Data Entry, Computer Skills, Customer Service
Resume:
JACKLYN
ACOSTA
ad5y8s@r.postjobfree.com
El Paso, Tx 79938
PROFESSIONAL SUMMARY
Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
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Passionate Interpreter offering superior language experience to bridge communication gaps for better understanding and productivity. Employs empathic, mindful approach to avoid potential conflicts caused by lack of cultural knowledge. Operates well in both online and in-person scenarios, facilitating conversations despite scheduling issues or geographical limitations.
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Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
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Efficient and precise with commitment to finishing jobs quickly and accurately. Proven to work closely with coworkers for effective data management. Skilled in document digitization, office modernization and data organization for enhanced productivity.
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Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach.
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CVS Aetna - Claim Benefit Specialist
El Paso, TX • 02/2022 - Current
LanguageLine - Interpreter
El Paso, TX • 05/2021 - 03/2022
WORK HISTORY
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
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Reduced claim resolution time with thorough investigation and prompt communication with involved parties.
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Improved customer satisfaction by providing timely and accurate benefit information to policyholders.
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Ensured compliance with industry regulations, conducting regular audits of claim files and documentation.
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Managed high-volume caseloads, prioritizing cases based on urgency and complexity to achieve optimal results.
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Coordinated with other insurance carriers to resolve overlapping coverage disputes efficiently and fairly for all involved parties.
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Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
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Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
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• Enhanced communication between clients and non-English speakers SKILLS
• Filing
• MS Office
• Excel
• Powerpoint
• Outlook
• Organizational Skills
• Scheduling
• Computer Literate
• Communication & Verbal Skills
• Customer Service
• Time Management
• Responsible
• Go Getter
• Bilingual
• Insurance Knowledge
• Computer Literacy
• Attention to Detail
• Problem Solving
• Empathy and Compassion
• Active Listening
• Decision Making
• Critical Thinking
• Conflict Resolution
• Regulatory Compliance
• Data Entry Proficiency
• Professionalism
• Teamwork Abilities
• Claims Processing
• Microsoft Office Suite
• Medical Terminology
• Documentation Review
• Claims
• Data Entry
• Insurance Claim Forms Review
• Eligibility Determination
• Claim Amount Calculations
• Coverage Determination
• Prior Authorization Processing
• Information Verification
• Skilled in [Software]
• Understanding of Medical Terms
• Documentation Skills
• Denied Claims Identification
• Microsoft Office
• Insurance Coverage Verification
• Appointment Scheduling
• Organizing and Prioritizing Work
• Data Entry Software
Milan Institute of Cosmetology
05/2012
Cosmetology
Montwood High School
05/2008
High School Diploma
EDUCATION
Miracle Ear - Office Manager
El Paso, TX • 06/2018 - 03/2021
American Arch home health care llc - Front Office assistant 08/2017 - 06/2019
Cuture Salon - Salon Owner/Operator
El Paso, TX • 01/2014 - 10/2018
by providing accurate translations in real-time conversations. Streamlined business negotiations by offering precise interpretation services for international partners.
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Supported legal proceedings by delivering accurate courtroom interpretations, ensuring fair representation for all parties involved.
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Improved patient outcomes in healthcare settings by facilitating clear communication between medical professionals and non-English speaking patients.
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Assisted in the successful completion of various business projects by providing language support during meetings and presentations.
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Enabled timely delivery of services to non-English speaking customers by translating written documents accurately and efficiently.
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Streamlined office operations by implementing efficient filing systems and organizational strategies.
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Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
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Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
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Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
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Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
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Improved employee retention rates by fostering a positive work environment and providing growth opportunities through training programs.
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Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
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Assisting Walk ins, Insurance Eligibility, EVV Vesta Data System, Faxes, Supervisory Visits, Front Desk Tasks, Care Provider Supervisor, Customer Service, Answering Multi Line Phone Calls, Transferring Calls, Filing, Assisting Director, Data Entry, Assisting Clients, Scheduling, Paying Invoices, HIPAA, Hiring Providers, Contacting the state for medical forms
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Enhanced client satisfaction by offering personalized hair and beauty services tailored to individual preferences.
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Increased customer retention through exceptional service and consistent follow-up communication.
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Managed salon operations efficiently, ensuring smooth day-to-day functioning and top-quality customer experiences.
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Implemented targeted marketing strategies that attracted new clients and increased overall revenue.
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Developed strong relationships with vendors, negotiating favorable pricing for salon products and supplies.
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• Consistently maintained a clean, organized, and welcoming environment for clients and staff members alike.
Fostered a collaborative team atmosphere by regularly holding staff meetings and encouraging open communication among employees.
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Coached employees on best practices in hair styling, coloring techniques, and other beauty treatments for professional growth.
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Optimized scheduling procedures to maximize appointment efficiency while accommodating client needs and minimizing wait times.
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Recruited talented stylists and support staff to maintain a high level of expertise within the salon team.
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Ensured compliance with state regulations regarding licensing, sanitation procedures, and workplace safety guidelines.
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Introduced loyalty programs to incentivize repeat business from satisfied customers.
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Boosted employee morale through regular performance reviews, constructive feedback, and opportunities for professional development.
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Maintained accurate financial records by tracking expenses, managing budgets, and analyzing sales data for informed decision- making purposes.
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Streamlined inventory management processes to ensure timely ordering of necessary supplies while minimizing waste.
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Collaborated with local businesses on cross-promotional events that enhanced community engagement.
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Launched successful social media campaigns that increased brand visibility online while driving traffic to the salon.
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Conducted regular competitor analysis to stay ahead of market trends as well as continually refining services offered in response.
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Implemented a reward system for employee performance, motivating staff to continually strive for excellence.
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Kept all building areas and equipment functional and well-organized to promote business performance.
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Learned and remained updated on statutory requirements and regulations.
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Consulted with customers to assess needs and propose optimal solutions.
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Oversaw business budget planning and administration, accounting functions, purchasing, and bi-weekly payroll to handle financial needs.
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Provided financial management through preparation of bank deposits and settlement of sales, returns, and transaction reports.
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Trained and motivated employees to perform daily business functions.
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Put together realistic budgets based upon costs and fees for successfully operating business.
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Prepared bank deposits and handled business sales, returns and transaction reports.
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Organized and attended trade shows and special events to showcase products, network with other businesses and attract new customers.
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Adhered to regulatory and policy changes and made necessary adjustments to maintain overall success.
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Introduced new methods, practices, and systems to reduce turnaround time.
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Conducted audit inspections and independent checks to verify parts and materials.
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English
Native or Bilingual
Spanish
Native or Bilingual
LANGUAGES
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