communication skills. Positioned to enhance team achievements and drive positive outcomes. Eager to take on fresh challenges and propel organizational goals with unwavering dedication and enthusiasm.
Overview
22
22
years of professional experience
Work History
Issue Resolution Team
United Health Group-Railroad Division-Kingston N.Y.
01.2023 - 05.2025
- Assist members and providers with escalated issues regarding benefits and claims processing.
- Compiling and creating reports for large claim projects.
Health Adviser
United Health Group-Railroad Division-Kingston N.Y.
03.2014 - 12.2022
- Assist members and providers with benefit, eligibility and claim inquiries.
- Work as a back-up agent on the At Occupation Injury line.
- Serve as Commitment Champion for Team Tittleback.
- Maintained up-to-date knowledge of industry trends, emerging technologies, and evidence-based practices through participation in professional development opportunities.
Front Desk Receptionist
Burkley Chiropractic
08.2008 - 09.2010
- Checked patients in and out for appointments.
- Collected and applied copayments and insurance payments to accounts.
- Scheduled future appointments.
- Verified insurance benefits.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
Surgical and Pre-Certification Coordinator
NYCONN Orthopedics-Various Locations
09.2003 - 09.2008
- Obtained authorizations for medical tests and procedures through both private and Worker's Compensation insurances for the Bronx, Mt. Kisco, and Manhattan locations.
- Served as Surgical Coordinator for the Bronx, Mt. Kisco, Carmel, and Fishkill locations.
- Coordinated closely with clinical staff to ensure that necessary medical tests were conducted prior to submitting pre-certification requests.
- Improved communication between hospital departments by coordinating with medical staff, insurance providers, and patients to ensure timely pre-certifications.
Education
Some College (No Degree) - Criminal Justice
Iona College
New Rochelle, NYSkills
- Excellent organizational skills, record keeping, and proven record of completing tasks on schedule
- Experienced with ISET, UNET, and EWD software
- Solid foundation in healthcare service delivery
- De-escalation skills
- Cross-functional teamwork
- Effective problem resolution
Timeline
Issue Resolution Team
United Health Group-Railroad Division-Kingston N.Y.
01.2023 - 05.2025
Health Adviser
United Health Group-Railroad Division-Kingston N.Y.
03.2014 - 12.2022
Front Desk Receptionist
Burkley Chiropractic
08.2008 - 09.2010
Surgical and Pre-Certification Coordinator
NYCONN Orthopedics-Various Locations
09.2003 - 09.2008
Some College (No Degree) - Criminal Justice
Iona College
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