Entry Clerk Data

SONIA ARGUELLO TAYLOR

*** ********* ** *****: adt1ba@r.postjobfree.com

Toms River, NJ 08757 adt1ba@r.postjobfree.com

OBJECTIVE: To be employed in a challenging position that will utilize my experience and promote additional growth. APPLICATION PROFICIENCY / SKILLS

Bilingual ability to translate between English and Spanish technical information.

Experience related environment (office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.

Computer savvy : Microsoft Excel, Microsoft Access, Microsoft PowerPoint. Microsoft Word, Microsoft Publisher, Microsoft Outlook, Microsoft Office InfoPath Microsoft Office 365, Adobe Reader.

Eagle System, Centricity System, Omni System, 3MD System, FujIris System,Orsos System, Health Bridge System, Verisma System. Alpha System, MD System.

ProSolv System, PayServ System. WebStrat System, RRA System, Core System, Cavo System. File Maker Pro. Salesforce System,Gainsight System, Twilio System,Calabrio System. Slack, Google Workspace ( Drive Suite) .

Teamviewer, Django System Organization skills, Quick typing skills,Visual C++, Visual Basic. HTML Web Development, Dream Weaver, Microsoft FrontPage.

Prior health care experience, Smartsheet ( assign tasks, track project progress, manage calendars, share documents) PROFESSIONAL EXPERIENCE

UHC UNITED HEALTHGROUP / INSIGHT GLOBAL Jun 22 to preset. DATA ENTRY CLERK / Provider Service Advocate

Job Responsibilities: Interact with providers with the intent to develop a relationship with them develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers. PROFESSIONAL EXPERIENCE

Answer incoming phone calls from customers and identify the type of assistance the customer needs (benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow- up with the member

Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (pricing, prior authorizations, applicable benefits)

Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates)

Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends

Provide information as requested related to coverage determinations and appeals processes. ASCENT A N A C S SOLUTION April /2022 to July/2022 DATA ENTRY CLERK / REMOTELY

Job Responsibilities: Maintains database by entering new and updated customer and account information. Key Contributions

Prepares source data for computer entry by compiling and sorting information. Establishes entry priorities.

Processes customer and account source documents by reviewing data for deficiencies

Resolves deficiencies by using standard procedures or returning incomplete documents to the team leader for resolution.

Completes each task within 10 minute per item time frame. Escalates timely on blockers or unclarity

Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.

Maintains data entry requirements by following data program techniques and procedures

Verifies entered customer and account data by reviewing, correcting, deleting, or reentering data. Purges files to eliminate duplication of data.

Tests customer and account system changes and upgrades by inputting new data. Secures information by completing data base backups.

Maintains operations by following policies and procedures and reporting needed changes.

Maintains customer confidence and protects operations by keeping information confidential. PROFESSIONAL EXPERIENCE

(COMPANY ELABORATE) August/2021 to March/2022

Job Title: DATA ENTRY CLERK / REMOTELY

Job Responsibilities: Entering labs report information from one online database into another and responding to customer inquiries.

Key Contributions

Medical data entry of patient records and Lab Reports.

Transcribing data across multiple platforms. Proficiency with data entry and computer applications.

High attention to detail/accuracy

Responsible for extracting labs for the Amazing Chart and MDLand system creating and entering the correct information.

Verify the information entered by HealthJump and External/TaskUs staff, ensure that the information and data of the laboratories created are correct.

Performs other duties as assigned. Inspect reports and sheets of data.

Enter information into spreadsheets, databases and Laboratories relationship management systems

PROFESSIONAL EXPERIENCE

INSIGHT GLOBAL / UHC TEST AND TRACER Jan/ 2021 to March /2022 Job Title: DATA ENTRY / CONTACT TRACER MONITOR AND CASE INVESTIGATOR. Job Responsibilities: Make outbound and field inbound calls from contacts and interview them to determine potential exposure related to COVID-19

Key Contributions

Contact tracer Monitor and Case Investigator (Remote Environment Call Center)

Perform COVID-19 contact tracing, based on high volume of reported positive cases/exposures. Handle high volume of inbound and outbound calls with Twilio Flex system.

