VICTORIA SIRA
Hayward,CA
Summary
Highly organized, proactive, and punctual professional with a team-oriented mentality. Coachable and reliable with a strong work ethic. Eager to learn and adapt to new opportunities.
Overview
33
33
years of professional experience
Work History
Temporary Administrative Clerk II - MSD
City Of Hayward-
Hayward, CA
03.2023 - Current
- Munis: Purchasing; Invoice Processing; Personnel Actions; Time Entry Processing.
- NEOGOV: Requisition Entry; Interview Scheduling; Notifications; Hire Actions.
- Legistar/Granicus: Report Processing; Agendas; Metting Minutes.
- Access Hayward: Process Customer Requests & Inquires; Reports.
- GIS: Jurisdiction Verification.
- GovQA: Public Records Requests
- Respond to public and internal inquiries, both on the phone and in person, refer to appropriate staff as appropriate, exhibit familiarity with functions of the city.
- Interpret, apply, and explain policies and procedures related to Streets Division. Prepare correspondence and supporting documentation relating to Streets programs i.e. Street Sweeping, Sidewalk Repair, Illegal Dumping.
- Schedules meetings and outlook reminders for Streets Manager and Supervisor.
- Assist in preparing procedures, written material, budget process, forms, and other documents for internal/external distribution.
- Compose routine correspondence and memoranda; proofread for accuracy.
- Maintain and monitor records and files; follow up on due dates; perform other monitoring functions.
- Receive, sort, distribute, and process incoming mail.
Temporary Human Resources Technician
City of Hayward
Hayward, CA
07.2022 - 03.2023
- Staff and observe the COVID-19 testing centers at the Corporation Yard and City Hall to ensure compliance with City policy
- Provides information and general assistance to City staff regarding COVID-19 personnel policies, procedures, and processes; answers questions and provides information
- Confers with professional staff on office support and plans and organizes work to provide efficient and timely support
- Perform technical human resources support work with accuracy, speed, and under general supervision; review, balance, reconcile, and maintain various human resources compliance records related to COVID-19; ensure completeness and accuracy
- Provide varied, confidential, and responsible administrative work requiring the use of tact and discretion
- Prepare clear and concise reports, correspondence, and other written materials; make accurate basic arithmetic, financial, and statistical computations
- Respond to and effectively prioritize multiple phone calls and other requests for services
- Compose correspondence independently or with brief instructions.
Claims Analyst
Hills Physician
San Ramon, CA
02.2020 - 05.2022
- Review and research insurance claims prior to processing Ensure each claim lines are properly adjudicated Maintain and meet claims productivity goals Determined benefits using automated system control, policy guidelines, HMO facts sheets
- Followed all company procedures to keep data confidential Investigated and analyzed requirements to improve timeliness of reports
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions
- Analyzed information gathered by investigations and reported findings and recommendations
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures
- Accurately processed large volume of medical claims every shift
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication
- Proofreading for appropriate coding, catching errors and making revisions
Claims Bill/Reimbursement Analyst
Advanced RX
San Ramon, CA
01.2016 - 01.2017
- Electronically and manually submit claims to insurance carriers or attorneys Verifying, resolving, disputing claims Worked aging reports, following up on claims regarding denials for payments not received
- Submitted claims to insurance companies
- Identified discrepancies and carrier issues regarding billing and reimbursements
- Protected medical office operations and integrity by keeping patient information confidential
- Reviewed engine assigned codes and modifiers to update and verify accuracy
- Checked claims coding for accuracy with ICD-10 standards
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Billing Specialist
RX Network
Castro Valley, CA
01.2010 - 01.2015
- Prepare/submit claims to various insurance companies for workers compensation and DME Assist with patient registration and resolving patient complaints Support to sales rep in collections department
- Investigated and resolved issues to maintain billing accuracy
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
Cashier-Frontend Manager-Bookkeeper
Lucky's Store
Hayward, CA
01.1992 - 01.2005
- Ring up customer grocery items for purchase, assisted in Deli for food preparation, front end manager, bookkeeping, balancing of cash drawers/credit card transactions, heavy customer service contact
- Managed customer complaints and rectified issues to complete satisfaction
- Managed cash flow of store, including cashier operations, bookkeeping and security
- Cultivated strong customer relations and developed effective customer service standards
- Handled payment processing and provided customers with receipts and proper bills and change
- Welcomed large volume of guests and improved overall customer service
- Put together schedule for floor staff according to skill sets and coverage needs.
Education
AMA Certification -
Everest College
Hayward, CA01.2010
High School Diploma -
Hayward High
Hayward, CA01.1992
Skills
- Software Experience
- Microsoft Office
- Epic
- RX Billing
- OBR Master Data base
- MD Scripts
- Maintaining confidentiality
- Multitasking
- Organizational skills
- Customer service
- Reliable and trustworthy
- Prioritization and time management
References
References due upon request
Timeline
Temporary Administrative Clerk II - MSD
City Of Hayward-
03.2023 - Current
Temporary Human Resources Technician
City of Hayward
07.2022 - 03.2023
Claims Analyst
Hills Physician
02.2020 - 05.2022
Claims Bill/Reimbursement Analyst
Advanced RX
01.2016 - 01.2017
Billing Specialist
RX Network
01.2010 - 01.2015
Cashier-Frontend Manager-Bookkeeper
Lucky's Store
01.1992 - 01.2005
AMA Certification -
Everest College
High School Diploma -
Hayward High
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