Erika Mendoza
Grandview,WA
Summary
Knowledgeable Claims analyst with extensive experience in processing claims accurately and efficiently. Proven track record in resolving complex claims and ensuring compliance with industry standards. In-depth knowledge of corporate, state and HIPAA privacy laws. Demonstrated ability in utilizing analytical skills and attention to detail to support team goals and improve operational processes.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Analyst II
Cambia Health Solutions- Regence
09.2022 - Current
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Medical Records analyst
HR Administrative Assistant
Fruitsmart LLC
03.2021 - Current
- Answered and direct outbound and inbound phone calls.
- Recruited and hired qualified candidates for vacant and new positions.
- Delivered friendly assistance with new hires throughout interviewing and hiring process.
- Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping.
- Managed employee exit interviews and paperwork.
- Assisted with meetings and presentations within company.
Taxes Y Mas
Tax Preparer - Office Assistant
01.2019 - Current
- Prepared tax returns, extensions, tax planning calculations and write-ups for all types of organizations and entities, including individuals.
- Contacted IRS or other relevant government organizations on behalf of client to address issues related to tax self-preparation.
- Prepares quarterly accounting reports for IRS reporting purposes.
- Certified as Notary Public and Minister.
- Prepare and file legal paperwork for marriages and divorce decrees.
Orchard HR Assistant
Stadelman’s Fruit
06.2020 - 12.2020
- Assist the Human Resource keeping employee’s records
- Recruited and screened qualified potential employees.
- Managed employee exit interviews and paperwork.
- Call and meeting scheduler.
- Weekly payroll summaries.
- Prepared monthly, weekly and daily logs using Microsoft Office Suite.
Sunnyside Fiesta Foods
Customer Service Representative
02.2017 - 04.2018
- Opened and closed store independently when needed and prepared nightly bank drop for manager.
- Assisted customers by answering questions and fulfilling requests.
- Processed POS transactions, including checks, cash and credit purchases or refunds.
- Ensured customer satisfaction.
- Trained new hires in cashier and customer service.
Education
High School Diploma -
Tecnologico De Monterrey
Mexico06.2016
Skills
- Bilingual, fluent In Spanish and English
- Adherence to company privacy and confidentiality policies
- Office management
- Proficient in Microsoft, Excel and world
- Business administration
- Ability to work independently
- Excel spreadsheets
- Teamwork
- Multitasking abilities
- Medical Coding and billing
- Medical records management
Certification
- Certification in Notary Public.
- Universal Life Church Minister.
Timeline
Claims Analyst II
Cambia Health Solutions- Regence
09.2022 - Current
HR Administrative Assistant
Fruitsmart LLC
03.2021 - Current
Orchard HR Assistant
Stadelman’s Fruit
06.2020 - 12.2020
Taxes Y Mas
Tax Preparer - Office Assistant
01.2019 - Current
Sunnyside Fiesta Foods
Customer Service Representative
02.2017 - 04.2018
High School Diploma -
Tecnologico De Monterrey
- Certification in Notary Public.
- Universal Life Church Minister.
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