Data Entry Administrative Support

**** ******** ****** **** 510-***-****

Oakland, CA 94605 Email: *************@*****.***

LUZ ASCENCIO

Objective Procure an administrative support position that allows me to utilize my enthusiasm for being part of a team.

Professional

12/4/2023 to 4/5/24 QA Analyst - EHR Software Lincoln Families

Ensure that all documentation is complete. Accurate through and compliant.

Transcribe information from the original source into an electronic system efficient and

acurately.

Performs data entry into a Electronic Health Record database (smart care).

Check documents into date base.

Keeps sensitive client and company information confidential.

Experience: 02/20/23 to 04/28/23 Alameda Health System & Substance Abuse

Act in an appropriate and professional manner as defined by the company’s Standards of Behavior, Policy and Procedures, and Scope of Services.

Adaptation to stress.

Analysis and problem solving.

Computer skills; knowledge of standard programs mandatory; PowerPoint/ Excel helpful.

Decision making.

Interpersonal sensitivity.

Modern office practices and procedures including business correspondence, filing, and standard office equipment operation.

Planning and organization. Role model AHS Standards of Behavior.

Work congenially and professionally with personnel and medical staff.

Written and verbal communication skills.

Experience:05/06/2021 to 07/23/2021Davis Street Community Center

Eligibility Clerk

Responsible for contacting insurance companies and navigating payer websites to obtain accurate status information of outstanding claims and inputs accurate information into the computer billing system.

Responsible for having working knowledge of payer eligibility and benefits verification/billing guidelines. Has complete understanding and working knowledge of navigating payer websites.

Assisting in identifying and resolving payer trends and issues related to eligibility denials and rejections.

Participates in outreach community events to engage and enroll patients in Health Pac

Assist in the clinic reception desk by completing patient registration, check in appointments, making follow-up appointments, and other duties as assigned.

Researches insurance eligibility via website or by calling the insurance company, patient, or hospital in order to resolve eligibility denials/rejections in a timely and accurate manner.

Maintains thorough and detailed knowledge of various insurance contracts and eligibility denials and follow up guidelines.

Maintains confidentiality in accordance with HIPAA

Correct and repost claims as requested by billing department with correct patient information.

Maintains good working knowledge of the contract tables and PPS Rate plans.

Responsible for submitting corrected claims to appropriate payers in a timely manner if needed.

Responsible for all daily productivity reporting requirements.

Maintains and exceeds department standards for productivity and quality

Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and other payers.

Maintains ongoing knowledge of Health Resources Services Administrative (HRSA) and other mandatory state billing forms and filling and follow up requirements and ensures compliance and adherence to guidelines.

Continually seeks to understand and act upon employer/customer needs, concerns, and priorities. Meets employer/customer expectations and requirements, and gains employer/customer trust and respect.

Assist patients in the enrollment of local, state, and federal programs.

Performs day-to-day administrative functions and general office duties

Performs EHR/ECW data entry duties.

Other duties as assigned

Professional

Experience: 9/23/2019 to 11/08/19 San Francisco Health Service System

Benefit Technician (Health and Welfare)

Providing general information to City employer regarding benefits; communicating with employees and representatives from various

departments and outside agencies; researching and reconciling records and accounts.

Making adjustments and performing database maintenance; reviewing, completing and processing a variety of membership forms; performing various calculations; completing standard form letters; and maintaining reports, logs and records.

Providing general information to City employer regarding benefits; communicating with employees and representatives from various Track all open issues until resolved and thoroughly documented in appropriate

system of record.

Make adjustments, create updates, input and maintain information into HRMS/PeopleSoft.

Review and process vendor eligibility reporting within departmental time and accuracy standards.

Calculate, compile and process member premium balances including adjustments and payment intake using PeopleSoft benefits enrollment and specialized payment authorization software.

Complete standard form letters and maintain reports, logs, and records.

Prepare routine correspondence to respond to employees’/members’ requests. Requests additional information and documentation when needed.

Respond to routine employer, departmental or vendor inquiries.

Other duties as assigned.

