CLEMENTINA KIILU
Dallas,TX
Summary
Motivated professional offering proficiency in data entry combined with strong mathematical and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.
Overview
13
13
years of professional experience
Work History
Data Entry Specialist
Philips Pet Food and Supplies
04.2020 - 12.2022
- Compile, merge, and format documents for data entry, check documents for errors, input data update the database, and manage the digital filing systems.
- Maintain and control procedures and inventory based on Customer requirements.
- Processing of Customer orders, Invoicing, and Verifying rates.
- Reconcile physical inventories in accordance with Customer and company requirements.
- Follow through on Customer requests.
- Identified data entry errors and reported them to necessary departments.
- Sorted documents and maintained an organized filing process.
Reimbursement Specialist
AmerisourceBergen
08.2017 - 02.2020
- Assisted physician office staff and patients in completing and submitting all necessary insurance forms and program applications.
- Completed and submitted all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third-party payors
- Researched and resolved any claim denials or underpayment of claims.
- Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.
- Maintained frequent phone contact with provider representatives, third-party customer service representatives, and case managers.
- Reported any reimbursement trends/delays to the supervisor (e.g., billing denials, claim denials, pricing errors, payments, etc.)
Patient Care Coordinator
Trinity Specialty Pharmacy
03.2014 - 07.2017
- Scheduled patient medication refills and verified address information to make sure their medication gets to them in a timely manner to ensure patient health is not compromised.
- Transferred patient calls to pharmacists for counseling.
- Updated patient profiles with current information such as new allergies, new medications, new insurance, and new contact information.
- Provided patients with copay information on their medications and in cases where insurance does not cover their medications provided accurate cash prices.
- Provided support and guidance to patients and families to navigate healthcare systems.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
Customer Service Representative
Medco Health Solutions
02.2010 - 01.2014
- Efficiently responded to telephone calls from customers, pharmacies, and doctor's offices utilizing information provided online to determine coverage requirements under various program scenarios.
- Explained coverage of medication to clients, including limits or conditions in drug coverage. Actively listened to customers, handled concerns quickly, and escalated major issues to the supervisor.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Education
Information Technology -
Colaberry School of Data Analytics
Dallas, TX11.2026
Associate of Arts - Music
Richland College
Dallas, TX05.2011
Skills
- Strong communication skills
- Positive attitude
- Client/Patient relations & quality control
- Data Processing
- Detail-oriented/Organizational skills
- Self-motivated/Flexible
- Computer skills
- Microsoft Word, Excel, Access, PowerPoint
Timeline
Data Entry Specialist
Philips Pet Food and Supplies
04.2020 - 12.2022
Reimbursement Specialist
AmerisourceBergen
08.2017 - 02.2020
Patient Care Coordinator
Trinity Specialty Pharmacy
03.2014 - 07.2017
Customer Service Representative
Medco Health Solutions
02.2010 - 01.2014
Information Technology -
Colaberry School of Data Analytics
Associate of Arts - Music
Richland College
Similar Profiles
Shannon LathamShannon Latham
ASSOCIATE CATEGORY MANAGER at Phillips Pet Food and SuppliesASSOCIATE CATEGORY MANAGER at Phillips Pet Food and Supplies
Jossie RosadoJossie Rosado
Customer Service Representative at Phillips Pet Food & SuppliesCustomer Service Representative at Phillips Pet Food & Supplies
Siochain BorowskaSiochain Borowska
Pet Store Clerk at Chuck and Dons Pet Food and SuppliesPet Store Clerk at Chuck and Dons Pet Food and Supplies
Toni YoungbloodToni Youngblood
Licensed Realtor at DFW Britestar Realty PLLCLicensed Realtor at DFW Britestar Realty PLLC
Charmagne N. GelseyCharmagne N. Gelsey
Payroll Conversion Consultant at EmpowerPayroll Conversion Consultant at Empower