I am responsible for managing PHI, data preparation and employer/insurer outreach, making approx
60-80 outbound calls daily and meeting program specific metrics to be outlines by leadership
It consists of 90% phone work and 10% research of Medicare data
I accurately evaluate data from a couple of sources and update internal systems and applications with the results of the investigation using up-to-date process documents
I validate commercial insurance coverage dates, through interactive questioning, to update into our internal system to provide to the Center for Medicare Services
I research and follow-up with government representatives to resubmit corrections to commercial insurance coverage that remains outstanding in our internal systems
I update internal systems to ensure accurate coordination of benefits
I respond to monitoring coaching and various forms of feedback and quality analysis to meet or exceed my performance metrics
I adhere to Protected Health Information PHI policies and practices
Auto Claims Adjuster
USAA/Sitel
08.2021 - 09.2023
Responsible for first point contact for clients and deliver professional and high-quality customer service including customers, clients and third-party contacts
I followed established procedures, processes and systems to provide a resolution for the customer
I handled inbound service calls through voice and email communications
Customer Care Coordinator-Remote
Global Experience Specialist (GES)
06.2019 - 08.2021
Providing customers with information on products, accounts, and services
Resolving and handling customer complaints or special orders through online, email and telephone
Gathering and processing orders, providing important information regarding shipping
Fulfillment Associate
Amazon
04.2017 - 06.2019
Responsible for carrying out an array of duties such as receiving, processing incoming stock and materials, picking and filling orders from stock, overseeing the packing and shipping of orders, and managing, retrieving, and organizing stock
400 scan items a day
Professional Interviewer
Survey Sampling International
02.2015 - 04.2017
Gathering and verifying information, creating files and performing processing tasks
Conducting surveys on Politics and in hospitals
400 outbound and inbound calls a day
Call Center Agent
Precision Opinion
01.2013 - 02.2015
Experienced in specialized software and datasets required by supervisor
Professional interviewer
Maintain accurate records of interviews, safeguarding the confidentiality of subjects as necessary
400 outbound calls a day
Medical Administrative Assistant
Oasis Associate
12.2011 - 01.2013
Checking in patients at the front desk
Answering phones
Scheduling patients for the proper appointment
Compiling medical records and charts
Operating computer software and office equipment
Maintaining supplies and appearance for the office
Beverage Server
Cannery Hotel and Casino
12.2010 - 12.2011
Experienced in working and controlling fast paced, congested bar and lounge atmospheres
Served wine, beer, and cocktails
Maintained clean and well stocked workstation
Ensured beverage quality
Food Server
Pancit Adobo
09.2009 - 11.2010
Greet guests and present menus regarding food and beverages
Actively take orders
Ring order into POS
Ensures delivery of all items ordered
Process cash
Perform all open and closing duties dictated by Restaurant manager or supervisor
Hostess
Crazy Buffet
06.2008 - 08.2009
Greet and escort guest to their seats
Answer questions thorough product knowledge of menu
Taking telephone calls
Provide courteous and efficient customer service to guests
Manage dining reservations
Sales Associate
JC Penny
06.2007 - 06.2008
Maintaining outstanding customer service as per company standards, generating sales, merchandising, and safeguarding company assets