Customer Service Executive Support
Resume:
San Bernardino, CA. *****
********@*****.***
JAGAIRA G. MARTINEZ
OBJECTIVE
I have over 6 years’ experience, in Clerical, Call center, Staffing Recruiter, PSR/ FOC in both Medical, Dental and Optometry. Conducting different Clinical office functions and providing executive support to doctors and examiners. While providing great customer service to clients and patients in both Spanish and English varying the situation to accommodate their needs. Managing one office on my own from the application process, hiring and payroll for 2 clients having 50+ employee’s. Seeking to apply my detail-oriented talents and adaptive personality to fulfill the Company needs. Also, more than willing to new challenges and task. I aspire to gain more knowledge if the opportunity is given, I want to grow and help the Company to my best ability.
JOB TASK
QUASAR SOLUTIONS
*Scan paperwork
*Distinguishing paperwork to appropriate dept.
Pediatrics/Family Practice/ OB-GYN
*Transfer confidential patient information into a computerized database
*Manage emails and providing records of medical information upon request from a variety of clinics.
UNITED AG
*In charge of all office inventory
*Scanning and filing member paperwork
*Opening mail and scanning, making sure it gets sent to the correct examiner the document pertains to.
*Inputting claims and Appeals both Medical and Dental
*Sending mail out. Via Post Office & UPS
*Keeping record of all mail scanned in and Superior mail.
SAC HEALTH SYSTEMS
*Answered high volume of calls for 2 departments. Depts. -Family Practice & Intermediate (Spanish &English)
*Basic office functions: filing, faxing, printing, scanning etc.
*Used Epic software to Look up Patients Charts and Schedule appointments
*Access to My charts to distinguish when patients are due for physical. And well child check.
*Used IEHP, Molina, Medical, Advantage, Blue shield, and other PPO insurances to assist with appointment scheduling.
*Did real time eligibility check before scheduling appointment, and requested PCP if required
*Also was required to assist patients to do video phone calls patiently giving them detailed step by step instructions on how to do so
*During Covid-19 pandemic I assisted to provide patients with all resources to make sure they were helped with govt. funded testing sites
IT’S CALIBER
*Managed an office on my own with little to no supervision.
*Answered phone calls both Spanish and English to assist current employees with questions, or potential employees with directions and information to come in and apply.
*Greeted applicants, assisted them in any questions they had while filling out applications.
*Made sure the correct documentation was provided
*Entered application on to software COATS made sure all information given was accurately according to the information that had been provided
*Opened Job orders, with correct bill rate percentages
*Used software EAMS Case Search, Been Verified to do a physical and a light background check for each individual before processing application.
*I would conduct a thorough interview, to be able to send employee out to work to a facility that fit their requirements best.
*I would provide employees with GMP’s& Maps when sent out, as well as PPE according to the client’s requirements
*I managed ZipRecruiter postings, reached out to potential candidates to come in and apply.
*Received resumes and based off my ability to recognize what job fits best I would send to upper management for Clerical/ Admin positions available
*Delivered Checks to several facility’s, Conducted walkthroughs on a weekly basis during check drop offs.
*Used software Kronos to correct missed/incorrect punches
*Provided excel sheets of those employees who received Harassment course through myself, and excel sheets with employee’s pay wage and hours worked on a weekly basis
*Managed Emails with Clients to inform of any call offs, communicated via email between 4 other hiring offices within Its Caliber to coordinate on open Job orders, or any concerns with any employee’s.
BLOOMINGTON COMMUNTIY HEALTH SYSTEMS
*Registered new patients collected information to create chart accordingly with patients Insurance Info /Photo ID etc.
*Assist Patients who do not have any medical/dental insurance to apply for our Low Income program (SFS sliding scale fee) for consultations and procedures at a discounted rate.
*Scanned and labeled all patient paperwork in a timely manner
*Cross trained for Medical and Optometry to assist when needed
Family practice/ Pediatrics/ Labs
*Answered inbound/ outbound calls for several departments-phone lines
* Scheduled appointments, checked in patients and made sure correct charges were added before checking out.
*Take all Payments for Dental & Optometry (Cash and Credit Card)
*Checked Eligibility for Medical, IEHP, Molina and outside insurances to verify patient’s copayments and if insurance is in network with provider.
*Pulled authorizations same day (Optometry)
*Gave GFE (good faith estimate) gave patients an estimate fee with the dental codes for their following treatment before each scheduled appointment.
*Sent task to any LVN on site when patients are calling to request medication refills.
SKILLS
Bilingual, Fluent in both Spanish and English
Great at Multi-tasking
Highly determined and motivated
Experience with the following software
-Adobe Premier, WLT, AS 400, Word, Epic, Next Gen, Kronos, EHR &EDR, Medical Portal, IEHP Provider Portal
Fast Learner
Great phone etiquette and customer service
Knowledge of verifying Insurance
WORK HISTORY
SCANNER /RECEPTIONIST -QUASAR SOLUTIONS
415 W Redlands Blvd, Redlands, CA.92373 April11,2016- July 8,2019
CLERICAL /SCANNER -UNITED AG
1365 Old Temescal Rd. Ste.102 Corona, CA. 92881 August 5,2019-March 7,2020
CALL CENTER /SAC HEALTH
1455 East 3rd Street, San Bernardino CA. 92881 May 5,2020- October 7,2020
RECRUITER/ADMIN /ITS CALIBER
225 W. Hospitality Lane Suite 201L, San Bernardino CA. 92408 July 24,2021- October 28,2022
DENTAL & OPTOMETRY PSR/FOC BLOOMINGTON COMMUNTIY HEALTH
18601 Valley Blvd, Bloomington CA. 92316 Nov 7, 2022-current
EDUCATION
IB DIPLOMA -JURUPA HILLS HIGH SCHOOL 10700 OLEANDER AVE. FONTANA, CA.92337
(International Bachelorette) C/O 2015
REFERENCES
YECIANIA LUVIANO
General Manager – Country Pride
DR.PATEL
Dental Provider
KASSANDRA MIRANDA
Medical Biller – Vituity
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