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Customer Service Administrative Assistant

Location:
Los Angeles, CA
Salary:
24.50
Posted:
February 29, 2024

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Resume:

RODNETRIA AUTRY

Compton, CA *****

ad30hm@r.postjobfree.com

+1-214-***-****

Medical Assistant in training seeking an opportunity providing direct and indirect patient care in a busy medical office. Competent team player with 10+ years of customer service experience, multitasking, scheduling, and following procedures. Energetic, responsible, and self-motivated student looking to learn and grow in the medical field.

Authorized to work in the US for any employer

Work Experience

Senior Administrative Assistant

IHG Hotels & Hilton Hotels - Dallas, TX

January 2021 to January 2024

• Organize and maintain all files, records and other information; ensures databases are up to date

• Serve as backup to Executive Assistant(s)

• Own routine department processes & programs and complete processes accurately and on time while seeking efficiencies and process improvement

• May perform other job duties as directed by Employee's Leaders

• Knowledge, Skills and Abilities

• Proficient in a high level of customer service delivery

• Ability to identify conflict and must seek to clarify details

• Proficient in office management & department procedures

• Ability to use MS Applications – Outlook, Word, Excel, Teams, and PowerPoint

• Ability to meet confidentiality expectations regarding confidential, proprietary and sensitive Company information

• Ability to communicate professionally with Leaders and all internal & external Customers

• Ability to prioritize and multitask, working with a high sense of urgency

• Ability to proactively seek creative ways to perform tasks in a timely and efficient manner (email, deadlines, calendar management, organization)

• Registered guests into the rooms in a prompt and courteous manner using up-selling techniques to maximize room rates; prepared for group check-ins, check-outs, and VIP arrivals.

• Greets, registers, and assigns rooms to guests. Answered phone in a prompt, efficient, and friendly manner.

• Respond quickly to guest requests or complaints in a friendly manner and appropriate action is taken.

• Followed up to ensure guest satisfaction. Used creative reasoning to overcome guest objections and concerns and to ensure 100% satisfaction.

• Completed daily paperwork to include cashing out, documenting all adjustments, miscellaneous postings, paid outs, charges etc.

Technical Support Representative II

APPLE - Dallas, TX

October 2016 to December 2022

· Resolved customer's technical issues by identifying the problem, researching answers, and guiding the customer step-by-step through corrective measures for one-call resolution.

· Helped customers with the installation of cameras, battery replacements and other components.

· Provided recommendations on upgrades to the customer's current home security alarm or highlight advances in home automation.

· Assigned technicians to visit a customer’s home if their issue cannot be resolved effectively over the phone.

· Proactively worked to assist others in achieving the organization’s objectives Processes basic data changes to customer accounts.

· Notified customers of non-emergency signals.

· Notified responders on emergency signals after dispatch. Senior Analyst II

Corvel coporation - Dallas, TX

August 2015 to April 2017

• Maintain, update and test the core system for loan and account processes

• Maintain and update Servicing & Title department policies and procedures

• Ensure SCRA procedures are operating in compliance with regulation

• Lead and assist on a wide variety of Servicing & Titles projects to enhance employee and member experience and automation with existing loans and accounts, including ancillary products

• Develop and implement methods to increase the utilization of ancillary products

• Research and problem solving on systematic or ongoing loan and account issues

• Assist with complex research and adjustment items

• Create, review and maintain Loan Servicing & Titles analytics, statistics, and queries, including product performance and profitability

• Manage loan and account daily, weekly, monthly jobs in core system

• Assist with Title and ancillary products general ledger review and adjustments

• Responsible for addressing appeals received from Health Care Providers for assigned client case load via telephone or written correspondence, ensuring adherence to State guidelines.

• Comprehensive knowledge of the Official Medical Fee Schedule and Texas medical/legal schedules.

• Resolved issues successfully in a proactive and timely manner. Communicated outcome to client services department.

• Provided proactive service for assigned clients including issue resolution, education and interpretation of state specific fee schedules, rules, regulations and guidelines.

• Provided the highest level of customer service to customers, whether these are current or prospective clients of the Company, vendors, staff, business partners or visitors.

• Managed confidential client, financial and employee information with discretion and good judgment in accordance with department and Company guidelines Customer Service Representative

Health net, inc. - Dallas, tx

October 2014 to February 2015

· Handled general inbound ACD (Automatic Call Distributor) calls, correspondence, and lobby visits related to all aspects of service.

· Effectively communicated, written and verbally, clients policies, procedures, and applicable benefits to members and/or providers who have misinterpreted, were unaware of, or are questioning our client's policy or decision.

· Researched claims according to established policies and procedures.

· Member/Provider eligibility and benefit questions and research.

· Researched and interpretation of claims, including all aspects of COB, NF, Worker's compensation and claim recovery

· All correspondence including internet correspondence, emergency room appeals, member and employer questionnaires, enrollment applications and Authorization Services forms

· Performed data input in a highly accurate and timely fashion for all customer contacts according to the customer information database system parameters. Assures documentation is complete, so department can monitor physician compliance.

· Participated in various training and information functions available to the Health Plan Operations staff members to enhance skills, improve performance, and contribute to the ongoing development and achievement of departmental goals.

· Able to communicate member benefits, reimbursement policies, coding guidelines, the appeal and grievance procedures, and company policy to all customers. INSURANCE VERIFICATION SPECIALIST

bluecross blue shield - Dallas, TX

May 2013 to August 2014

· Assisted in verifying Commercial, Private, Medicare, and Medicaid Insurance.

· Checked patient eligibility, plan type, along with verifying In-Network and Out of Work benefits.

· Verified if physician is a contracted provider and pre-register patient into system.

· Made sure that all patients accounts were verified and reviewed correctly and logged into the system.

· Obtained supporting documents concerning patient follow up information.

· Answered in and outbound calls to respond to basic questions of Physicians and insurance companies to ensure that they are resolved in a timely manner. Education

HIGH SCHOOL DIPLOMA

SOUTH OAK CLIFF HIGH SCHOOL - Dallas, TX

August 2004 to June 2008

Skills

• Insurance verification

• Build and maintain relationships

• Attention to detail/Team player

• Conflict resolution

• Proficient in MS Word, Excel, PowerPoint

• EOBs/EORs ICD 9/10

• HIPPA Rules and Regulations

• Analyzing Information

• Time management

• Interpersonal/Communication skills

• Guest services

• ICD-10

• Medical Office Experience

• Schematics

• Telecommunication

• System testing

• Childcare

• Typing

• Project management

• Marketing

• Sales

• Warehouse management

• Warehouse management system

• Customer service

• Cash register

• Human resources

• Leadership

• Recruiting

• Databases

• Microsoft Access

• Workday

• OPERA

• Windows

• Presentation skills

• Social media management

• Fair Housing regulations

• Project management software

• QuickBooks

• Team management

• Financial software

• Underwriting

• Property management

• Product demos

• Slack

• .NET

• DocuSign

• Filing

Certifications and Licenses

Driver's License

CPR Certification

AED Certification

Food Handler Certification

Professional In Human Resources

BLS Certification

Pallet Jack Certification

Certified Home Health Aide



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