• **** EDEN PRAIRIE ROAD • EDEN PRAIRIE, MN• ***** •
PHONE 612-***-**** • E-MAIL **********@*****.***
MONICA ESTRADA
SKILLS PROFILE
Type 55+ WPM
Bilingual Spanish/English
Proficient in Lotus Notes, Google and Microsoft Outlook
Advanced knowledge of Microsoft Office Suite
PROFESSIONAL EXPERIENCE
TRIA Orthopaedic, Bloomington MN 12/2016 – Present
Medical Receptionist
I support the phone center as well as the clinic front desk. I provide support to the department and patients, ensuring quality service through timely and courteous assistance. Answer calls in a timely, pleasant and professional manner, document service requests, schedule appointments according to provider rules and guidelines and confer with patient to complete the registration and/or check-in process in an accurate and courteous manner.
Intermediate School District #287, Minnetonka, MN 1/2015 – 1/2016
Administrative Assistant
Reported directly to West Education Center (WEC) principal. First resource for staff working within WEC resources matters. Identified priorities and filtered issues for principal and departments at the district office. Site coordinator for hiring/onboarding of staff in all positions. Prepared statistical reports for Administration’s review and recommendation using Google as well as Microsoft Excel/Pivot tables and Word. Responsible for all purchasing within the building as well as monthly credit card reconciliation for self and five other staff. Proactively manage WEC budget for accuracy and fiscal responsibility.
Eden Prairie Schools, Eden Prairie, MN 1/2013 – 1/2015
Administrative Assistant
Primary responsibility was to support the Director of Student Support Services. Worked closely with the Student Support Services directors of Gifted & Talented, Targeted Services and Special Education, and provided administrative clerical support. Communicated with and supported teachers from these departments. Investigated, created, developed and maintained various budget and program data reports. Responsible for all purchases and billing within the district for the special education department. Handled monthly credit card reconciliation for self and two directors. Responsible for enrolling, updating and tracking Targeted Services and Gifted & Talented students.
Sedgwick Claims Management Services, Eden Prairie, MN 06/2012 – 01/2013
Case Manager
Analyzed, approved and authorized medical claims and determined benefits due pursuant to a disability plan. Responsible for determining benefits due, made timely claim payments and adjustments for workers compensation, state disability, and other disability offsets. Medically managed disability claims ensuring compliance with duration-control guidelines and plan provisions. Required to communicate clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. Evaluated and arranged appropriate referral of claims to outside vendors for surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
Minidoka School District, Rupert, ID 07/2011 – 06/2012
Migrant Graduation Specialist
Acted as an adviser, liaison, and facilitator for migrant students in order to help them complete high school and pursue post-secondary opportunities. Worked primarily with a caseload of at-risk migrant students. Also worked closely with migrant parents to assist them in attaining access to available services as well as coordinated and led parent involvement training, activities, conferences and informational meetings.
AON Hewitt, Brooklyn Park, MN 03/2009 – 04/2011
Case Manager
As STD/LOA Case Manager, examined Disability Pension and FMLA, STD, and LTD claims from a medical and contractual standpoint and served as a medical resource and consultant to assess functionality based on medical evidence. Reviewed and evaluated disability claims to determine level of functioning based on knowledge of current medical standards of care and knowledge of the employer and the employee's job requirements, as well as the plan’s definition of disability.
Jung Ja Salon and Spa, Coon Rapids, MN 12/2007 – 02/2009
Front Desk Coordinator
Answered incoming calls and made outbound calls to customers. Ensured customers had an outstanding salon experience upon check-out. Answered customer questions and provided information on products offered at salon. Maintained multiple schedules. Assisted management in keeping web-page advertising up to date. Kept track of product inventory as well as processed orders for items as needed. General office, administrative and cashier duties. Multi-tasked in a fast paced team environment.
Integrated Choice Concentra /Coventry, St Louis Park, MN 06/2005 – 07/2007
Case Manager, 8/06 – 7/07
Case Manager Assistant, 6/05 – 8/06
Promoted to this position to perform delegated case disability review functions as non-licensed support to licensed personnel. Gathered information via incoming calls and hard copy documentation for claims set-up of short-term disability and Family Medical Leave cases. Maintained management-determined caseload in timely and efficient manner. Customer service, general office and administrative duties.
Managed non-occupational absences under the Family Medical Leave and Short-Term Disability benefits through the Integrated Choice process, consistent with national disability guideline duration and federal/state guidelines. Maintained management-determined caseload in timely and efficient manner. Assisted in training and mentoring newly hired case management assistants.
Concentra Preferred Systems, Woodland Hills, CA 10/2002 – 05/2005
Claims Project Manager
Filtered and triaged an average of 500 medical claims daily for client, Health Net, through Concentra’s process for re-pricing and AS400. Interacted daily with client and maintained familiarity and understanding of client’s claims processing policies and procedures. Worked closely with client’s claims department as well as with Concentra's claims processors to ensure that claims were processed correctly and with the highest savings possible. General office and administrative duties.
EDUCATION
Century High School Alhambra, CA
SUMMARY OF QUALIFICATIONS
Strong organizational and time management skills
Strong work ethic with a commitment to client service excellence
Excellent verbal and written communication skills
Well organized with the ability to handle several projects and or clients simultaneously