Summary
Overview
Work History
Education
Skills
Timeline
OperationsManager

TASHA MARIE ROBINSON

Indianapolis,IN

Summary

Experienced Benefits Administrator skilled in finding providers, setting up plans and coordinating enrollments. Solid understanding of documentation, recordkeeping and compliance requirements. Advanced organizational, problem-solving and relationship-building skills developed over 15+years. Proven skills in benefits administration, employee relations and application coordination. Knowledgeable about program changes, enrollment periods and contract negotiation. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Experienced Benefits Administrator skilled in finding providers, setting up plans and coordinating enrollments. Solid understanding of documentation, recordkeeping and compliance requirements. Advanced organizational, problem-solving and relationship-building skills developed over 15 years+ career.

Overview

11
11
years of professional experience
4
4
years of post-secondary education

Work History

(CBA) Benefits Administrator

United Health Group, Optum
Indianapolis, IN
10.2022 - 11.2023

Handle high volumes of transactions related to employee health benefits, pension plans, and local dues in accordance with the Collective Bargaining Agreement (CBA).
Utilize the LUMS system to maintain accurate and up-to-date data for all transactions.
Keep detailed accounting records of funds received and disbursed for various financial activities.
Use QuickBooks to manage funds specifically from local union contractors.
Check Processing:

Write checks for local benefits paid by contractors to ensure timely disbursement of funds.
Process dues payments from local unions, maintaining accuracy and compliance with financial procedures.
Bank Deposits:

Deposit a monthly total of $4 million dollars into the designated banking financial institution.
Ensure all deposits are accurately recorded and in accordance with established financial protocols.
Financial Record Keeping:

Maintain accurate and organized financial records through Excel spreadsheets.
Track all monies collected from local union contractors, providing a clear overview of financial transactions.

  • Evaluated data, identified trends and recommended changes in compensation structures.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • This position involves comprehensive set of responsibilities related to financial transactions, record-keeping, and compliance with terms outlined in Collective Bargaining Agreement. Use of specialized systems like LUMS and QuickBooks, along with proficiency in Excel, is essential for efficient and accurate financial management.

Small Business Owner

Self-employed
Indianapolis, IN
11.2021 - 09.2023
    • Devised processes to boost long-term business success and increase profit levels.
    • Fulfilled customer shipping needs by completing all purchase orders and customer invoices.
    • Provided elite customer service by resolving escalated problems and calmly responding to shifting priorities.
    • Promoted business via social media to generate leads and maximize brand identity.
    • Participated in business events, conferences and trade shows to promote products and network with business owners and prospective clients.
    • Evaluated sales reports and financial statements to manage cash flow and develop techniques to improve business.
    • Researched trends and current innovations to determine competition and develop competitive pricing points.
    • Advertised products and services online, social media and through traditional campaigns to target ideal consumers.
    • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
    • Conducted feasibility studies to weigh pros and cons of developing business and ways to achieve success.
    • Performed statistical analyses to gather data for operational and forecast team needs.
    • Demonstrated product presentations to prospective customers to showcase features, benefits and value.
    • Designed business plan to define concept, short-term and long-term goals and strategies.
    • Launched staff engagement, gender diversity and cultural programs in addition to robust reporting tool that increased operational quality.

Call Center Customer Service Representative

BCforward
Indianapolis, IN
03.2020 - 11.2021
  • Handle inbound calls from residents of Indiana seeking information and assistance with applying for Medicaid benefits.
  • Provide detailed information on eligibility criteria, application procedures, and required documentation.
  • Offer support and guidance to applicants throughout Medicaid application process.
  • Assist residents in completing Medicaid applications over phone.
  • Verify and collect necessary documentation to ensure accurate and timely processing of Medicaid applications.
  • Navigate and utilize state's Medicaid system to input and update applicant information.
  • Manage relationships with healthcare providers participating in state-managed Medicaid program.
  • Verify and update credentials of healthcare providers to ensure compliance with program requirements.
  • Facilitate communication between providers and Medicaid program to resolve issues and streamline processes.
  • Maintain detailed records of customer interactions, including application details and provider communications.
  • Generate reports as needed to track application statuses, provider credentials, and other relevant metrics.
  • Address and resolve issues, concerns, or disputes raised by applicants or providers in professional and courteous manner.
  • Collaborate with internal teams to escalate and resolve complex cases as needed.