Follow up the script with SalesForce system to inform contacts about the importance of quarantine and isolation and what to do if symptoms develop.

Completing call notes and escalated to supervisor, research required case information before making a call.

Conduct regular follow up with colleagues based on COVID-19 .Collecting and recording accurate information using Salesforce system and Smart Sheets system.

Provide contacts with approved information about quarantine or isolation procedures, and if appropriate, refer them to testing according to protocol and/or to COVID-19 resources

Call contacts of newly diagnosed patients. Communicate with contacts in a professional and empathetic manner that reflects emotional and cultural awareness.

Collaborate with designated local authorities in supporting the isolation and quarantine of individuals; maintain ongoing virtual communication to monitor symptoms.

Collect and record information on symptoms into the CRM. Assists with Spanish interpretation

Provide contacts with regulated vaccination and schedule appointments in Smart Sheets system

PROFESSIONAL EXPERIENCE

MEDREVIEW Feb/2020 to Dec/2020

Job Title: DATA ENTRY CODING PROCESSOR / REMOTELY

Job Responsibilities: Assist the Assistant Director of Cost Outlier with the daily grouping. Key Contributions

Review emails from Cost Outlier staff or UHC to respond to their grouping inquiries.

Assist Assistant Director of Cost Outlier with daily Grouping of Outlier claims.

Review UHC inquiries to be answered in two days time.

Respond to all DRG denial inquiries; provide supporting documentation and coding clinic guideline references to dispute appropriately.

Pricing Coding and Billing.

PROFESSIONAL EXPERIENCE

SUNY DOWNSTATE MEDICAL CENTER May /2014 to Oct 2019. Job Title: TH MEDICAL RECORD ASSISTANT II

Job Responsibilities: Responsible for maintaining the files included in a patient's health information portfolio, including medical history, and other services. Communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.

Key Contributions

Ensured all deficiencies are located during the assembling and analyzing process that is entered into 3M System. Separate medical records into appropriate record types and upload them into the electronic medical record system.

Uploading records requests and patient authorization forms including processing medical record requests.

Responsible for pickup and tracking of medical records upon patient discharge, daily report discharges

Assisted in the clearing of all physicians charts via Health Bridge and 3M by contacting other physician offices to request records notifies all appropriate departments when a physician is removed from the suspension status.

Coded all operative reports from Centricity System, Omni System, MD Report System, FujIRS System.

Managed Health Bridge and Eagle Systems for importing medical records into the Alpha System.

Scanning Record into the electronic medical record system. Use office printer for records, faxing and copying documents, create not received list and communicate for tracking, send out boxes to archive personnel.

Check Operating Room Schedule in Eagle System. And print Schedule in Orsos System.

Performs clerical technical duties associated coding and Billing processes and procedures.

Obtain all patient medical imaging and upload any imaging discs into the internal imaging system.

Answer telephones, doors and taking request for medical inpatients and Outpatients records. Assists with Spanish interpretation

PROFESSIONAL EXPERIENCE

SUNY DOWNSTATE LONG ISLAND COLLEGE HOSPITAL/ GUIDANCE STAFFING Jun 2012 / April/2014 Job Title: EXECUTIVE SECRETARY

Job Responsibilities: Responsible for supporting high-level executives and management or entire departments. Provides administrative support and performs numerous duties, including scheduling, writing correspondence, emailing, handling visitors, routing callers, and answering questions and requests. Key Contributions

Provide administrative and clerical support to departments or individuals.

File and retrieve corporate documents, and reports for Cardiac Catherization report.

Scheduling appointments and register patient into the Eagle System.

Responsible for all general administrative duties including; phones, typing, copying, filing, mailings and scanning.

Use spreadsheets and databases to efficiently store.

