Data Entry Service Representative

Latricia W. Robinson

****- **** ***. **. **. Petersburg, FL. 33712

Home 727-***-**** Cell 727-***-****

E-mail: *************@*****.***

Summary of Qualifications

Exceptional organization, multi-tasking, administrative and clerical skills.

Self-motivated, fast learner and a team player.

Strong communication skills, both written and verbal.

Excellent customer service skills with an ability to resolve issues quickly.

Strong data entry skills – Data Prep Certificate/Administration.

Experience with ACDT/ADT phone system.

Strong computer skills including Excel, Word, Outlook, PowerPoint, Oracle and Oasis.

Professional Experience

Department of Veterans Affairs-Veterans Affairs, Veterans Health Administration

1/2019 - present

Advance Medical Support Assistant

Perform scheduling, canceling, re-scheduling of patient appointments and or consults; entering no-show information; arrange appointments so that they do not conflict with other imaging areas.

Work independently to ensure clinic setup is closely monitored, coordinates patient exams and constantly prioritizes workflow on assigned sections while requiring minimal supervision.

Develop and maintain effective and efficient communication with the patients, staff, VA and non-VA medical centers.

Working knowledge of the Vista Scheduling Enhancement (VSE), VISTA Appointment Management (AM), Radiology/Nuclear Medicine Software package, and CPRS.

Utilizes advanced knowledge of policies and procedures with operational activities to ensure effective patient flow, patient care.

Pinellas County -Health and Human Services Department

8/2013 - 1/2019

Case Manager

Process client information to determine eligibility for medical services.

Daily dissemination of information using the CHEDAS system, APPX and other county data base systems to verify Utilization Management, Mobile Medical and PCHP Full programs and services of various County agencies.

Handle various projects to resolve and ensure client data is accurate and updated.

Encoding data, data entry and retrieval from outside providers or vendors, process and renew applications and assist with various patient accounts.

Answer inbound telephone calls and perform various routine administrative and clerical duties

Florida Department of STATE -Pinellas County Program Utilization Management Department

11/09/2012 – 8/2013

Senior Clerk

Review claims, vouchers, invoices, and other requests for payment of healthcare services to ensure all necessary information is present for payments or reimbursements.

Analyzes claims, vouchers, invoices to prevent over payments or fraud.

Interpret rules, regulations, and laws regarding treatment and eligibility.

Knowledge of medical terminology to approve or deny claims, invoices, etc. from providers.

Determines missing requirements and reconstruct incomplete files for completion of claims, etc.

Account research and reconciliation on problematic payments, track and record claims and billings.

Pinellas County -Health and Human Services Department

6/4/2012 - 11/08/2012

Special Projects Assistant

Receive inbound calls from providers to clarify eligibility for the County’s medical service

Provide dissemination of information using various data base systems

Process and manage incoming and outgoing 1500 claims from various providers and doctors.

Review and ensure complete information, verify coverage so that medical claims can be

processed and billed correctly.

Knowledge of medical terminology to approve or deny claims from providers.

Encoding data, data entry and retrieval from outside providers or vendors, processed and renewed applications and assisted with various patients’ accounts.

Perform routine administrative and clerical duties directly and scan documents.

Account research and reconciliation on problematic payments, along with tracking and recording

claims and billings.

Randstad Staffing Pinellas County- Health and Human Services (FHP) and EMS Services

3/2011 - 5/11/2012 (Job Assignment Ended)

Office Support Specialist

Provide information to the general public by walk-ins, the telephone, or by other forms of

communication about the Family Homelessness Program (FHP).

Receive, sorted FHP paperwork, filing and performed various office duties.

Operate computer and office equipment to provide information, resolve routine problems and complaints via incoming information or communication and also distributed correspondence to the appropriate case managers.

Encode data, data entry and retrieval, kept records and maintained client files.

Kept appointment calendars, schedule appointments, mailed client packets, research and assemble information for management staff.

Randstad Staffing General Election –Supervisor of Elections Call Center

10/26/2010 thru 11/02/2010 (Job Assignment Ended)

Customer Service Representative

Receive inbound calls from voters to assist with finding their correct precinct, such as address and directions.

Assist poll workers with local address changes, with out-of-county address changes, and help determine a voter’s eligibility to vote.

Route voter and precinct calls to the appropriate department concerning outstanding voting issues.

Randstad Staffing Pinellas County- Health and Human Services (HPRP)

6/29/2010 - 10/8/2010 (Job Assignment Ended)

Office Support Specialist

Provide information, assist and service the general public, employees, and others in person, by telephone, or by other forms of communication.

Assist in the dissemination of information, programs and services of various County agencies.

Operate computer and office equipment to provide information, resolve routine problems and complaints.

Encoding data, data entry and retrieval, and routine computer operations.

Perform routine administrative and clerical duties.

Pinellas County School System

8/2007- 3/2011

ESE Associate

Happy Workers Children's Center

1/2007-8/2007

Pre-Kindergarten Teacher

Wakely and Associates

2006-2007

Claims Customer Service Representative

Received inbound inquiry calls from providers and policyholders related to policy benefits and claim inquiries.

Related Medicare mandated regulation policy and procedures through verbal communication to other interested parties.

Reviewed claims to prevent over payments or fraud.

Interpreted rules, regulations, and laws regarding treatment and eligibility.

Verified claims for payments or reimbursements.

Account research and reconciliation on problematic payments.

Track and record daily claim billings via Microsoft Excel.

Bank of America

2005-2006

Electronic Claims Service Representative

Received inbound calls or inquiries from bank customers related to loss of funds and banking financial data which may incur a claim report be filed.

Transferred money on accounts through advancements, post money to client accounts and process other endorsements.

Education:

Pinellas Park High School

Largo, Florida

June 1991 Diploma

St. Petersburg College

St. Petersburg, Florida

December 2004 AA Degree

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