Phakdey Yos
Stockton,CA
Summary
Reliable with 20+ plus years working in the Health Insurance field. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adapt working effectively unsupervised and quickly mastering new skills.
Overview
25
25
years of professional experience
Work History
Advanced Enrollment Member Level Processor
Blue Shield of California
Lodi, CA
01.2015 - Current
- Reviewed and processed enrollment applications for Small and Large Group in a timely manner.
- Ensured proper security measures were taken when handling sensitive customer data.
- Effective communication with customers through various channels such as email, phone, and written correspondence.
- Stayed current with company regulations and policies, including HIPAA training compliance. Compliance with all applicable regulations, laws, and guidelines.
Advanced Medicare Supplement Processor
Blue Shield of California
Lodi, CA
12.2003 - 12.2014
- Reviewed and processed Medicare Supplement member applications verified accuracy of information and determined eligibility for approval.
- Maintained strong relationships with internal departments, such as underwriting, sales, brokers, Medicare sales representatives, customer service representatives, and account managers.
- Ensured compliance with all applicable regulations, laws, and guidelines.
Data Entry Billing Processor
EMMI Physician Services Inc
Stockton, CA
08.1999 - 05.2002
- Managed and updated billing data for the San Joaquin Hospital accounts.
- Ensured compliance with federal, state, and local laws pertaining to medical billing processes. Gained knowledge about Medicare and Medicaid rules and regulations.
- Reviewed medical records, identified diagnosis codes, and assigned appropriate procedure codes according to established coding guidelines.
- Entered patient data into electronic health record systems accurately and in a timely manner.
- Processed incoming requests for patient medical records in accordance with HIPAA regulations.
Education
Associate of Applied Science - Medical Administration
Heald College
Stockton08-1999
Skills
- Microsoft Offices
- Clerical Support
- Customer Service
- HIPAA Compliance
- Data Entry and 10-Key
- Reliable Team player
- Healthcare Administration
Timeline
Advanced Enrollment Member Level Processor
Blue Shield of California
01.2015 - Current
Advanced Medicare Supplement Processor
Blue Shield of California
12.2003 - 12.2014
Data Entry Billing Processor
EMMI Physician Services Inc
08.1999 - 05.2002
Associate of Applied Science - Medical Administration
Heald College
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