Data Entry Customer Service
Resume:
Jona Jallow
************@*****.***
Columbus, OH 43232
Summary
Personable, analytical Data Entry Specialist with 12 years of experience in customer service and various database platforms. Self-directed, skilled in multi-tasking, and constantly exploring ways to exceed expectations of customers and managers.
Work independently to accurately input work order data in the company database, identify missing details and follow up with clients to ensure records are complete and accurate.
Responsibilities will include collecting and entering data and maintaining accurate records for the company. She has accurate typing skills and knowledge of spreadsheets, databases and online forms.
Highly Proficient in MS Word, Excel, PowerPoint, CRM, Salesforce and she has 2 monitors with good internet speed.
Education
diploma in medical office administration
MCED Career College Fresno, CA
May 2008
diploma in Medical Assisting
Technology Education College
Columbus, OH
April 2002
High School Diploma
Fort Hayes Arts and Academic High School
Columbus, OH
June 1993
Skills
Scheduling Operations
Patient Registration
Patient Authorizations
Appeals and Grievances
Microsoft Office (10+ years)
Customer Service (10+ years)
Data Entry (10+ years)
Claims Processing (3 years) • Claim Appeal (3 years)
Claim Adjudication, UB04, EOB, HCFA 1500 form knowledge
Microsoft Word (10+ years)
Teams
Zoom
Google meet
Customer Service training (call center)
Inventory
Payroll
Team Building
retail sales
Microsoft Outlook (10+ years)
Excel (5 years)
CPT Coding
ICD-9
ICD-10
Medical Billing
Medical Coding
Medical Records
Customer service
Typing
Venipuncture
Medical Office Experience
Help Desk
Insurance Verification
Software Troubleshooting
Anatomy Knowledge
Hospital Experience
Microsoft Excel
Data entry
Microsoft Office
Laboratory
Medical Terminology
Patient Care
10 key calculator
Avality, Centricity, Cerner, PeopleSoft, Facets, Rumba, EMR systems, Workday, Avaya, SharePoint, DocuPhase, DocuShare, Oracle, QuickBooks, Quicken.
Remote connection experience
Work at home experience
Work Experience
Adecco for Epic Global
Dublin, OH Nov 2021 - Nov 2022
Claims Analyst II
Data entry and verification of information.
Utilized software tools to access and review claim documents, enter claim decisions, and create escalations when needed.
Meet and exceed departmental standards for accuracy and productivity.
Verified data and processing requirements and make corrections as necessary.
Engage Healthcare Business Services Columbus, OH May 2021 - July 2021
Medical Billing Specialist
Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
Reviewed and validated accuracy of charges, including dates of service, provided, location, patient identification, and provider signature.
Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances. Data entry and verification of patient demographic information.
Amazon.com
Obetz, OH
Apr 2020- Jun 2020
Package Handler/Sorter
Sort packages for processing.
Pack packages for merchandise processing.
Teleperformance
Columbus, OH Feb 2020 - Mar 2020
Client Service Representative
Schedule, modify, and create train reservation in Amtrak system.
Adhere to policies and procedures.
Provide superior customer service by de-escalating tense procedural situations.
Data entry of consumer profile information.
Tailored Management for CareWorks
Columbus, OH Jul 2017 - Oct 2017
Absence Management Specialist
Serve as primary contact for client by managing leave of absence administration (FMLA,STD, LTD) as determined by client contract managing a case load between 275 and 315 cases.
Analyzing FMLA claims to determine eligibility and certification in compliance with state and federal regulations Communicating absence and return to work information to client.
Staffing claims with clinician, as appropriate.
Coordinating certain types of leaves with client Human Resources Department.
Communicating decisions and on-going expectations with claimants and clients.
Tracking FMLA absences, per client calendar.
Troubleshoot disability and absence issues.
Verifying return to work status.
Data entry of employee information.
Ohio Public Employees Retirement System
Columbus, OH Apr 2012 – Dec 2016
Health Care Vendor Coordinator
Provide support for vendor project management, requests for information (RFI), requests for proposals (RFI), implementations, and strategic program initiatives.
Conduct assigned industry research in support of the health care department's initiatives.
Assist with processes and activities required for implementation or termination of programs and/or health care vendors.
Monitor health care vendor contracts, analyze service performance, and track program deliverables including reports, file transmissions, program status updates, action logs and member related items.
Prepare and distribute materials for internal and external meetings involving vendor oversight and strategic direction.
Track resulting staff accountabilities to ensure timely completion of action items.
Coordinate meetings and conference rooms for meetings.
Compose letters, memos and additional correspondences.
