ARIANA GONZALEZ
Oroville,CA
Summary
Friendly and efficient professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in data entry and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for cliets. Seeking a position where I’m able to provide excellent customer service and exhibit my skill set.
Overview
10
10
years of professional experience
Work History
Intake Service Representative II, ROFR Team
Health Net Federal Services LLC
Rancho Cordova, USA
10.2019 - Current
- Clerical Duties: Read/understand the MTF capability report; communicate with requesting providers for determination/clarity of requested services; Recognize continuity of care as defined by specific criteria; Communicate with MTF on capability of performing requested services for care from the civilian provider; Track and monitor responses from the MTF as required by contract; enter disposition of care coordination in the medical management system & ROFR database
Intake Service Representative I
Health Net Federal Services LLC
Rancho Cordova, USA
12.2017 - 10.2019
- Clerical Duties: Working through the Care Radius and DOMA systems to properly triage incoming requests
- While maintaining accuracy, complete requests with correct provider and correct services/ service codes
- Also, confirming provider and patient data while maintaining patient confidentiality through phone calls to provider offices
- Finally, staying up to date w/ all knowledge of procedures and processing through Medical Management Documents, Knowledge Checks, and Provider Lists
Data Entry Clerk
Blue Shield of California
Rancho Cordova, USA
05.2016 - 09.2017
- Clerical Duties: Pulled Contracts from wall, verified networks in Provider Manager, enter demographic information into an Excel spreadsheet, numbered contract, and filed it back onto wall in numerical order
Intake Processor
Blue Shield of California
Rancho Cordova, USA
05.2016 - 09.2017
- Work in PIMS system to triage all correspondence from medical personnel throughout California, Utilizing applications like Right-fax, CAT, and Microsoft Outlook.
Mail Processor
Blue Shield of California
Rancho Cordova, USA
05.2016 - 09.2017
- Receive hard mail, then properly triage correspondence (deciding whether or not correspondence needs to be sent back, to another department, or if it can be sent through to HOV imaging)
Provider Not Found Processor
Blue Shield of California
Rancho Cordova, USA
05.2016 - 09.2017
- Work in PIMS and Facets databases to assist in claim payment of medical personnel throughout California
- Utilized programs such as Microsoft Office, Provider Manager, and Internet Explorer
Administrative Assistant
Center for Interventional Spine
Sacramento, USA
01.2016 - 02.2016
- Clerical duties include filing, scanning, faxing, and utilizing Microsoft Excel for various operations.
Medical Assistant – Extern
Sacramento Spine Treatment Center
Sacramento, USA
01.2015 - 02.2015
- Answered phones, performed insurance verifications, charted, filed, and obtained patient history.
- Greeted and roomed patients, assisted with patient treatments – ultrasound and laser therapy.
Education
Medical Assistant Diploma -
Kaplan Technical College- Sacramento
Sacramento, CA02.2015
Skills
- Charting/Filing
- ICD9-10/ CPT Coding Knowledge
- Phone Etiquette
- Appointment Coordination
- Typing/ Data Entry
- Skilled in Microsoft Office Applications
- E-mail Etiquette
- Medication Administration
- Care Radius Proficiency
- Collaborative Team Player
- Medical Terminology
- HIPAA Compliance
- OSHA Regulation Knowledge
- Organizational skills
- Punctuality
- Faxing thru FaxCom
- Self-Proficient
- Provider Manager Experience
- Patient Education
- DOMA
- Proficient in Written and Verbal Communication
Volunteer Experience
- Office/Attendance Assistant, Inderkum High School, Sacramento, CA, 09/01/12, 05/01/13, Answered phones, filing (Alpha/Numeric) – teacher logs, tardy and attendance forms, Greeted visitors and students
- Volunteer, UC Davis Spine Center, Sacramento, CA, 07/01/11, 12/01/11, Filing (Alpha/Numeric), organized medical records
Timeline
Intake Service Representative II, ROFR Team
Health Net Federal Services LLC
10.2019 - Current
Intake Service Representative I
Health Net Federal Services LLC
12.2017 - 10.2019
Data Entry Clerk
Blue Shield of California
05.2016 - 09.2017
Intake Processor
Blue Shield of California
05.2016 - 09.2017
Mail Processor
Blue Shield of California
05.2016 - 09.2017
Provider Not Found Processor
Blue Shield of California
05.2016 - 09.2017
Administrative Assistant
Center for Interventional Spine
01.2016 - 02.2016
Medical Assistant – Extern
Sacramento Spine Treatment Center
01.2015 - 02.2015
Medical Assistant Diploma -
Kaplan Technical College- Sacramento
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