Jorge Chavez Velarde

ac58s8@r.postjobfree.com

SUMMARY

I am a dedicated hard working individual with great communication and organizational skills, outstanding customer service skills, strong work ethics and fluent in Spanish.

SKILLS

Currently holds US Government Secret clearance

Supervisory experience

Class Instructor

Inventory control

Sensitive and classified equipment Maintenance

Computer hardware

knowledge of medical codes ICD-9/10 CPT-4 codes

NDB

CareOne

PCH and Pega system

Microsoft Office

Excel

Microsoft Word

Knowledge of Information Technology Software installation and inventory control

EXPERIENCE

Sales Territory Manager, Cetis, Inc., August 2017-December 2018

Colorado Springs, CO

Territory manager ( International Sales )

Was in charge of sales for the Asia Pacific region for hospitality TeleDex, TeleMatrix and Sitec brand phones. Dealt with Hotels, Hospitals, government and multinational corporations.

Was in charged of the new appliances line designed for the hospitality industry in the Asia Pacific market.

Provider Data, United HealthCare Military&Veterans, March 2013-June 2017

Colorado Springs, CO

Provider Data Team (November 2014-June 2017)

( Telecommuter team )

Research provider contracts and update information in the system.

Completed reports compiled by claims to correct the providers/groups/facilities to the accurate and correct information to ensure claims payments could be completed per contract.

Performed audits using PIMS and NDB to ensure accurate provider information is loaded into the Medical Management System for patient care.

Daily interactions as Provider Data Team with escalations and other staff/departments to ensure that referrals/notifications are loaded accurately and timely for patient care.

Referral Operations Privacy Investigation Reporting Team ( February 2014-November 2014)

Responsible for Data validation regarding HIPPA violations, data collection and investigation.

Gathering information regarding any possible violations to correct HIPPA violations because of letter being sent to wrong provider with beneficiary’s personal information.

Referral Specialist ( March 2013-February 2014)

Responsible for the daily processing of Tricare referrals for Tricare beneficiaries. Make

outbound calls when needed to providers to gather required information for referrals.

Review referrals sent from military treatment facilities and civilian providers and enter

notification into system of record. CPT codes and ICD-9 codes verification, check

prior authorizations and government no-pay lists.

Routing files which need follow up from the military treatment facility to the proper departments

and completing referrals that do not. Locating providers, services, and codes to

insure accurate information input for beneficiary’s health care while constantly meeting productivity, scheduled adherence, and quality standards.

Primary MOS 11B, Weapons Sergeant, UAV Pilot, US Army, January 2008-March 2013

Colorado Springs, CO

Supervisor, managed and counseled 7 to 10 soldiers at any given time.

Served as the Company Armorer responsible for all the sensitive equipment for a Infantry company with excess of 140 soldiers. Managed the upkeep of weapons, night vision equipment and all sensitive items in excess of

$ 13,000,000 with zero loss in property and an overall operational readiness rating of 96% .

Served as the company Supply Sergeant for a year, being responsible for the serviceability and accountability of all organizational property in excess of $85,000,000 . Oversee the ordering, issuing and documentation of all logistical requirements in support of the company while deployed in Iraq.

Developed and taught the Unit Armorer class and weapons maintenance class to the Iraqi Police Academy in the Maysan province graduating 4 classes of 80 Iraqi Police.

Unmanned Aerial Vehicle (UAV) pilot qualified ( Raven RQ-11B ) with flight experience overseas.

Data Integrity Analyst, Genesys conferencing, July 2000-January 2008

Reston, VA

Managed the accuracy and correctness of customer data used in the call validation and billing process, point of contact for large customer who require monthly interchange and update of data, creation and review of customer electronic data files (EDF) to streamline and speed-up the actual billing process. Ensure that the data model incorporates legacy data into a structure consistent with the current iteration of the model without loss of data or the addition of duplicative data

Worked in the Billing department updating and adding new clients to the internal database and maintaining the data required to generate the monthly invoices.

Worked in a large call center as a conference coordinator assisting high profile clients with teleconferences, video conferences and web conferences

Associate Support Engineer, Sitel Corporation/ Hughes Network Systems, DirecPC, January 2000-July 2000

Herndon, VA

Responsible for providing technical and non-technical assistance and troubleshooting Hughes "DirecPC" over the telephone in a large call center environment. Assist customers in RMA, telecommunications, Windows Operating Systems, Unix, PC hardware features, system and product overview, hardware and software installation, antenna aiming.

Experience with the Billing and Sales department, Experience with the E-mail department. Setting up customers E-mails and troubleshooting E-mail related problems.

EDUCATION AND TRAINING

IT Diploma

Network Administration, Computer Learning Center- CLC, Alexandria VA 2000

Major: Information Technology Support and Network Administration

A+

Net+

High School Diploma

High School, Annandale High School, Annandale VA

High School diploma

ACTIVITIES AND HONORS

Infantry School

Unit Armorer School

Unmanned Aerial Vehicle School

Combat Life Savers Course

Supply and logistics Course

Combat Driver course

Fire Warden course

Oracle8i Network Admin: NTWKG Overview

Portable Electronic Devices and Removable Storage Media

AWARDS

Efficiency Award ( 123.43%)

Top Quality Award (2014,2015)

Attendance Award ( Perfect attendance)

Army Achievement Medal

Army Commendation Medal (x2)

Army Good Conduct medal

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