Customer Service Administrative Assistant

Schquana Phillips

Real Estate Executive Assistant

Victorville, CA

********.********@*****.*** - 760-***-****

Seeking challenging positions that will utilize my great communication skills as well as allow me to utilize my

excellent organizational skills, & positive work ethics. I can do it attitude, self starter and dedicated to getting

the job done.

WORK EXPERIENCE

Real Estate Executive Assistant

D. R. Bell & Associates - January 2010 to July 2014

Managed schedules.Answered all phone calls and emails.Assisted clients with all necessary information

regarding properties.Created advertisements, posted photos and videos of available properties, Produced

brochures & fliers, planned open house events, scheduled property tours & answered questions about

advertised properties.Created documents, spreadsheets and presentations;completed expense reports &

other accounting forms; answered routine inquiries from clients, agents & brokers.Provided clerical support to

the realtor during the sales process.Photocopied sales documents, scheduled closing dates & secured public

information about a property.

Utilization Management Coordinator

Health Net Inc - September 2008 to December 2009

Received and entered appropriate information.Professionally & efficiently managed intake activities. Obtained

appropriate information for authorization request entry. Accurately applied appropriate policies, procedures,

eligibility and benefit policies.Accurately documented all activities as per policy including entry into automated

systems.Interacted with the providers or members as appropriate to communicate approval outcomes

in compliance with state, federal & accreditation requirements.Interacted with contracted providers &

facilities to research issues, collect required information and/or communicate requirements or approval

determinations. Performed non-clinical medical claim review.Authorized specifically designated services,

based on company policy, that do not require medical necessity review.Performed req'd clerical support

duties.Met or exceeded established performance goals including but not limited to service, quality, productivit,

turn-around time.Professionally interacted with customers, acting as a liaison between the beneficiary,

provider, facility and Health Net.

Claims Examiner II

Health Net Inc - January 2008 to August 2008

Duties include retrieving, examining and processing HMO/POS claims, forms UB92 & CMS 1500.Determined

eligibility & the appropriate payment amounts as well as the correct tier. Overview current schedule of benefits

& eligibility, as well as provider contracts. Ability to efficiently read EOB's and calculate allowed and paid

amounts. Remit payments to appropriate party after determining if it is approved or denied based off medical

necessity and contract.Use and toggle between multiple screens and programs.

Administrative Assistant (Medical Review Unit

Anthem Blue Cross - September 2007 to December 2007

MRU)

Performed numerous administrative duties such as filing, copying & faxing, printing UPS labels, receiving &

distributing incoming Medical Review Unit mail. Stayed in constant contact with doctor's & nurse's, via phone,

fax and email to ensure that medical review cases were reviewed and closed in a timely manner. Managed

the Medical Review shared mailbox and distributed incoming emails to the appropriate party. Kept a very

detailed & accurate Excel spreadsheet of all reviews outgoing & incoming. Reviewed incoming/outgoing cases

to ensure they were accurate & complete prior to sending them to nurses to be closed and paid. Responsible

for making management aware of any major changes in incoming cases for review as well as letter inventory.

Presented daily and monthly progress reports to management. Wrote denial letters to members and providers

to inform them of the outcome of the review.

Administrative Assistant

Anthem Blue Cross - January 2007 to August 2007

Performed a variety of clerical& administrative duties to support the department.Duties included using MS Word

& Excel to arrange and schedule meetings, organized and planned work, typed, filed and answered phones.

Worked in a transaction processing center to open, sort, batch and dispatch documents, in a high volume

processing center with efficiency, speed and accuracy. Sorting and filing materials, correspondence, records,

business forms or other materials according to an alpha, numeric, date, subject or color-coded system. Handled

money and/or financial transactions. Advanced computer skills including: word processing and spreadsheet

software.

Customer Care Associate

Wellpoint Pharmacy Management - February 2006 to November 2006

Effectively handled customer's questions and concerns regarding their pharmacy benefits. Responsible

for educating members on their health insurance policy. Providing co-pay information as well as detailed

information regarding current and past pharmacy claims, including payment amount, reimbursement amounts

and deductible information.

Telephone & Online Banking Customer Care Associate

Washington Mutual Bank - February 2001 to September 2003

Provided customers with information regarding their personal banking accts, including IRA's, money markets,

ATM and debit cards,

certificate of deposits and lines of credit, via phone and email. Promoted consumer services and products.

EDUCATION

California State University, Northridge - Northridge, CA

Los Angeles Pierce College - Woodland Hills, CA

Victor Valley Community College - Victorville, CA

West Los Angeles College - Culver City, CA

ADDITIONAL INFORMATION

*Exemplary customer relations and excellent interpersonal skills. *Excellent customer service skills/Computer

Literate/ Ability to multi-task/Reliable *Self motivated/Detail Oriented/Ethical/Trustworthy/Eager/Confident/

Well organized

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