Valerie Goode

**** **** **. **** *

Sacramento, CA 95825

Telephone: 916-***-****

Email: ac2if6@r.postjobfree.com

EDUCATION

****-******* ******** ***** ******* Continuous Education

**** ********** ** **lifornia at Davis Extension Classes

1980 American River College Business Administration

SKILLS

Typing 55 wpm, 10 key

WordPerfect Excel, PowerPoint Outlook Windows

NT, Internet Explorer, Netscape Microsoft Word, Excel,

Microsoft Office Windows, Photoshop, Adobe

PROFESSIONAL EXPERIENCE

Oct. 2016-Nov.2016 Silicon Valley Staffing/Maximus Sacramento

Insert customer and account data by inputting text based and numerical information from source documents within specific time limitsInterpret paperwork received and make sound judgments

Compile, verify accuracy and sort information according to priorities to prepare source data for computer entry Review data for deficiencies or errors, correct any incompatibilities if possible and check output Apply data program techniques and procedures Generate reports, store completed work in designated locations and perform backup operations

Oct. 2015-Feb.2016 Aerotek/TriWest

Complex Medical Authorization Specialist

Conducts research to ensure accurate documentation of the patient's clinical information.

Review and respond to complex referral requests from VA and civilian providers with appropriate coding and provider selection. Responds to inquiries from Veterans and providers regarding specific aspects of the VA program. Information and assistance includes referrals, authorizations, and the location and use of network and certified providers. Consistently display professional and courteous service skills to internal and external customers.

Jun. 2015-Aug. 2015 Randstad/BlueshieldCa

Member Level Processor El Dorado Hills/Lodi

Researched errors by comparing enrollment error reports against

system informationSent correspondence to Members or GroupGroups

Performed basic clerical functions with proficient PC skills

Prepared, processed and maintainined new member or group enrollments

Reconciled eligibility discrepancies, analyzing transactional data &

submitted retroactive eligibility changes

Mar. 2012-Oct. 2012 PDS Tech/ACS West Sacramento, CA.

Data Entry Processor, Medi-Cal Claims

Resolution of correspondence received in Billing and Accounts Receivable.

Performed data entry of material from source documents

to a computer database. Transcribes routine pre-coded and identifiable alphanumeric

data from source documentinto an automated system. posted to the company's

computer's central billing system. Ensured accuracy and completeness of data.

Performed clerical tasks in the data entry function(government contracted Medi-Cal claim forms.)

Jan. 2006-July 2008 Health Net Federal Services Rancho Cordova, CA.

Customer Service Representative, Handle incoming calls within required speed of answer.

Accurately process and adjust claims and research claim benefit eligibility. Assist callers

by explaining benefits in an accurate, clear manner while demonstrating outstanding

verbal communication skills to our members/clients/providers and others outside our organization.

Document intakes,generate letters demonstrating good written communication skills. Demonstrate

problem solving ability. Must know where in various systems information is located and must be

able to independently research a problem and assist our callers in resolving problems.

Take ownership of the calls/items handled. Ensure that assurances given to callers are

matched to end results. Achieve performance standards (quality, accuracy and productivity).

Maintain confidentiality and adhere to HIPAA regulations

April 2004-Mar 2005 Franchise Tax Board Rancho Cordova, CA

Customer Service Rep.

Handled high volume customer's calls, determined caller identity, reason for all and category.

Captured database information and created or updated caller's record. Identified caller's

Request and provided accurate and thorough information exchange. Assisted callers to

completion of required applications. Assisted customer's with property tax bills. Computed

mathematical figure on application using customer's tax bills and set company's formula to

ascertained eligibility. Listened actively to callers needs and forwarded callers to correct

section of Tax Board Offices. Handled all calls with tact, courtesy, and empathy. Received

numerous compliments from customers and co-workers for exemplary customer service

Oct 03- Jan 04 Field Research Corp. Sacramento, CA

Field Researcher Rep.

Duties included dialing random and non-random households, and asking

residences to participate in polls, that included anything from health to politics.

Each call consisted of keying customer data into the database, verifying

customer data, keying in pertinent information relating to answered

questions. Results published local and nationally.

Apr 02-Jul 03 Cable & Wireless Sacramento CA

Customer Service Rep

Handle technical and administrative inbound customer calls from internet

subscribers. Resolved technical inquiries in a timely manner. Each call

consisted of keying customer data into the database, verifying customer

data, and documenting Internet related problems. Received numerous

certificates for exemplary customer service and productivity

Feb 00-Dec 01 EarthLink Sacramento CA

Customer Service Rep

Handled high volume customers' inbound calls. Determined caller identity,

reason for call and category. Captured database information and created

or updated caller's record. Identified caller's request and provided

accurate and thorough information exchange. Resolved caller's Internet

related problems immediately using an on-line database and other

available resources. Listened actively to caller(s) needs and forwarded

complex calls/questions/requests to appropriate knowledgeable resource.

Answered all telephone inquires while adhering to EarthLink's established

call handling quality and productivity standards. Maintained professional

approach and demeanor with callers at all times. Received numerous certificates

for exemplary customer service and productivity.

Apr 87-Sep 95 Sacramento City College Sacramento CA

Financial Aid Clerk/Supervisor/Accounting Clerk

Conducted informational meetings for student and/or parent

groups prior to admission and during academic year. Conferred with

students about budgeting grant money Performed accounting duties

required with the submission of completed Financial Aid applications

Developed financial aid brochures and forms. Reviewed applications for

financial aid. Determined applicanteligibility for all forms of financial aid.

Performed verification and packaging of financial aid. Assisted with

loan counseling and processed loan applications. Researched grants and

student loans for perspective students. Prepared necessary reports for

Federal and State agencies. Supervised the Work-study Program. Hired

students to work in the Financial Aid office. Assigned tasks to students

and performed evaluations of student performance. Performed accounting

duties to help balance state given work-study budget.

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