Customer Service Administrative Assistant
Resume:
Elizabeth Simeon
Lexington, SC 29072
**********@*****.***
ADMINISTRATIVE ASSISTANT / CUSTOMER SERVICE /CLERK Accurate, thorough, and persistent individual seeking a position in your organization where I can offer exceptional communication, secretarial, and problem solving skills to bring a remarkable change in the overall efficiency of the office.
• Over 15years varied and increasingly responsible experience in customer service.
• Highly skilled in greeting customers and answering phone calls.
• Proven ability to handle multiple, competing priorities in an effective manner.
• Thorough knowledge of written English and Spanish; grammar, spelling, vocabulary and punctuation.
SPECIAL SKILLS
● Customer service ● Record maintenance ● Transcribing dictation
● Office procedures ● Events coordination ● Typing proficiency
● Correspondence handling ● Computer skills ● Confidentiality
● Multicultural interaction ● Office procedures ● Supplies management TECHNICAL EXPERTISE
Office Equipment:Fax machines, photocopiers, general office equipment Computer:Spreadsheets, word processing, typing speed: 60 WPM MS Office:Word, Excel and PowerPoint
PROFESSIONAL EXPERIENCE
Utilization Management Tech. and Care Coordinator - Prestige Health Choice, Miami, FL 08/2013 - 09/2018
● Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles.
● Worked with hospitals and the clinical team, including managing incoming calls, managing requests for services from providers/members, providing information on available network services.
● Administrative intake of members or managing the admission/discharge information post-notification.
● Verified eligibility and benefits for each referral and accurately documents into computer system.
● Processed electronic referrals in Queues and generated authorizations.
● Accurately uses database for daily documentation of information required for denial letters for patients whose benefits do not cover requested services
● Obtained complete clinical information from providers as required for decision making.
● Maintained Health Plan turnaround time requirements and standards for referrals/authorizations.
Scheduling Coordinator at a Call Center - Baptists Health System, Miami, FL 09/2008 -08/2013
● Call Center responsible for scheduling all outpatient diagnostic procedures for the three Baptist Health campuses, South, East and Homestead.
● Vital functions included timely response to incoming scheduling calls from physicians and patients.
● Data gathering and entry in the computer systems.
● Posted and assigned appointments to appropriate departments; relaying date, time, and prep to the physician or patient accurately; and maintaining appointment grids in the scheduling system /pre-registration, scheduling, payer identification and verification, referral to financial counseling, and point of service collections. Administrative Assistant and Accounts Receivable -United Graphic Management, Miami, FL 05/2000-06/2008
● Reconciliation of accounts receivable activities.
● Customer Service and handle high volume of calls.
● Coordinates customer complaints and feedback in database.
● Coordinates client entries, order entries, accounts payable, and account clean up for account receivable customers.
● Responsible for customer credit and collection activities.
● Clerical responsibilities.
● Liaison between vendors and customers.
Certifications and Education
● Certified in Export and Import at Miami Dade College, 1995
● Miami Killian High School Diploma, 1985
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