Stephanie Estes
**** ***** **. • Fresno, TX ***45• 832-***-**** e-mail: ****************@*****.***
Summary
Administrative and Medical Support Specialist with 12 years experience providing excellent customer service and support to employees and customers while maintaining confidentiality of medical and government records as well as using all available office equipment including various database systems and software completing a Bachelors degree in Social Science and Human Services in 2015.
CORE COMPETENCIES
MS OFFICE
High-speed data entry
Excellent problem solving and conflict resolution skills
Outstanding leadership skills
Exceptional interpersonal communication sills
Excellent oral and written communication skills
Excellent problem-solving and conflict resolution skills
Ability to work with relational databases, spreadsheets, Captiva, facets, pegages, trizetto, e-mail, Internet research sources, and word processing software
Education
University of Houston-Downtown
Houston Community College
Professional Experience
Novitex Solution, Houston, TX April 2012-June-2016
Business Center Lead
Manages employees as well as assisting them in processing all incoming medical documents which includes defining members’ and providers’ information merged in excel spreadsheets. Prep member enrollment applications during open enrollment. Scans customer claims in Captiva database. Address all provider and member concerns transferring as liaison to those departments that can further assist at the next level of support needed. Distribute appeal and grievance information to the appropriate departments. Manage pharmaceutical incoming information before forwarding to different departments for completion.
Universal American, Houston, TX March 2007-March2012
Intake Center Lead
Processed all incoming medical documents which included defining members and providers’ information on excel spreadsheets. Prepared and scanned members’ applications during open enrollment. Processed claims and member information in Captiva, addressed concerns of members and providers and acted as a liaison to other departments including credentialing to get resolutions. Distribute appeals and grievances, medical management materials, pharmaceutical materials and other credentialing documents to other departments after having processed any and all portions that were the responsibility of me and the department.
Fort Bend County Clerk, Richmond, TX August 2003-January2007 District Clerk
Verify and inputs data into various court computer systems to update information regarding pending, disposed, microfilmed, criminal, civil, and family cases, using detailed data entry codes. Calculates and collects costs of court and monetary transactions associated with criminal cases. Researches and analyzes historical data. Verifies processes and distributes documents to appropriate locations, prints and provides case index, ensure files are complete and in proper order at all times. Verifies, analyzes and indexes mass filings of attorney general documents. Answers incoming telephone calls and assists and responds to public, attorney or County inquiries or directs to appropriate person.