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Amanda Chodkiewich
16316 Cameron Street, Southgate, MI 48195
(734) 788.8234 ▪ amandapink2516@yahoo.com
OBJECTIVE
To acquire a fulfilling and challenging position, where I can utilize my level of business
knowledge and demonstrate my experience in customer service, enrollment and
administrative related duties, therefore adding significant value to the organization, while
obtaining individual personal growth.
EXPERIENCE Total Health Care, Detroit, Michigan
Enrollment Specialist, December 2013-Current
• Investigates and resolved Marketplace enrollment issues.
• Responsible for timely and accurate review and updating of Marketplace
enrollment files, including membership reconciliation.
• Assists in the resolution of Heath Insurance Casework System (HICS) tickets
• Responds to internal and external inquiries regarding Marketplace enrollments,
invoicing and related functions.
• Acts as a point of contact for members, Customer Service Representatives and
finance personnel to resolve enrollment issues, and coordinates resolution with
the enrollment gateway vendor.
• Coordinates eligibility updates with the enrollment gateway vendor.
Total Health Care, Detroit, Michigan
Customer Service, December 2012-December 2013
• Educate members and providers on members benefits, rights and responsibilities
• Educate members and providers on THC policies and procedures
• Act as a liaison between providers and members on all issues
• Utilize the database used to track and trend all provider and member inquiries
and concerns
• Remain updated on all member and provider policy changes made by THC or the
State of Michigan
• Knowledge of CHAMPS
• Data entry
• Assist members with scheduling transportation
• Member discharges
• Mail out provider directories
Wayne State University Physician Group, Dearborn, Michigan
Clinical Lead, August 2012-December 2012
• Monitor the activities of the support staff at the front desk.
• Provide training and mentoring to the staff as needed.
• Views and verifies patient demographic information, social security number and
insurance data.
• Accurately enters demographic and insurance information into the registration
system.
• Working with patients insurance companies to get prior authorization
• Prints encounter forms and patient information sheets, with current patient
demographic information and files information in the medical record.
• Checks encounter forms for level of service, diagnosis, faculty signature, and
referring physician if required.
• Monitor and help discharge patients from the practice, scheduling the patient’s
follow up appointment.
• Checks for all future appointments entered into the scheduling system for
duplicate appointments.
• Ensures patient appointments have been confirmed for the following day.
• Collects fee(s) for service(s) according to established policies.
• Documents charges and payments on encounter form. Reconciles monies collected
with encounter form receipts or daily cash logs.
• Maintains an accurate amount of petty cash.
• Relates "add-on" appointments, cancellations and any other pertinent information
to the appropriate personnel/staff.
• Answers telephone utilizing the principle of good telephone etiquette when
providing phone coverage and always conduct one's self in a professional manner.
• Directs calls, takes accurate messages, relays messages/information to the
appropriate personnel/staff member and answers inquires.
• Maintains a safe and clean environment with appropriate levels of supplies for
care. Requests additional supplies needed in a timely fashion.
• Prints schedule at the end of each business day to ensure all appointments have
been arrived or no showed in the scheduling system.
• Schedule breaks/lunches
Meridian Health Plan, Detroit, Michigan
Member Services Team Lead, December 2011-June 2012
• Works with the Manger of Member Services to schedule the representative’s
breaks/lunches
• Supervises the training of new staff and signs off on all staff when they have
completed training and are ready for the phones
• Answers questions from the representatives as needed
• Performing quality audits on a monthly basis for Member services staff and
addressing failed audits with employees
• Educates members and providers on members benefits, rights and responsibilities
• Acts as a liaison between providers and members on all issues.
• Works with the Manager of Member Services to schedule PTO time for department
staff
• Works with the Manager of Member Services to perform quality monitoring on
inbound and outbound calls and follow up with staffs who are not meeting MHP’s
expectations.
• Works with the Manager of Member Services to supervise and schedule
departmental activities to ensure expected productivity levels are maintained and
all calls are answered within 30 seconds with a service rate of 98%.
