Julie Anh Nguyen
Las Vegas
Overview
13
13
years of professional experience
Work History
CRC Specialist Franchise Markets
Republic Services
10.2022 - Current
- Address customer inquiries and complaints across multiple channels, including phone, email, and live chat, maintaining high standards of service and satisfaction.
- Apply problem-solving techniques to effectively address and resolve customer issues, contributing to consistent customer satisfaction.
- Implement customer service metrics and utilize Salesforce for order and service request management, ensuring accurate tracking and efficiency in operations.
- Assist customers with questions and concerns regarding services.
- Start new services for residential customers.
- Assist customers with billing questions/making payments.
Claims Specialist
CVS Caremark
11.2020 - 05.2022
- Maintained confidentiality and exercised discretion with sensitive medical information, ensuring accurate data entry and verification of patient details.
- Verified patient eligibility for medical claims and determined benefit coverage.
- Submitted and tracked medical claims to insurance companies via electronic or paper methods.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Maintained accurate records of claim status, payments, and follow-up actions, ensuring timely resolution and reimbursement.
- Adhered to HIPAA regulations while managing confidential patient information.
Scheduling Support Representative
LogistiCare
08.2018 - 11.2020
- Managed patient interactions with professionalism, ensuring accurate verification of demographics and insurance details while adhering to HIPAA guidelines for confidentiality.
- Performed patient registration and scheduling duties, leveraging medical office software to maintain accurate patient accounts and streamline clerical processes.
- Contributed to service quality improvements through active participation in team meetings, while maintaining exceptional levels of customer service to achieve high patient satisfaction.
Front Desk Agent
Order Inn Hospitality Services
02.2017 - 07.2018
- Delivered high-quality customer service, contributing to guest satisfaction through the effective resolution of complaints and maintaining a positive demeanor in all guest interactions.
- Supported operational efficiency by managing multi-line phone systems, assisting with basic bookkeeping tasks, and facilitating staff training and development.
- Entered data from various sources into computer systems with high speed and accuracy.
- Verified accuracy of data by comparing it to source documents and reviewing for errors or discrepancies.
- Maintained confidentiality and security of sensitive data in compliance with company policies and procedures.
Retail Cashier
Aloha Stadium
07.2013 - 09.2016
- Processed customer transactions efficiently while adhering to cash handling protocols, ensuring accuracy in all financial exchanges.
- Delivered exceptional customer service by consistently greeting patrons warmly and maintaining a thorough understanding of ongoing sales and promotions.
- Contributed to store maintenance and visual merchandising, upholding organizational standards and enhancing the shopping experience during opening and closing procedures.
Education
High School Diploma -
Roosevelt High School
01-2015
Skills
- Data Entry
- Claims Processing
- Customer Service
- Insurance Verification
- Strong understanding of medical coding systems, including ICD-10-CM and CPT
- Proficient in medical billing software and electronic health record (EHR) systems
- Provider Relations
- Excellent attention to detail and accuracy in data entry and record keeping
- Experience with claim submission, processing, and follow-up
- Effective communication and interpersonal skills for interacting with healthcare providers, insurers, and patients
- Knowledgeable in healthcare billing regulations and insurance policies
- HIPAA Knowledge
- Data Auditing
- Data Reporting
- Spreadsheet Management
- Strong Computer Skills
- Word
- Outlook
- Excel
- Experience with data verification and quality control processes
- 10-Key
- Word Processing
- Salesforce
- CRM Systems
- Zendesk
- Teamwork and Collaboration
- Expert problem solving
- Documentation management
Timeline
CRC Specialist Franchise Markets
Republic Services
10.2022 - Current
Claims Specialist
CVS Caremark
11.2020 - 05.2022
Scheduling Support Representative
LogistiCare
08.2018 - 11.2020
Front Desk Agent
Order Inn Hospitality Services
02.2017 - 07.2018
Retail Cashier
Aloha Stadium
07.2013 - 09.2016
High School Diploma -
Roosevelt High School