Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Human Resource Process Representative II
Sutter Health
07.2017 - Current
Onboard New Hire and Inter Affiliate Transfers
Responded to employee inquiries, questions and complaints and guided and directed employee relations issues to support workforce analysis, performance management and other core HR functions
Provides customer services to Manager, Recruiters and Local HR
Assist New Hires with their onboarding process through Workday
Review Background Checks
Conducted primary source verifications such as background checks and board certifications
HR Data Team Member
Robert Half
05.2016 - 07.2017
Used computer software, OnBase, to store and retrieve data
Work with other Service Delivery Team; Benefits, Compensation, Payroll etc
Managed and organized documents for data entry tasks
Evaluated source documents to locate needed information
Disturb Service Requests in Salesforce to appropriate Team Member’s affiliate
Corrected data entry errors to prevent duplication or data degradation
Conducted primary source verifications and board certifications
Complete weekly I-9 Audits and PSV Audits
Grievance & Appeals Coordinator (Short Term Project)
Health Net Federal Services
06.2015 - 09.2015
Investigated and resolved Veteran’s complaints, appeals and provider disputes
Maintained strong knowledge of basic medical terminology to better understand services and procedures
Maintained confidentiality of Veteran's finances, records, and health statuses
Process, research and resolved Veteran’s disputes as assigned in an timely manner
Matched authorization forms to claims & Research and verify approved and denied claims.
Coordinated with senior specialist to compose appeal responses
Checked documentation for accuracy and validity on updated systems
Data Entry- Eligibility Specialist (Short Term Project)
Maximus
12.2014 - 06.2015
Prepare source data for computer entry by compiling & sorting information
Process members documents by reviewing data for deficiencies
Resolved discrepancies by using standard procedures
Maintain data entry requirements by following data program techniques & procedures in CRM
Secured information by completing data backups.
Financial Cash Control Analyst
Xerox
08.2013 - 08.2014
Responsible for processing AR at the request of different entities
Research and respond to provider inquiries related to their weekly check writes
Reissue of Warrants, Return Warrants and Refund Warrants/ Live checks
Analyze and calculated AR based on Withhold percentages or settlements
Enter information into CRM.
Provider Services & Dispute Resolution (Short Term Project)
Blue Shield of California
06.2012 - 06.2013
Reviewed requested Medical Records in Facets
Verified and updated Appeals in Facets utilizing V-lookups and Pivot Tables
Handled all Medicare & Medicaid claims, Commercial & Healthy Families
Processed Referrals and updated Providers contracts
Research, resolve and response to provider inquiries verbally or in writing format
Checked credentialing status using iObserver
Knowledge of Medical Terminology.
Education
Associate of Applied Science - Pharmacy
US Career Institute
Fort Collins, CO
01.2025
Non-Degree Program - Medical Adminstration
Heald College
Hayward, CA
05.2005
High School Diploma -
Pinole Valley High School
Pinole, CA
06.2000
Skills
MS Word
Excel
Outlook
OneNote
Workday
Echo
Lawson
Taleo
Background checking
Outbound calling
Work authorizations
New hire orientations
Candidate tracking
New hire paperwork processing
Typing Speed
70WPM
Timeline
Human Resource Process Representative II
Sutter Health
07.2017 - Current
HR Data Team Member
Robert Half
05.2016 - 07.2017
Grievance & Appeals Coordinator (Short Term Project)
Health Net Federal Services
06.2015 - 09.2015
Data Entry- Eligibility Specialist (Short Term Project)
Maximus
12.2014 - 06.2015
Financial Cash Control Analyst
Xerox
08.2013 - 08.2014
Provider Services & Dispute Resolution (Short Term Project)