Experienced and highly skilled in resolving complex member inquiries and claims, with a strong ability to communicate effectively and manage medical records. Expertise in analyzing program eligibility and coordinating care services, complemented by a keen attention to detail and problem-solving capabilities. Proven track record of enhancing customer satisfaction through ecient operations and relationship building.
Overview
12
12
years of professional experience
Work History
NURSING UNIT SECRETARY
Sacramento Rehabilitation Hospital
Sacramento
01.2026 - Current
Coordinated patient admissions and discharges, ensuring
Accurate documentation and timely processing.
NURSING UNIT SECRETARY
Sacramento General Hospital
Sacramento
01.2026 - Current
Coordinated patient admissions and discharges, ensuring accurate documentation and timely processing.
Managed communication between nursing staff, physicians, and patients to enhance care delivery for all patients.
Utilized electronic health records to update patient healthcare providers to optimize workflow efficiency.
Utilized electronic health records to update patient healthcare providers to optimize workflow efficiency.
Demonstrates general computer skills including data entry, word processing, email, and record management.
Maintains high level interpersonal communication skills.
Effective written and verbal communication skills.
Must have high level interpersonal communication skills.
Ability to maintain proper levels of confidentiality.
Ability to work closely and productively with others.
Ability to work on issues of a sensitive nature.
CORRESPONDENCE PHONE SUPPORT - INTERMEDIATE
Blue Shield of
Rancho Cordova, USA
01.2025 - 01.2026
DISABILITY CLAIMS ANALYST
Insurance and Benefits Trust of PORAC
Sacramento, USA
03.2022 - 12.2024
EMR ASSOCIATE
Dignity Health
Rancho Cordova, USA
12.2021 - 03.2023
MEDICAL OFFICE RECEPTIONIST
Dignity Health
Carmichael, USA
11.2020 - 12.2021
PATIENT SERVICE REPRESENTATIVE
Heathnow Administrative Services
Rancho Cordova, USA
08.2018 - 11.2020
MEDICAL DOCUMENTATION REVIEWER/CLAIMS REPRESENTATIVE
Health Net Federal Services
Rancho Cordova, USA
06.2015 - 04.2018
CUSTOMER SERVICE REPRESENTATIVE
Covered California
Sacramento, USA
12.2014 - 05.2015
Education
PATIENT SERVICE REPRESENTATIVE CERTIFICATE -
Pima Medical Institue
05-2019
MAKEUP ARTISTRY CERTIFICATE -
Pinky Rose Makeup Academy
05-2014
ASSOCIATES OF SCIENCE - DIAGNOSTIC MEDICAL SONOGRAPHY
Cosumnes River College
HIGH SCHOOL DIPLOMA -
John F Kennedy Highschool
Skills
Communication
Appointment Scheduling
Electronic Health Record Systems
Data Entry
Word Processing
Email Management
Record Management
Organizational Skills
Time Management
Written Communication
Verbal Communication
Interpersonal Skills
Quality Standards
Confidentiality
Collaboration
Problem Solving
Member Eligibility Resolution
Correspondence Composition
Membership Coordination
Inventory Management
Claims Review
Member Education
Quality Improvement
Program Analysis
Wellness Plan Engagement
Pharmacy Benefit Resolution
Prescription Benefit Coverage
Prior Authorization Management
Appeal Assistance
Managed Care Knowledge
HMO Knowledge
PPO Knowledge
Medical Group Knowledge
Provider Network Knowledge
Policy Feedback
Record Keeping
Training Participation
Discrepancy Investigation
Record Retrieval Assistance
Notes
The resume text contains inconsistent/unclear date fragments (e.g., '2026 Present' and 'Jun 2030' for an education entry). Dates were converted where explicit month/year were present; otherwise fields are left blank.
The 'CUSTOMER SERVICE REPRESENTATIVE' role under Covered California includes no explicit start/end dates in the provided text.
Personal Information
Title: NURSING UNIT SECRETARY
Timeline
NURSING UNIT SECRETARY
Sacramento General Hospital
01.2026 - Current
NURSING UNIT SECRETARY
Sacramento Rehabilitation Hospital
01.2026 - Current
CORRESPONDENCE PHONE SUPPORT - INTERMEDIATE
Blue Shield of
01.2025 - 01.2026
DISABILITY CLAIMS ANALYST
Insurance and Benefits Trust of PORAC
03.2022 - 12.2024
EMR ASSOCIATE
Dignity Health
12.2021 - 03.2023
MEDICAL OFFICE RECEPTIONIST
Dignity Health
11.2020 - 12.2021
PATIENT SERVICE REPRESENTATIVE
Heathnow Administrative Services
08.2018 - 11.2020
MEDICAL DOCUMENTATION REVIEWER/CLAIMS REPRESENTATIVE
Health Net Federal Services
06.2015 - 04.2018
CUSTOMER SERVICE REPRESENTATIVE
Covered California
12.2014 - 05.2015
PATIENT SERVICE REPRESENTATIVE CERTIFICATE -
Pima Medical Institue
MAKEUP ARTISTRY CERTIFICATE -
Pinky Rose Makeup Academy
ASSOCIATES OF SCIENCE - DIAGNOSTIC MEDICAL SONOGRAPHY