Prepares, compiles and maintains travel vouchers and records.

Relay directives, instructions and assignment to executives. PROFESSIONAL EXPERIENCE

SUNY DOWNSTATE MEDICAL CENTER( GUIDANCE STAFFING ) Oct/2007 to May/2012 Job Title: SENIOR ACCOUNTING CLERK.

Job Responsibilities: Maintained financial records with updates as required, Operated accounting software programs to process business transactions, like accounts payable and receivable, disbursements, expense vouchers and receipts. Key Contributions

Processed input timesheet date to the TIMA (Time and attendance System.)

Updated and filed computer printouts for distribution of state payroll checks via the PayServ System.

Provided accounting and clerical support to the accounting department for various requests.

Prepared bank deposits, general ledger postings and statements for hospital accounts and executive reporting.

Functioned in accordance with established standards, procedures and applicable state and federal laws. PROFESSIONAL EXPERIENCE

D’AGOSTINO SUPERMARKETS April/2006 – May 2013

Job Title : CASHIER / DELI CLERK.

Job Responsibilities: Taking payments from customers and providing them with the appropriate change when applicable. Greeting customers when they enter the establishment, Providing responsive, exceptional service to deli counter customers by answering questions,

Key Contributions

Receive payment by cash, check, credit cards, vouchers, or automatic debits

Issue receipts, refunds, credits, or change due to customers.

Greet customers entering establishments.

Maintain clean and orderly checkout areas.

Establish or identify prices of goods, services or admission, and tabulate bills using calculators, cash registers, or optical price scanners.

(Deli) Customer service. Prepare deli items and cook heated items. Control of cost inventories. Maintain highest quality standards in food preparation. Follow sanitation procedures. Preparing, slicing, weighing, pricing, and wrapping . Experience using slicing machine

EDUCATION AND TRAINING:

(2006-2008) Bramson ORT College : 8109 Bay Parkway Brooklyn, NY 11204. Computer Information Systems. Associate’s Degree

(1992-1999) Upoli University : Managua, Nicaragua

Bachelors in Computer Science. (Bachelors Degree)

(1987-1992) Institute Cristobal Colon : Bluefield’s, Nicaragua High school Diploma

REFERENCES AVAILABLE .

SUNY DOWNSTATE MEDICAL CENTER :Abigail Rath : 646-***-**** . 718-***-****) UHC TEST AND TRACER : Mayura 917-***-****

INSIGHT GLOBAL : Jessica Stefano 704-***-****

Address and Phone

(COMPANY ELABORATE) 335 Madison Avenue, New York, New York 10017 3rd FL 917-***-****)

INSIGHT GLOBAL 800 Lasalle Avenue, Suite 2200 Minneapolis, Mn 55402 704-***-**** ) or 763-***-****) Jan/ 2021 to March /2022

MEDREVIEW 199 Water Streets, 27th Floor New York, NY 10038 Feb/2020 to Dec/2020 212-***-****

SUNY DOWNSTATE MEDICAL CENTER 445 Lenox Rd Brooklyn NY 11203646-***-**** )718-***-****) May

/2014to Oct 2019.

SUNY DOWNSTATE LONG ISLAND COLLEGE HOSPITAL/ GUIDANCE STAFFING 29 Broadway 13th Floor,New York, NY 10006 212-***-****) Jun 2012 / April/2014

SUNY DOWNSTATE MEDICAL CENTER( GUIDANCE STAFFING 29 BROADWAY 13TH FLOOR, NEW YORK, NY 10006 212-***-**** - 718-***-****) Oct/2007 to May/2012

D’AGOSTINO SUPERMARKETS 1233 Lexington Ave New York, NY 10028 212-***-****

SUNY DOWNSTATE MEDICAL CENTER( GUIDANCE STAFFING 29 BROADWAY 13TH FLOOR, NEW YORK, NY 10006 212-***-**** - 718-***-****) Oct/2007 to May/2012

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