Data Entry Specialist
Resume:
Cynthia Bolton
********@*****.***
Henderson, Nevada 89052
SUMMARY
Well versed in health care management, data entry, outpatient and inpatient management, care management, risk management, revenue cycle, patient billing, insurance, eligibility, appeals, verification and authorization, resource management, and proficiency with KPI reporting.
Capable of working with tight deadlines, attention to detail, and customer service oriented.
SKILLS
Human Resources Administration
Referral & Scheduling
Microsoft Office Suite and QuickBooks proficient
File Management
Administrative and clerical support
Employee Onboarding
Clinical review
Data Entry
Reporting
Verbal and Written Communication
Customer service
Public and private insurance
Problem Solving
Organizational Skills
Bookkeeping
PROFESSIONAL EXPERIENCE
BC FORWARD
ANTHEMS BROKER REP SERVICES 8/24/2022 PRESENT
Maintain average handle time and after call work while providing quality service
reponsible for testing and implementating the member dashboard for the broker services center
Handle all elevated tickets for on exchange plans including responding within set turnaround times per department guildlines
Assist broker service representatives with their questions and concerns
Assist with demographic policy and renewals
Multiple calls from agents and member regarding updated policy and termination.
Assisting with updated policies and denials
Clark County Assessor Project 05/30/2022-8/22/2022
Tax cap form for 3%
Addressing email for homeowner
CVS documentation
Downloading forms attachments
Verifications
Parcel number, address verification
Amazon 05/15/2022-08/15/2022
FC Associate 1 SNV1
Stowing products that customers have order into the bins
Scanning, individual items, dropping empty tots, and stowing boxed items
Dispatching
Link Technologies
Clark County Election & Administrator 07/25/2022
Correcting ballot for signatures, addresses
Fraudulent signature
Sending ballot back to voters for correction
Entering data entry for primary & secondary
Assisted with on-boarding process, filing documents, creating badges, and posting jobs positions.
Express Employment – Stockton, CA 04/2021 – 05/2021
Customer Service Specialist
Performed general clerical duties including, bookkeeping, filing, data entry, answering phones, documentation, emailing, schedule appointments, conducting group interviews, preparing reports using Microsoft Excel, constructing memos using Microsoft word.
Assisted with interviewing process.
AppleOne Agency– Remote 07/2020 – 09/2020
Benefits Administrator
Verified benefits, active insurances policies, Medicare eligibility, referrals, clinical, and PCP referrals.
Performed clerical duties such as: data entry, outbound and inbound phone calls, data collection from patients, preparing prescription forms, and clinical review.
Assisted with ordering supplies for Human Resources office.
Performed codes such as ICD-10, DX codes, generated RX, RX cases, CPCS, ICD9.
Educated medical providers and clinical personnel to use appropriate coding.
Assisted with on-boarding process, filing documents, creating badges, and posting jobs positions.
Contacted positive or negative people for COVID-19, process documentation, making sure people are being isolated or quarantine, sending out Orders, giving out clearance letters to return to work.
Documented names and contact information of all individuals who have had contact with a COVID-19 patient.
Assisted with clerical tasks including, verified insurance policies, called providers to confirm eligibility, conducted online interviews.
Assisted with onboarding of Contact Tracer new hires by assisting candidates with I-9 and W-4 documents, scanned and filed documents, conducted group interviews, and data entry.
Raider Transportation LLC – Remote 05/2021 – 07/2021
Recruiter
Reviewed applications and resumes.
Screened and tested applicants and responded to applicants’ inquiries.
Scheduled and conducted interviews by calling candidates, confirming dates and times for interviews, and followed up with department leaders for results of interview. Made 150 calls a day and maintained contact with drivers every other day to make sure they remain connected with assigned truck company.
Assisted with onboarding process by managing the candidates’ documentation. I-9, orientation training, drug screening.
Assisted with additional tasks consisting of bookkeeping and other administrative tasks.
Assisted with clerical tasks including, verified insurance policies, called providers to confirm eligibility, conducted online interviews.
Assisted with onboarding of Contact Tracer new hires by assisting candidates with I-9 and W-4 documents, scanned and filed documents, conducted group interviews, and data entry.
Verified benefits, active insurances policies, Medicare eligibility, referrals, clinical, and PCP referrals.
Performed clerical duties such as: data entry, outbound and inbound phone calls, data collection from patients, preparing prescription forms, and clinical review.