• Provide “Ritz Carlton” customer service to members and internally to MHP
• Data entry
• Assists the department director/manager with: Weekly reports for inbound and
outbound call productivity based on the bonus and incentive program.
• Updates and educates staff on all member, provider and administrative policy
changes made by MHP or the state of Michigan.
• Resolve COB issues
• Knowledge of CHAMPS
• Welcome new members to MHP monthly and ascertain member medical needs to
ensure a smooth transition to the MHP network
Meridian Health Plan, Detroit, Michigan
Member Services Representative 4, December 2009-December 2011
• Educate members and providers on MHP policies and procedures regarding access
to care, grievance and appeal process and eligibility process
• Act as a liaison between providers and members on all issues
• Educate members and providers on members benefits, rights and responsibilities
• Work with all MHP departments to ensure member satisfaction and timely
resolution of grievances and appeals
• Utilize the database used to track and trend all provider and member inquiries,
concerns, and complaints and appeals appropriately
• Remain updated on all member and provider policy changes made by MHP or the
State of Michigan
• Mail member ID cards, educational postcards and all other member information as
needed
• Welcome new members to MHP monthly and ascertain member medical needs to
ensure a smooth transition to the MHP network
• Provide “Ritz Carlton” customer service to members, providers and internally to
MHP
• Knowledge of CHAMPS
• Resolve COB issues
• Data entry
Allenwood Family Health, Taylor, Michigan
Medical Assistant, 2005-2009
• Assessing patient’s appointments and needs.
• Performing clinical orders
• Working with patients insurance companies to get prior authorization
Arby’s, Trenton, Michigan
Assistant Manager, 2000-2005
• Customer Service
• Scheduling
• Training
EDUCATION
Henry Ford Community College, Dearborn, MI
2002-2004
General Business
TECHNICAL SKILLS
Microsoft Office Microsoft Word Microsoft Excel Microsoft Outlook
Electronic Medical Records
CERTIFICATIONS
Detroit Business Institute, Riverview, Michigan 2005
Medical Assistant Certification

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Updated Amanda resume (2)

  • 1. Amanda Chodkiewich 16316 Cameron Street, Southgate, MI 48195 (734) 788.8234 ▪ amandapink2516@yahoo.com OBJECTIVE To acquire a fulfilling and challenging position, where I can utilize my level of business knowledge and demonstrate my experience in customer service, enrollment and administrative related duties, therefore adding significant value to the organization, while obtaining individual personal growth. EXPERIENCE Total Health Care, Detroit, Michigan Enrollment Specialist, December 2013-Current • Investigates and resolved Marketplace enrollment issues. • Responsible for timely and accurate review and updating of Marketplace enrollment files, including membership reconciliation. • Assists in the resolution of Heath Insurance Casework System (HICS) tickets • Responds to internal and external inquiries regarding Marketplace enrollments, invoicing and related functions. • Acts as a point of contact for members, Customer Service Representatives and finance personnel to resolve enrollment issues, and coordinates resolution with the enrollment gateway vendor. • Coordinates eligibility updates with the enrollment gateway vendor. Total Health Care, Detroit, Michigan Customer Service, December 2012-December 2013 • Educate members and providers on members benefits, rights and responsibilities • Educate members and providers on THC policies and procedures • Act as a liaison between providers and members on all issues • Utilize the database used to track and trend all provider and member inquiries and concerns • Remain updated on all member and provider policy changes made by THC or the State of Michigan • Knowledge of CHAMPS • Data entry • Assist members with scheduling transportation • Member discharges • Mail out provider directories Wayne State University Physician Group, Dearborn, Michigan Clinical Lead, August 2012-December 2012 • Monitor the activities of the support staff at the front desk. • Provide training and mentoring to the staff as needed.
