Janice Rosario
Orange,CA
Summary
Experienced with provider data management and regulatory compliance. Utilizes strong organizational and communication skills to ensure accurate and timely enrollments. Knowledge of problem-solving techniques and team collaboration to drive successful outcomes. Reliable and adaptable, ensuring seamless operations and high-quality outcomes.
Overview
10
10
years of professional experience
Work History
Provider Data Management
Astrana Health
Monterey Park, CA
02.2022 - Current
- Ensured accuracy in provider data management, resulting in improved quality of information available to plan members.
- Streamlined provider data management through the development of automated systems and tools.
- Maintained detailed records of all investigations conducted, providing valuable data for trend analysis and future case management efforts.
- Utilized various software systems for efficient reservation processing and data management.
- Maintained up-to-date knowledge on industry trends and regulations, ensuring compliance in all aspects of provider data management.
Dental Biller, Admin Assistant
Humphries Orthodontics
Orange, CA
05.2020 - 02.2022
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Handled account payments and provided information regarding outstanding balances.
- Scanned documents and saved in database to keep records of essential organizational information.
Receptionist, Optician Assistant
Tustin Optometry
Tustin, CA
04.2019 - 05.2020
- Greeted patients professionally, friendly, and knowledgeable assistance; directed patients to exam rooms, fielded questions, pretested for optometrist examinations
- Assisted office with clerical, administrative needs to maximize efficiency with team productivity; gathered exam forms, copied insurance cards, pulled authorizations to collect patient information for billing/insurance filing
- Documented customer prescriptions, wrote detailed work orders and collected payments to facilitate smooth appointments
- Managed client frame selection processes, walked through lens options, repaired and adjusted frames to meet customer needs
Operations Consultant
Sephora
Tustin, CA
10.2017 - 03.2019
- Adapted quickly to changing project priorities, job specifications through paying high attention to detail; managed to learn all different worlds on stage quickly earning permanent position from being seasonal
- Collaborated with Operations Director to ensure that animations was meeting daily, monthly projections and forecasts
- Implemented processes and procedures to improve overall efficiency in operations, audited, created RTV's, distributed hazmat and damaged products following store policy
- Received weekly product shipment, unpacked and distributed products on stage to fulfill stock; organized back stage area to maximize efficiency of product movements and minimize labor required
- Learned about various products throughout Sephora; provided clients with product tips, benefits of Sephora's rewards program
Support Key Holder
Bloomingdale's Outlet
Orange, CA
08.2016 - 08.2017
- Received weekly shipments, performed inspections of shipment contents, verifying accuracies against invoices and manifests
- Handled cash management; balancing cash registers, created cash deposits, filing daily cash reports
- Controlled/filed shipment manifest discrepancies, merchandise damage or inventory adjustments
- Supported sales floor with ensuring all new merchandise was processed properly in a timely manner; price tagged, hung/folded, censored, merchandised to sales floor
- Became go-to staff member for merchandise standards and procedures, store transactions, and client questions/concerns
Skills
- Administrative Support
- Organization and efficiency
- Attention to detail
- Multitasking and prioritization
- Data assessment and analysis
- Microsoft Excel
- Teamwork and collaboration
- Medical claims submission
Timeline
Provider Data Management
Astrana Health
02.2022 - Current
Dental Biller, Admin Assistant
Humphries Orthodontics
05.2020 - 02.2022
Receptionist, Optician Assistant
Tustin Optometry
04.2019 - 05.2020
Operations Consultant
Sephora
10.2017 - 03.2019
Support Key Holder
Bloomingdale's Outlet
08.2016 - 08.2017