SEAN SAMPSON
Los Angeles,CA
Summary
Accomplished specialist with a proven track record of consistently achieving significant results. Highly collaborative and adaptable, skilled at effectively working with teams and adjusting to evolving requirements. Possesses expert proficiency in specific skills relevant to the field, resulting in a consistent track record of successful outcomes. Recognized for reliability and a steadfast commitment to accomplishing objectives.
Overview
21
21
years of professional experience
Work History
Retrieval Specialist
Robert Half/Optum
10.2023 - Current
- Responsibilities include performing duties as assigned by the Operations Manager, or Director for market-specific annual data collection efforts
- Filing electronically according to the patient name/file, and assigned to 30 other different EMRs for different hospitals including Ardent Health System, Ascension Via Christi, Banner Health, Baptist Health Center Arkansas, Baptist Health NEA, Centura Health, Honor Health Arizona, Integris Health, Loma Linda, Mercy MWKS, Norman Regional Health, Phoenix Children's Hospital, Rady Childrens, Sansum Clinic, SSM Health, Stormont Vail Cotton O'Neil, Tucson Medical Center, UC Davis, University of Kansas, and Yuma Regional Medical Center
- Demonstrates effective professional verbal and written communication skills in a virtual environment and across time zones
- Demonstrates proficiency in Microsoft Office: Outlook, Excel, Word and similar applications
- Manages various data organized within Excel spreadsheets
- Conducts claims research, determining correct service location and/or verifying member history
- Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and in writing
- Requests medical records and performs follow-up of requests within database tools
- Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
- Responsible for manually downloading, reviewing, and saving the charts from the EMR systems
- Consistently using expertise and experience in many areas of risk adjustment and quality improvement, including HEDIS, CAHPS and Accreditation
- Performs medical record reviews for risk adjustment, HEDIS and HEDIS-like measures via remote EMR access or onsite
Customer Service Representative (Seasonal)
See's Candies
09.2023 - 10.2023
- Create new accounts, enter orders and complete the required paperwork
- Provide effective and timely resolution for phone orders and email related issues
- Respond to and record customer compliments as well as customer complaints
- Accurately process customer candy orders, payment and shipping information
- Utilize selling skills to upsell See's products to customers to meet defined sales goals
- Log all activity in computer programs clearly and accurately
Benefits Specialist
Robert Half Staffing
03.2022 - 09.2023
- Provided a high level of customer service support when handling customer's questions/complaints in respect to defined benefit pension and/or health and welfare plans
- Handled confidential information with sensitivity and discretion in accordance with HIPAA and Data Privacy laws and company data security requirements
- Proficiently translated health and welfare and pension terms, complex plan information and processes into simple explanations and instructions that customers could understand and act upon
- I maintained diplomacy and tact while dealing with upset or escalated callers
- Demonstrated knowledge, understanding and compliance with company and client procedures and guidelines providing appropriate and accurate information
Customer Service Specialist
Ajilon Professional Staffing/Sedona Staffing
09.2018 - 03.2022
- Assisted in the telephone triage process by obtaining caller or patient demographic data & chief complaint on incoming calls
- Answered incoming telephone triage calls from contracted clients and set up conference calls with translators if necessary to provide above and beyond customer service with patients
- Maintained productivity above expected & published standards
- Provided exceptional service in handling all patient/physician/facility requests
- Used probing skills to determine information, service or problem resolution needed
Business Development Specialist
Adecco Staffing
10.2016 - 09.2018
- Called clients from excel spreadsheet database and emailed them various promotions
- Utilized Salesforce to email clients various emails based on initial client contact
- Completed business to business contract sales, sent information to Sales Lead, and managed 100 calls a day to clients to push for current promotion deals
Data Entry Specialist
Evari GIS
10.2016 - 02.2017
- Plotted the location of streetlights on a map based on textual description
- Researched the location of each light to get an accurate representation on a map
- Worked with Excel spreadsheets consisting of 20,000 - 40,000 records
Collections Agent
Kelly Services
03.2016 - 10.2016
- Made outbound calls to borrowers to request payments for student loans, auto loans, and mortgages
- Processed credit card and ACH payments over the phone
- Assisted customers with logging into various web portals to make payments
- Provided loan payoff amounts to customers after following strict security procedures to verify account information
Assistant Manager/Sales Associate
Walmart
09.2011 - 12.2014
- Spearheaded full scope store operations, prepared work schedules and delegated tasks
- Implemented and supervised price changes
- Prepared financial and operating reports
- Monitored and ensured quality focused customer service
- Immediately responded to customer inquiries
Estate Planning Specialist
LegalZoom.com, Inc.
12.2007 - 09.2010
- Assisted in preparation of Living Wills, Power of Attorneys and Last Will and Testaments
- Meticulously proofread legal documentation which resulted in a 45% slashed error rate
- Demonstrated speed, accuracy and efficiency while maintaining high productivity levels
- Utilized Salesforce to distribute pdf documents to customers
Administrative Assistant
Bank of America/ED
01.2004 - 12.2007
- Performed full spectrum administrative operations
- Scheduled appointments, conference calls and updated executive schedules
- Took meeting minutes, managed correspondence and assembled binders
- Developed spreadsheets, performed data entry and managed correspondence
- Booked flights, hotels and completed travel itineraries for visitors
Education
Master of Business Administration -
University of Phoenix
San Diego, CABachelor of Arts - Psychology
Governors State University
University Park, ILSkills
- Salesforce
- Data Entry
- Order Entry
- Professional phone etiquette
- Customer Service
- Microsoft Office
- Microsoft Teams
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Documentation management
- Quality assurance
References
Available upon request
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Retrieval Specialist
Robert Half/Optum
10.2023 - Current
Customer Service Representative (Seasonal)
See's Candies
09.2023 - 10.2023
Benefits Specialist
Robert Half Staffing
03.2022 - 09.2023
Customer Service Specialist
Ajilon Professional Staffing/Sedona Staffing
09.2018 - 03.2022
Business Development Specialist
Adecco Staffing
10.2016 - 09.2018
Data Entry Specialist
Evari GIS
10.2016 - 02.2017
Collections Agent
Kelly Services
03.2016 - 10.2016
Assistant Manager/Sales Associate
Walmart
09.2011 - 12.2014
Estate Planning Specialist
LegalZoom.com, Inc.
12.2007 - 09.2010
Administrative Assistant
Bank of America/ED
01.2004 - 12.2007
Bachelor of Arts - Psychology
Governors State University
Master of Business Administration -
University of Phoenix
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