Alondra Salcedo
Santa Ana,CA
Overview
7
7
years of professional experience
Work History
Overpayment Refund Specialist
Restorix Health, Inc. Gordian Medical, Inc.
Orange, CA
03.2021 - Current
- Investigated and resolved all overpayments categories
- Reviewed explanation of benefits (EOBs) and credit balances
- Analyzed payment history to determine the validity of refunds/recoupments
- Issued refund checks to Medicare, Medi-Caid, and commerical payers
- Documented and monitored refund requests received via mail, e-mail and fax
- Worked closely with Accounts Payable, Cash Applications, Appeals and RCM Management Team
- Created weekly and monthly detailed reports of outstanding overpayment balances for management
- Requested refund checks with Accounting Department
- Created refund packages and prepared for mail
- Processed appeals for invoices that disagreed with insurance payment decisions
Cashier, Waitress, Cook
Pizza Hut
Santa Ana, CA
12.2019 - 01.2021
- Trained new employees, resolved customers complaints, issued discounts and coupons approval from management, coached phone, placed orders, maintained clean and orderly checkout areas.
- Kept records of purchases; maintained orderly appearance of checkout area; restocked supplies as needed.
- Performed other duties as assigned by management.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Provided excellent customer service by addressing any complaints or concerns promptly.
- Participated in team meetings to discuss new menu items or changes in policy.
- Communicated with kitchen staff to stay updated on item availability and customer wait times.
Volunteer
Recycling
Santa Ana, CA
09.2017 - 12.2019
- Data entry, answered calls, filling, maintained cash drawers, operated a checkout lane, and helped with any questions and concerns.
- Collaborated with other volunteers to create a positive work environment.
- Provided guidance and support to fellow volunteers during their shifts.
- Assisted with fundraising efforts, including event planning and donor outreach.
- Participated in team-building exercises to strengthen relationships among volunteers.
- Collaborated with others by contributing time, effort and skills to achieve the organization's goals.
Education
Attained Highschool Diploma -
Saddleback High School
01.2019
Skills
- Overpayments and Reimbursements
- Bilingual Customer Service ( English and Spanish)
- Proficient in Microsoft Word, Excel, Typing 35 WPM/Data Entry
- Represents the organization in a positive and professional manner
- Maintains patient confidentiality at all time
- Reports to work on time and as scheduled, completes work within designated times
- Adapts to changes in job demands, work priorities, and organizational structure without adverse effects on one's job performance
- Develops alternative solutions and uses recourses creatively in addressing existing or anticipated work challenges/issues
Languages
Bilingual (English/Spanish)
Awards
- Avid Accomplishment award
- Achieved employee of the year in Carl’s Jr.
References
References available upon request.
Timeline
Overpayment Refund Specialist
Restorix Health, Inc. Gordian Medical, Inc.
03.2021 - Current
Cashier, Waitress, Cook
Pizza Hut
12.2019 - 01.2021
Volunteer
Recycling
09.2017 - 12.2019
Attained Highschool Diploma -
Saddleback High School