  • 2. • Views and verifies patient demographic information, social security number and insurance data. • Accurately enters demographic and insurance information into the registration system. • Working with patients insurance companies to get prior authorization • Prints encounter forms and patient information sheets, with current patient demographic information and files information in the medical record. • Checks encounter forms for level of service, diagnosis, faculty signature, and referring physician if required. • Monitor and help discharge patients from the practice, scheduling the patient’s follow up appointment. • Checks for all future appointments entered into the scheduling system for duplicate appointments. • Ensures patient appointments have been confirmed for the following day. • Collects fee(s) for service(s) according to established policies. • Documents charges and payments on encounter form. Reconciles monies collected with encounter form receipts or daily cash logs. • Maintains an accurate amount of petty cash. • Relates "add-on" appointments, cancellations and any other pertinent information to the appropriate personnel/staff. • Answers telephone utilizing the principle of good telephone etiquette when providing phone coverage and always conduct one's self in a professional manner. • Directs calls, takes accurate messages, relays messages/information to the appropriate personnel/staff member and answers inquires. • Maintains a safe and clean environment with appropriate levels of supplies for care. Requests additional supplies needed in a timely fashion. • Prints schedule at the end of each business day to ensure all appointments have been arrived or no showed in the scheduling system. • Schedule breaks/lunches Meridian Health Plan, Detroit, Michigan Member Services Team Lead, December 2011-June 2012 • Works with the Manger of Member Services to schedule the representative’s breaks/lunches • Supervises the training of new staff and signs off on all staff when they have completed training and are ready for the phones • Answers questions from the representatives as needed • Performing quality audits on a monthly basis for Member services staff and addressing failed audits with employees • Educates members and providers on members benefits, rights and responsibilities • Acts as a liaison between providers and members on all issues. • Works with the Manager of Member Services to schedule PTO time for department staff • Works with the Manager of Member Services to perform quality monitoring on inbound and outbound calls and follow up with staffs who are not meeting MHP’s expectations.
  • 3. • Works with the Manager of Member Services to supervise and schedule departmental activities to ensure expected productivity levels are maintained and all calls are answered within 30 seconds with a service rate of 98%. • Provide “Ritz Carlton” customer service to members and internally to MHP • Data entry • Assists the department director/manager with: Weekly reports for inbound and outbound call productivity based on the bonus and incentive program. • Updates and educates staff on all member, provider and administrative policy changes made by MHP or the state of Michigan. • Resolve COB issues • Knowledge of CHAMPS • Welcome new members to MHP monthly and ascertain member medical needs to ensure a smooth transition to the MHP network Meridian Health Plan, Detroit, Michigan Member Services Representative 4, December 2009-December 2011 • Educate members and providers on MHP policies and procedures regarding access to care, grievance and appeal process and eligibility process • Act as a liaison between providers and members on all issues • Educate members and providers on members benefits, rights and responsibilities • Work with all MHP departments to ensure member satisfaction and timely resolution of grievances and appeals • Utilize the database used to track and trend all provider and member inquiries, concerns, and complaints and appeals appropriately • Remain updated on all member and provider policy changes made by MHP or the State of Michigan • Mail member ID cards, educational postcards and all other member information as needed • Welcome new members to MHP monthly and ascertain member medical needs to ensure a smooth transition to the MHP network • Provide “Ritz Carlton” customer service to members, providers and internally to MHP • Knowledge of CHAMPS • Resolve COB issues • Data entry Allenwood Family Health, Taylor, Michigan Medical Assistant, 2005-2009 • Assessing patient’s appointments and needs. • Performing clinical orders • Working with patients insurance companies to get prior authorization Arby’s, Trenton, Michigan Assistant Manager, 2000-2005
  • 4. • Customer Service • Scheduling • Training EDUCATION Henry Ford Community College, Dearborn, MI 2002-2004 General Business TECHNICAL SKILLS Microsoft Office Microsoft Word Microsoft Excel Microsoft Outlook Electronic Medical Records CERTIFICATIONS Detroit Business Institute, Riverview, Michigan 2005 Medical Assistant Certification