Jazmin Santiago
Tolleson,AZ
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
21
21
years of professional experience
Work History
Quality Assurance Auditor
Blue Cross Blue Shield of AZ
Phoenix, AZ
04.2022 - Current
- Complete quality assurance audits for Enrollment Individual IU/IO65, Commercial and Medicare Supplement lines of business
- Assist with any desk level procedure documentation updates
- Audit items include service on phone calls, accuracy on applications, correspondence, new group set ups, reconciliations and emailed proxy box responses to subscribers, groups/employers and brokers
- Upkeep of audit checkoff sheets and Workload calendars
- Participate in monthly meetings with the Enrollment departmart regarding accuracy to identify trends and missed opportunities of service
- train new employees on job functions
Customer Service and Billing Representative
Blue Cross Blue Shield of AZ
Phoenix, AZ
03.2016 - 04.2022
- Answer call inquiries from brokers and group representatives regarding enrollment and billing
- Enroll, terminate and process any change necessary for a small group
- Reconcile small group accounts
- Maintain Small Group Enrollment and Small Group Sales email proxy box
Member Service Clerk
Ufcw Local 342
Mineola, NY
06.2014 - 09.2015
- Answer heavy call volume, schedule appointments
- Assist members with any questions or concerns, data entry
- Log correspondence and faxes
- Kept detailed log for closed medical claims
- Assist members with pension applications and unpaid medical claims
- Order medical, dental and prescription cards
- Send prior authorizations for non-covered medications to a medical consultant
Administrative Assistant
Ufcw Local 342
Mineola, NY
02.2013 - 06.2014
- Log all incoming Safety department reports and upload to corresponding drive within internal server
- Schedule Safety classes for members
- Work with vendors and employers to coordinate safety classes to ensure maximum attendance
- Field visits to ensure all members are working in a safe environment with all personal protective equipment
- Communicate with the Executive office regarding Safety department questions and concerns
- Schedule staff for OSHA and Food Handlers courses
Member Service Clerk
Ufcw Local 342
Brooklyn, NY
01.2007 - 05.2013
- Answer heavy call volume, schedule appointments
- Assist members with any questions or concerns, data entry
- Log correspondence and faxes
- Kept detailed log for closed medical claims
- Assist members with pension applications and unpaid medical claims
- Order medical, dental and prescription cards
- Send prior authorizations for non-covered medications to a medical consultant
Certified Nursing Assistant
Genesee County Nursing Home
Batavia, NY
06.2006 - 10.2006
- Attended to and assisted with resident daily needs
- Assisted residents with personal hygiene and body care
- Familiar with the basic standards of operations, OSHA
Medical Assistant
West Valley Family Physicians
Glendale, AZ
06.2006 - 08.2006
- Pulling charts
- Processing patients
- Assisted physicians during examinations and administered EKG
Medical Assistant Intern
Jacobi Hospital
The Bronx, NY
10.2003 - 05.2004
- Taking and recording vital signs
- Transferring patients
- Transporting specimens
Education
High School Diploma -
Grace Dodge Vocational High School
The Bronx, NY06-2004
Skills
- Quality Management Systems
- Process Implementation
- Continuous Improvement
- Compliance requirements
- Performance Improvement
- Document Review
References
References available upon request.
Timeline
Quality Assurance Auditor
Blue Cross Blue Shield of AZ
04.2022 - Current
Customer Service and Billing Representative
Blue Cross Blue Shield of AZ
03.2016 - 04.2022
Member Service Clerk
Ufcw Local 342
06.2014 - 09.2015
Administrative Assistant
Ufcw Local 342
02.2013 - 06.2014
Member Service Clerk
Ufcw Local 342
01.2007 - 05.2013
Certified Nursing Assistant
Genesee County Nursing Home
06.2006 - 10.2006
Medical Assistant
West Valley Family Physicians
06.2006 - 08.2006
Medical Assistant Intern
Jacobi Hospital
10.2003 - 05.2004
High School Diploma -
Grace Dodge Vocational High School
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