High volume Inbound Call center 300-400 Calls Daily
Process claims
Data Entry
Compile member data
Verify members benefits
Explain how vision benefits work
Assisting member with self service online portal
Issuing Authorizations for medical services
Securing members personal information according to HIPPA regulations.
Database research to provide Doctors/members with accurate information
Skilled at working independently and collaboratively in a team environment.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Negotiated favorable settlements with claimants, resulting in cost savings for the company.
Fulfillment Associate
Amazon
08.2017 - 07.2018
Met trucks carrying incoming shipments, carefully unloaded merchandise and moved containers or pallets to staging locations.
Utilized shipping system software to verify all necessary files were uploaded to shipping delivery service.
Adhered closely to safety procedures in daily operations and reported hazards or accidents to management.
Accepted, processed and filled orders quickly and accurately.
Operated handheld scanners to track merchandise throughout fulfillment process.
Cash Office Associate
Marshalls
07.2012 - 02.2017
Reconciled daily cash variance reports, tracking overage's and shortages through compilation of summary reports and comparing against past variances to isolate and address possible causes.
Balanced overall budget, measuring daily cash access needs against money safe contents and communicating with managers to replenish supply of cash on hand when necessary.
Issued cash, change and electronic equipment to sales associates throughout facility, participating in end-of-shift accounting procedures to document handling of revenues.
Organized cash movements between offices and to or from banks.
Nurse Assistant
IHSS
02.2010 - 04.2014
Provided basic patient care by bathing and grooming patients, changing bedding and assisting in feeding activities.
Documented patient intake and dietary requirements and assisted with feeding.
Documented information in patient charts and communicated status updates to interdisciplinary care team.
Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
Technical Support Representative
Care Fusion
07.2012 - 01.2014
Troubleshoot medical IV equipment
Document record accuracy according to patients charts
Label and code each IV machine
Monitor Prescription accuracy
Administration / Program Aide
Health for All Adult Day Health Program
03.2010 - 06.2010
Schedule appointments
Securely dispose of Pt medical records
Scanning confidential documents into database
Set up and maintained physical and electronic filing systems.
Follow all HIPPA regulations to securely store or dispose of patient information.
Set and optimized employee schedules to secure proper coverage for all shifts.
Conduct group activities
Education
Cosmetology License - Cosmetology Education
Paul Mitchell The School Sacramento, Sacramento, CA
Cosmetology
Business Fundamentals
Guest Services
CNA Certificate Achieved & CPR Certified - CNA
Center Pointe Learning Institute, Sacramento, CA
Some College (No Degree) -
Sacramento City College, Sacramento, CA
Business Principles
Personal Finance
Medical Terminology
Healthcare in a Multicultural Society
Skills
Project management abilities
Active listening
Data evaluation
Written and verbal communication
Microsoft Outlook
Working as team & independently
Business Management
Marketing Familiarity
Certification
CNA License
Red Cross BLS/CPR certification
Cosmetology License
Licensed [Job Title] - [Timeframe]
Timeline
Customer Service Representative(Claims Analyst) - Vision Service Plan
07.2018 - 06.2024
Fulfillment Associate - Amazon
08.2017 - 07.2018
Cash Office Associate - Marshalls
07.2012 - 02.2017
Technical Support Representative - Care Fusion
07.2012 - 01.2014
Administration / Program Aide - Health for All Adult Day Health Program
03.2010 - 06.2010
Nurse Assistant - IHSS
02.2010 - 04.2014
Paul Mitchell The School Sacramento - Cosmetology License, Cosmetology Education
Center Pointe Learning Institute - CNA Certificate Achieved & CPR Certified, CNA
Sacramento City College - Some College (No Degree),
Customer Support Representative II at Sunrise System Inc/Volt-Vision Service Plan/EyefinityCustomer Support Representative II at Sunrise System Inc/Volt-Vision Service Plan/Eyefinity
Licensed Vocational Nurse at California Department of Corrections and Rehabilitation - Mule Creek State PrisonLicensed Vocational Nurse at California Department of Corrections and Rehabilitation - Mule Creek State Prison