Administrative Assistant Customer Service
Resume:
Sara Vargas
Toronto, ON M4S 1G3
Phone: 416-***-****
Email: ac8nfk@r.postjobfree.com
LinkedIn: https://www.linkedin.com/in/sara-vargas-85950275/
Overview/Objective
Bilingual Portuguese–English Insurance, Claims and Benefits Administrator; Legal Transcriptionist, Claims and Health Assistant/Coordinator with experience in Insurance and Healthcare Administration, and 4 years of Medical Administration experience and 15+ years in Customer Service. I am looking to work in an environment where I can contribute to the success of the company, and continue to grow my knowledge and skills by taking on new responsibilities and challenges while participating in the improvement and implementation of new processes, procedures, and long-term objectives.
Summary
•Over 14 years of work experience with 4 years of experience in Insurance Claims, 4 years in Medical Administration,; 2 years in Translation with experience in Legal and Medical Transcription and Customer Service with a passion for Insurance and Healthcare Administration and Disability Management.
•Proficiency with Benefits Administration, benefit structure and categories
•Database Administration and Management
•Payment questions and problems
•Accounts Payable
•Accounts Receivable
•Proficiency with data entry and patient/client records
•Proficiency with the software Medical Health Screen, AS 400, Cisco system, Accuro, Risk Master, PS REC, Star/Stop and Olympus, Ringcentral, SCM Portal, I Adjust, Claim Space
•Excellent knowledge of operating systems such as Microsoft Word, Excel, PowerPoint, Photoshop, Outlook, Claimspace and IAdjust
•Legal Transcription
•Medical Terminology
•Medical Transcription, Proofreading
•Medical Billing Coordinator
•Translation and interpretation services for a wide variety of industries including 911, emergency services, hospitals, banks, utility and insurance companies, financial services etc.
•Document Intake, Coordination and Analysis
•Cross reference of cheques and reserves and verification of deposit accuracy
Employment History
Claims Administrator
International Programs Group (July 2018 to November 2018) - Contract
• Verify Accuracy of Claim Examiner deposits and uploads
•Accounts Receivable: Accounts Payable
•Analyze problems and determine effective resolutions and develop recommendations for action by supervisor
•Fostered a teamwork attitude in the department to include maintaining good relationships with examiners and supervisor
•Set up new claims within 1 day preparing required letters and data integrity in claims system
•Upload and download cheques
•Interpret and Triage claims according to JLT and Liability Criteria
•Provided assistance to Claims Managers through phone contact and correspondence as required.
•Entered detailed claim file notes in file management database on a daily basis in accordance with instructions from the Claims Handlers.
•Answered incoming telephone calls and general questions when appropriate.
•Accurately input data entry of medical & hospital claims information into processing system.
•Researched and compiled documents to set up claim files by coordinating with underwriting department and branch locations.
•Demonstrated ability to execute high attention to detail, to manage changing priorities and proven organizational skills
•Demonstrated behaviors showing initiative, and follow-up skills while having the ability to maintain a high level of confidentiality, and demonstrated professionalism and work ethic
Claims Transcriptionist
Ontario Independent Police Review Director Board - (O.I.P.R.D) – October 2017 - January 2018 (3 Month Contract)
•Responsible for transcribing highly technical legal dictation relative to policing
•Performed tasks of interpreting and transcribing dictation by Police Investigators
•Edit, revise, and clarify inaccuracies without altering the actual meaning of the legal dictation
•Identified, interpreted, and evaluated discrepancies and inconsistencies in legal dictation
•Platform - Typed reports using Start/Stop Transcription Software
•Reviewed and provided comments on the adequacy of documents and took the necessary steps to correct any deficiencies
•Legal and Policing terminology.
•Outstanding proofreading, grammar, and punctuation skills as well as excellent verbal and written communication abilities.
•The ability to maintain superior concentration for long periods of time as well as maintain a high level of attention to detail.
•The ability to exhibit tact and diplomacy when dealing with highly sensitive, difficult and confidential information.
Junior Administrative Assistant
Mount Sinai – August 2017 – Sept 2017 – Psychiatry Department - (3 Week Contract)
•Filing
•Prepared appropriate forms for new/returning patients
•Gather and organize typing material
•Create new patient charts and enter and update records into PS REC system
•Review patient charts for inaccuracies
Claims Assistant- Dicta-Typist
Toronto Transit Commission (TTC) – March 2017-June 2017 (3 Month Contract)
•Gather and organize typing material
•Transcription using dictation software (Phillips)
•Created letters, reports and other important documents
•Administrative and typing skills; proficient in the use of a PC and computer applications related dicta-typing sound judgment, well-developed interpersonal skills and excellent verbal and written communication skills
•Read and listen to information and mentally determine what needs to be transcribed into the system
•Maintain the integrity and confidentiality of legal records
•Organizational abilities to prioritize several work assignments simultaneously and meet critical time requirements while maintaining a comprehensive knowledge of the Ontario Human Rights Code and Related Orders including disability accommodation and accessibility requirements pertaining to passengers and employees.
Insurance and Benefits Data Administrator
Liuna Local 183 Benefit Plan Administrators - Dec 2013 – September 2016 (2 years 10 months)
•Administered customer and account source documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents to the team leader for resolution.
•Draft format produce edit and proofread a variety of documents as guided by general company practice
•Researched and resolved benefit issues while maintaining a teamwork environment.
•Maintained all benefit data in multiple corporate databases for over 40,000 unionized members.
•Assisted members with issues and concerns with enrollment and questions regarding benefits packages as needed via phone and/or email.
•Prepare source data for computer entry by compiling and sorting information; establishing entry priorities.
•Prepare source data for Benefits Administration and category structure
•Maintains data entry requirements by following data program techniques and procedures.
•Processed and completed approximately 350 claims on a daily basis using AS400 software.
•Maintaining integrity and accuracy of information
•Contributes to team effort by accomplishing related results as needed.
•Processed, inquired and updated school letters
•Provided translation for Union Members
Medical Office Administrative Assistant
Dr. Poon’s Metabolic Diet Clinic – November 2009 - Mar 2013 (4 years 4 months)
•Managed clinic flow for three physicians simultaneously, and wait times to promote client satisfaction.
• Scheduled and confirmed over 75 appointments on a daily basis by telephone, answer inquiries using the Health Screen and Accuro Software System
•Provided client assistance in order to ensure a positive clinic experience
•Entered, updated and confirmed over 50 new referrals on a daily basis, while responding to multiple emails and faxes
•Assist physicians and clients, including weigh-ins, samples (labs) and patient measurements.
•Organized and maintained paper and electronic records in Health Screen while digitizing and formatting entire patient charts into Electronic Medical Records in order to guarantee ease of access to patient records for physicians and clinical staff
•Process OHIP billing for three physicians and process patient health records into the Health Screen System.
•Follow-up with family doctors for medical information such as prescription medication and x-rays
Education / Certifications
•York University - Bachelors of Health Studies (Health Management, Policy and Information) - (December 2016)
•Institute of Health Care Improvement Certificate - (October 2016 - Present)
•How to Improve with the Model of Improvement
•Testing and Measuring Changes with PDSA cycles
•Interpreting Data Run Charts, Control Charts and other Measurement Tools
•Worker Health and Safety Awareness
•Centennial College - Medical Office Administration Diploma - 2009
•Escuela Culturel de Malaga - Beginners Diploma in Spanish - 2005
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