Assisted with ordering supplies for Human Resources office.
Performed codes such as ICD-10, DX codes, generated RX, RX cases, CPCS, ICD9.
Educated medical providers and clinical personnel to use appropriate coding.
Amazon – Stockton, CA 04/2019 – 12/2020
Human Resources Assistant
Supported associates and managers with routine and daily HR questions, needs, and inquiries.
Provided leadership development support to onsite Operations leaders.
Facilitated the internal recruitment process by coordinating internal job requisitions, scheduling interviews and administered the associate internal transfer portal.
Delta Protected Services – Stockton, CA 03/2019 – 10/2019
Human Resources Assistant and Dispatcher
Aided with onboarding process, scanned documentation, created badges, confirmed uniform sizes, filed documents, front desk support.
Appointed the point of contact for no call no show, call outs, and timecard collection.
Assisted with form completion, filing, and review to assure completeness and accuracy.
Utilized Microsoft Word and Excel to compose memos, reports, materials, spreadsheets, forms, and other documents as required.
Implemented and assured all security personnel were following all rules and regulations.
oMonitored the safety of security officers in the field.
Verified employment status of staff.
Waterfield Square Apt. and Pollo Run Apt. – Stockton, CA 08/2018 – 12/2018
Leasing Consultant
Performed general clerical duties including, answering phones, fulfilled quote inquiries, filed documents, addressed complaints, assisted with application process, onboarding, submitted work order for tenants, and verifying tenants’ employments.
Helped to ensure that recent on-market homes are clean and functioning.
oIdentified any areas of concern prior to showings, by inspecting the homes.
Conducted pre-move inspections and submitted service requests.
Confirmed all leases has been signed and all move-in payment has been collected.
Iron Mountain Gas Association – Stockton, CA 05/2018 – 08/2018
Data Entry Specialist
Performed general clerical duties including, bookkeeping, filing, data entry, answering phones, documentation, emailing, schedule appointments, conducting group interviews, preparing reports using Microsoft Excel, constructing memos using Microsoft word.
University of California, Davis 09/2017 – 12/2017
Appeals Specialist
Resolved denied insurance claims.eligibility
Researched and analyzed denial data to coordinate denial recovery responsibilities of the client.
Followed-up with patients to obtain additional information regarding their appeal or claim.
Generated an appeal or reconsiderations based on the dispute reasons and contract terms.
Utilized InterQual to follow denials worklist prioritization of invoices.
Performed necessary clerical tasks when required.
Dameron Hospital – Stockton, CA 03/2016 – 09/2017
Clinical Reviewer
Determined and confirmed member eligibility and benefits.
Researched and resolved written complaints submitted by consumers and providers.
Prioritized and organized tasks to meet compliance deadlines.
Provided prompt feedback to physicians and management regarding documentation issues and payer issues with non-covered or denied services.
Updated coding and payer guidelines for staff.
Maintained knowledge of authorization requirements for all payers, State and Federal regulatory guidelines for coverage and authorization.
University of California, LA 04/2015 – 02/2016
Revenue Cycle Specialist
Tracked refund requests and retraction requests, approved adjustment requests, and submit cash corrections for claims as needed.
Followed established department policies and procedures for credit balance resolution.
Identified root causes for credit balances and took appropriate steps to prevent future credit balances.
Reviewed credit balances for governmental and non-governmental payers to compare payments to expected revenue.
ST.Bernardino Medical center 1994-2004
Insurance
Inpatient vs Outpatient
Eligibility, appeals
Employee workers compensation
Management care
Performed codes such as ICD-10, DX codes, generated RX, RX cases, CPCS, ICD9.
Educated medical providers and clinical personnel to use appropriate coding.
Assisted with on-boarding process, filing documents, creating badges, and posting jobs positions.
Posting payments for MRI
NDC
Contractor for physicians,
Correspondences
transfer to St. Rose Dominican pkwy
Verified benefits, active insurances policies, Medicare eligibility, referrals, clinical, and PCP referrals.
Performed clerical duties such as: data entry, outbound and inbound phone calls, data collection from patients, preparing prescription forms, and clinical review.
Assisted with ordering supplies for Human Resources office.
Performed codes such as ICD-10, DX codes, generated RX, RX cases, CPCS, ICD9.
NDC, worker compensation.
EDUCATION
UEI College
Business Office Administration Certificate
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