Professional

Experience: 06/06/2015 to 3/29/16The Men’s Warehouse (Tailored Brands)

Benefits Specialist (Health and Welfare, leave Plans and Retirements Plan)

The Benefit Specialist administers and communicates the Company, benefits (health and welfare) in regards to plan options, policy features, enrollment and regulatory requirements

Maintain a current “specialist” level understanding of Company’s benefit plans and trends, program offerings and regulatory benefit requirements.

Provides guidance to Company’s multi state employees, acting as a liaison between third party benefit vendors and employee and advise employee on eligibility, coverage and other benefits matters in a clear and concise manner, Assistance to employee and/or dependents in resolving escalated benefit or claim payment issues or corrections to benefit plans or enrollment.

Process Life Status Changes for employee with changes during the year

Assist with annual Open enrollment and ongoing enrollment activity

Respond in a timely manner to employee questions regarding health coverage via telephone and/or e-mail

Authorize and process employee premium adjustments

Interpret and apply health care regulation including ERISA, HIPPA and Cobra

Support Benefits Team Colleagues in call center and e-mail in box

Produce and validate worksheets for eligible participants

LOA health premium collection

401k employee stock purchase plan

People Software

Professional

Experience: 06/09/2000 Through: 12/31/2010Alameda County Medical Center

Benefits Technician (Health and Welfare benefits/Human Resources

Department) Highland Hospital -Human Resource, Oakland, CA

Provide benefits program counseling services to new and existing employees also provide high levels of customer service through new hire orientation on current benefits offered by ACMC including: medical, dental, cobra flexible spending accounts, deferred compensation, life insurance, disability and retirement plans.

Interact on a day to day basis with other employee benefits team members to insure the consistent and timely flow of work. Develop and maintain excellent working relations with all members of Human Resource to support compliance and deliver high levels of service to ACMC and its employees.

Provide support (training and information) to employees during new hire orientation, open enrollment, develop and conduct classification/compensation surveys.

Maintain employee benefit data in HRIS System. Maintain strict confidentiality with respect to any and all employee information or manager action. Participate on teams, committees and projects.

Assist the Employee Benefits Manager or other staff in the gathering and assembly of information for training and/or presentation purposes. Support training as needed.

Process unforeseen emergency withdrawal applications and draw a valid conclusion regarding benefits approval or denial to pay out member's account balance.

Knowledge on all MOU's and payroll coding provided by ACMC and HR policies in order to perform my assigned duties.

Update employee benefits biweekly pro-ration for monthly premium rates. Implementation, resolve discrepancies and notify assistant payroll manager for approval.

Assist as one of the primary interface with the vendors to ensure the maintenance of database record. Keep current with and interpret various group insurance plans, law rules and regulations from ERISA.

Previously worked as a Specialist Clerk for licensing and employment verification, processed payroll and audited special reports for OSHA.

Basic Life Insurance: processing the death claims once the employee passes away, our responsibility if the employee carrier life insurance and find who’s the beneficiary to start to process the claims and submit to the company.

ACERA: knowledge the retirement plan and who qualified and provide information and forms in house when the employee required.

Deferred Compensation: 475k plan knowledge and provide information payroll modification, Catch-up, rollover, transfer to another retirement 401k, IRA, ACERA or Emergency withdraw, Direct Rollover/Trustee of Trustee Transfer from ACERA. This is closely monitored by ACMC administered; Benefits department. Any updates, changes or modifications come from the Auditor’s office.

Management Benefit: Flexible Spending Account, Cafeteria Dollars, Health Care Spending Account, Dependent Day Care Spending Account, Supplemental Life Insurance AD&D spouse/Domestic Partner Life Insurance.

Child Support Court Order: Update coverage to add dependent(s) stipulated by court order, filling out documents and notify to the vendors to add dependent(s) and notified the union and the employee.

Education: Epic System ( 2020}

ADP/Horizon (certification) CSS Horizon HR/Benefits/Payroll/Report Smith, SF, CA

(2001-2002).

San Leandro Adult School, San Leandro, CA

Accounting I

(2014-2014)

Adult School, Hayward, CA (1991-2000)

Medical Administrator Certificate

Secretary/clerk Certificate

Data Entry Certificate

Medical Billing Coding Certificate

Medical Terminology I, II & III

Bilingual Spanish

Chabot College, Hayward (1990-1991)

Business Administration classes

Tennyson High School (1982-1985)

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