Compile agendas, reports and PowerPoint presentations for meetings.
Schedule appointments and make travel arrangements.
Submit expense reports, schedule travel and copy materials.
Responsible for ordering supplies as needed.
Assist with quality control and audit initiatives to ensure vendors are meeting their service agreement and statements of work.
Maintain the Health Care documentation library by updating vendor
ol)contracts, agreements, amendments, business associate agreements, non-disclosure agreements, and project logs.
Data entry of retiree benefit applications.
WellPoint Anthem Blue Cross
Columbus, OH Oct 2010 – Apr 2012
Enrolment and Billing Rep I
Process electronic and manually submitted health care membership eligibility updates.
Respond to incoming calls and initiate outgoing calls, providing support to providers, and employer groups by answering enrolment questions, resolving issues and educating callers.
Verify enrolment status, verify and update demographics and insurance information, make changes to records, research and resolve enrolment file rejections.
Data entry member demographic information. Add and or correct member eligibility Status Kelly Services/Palmetto GBA.
Palmetto GBA
Columbus, OH Oct 2008 - Oct 2010
Appeals Specialist
Process and review Medicare provider claim appeals and reconsiderations by reviewing corporate medical policies, contract provisions, and legislative requirements.
Research Medicare claim history for deferrals, rejects, denials and benefit issues.
Prepare communication to Medicare providers acknowledging receipt of the request and final appeal determinations.
Maintain accurate online tracking of cases and meet standards in a timely fashion.
Perform other duties as assigned. Completed 90day contract with temporary agency March 06, 2009and was permanently hired on March 9, 2009.
Aetna
New Albany, OH Jan 2005 – Aug 2008
Customer Service Consultant
Claim processing of Preferred Provider Organization (PPO), Indemnity, Health
Reimbursement Account (HRA) and Health Savings Accounts plan types according to plan sponsor contracts.
Answer questions and resolves issues based on phone calls from members, providers and plan sponsors.
Process claims referrals, new claim handoffs, nurse reviews, complaints, grievance and appeals.
Perform review of member claim history to ensure accurate claim tracking of benefit maximums and coinsurance/deductibles.
Perform financial data maintenance.
Data entry of claim information for submission for adjudication.
Physicians House Call
Columbus, OH Jun 2004 - Jan 2005
Medical Assistant
Assist physician with patient care, provided quality customer service to patients, specimen collection and processing.
Ensure encounter forms were completed to obtain appropriate claim reimbursement.
Patient registration functions-Verify, and update demographics and insurance information, collect co-pays.
Schedule, cancel, re-schedule patient's appointments and enter no-show information into scheduling system.
Perform basic eligibility, co-pays and preauthorization requirements for specific coverage.
Establish and maintain medical charts as well as administrative records.
Process claims- medical billing, complete HCFA 1500, and ensure billing information complete,ICD-9, CPT codes.
Laboratory Corporations of America Columbus, OH Jul 2003 - Jun 2004
Patient Service Technician
Patient registration/Data Entry functions- Verify, and update demographics and insurance information, collect copays.
Perform test requisition entry, verify ICD-9 codes, greet and direct patients through the lab and gathered complete patient information necessary to complete the registration and accessioning of all procedures done in the area.
Ensured accuracy of results and Quality Control by maintaining equipment and instruments.
Follow policy for chain of custody record keeping for pre-employment/chain of custody urine collections.
Mount Carmel Health Systems
Columbus, OH Jun 2002 - Apr 2003
Phlebotomist
Patient registration/Data Entry functions- verify and update demographics and insurance verification.
Place patient orders, verify correct CPT code and ICD-9 code on lab order form, and collect and label specimens utilizing positive patient identification.
Process and prepare specimens for transport as needed.
Produced report for faxing and delivery as needed and communicated appropriate information to the health team.
Police and Fire Pension Fund
Columbus, OH Mar 2001 - Sep 2001
Data Entry Specialist
Checked data from completed payroll spreadsheets for accuracy and completeness and entered into PeopleSoft database for benefit calculations.
Reviewed audit reports and resolved error to ensure integrity of data.
Perform numeric and alphanumeric data entry functions.
Vision Service Plan (VSP)
Columbus, OH Sep 2000 - Mar 2001
Customer Service Representative
Effectively and efficiently responded to telephone inquiries ranging from routine to
complex situations from members, doctors, and clients regarding employer vision plan.
provided provider authorizations for vision services.
Maintained quality customer care, and performance-based productivity.
GAPS IN EMPLOYMENT
Jun 2020- December 2023
Disability
Mar 2017- Apr 2020
Waiting for disability approval
Contact this candidate