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Claims Examiner Data Entry

Location:
Chula Vista, CA
Posted:
January 10, 2022

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Resume:

YOLANDA T. HERNANDEZ

**** ******** *** *** *****, CA 92113

619-***-****

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

Skills Summary

Bilingual in English and Spanish (read, write, speak)

Communicate effectively both orally and in written form

Typing (50+ words per minute)

10-Key 13,000+ kph

Proficient with Microsoft Office (Word, Excel, PowerPoint)

Ability to maintain job performance under stress

Education

Bachelor in Secretarial Bookkeeping

Kelsey Jenney College (1976-1980)

Experience

Ilink Business Management

Dispatcher Scheduler May 2018- Sept- 2019

Daily reports and clerical duties, review route performances and respond to customer inquiries needs, sell bus passes, act as a liaison between the carrier and emergency services, and cash balancing. Contract with agency finished and I was a direct hire for El Corre Caminos on 02/07-2020; due to COVID- 19 no longer employed.

The Lawton Group

Data Entry Processor/Cashier August 2014- 2016

-Answer customers’ questions about merchandise and advice customers as needed. Operate cash register including cash transactions, checks, charges, coupons, etc. Provide customers with efficient and friendly checkout services. San Diego City College temporary position.

-Handle confidential information with sensitivity and discretion in accordance with Data Privacy laws and company data security requirements. Input data into Viejas Casino operating system. Temporary job at Viejas Casino.

Kobey’s Swap Meet

Sales May 2007- May 2014

-Loading and unloading merchandise, sorting, cash handling, inventory,

American Specialty Health

Claims Examiner November 2001- February 2013

-Processing incoming claims using the Integrated Health Care System (IHIS) for entering data from the claim, the Optical Character Recognition (OCR) program which automates data extraction from paper claims, & lastly, the ASHCore which is used to verify and/or confirm member information and look up eligibility logs.

-Accurate review, input and adjudication of claims in accordance with regulations and ensuring timely handling of these processes while making quality a priority.

References

Personal & professional references upon request



Contact this candidate