Customer Service Data Entry

Desiree Valdez

916-***-**** *******.********@*****.***

Customer service professional with CNA experience, organized, detail-oriented and hardworking; offering over 4 years of customer service experience.

Excellent skills in written and oral communication, attention to detail and accuracy, organization, prioritizing, and multitasking.

Strong ability to work well individually, under minimal supervision, or in a team structure.

SKILLS SUMMARY

Type 50 WPM

Medical Terminology

MS Office Suite

Patient Care and Safety

Excellent Customer Service

Patient Advocacy and Support

Multi-lines phones/ACD

Privacy/ HIPAA Regulation

Data entry

Claims examination

KEY ACCOMPLISHMENTS

Improved time management, and increased productivity.

Earned positive feedback from members in all categories including communication skills, listening skills, problem resolution, and politeness.

PROFESSIONAL EXPERIENCE

WellSpace Health, Sacramento, CA 02/2021 – Current

Patient Services Representative

Support patients by arranging medical appointments, and ensuring that WSH patients were matched with a primary care physician under their insurance plan.

Handle new patient registrations by inputting demographic information into our Electronic Health Record system and proactively reaching out to patients regarding any eligibility issues.

Monitor referral and authorization statuses along with performing other assigned tasks.

Health Net Corp (Aerotek), Sacramento, CA 11/2019 – 08/2020

Customer Service Representative

Answered incoming calls.

Responsible for handling customer service questions and issues.

Processed transactions, such as referrals, authorizations, etc.

Researched and responded to inquiries from beneficiaries and providers, such as benefits, claims, eligibility concerns, authorizations, etc.

Addressed changes, ID card replacements, RAOC status calls and data entry, and updated provider demographics/files, etc.

Wrote responses to inquiries.

Collected and tracked data regarding escalations so trends and issues could be identified or analyzed.

Health Net Federal, Sacramento, CA 09/2019-10/2019

VA Claims Examiner

Entered claim payments, reserved and new claims on a computer system, and inputted concise yet sufficient file documentation.

Resolved complex, severe exposure claims, using high service-oriented file handling.

Maintained claim files, such as records of settled claims and inventory claims requiring analysis.

Reported overpayments, underpayments and other irregularities.

Maximus Health Services, Sacramento, CA 07/2018 – 8/2019

Customer Service Representative

Handled a high volume of incoming calls from members and providers in a fast-paced environment.

Quoted medical, dental, and vision benefits and advised of any cost-shares, including copayments, deductibles, and coinsurance.

Educated members on how to access their online portals by resetting passwords and or creating access.

Assisted with troubleshooting issues.

Assisted members with Medicare and Medicaid enrollment.

Craig Cares, Sacramento, CA 03/2015 - 06/2018

Certified Nursing Assistant

Preserved patient dignity and minimized discomfort while carrying out duties such as bedpan changes, diapering, emptying drainage bags and bathing.

Provided high-quality patient care as in demand.

Displayed strong clinical skills in assessing vital signs and performing glucose checks, complied with HIPAA standards.

EDUCATION

Certified Nursing Assistant

Sacramento Job Corps Sacramento, CA

Penn Foster High School

Sacramento, CA

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