Training Coordinator

BioMerics Atl
Indianapolis, IN
01.2019 - 10.2019
  • Developed training programs for new employees for warehouse that manufactured medical devices employing over 200 staff members.
  • Facilitated and communicated training plan/schedule to all departments leads and employees
  • Focused on employee feedback for identifying their training requirements while developing suitable plans to retention of training materials
  • Coordinate with department heads for on job training program
  • Responsible for induction of all new employees
  • Maintained and recorded all training sessions for onsite and offsite Puerto Rico location
  • Evaluated effects of training on employees and their individual performances
  • Assist Training Manager in setting training objectives and targets for staff and employees
  • Maintained training logs for various training equipment throughout warehouse and to ensure serviceable conditions.
  • Identified workers with specific skill sets to recommend for promotions or raises, increasing internal hiring.

Master Data Support Specialist

Ascension Health
Indianapolis, IN
03.2015 - 07.2017
  • Administers day-to-day sourcing, monitoring and vendor-related requests and inquiries in accordance with company guidelines and internal controls
  • Provided exceptional customer service to Ascension Health Associates, System Office staff, and external vendors responding to inquiries and request and resolving issues according to company policies
  • Understands and applies master data and sourcing to contract, policies, procedures and internal control standards
  • Ensured efficient transaction processing, fewer errors, and higher compliance of quality and realization in support of Contract Management process by uploading final contract and item master, implementations of contract agreements with all health ministries
  • Provided Level 2 customer service support for health ministries and their Associates, answering all of requisition process and order-related questions and resolving any issues of errors in processing.

Senior Customer Quality Associate

CVS Coram Specialty
Indianapolis, IN
10.2014 - 02.2015
  • Communicated with patients and care providers regarding formula and durable medical equipment product ordering to see if financial obligation can be meet
  • Contacted and researched insurance companies and medical providers to clarify any request for missing documentation necessary for order processing and reimbursement
  • Arranged product delivery between patients/caregivers and couriers, Follow-up on outstanding Certificates of Medical Necessity (CMNs), and prescription/process renewals
  • Performed timely follow-up renewal authorizations to maintain reimbursement activity
  • Handled Inbound/outbound calls to patients, physicians and insurance companies of over 50 calls per day to identify and gather insurance information pertaining to patient paperwork and authorizations and update claims status.

Insurance Verification Specialist

Express Scripts
Indianapolis, IN
01.2013 - 10.2013
  • Managed communication with Insurance companies such as HMO, PPO, Medicare and Medicaid to verify patients prescription and major medical benefits
  • Processed timely forms to insurance companies for prior authorization request for prescriptions or medical procedures not usually covered by insurance company, but is deemed medically necessary by physician
  • Provided financial assistance information to patients showing financial need for medications not covered by patients insurance coverage
  • Provided subject matter expert knowledge to all incoming new hire employees on insurance verification process
  • Performed appropriate procedures to verify patient eligibility while coordinating benefits by running dummy claims to determine patient coverage and out of pocket cost based on insurance plan and patients service diagnoses using ICD 10 and CPT coding.

Education

Diploma -

Morton Senior High School
Hammond, IN
09.1986 - 06.1990

Skills

Tying 45WPMundefined

Timeline

(CBA) Benefits Administrator

United Health Group, Optum
10.2022 - 11.2023

Small Business Owner

Self-employed
11.2021 - 09.2023

Call Center Customer Service Representative

BCforward
03.2020 - 11.2021

Training Coordinator

BioMerics Atl
01.2019 - 10.2019

Master Data Support Specialist

Ascension Health
03.2015 - 07.2017

Senior Customer Quality Associate

CVS Coram Specialty
10.2014 - 02.2015

Insurance Verification Specialist

Express Scripts
01.2013 - 10.2013

Diploma -

Morton Senior High School
09.1986 - 06.1990
TASHA MARIE ROBINSON