1. Michael Maciejewski
3638 Almond Street Philadelphia, PA 19134 | 267 -455-5627 | Michaelmaciej1@gmail.com
SUMMARY
Goal-oriented leader who works effectively with internal/external customers to achieve objectives. Dedicated and
motivated professional, consistently produces positive results. Expertise include productivity/process improvement, team
work and analytical problem solving. Able to work independently or as a part of a motivated team.
 Bilingual English/Polish
 Proficient in Microsoft Office Suite
 Organization and Process Improvement
 Skilled in communicating with customers
 Works well in fast-paced, high pressure
environment
 Adaptability and Flexibility
 T eamwork and Leadership
PROFESSIONAL EXPERIENCE
Philidor Rx Services, LLC, Hatboro, PA
Team Lead/ Senior Pharmacy Claims Specialist 2015-Present
 Assigned daily instruction for special assignments/daily overview of my team
 Worked in conjunction with Site Supervisor to provide assistance with daily goals and team communication
 Supervised overall pharmacy/range volume
 Resolved escalated orders to support other departments; maintained excellent communication
 Monitored and managed employee performance, provided performance reviews and coaching to ensure accuracy
and encourage growth
 Prioritized and distributed workload, while managing multiple time sensitive issues
 Ensured employee adherence to schedules, policies, and procedures
 Provided comprehensive weekly reporting detailing frequent problems, team accomplishments, and queue
volumes
Pharmacy Claims Specialist
 Processed prescription insurance claims using a combination of various established and proprietary computer-
based applications
 Ensured adjudication processes were complete within the parameters of company protocol
 Corresponded with insurance companies for determination of eligibility, plan limitations, and appropriate billing
of claims
 Examined rejected claims to detect issues and solutions to ensure correct payment or denial amounts
 Reported system issues or problematic claim s to the appropriate management, as needed
 T ook initiative to stay up to date on evolving company policies and procedures
 Processed up to 13 claims per hour to contribute to 15,000 prescriptions processed daily by adjudication
department while maintaining a baseline 3% error rate or lower
Pat & Bobby’s Manayunk Steaks, Philadelphia, PA
Restaurant Manager 2013-2014
 Upheld clean, organized and professional environment; m anaged 7 employees
 Processed timesheets and schedules; kept track of all finances in register
 Collaborated with management to create a healthy and successful work environment
Philadelphia Criminal Justice Center, Philadelphia, PA
Internship 2011-2013
 Provided administrative support for the judge in the Philadelphia Judicial system
 Handled confidential information in a compliant manner

2. Michael Maciejewski Page 2
267-455-5627 | Michaelmaciej1@gmail.com
Phelan, Hallinan & Schmieg. LLC, Mt. Laurel, NJ
Legal Assistant 2009-2011
 Assisted attorneys in processing foreclosures and bankruptcy applications
 Accurately entered data on foreclosure and bankruptcy cases
 Communications with financial institutions and attorneys to get additional client data
Penn Medicine, University of Pennsylvania Health System, Philadelphia, PA
Internship, Administrative Assistant 2008-2009
 Daily data-entry of patient demographics and health information in to hospital files
 Communicated with health institutions in regards to patient health files
 T rained in HIPAA and maintained patient record confidentiality
EDUCATION
Community College of Philadelphia, Philadelphia, PA
Associate Degree in Applied Sciences; Criminal Justice