Valerie Goode
Sacramento, CA 95825
Telephone: 916-***-****
Email: ******@***.***
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.