Customer Service Data Entry

Location:

Posted:

August 24, 2024

Gaudy Franco

******@*****.***

SUMMARY

I have more than 8 years of experience in healthcare and 15 in customer service. EXPERIENCE

Intake Coordinator, Appeals & Grievances Department 06/2011 – Present Healthfirst New York, NY

Create events in A&G system platform for each issue received.

Categorize events in A&G platform in order to facilitate triage of work to other downstream A&G departments.

Makes critical decisions to classify member and provider complaints/appeals based on line of business and appeal rights.

Finalize all new work and disposition any and all documents that are pending on each business day as required.

Identify and escalate priority and expedited issues to management. Billing Clerk 05/2006 – 06/2011

Video Monitoring Services New York, NY

Sent clients invoices with special procedures using Great Plains data entry system.

Applied account numbers (coding) and manually priced client’s orders.

Ensured VMS services, discounts, pricing and terms were appropriately invoiced according to rate cards and monthly invoicing procedures.

Sales Associate 08/2004 – 05/2006

Brooks Brothers New York, NY

Understood and demonstrated product knowledge, selling and operational skills to maximize sales.

Engaged customers to the advantages of opening and utilizing the Brooks Brothers credit card.

Assisted in maintaining a clean, neat and organized store environment. Receptionist 02/2004 - 08/2004

Hiro Haraguchi Hair Salon New York, NY

Worked in client relations, greeting and assisting clients with their needs.

Booked appointments for clients while managing multiple hairdressers’ schedules.

Handled money transactions and ensured register and receipts were balanced at close of business. SKILLS

Languages

Spanish

Computer

Microsoft Office (Word, Excel, Outlook), Macess, CareEnhance Clinical Management Software (CCMS), MHS, OnContact, Interaction Desktop (IVR), TruCare

EDUCATION

Manhattan Institute

New York, NY

Certificate in Coding and Medical Billing

06/2004 – 07/2004

Monroe College

Bronx, NY

Majored in Hotel and Restaurant Management

09/1997 – 01/2000