Customer Service Data Entry

Emily Cheung-Vences

Customer Support Executive

Elk Grove, CA

********@*****.*** - 916-***-****

Obtain a position where my skills and abilities may contribute to the growth and profit of the company.

WORK EXPERIENCE

Account Representative II

Sutter Physician Services - Sacramento, CA - April 2012 to Present

The Account Representative II, Business Services (Payment Posting) is responsible for posting payments

and adjustments for all insurance types and for researching and identifying misapplied payments. Other

responsibilities include properly coding denial and rejection reasons; balance payment and charge batches

daily & weekly and other special projects as assigned.

Customer support Executive

Kaiser Permanente - Stockton, CA - January 2012 to April 2012

Received inbound calls (regarding account status, complaints, etc.) and directs calls for further problem

resolution, if necessary. Typically handles larger clients and more situations that are difficult. May be required

to manage, guide, and motivate teams through the call process. Identify and resolve customer service issues/

requests or transfer to appropriate party advocate. Respond to member/customer service, information, or

product (e.g., membership reference materials, duplicate membership cards or stickers, etc.) requests.

Intake Representative I

Health Net, Inc - Rancho Cordova, CA - February 2011 to December 2011

Enters specific data /information from physicians' requests into a medical management authorization

system, achieving required production quota /quality standards. Requires minimum six months experience

in a production/data entry environment performing alpha and numeric data entry in a healthcare related

organization such as managed care, claims/billing, health insurance, customer service, call center, or claims

office.

Date entry clerk

Main Stay Staffing-FNTI - Sacramento, CA - November 2010 to December 2010

Medical and Healthcare background was needed; minimum require of 12,000KPH 99.5% accuracy; High level

of Attention to Detail; Able to sit for 8hrs straight with repetitive and highly concentrated Data Entry of claims.

Data entry operator

Delta Dental of CA - Rancho Cordova, CA - August 2007 to June 2009

To enter all necessary data from the submitted Attending Dentist's Statements (ADS') into the operating

(computer) system and clear edits and reject claims to other job functions. Enter claims from scanned claims

using MACESS application; enter paper claims and reject claims to job functions using rejection sheets and

on-line routing using windows.

Eligibility Clerk

Select - Sacramento, CA - April 2007 to August 2007

To respond incoming telephone and faxed inquiries in English and Spanish; researching claim status, verifying

eligibility, and assisting members in locating network providers; forward unresolved inquiries for resolution;

support in other units as directed; perform miscellaneous duties as assigned.

HUD specialist

Check-point, LLP - Sacramento, CA - April 2004 to December 2006

Verified rental application; investigate applicant's employment and rental references on the application,

process credit online for rentals and businesses, sex offenders, state wide criminal search, data base criminal

search and DMV search, analyze credit with FICA or with out; analyze applicant.

Pharmacy assistant I

UC Davis Medical Center - Sacramento, CA - June 2003 to December 2003

Maintain accurate patient records. Interact with insurance providers concerning billing/ reimbursement issues.

Handled incoming calls and from doctor and patient, responding to inquiries, resolving problems with insurance

providers. Keep abreast of new developments within the pharmaceutical industry.

Pharmacy clerk

Rite Aid - Sacramento, CA - April 2002 to June 2003

Improved morale of coworkers by rewarding good work performance; leading by example and using humor to

diffuse stressful situations; Ancillary staff in fulfilling more than 1,000 prescriptions weekly; Maintain accurate

patient records. Interact with insurance providers concerning billing/reimbursement issues.

Floor Manager

STROUDS - San Jose, CA - July 2000 to November 2000

Managed a high-volume workload within a deadline-driven environment; Resolved an average of 450 inquires

in any given week and consistently met performance benchmarks in all areas(speed, accuracy, volume);

Became the lead "go-to" person for new reps and particularly challenging calls as one of the company's primary

mentors/trainers of both new and established employee.

Supervisor

Hancock Fabrics, INC - San Jose, CA - January 1999 to November 2000

Helped company attain the highest customer service ratings (as determined by external auditors) - earned

100% marks in all categories including communication skills, listening skills, problem resolution and politeness.

Completed voluntary customer service training to learn ways to enhance customer satisfaction and improve

productivity. Resolved an average of 300 inquiries in any given week and consist.

EDUCATION

Diploma

Harbor High School - Santa Cruz, CA

SKILLS

• Accountable • Problem solving • Fast learner • Detail oriented • Resourceful • Prioritization • Interpersonal

• Organized

CERTIFICATIONS

Board of Pharmacy

June 2003 to Present

Pharmacy Technician

ADDITIONAL INFORMATION

QUALIFICATIONS:

• 12,000 KPT • Strong computer skills (MS Word; Excel; etc.)

• 40 WPM • Answer multi-line phones/screens calls

• Operate all office equipment • Data entry / Eligibility clerk

• Excellent customer service • Trilingual (English/ Cantonese/ Spanish)

• Alpha/numeric Medical office / office filling • Decision making • California Board of Pharmacy Certificate

Technician • Medical coding/ billing/ terminology

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