Data Entry Service Representative

Rosemarie Ramirez

Goodyear, AZ *****

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

+1-480-***-****

I am a dependable, motivated vested employee with excellent communication skills, well- educated with 24 years’ experience in the medical field Patient Care Technician, and Medical Assistant. I am willing to work on weekends and I work well in an office setting in a team environment. I know my technical skills, administrative expertise, leadership, and insight make me a valuable investment to propel strategic initiatives for your company. Work Experience

Customer Service Representative

TRIWEST HEALTHCARE ALLIANCE - Phoenix, AZ

February 2021 to Present

• Provides outstanding customer service related to Veteran care through the Community Care Network (CCN) in a fast-paced contact center.

• Responds to inbound calls and chat messages regarding authorizations for medical and behavioral health care, provider status and availability, or claims payment and status.

• Accurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols.

• Completes data entry tasks in order to complete Veteran referrals in preparation for appointing

• Responsible to maintain above 90% monthly average for quality control audits Complex Authorization Specilaist,

TRIWEST HEALTHCARE ALLIANCE - Phoenix, AZ

May 2015 to February 2021

• Manages multiple tasks lists in accordance with directed timelines.

• Consistently displays professional and courteous service skills to internal and external customers.

• Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI).

• Takes appropriate measures to comply with HIPAA regulations to protect privacy of customers' health information.

TriWest Classification: Proprietary and Confidential

• Documents all communications involving Veteran and provider contacts. Uses critical thinking in problem solving and follows established processes to assure quality program compliance.

• Consistently meets department productivity and performance metrics to include regular and consistent attendance.

• Participates in cross training, employee development and flexible assignments to ensure business needs are met.

Education

Grandfathered Medical Assistant

Apollo High School

Skills

• Data entry

• Communication skills

• Leadership

• Quality control

• Office experience

• HIPAA

• Customer service

• Bilingual

• Medical terminology

• Medical office experience

• Spanish

• Phone etiquette

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