Data Entry Member Services Customer Service Receptionist

TIARA ANTHONY

Ontario, CA ***** *************@*****.***

Highly organized individual with excellent communication skills and High School Diploma. Seeking a position to leverage on superior customer service, accounting, billing and data entry skills with 10+ years experience to foster smooth office operations.

Authorized to work in the US for any employer

Work Experience

Billing Clerk

Inland Valley Recovery Services - Upland, CA

September 2022 to Present

•Operates keyboard and other data entry device(s) to enter opening, closing and daily client services into the computer.

•Compiles, sorts, and verifies accuracy of data to be entered.

•Once entered, compares data with source documents.

•Revises incorrectly entered data promptly.

•Enter client SIMON #’s into DARMIS as soon as they are obtained.

•Write the SIMON # on the CADDS form.

•Assist Director of Finance with any questions regarding monthly billing.

•All other duties deemed necessary and appropriate by the management

•Monthly program number reconciliation

Member Services Rep.

IEHP/ Inland Empire Health Plan - Rancho Cucamonga, CA

January 2022 to September 2022

· Provide Members with health plan education in regard to and Medi-Cal benefit coverage, including understanding coordination of benefits and eligibility rules.

· Provide superior service that delights caller in all aspects of the interaction including: a. Strive to assist caller on the first point of contact. Demonstrate a high level of patience and respect; avoid distractions to ensure each caller is assisted promptly and appropriately; follow call handle standards and objectives.

b. Assist with Member primary care/facility assignments, selections, and changes; health care options liaison; health education advisory; supply eligibility status of Members to providers c. Member education including tagging, material request, programs, ordering ID cards and accessing services.

· When necessary present cases to Member Services Management Team and work with other departments to resolve Member and/or Provider inquiries and/or issues.

Including but not limited to transportation requests, interpreter requests, referrals questions/concerns, re-directions, Behavioral Health and Pharmacy inquiries.

· Document accurately while speaking with the caller. Complete Member Satisfaction

Surveys and Assessments, as needed. Over 100% call documentation is required

· Proper and timely intake of Member grievances

· Efficient problem solving, time management, initiative, and focus skills requiring minimum supervision and guidance.

Billing Coordinator

CONTINENTAL INTERPRETING SERVICES, INC. - Yorba Linda, CA

November 2020 to January 2022

•Communicate to vendors and clients

•Data entry and use of company system and applications

•All aspects of customer/client service.

•Follow-up with vendors to obtain end of assignment reports (beginning/ending time, name of witness, parking fees, mileage totals, etc.)

•Process vendor invoices for payment

•Generate and process invoices

•Update billing information as needed

•Receive and separate mail, then distribute

•Assisted with Accounts Payable

•Run two tapes off live checks; reconcile and balance tapes

•Endorse checks

•Fill-in when Billing Supervisor absent

Accounts Receivable

CONTINENTAL INTERPRETING SERVICES, INC. - Yorba Linda, CA

April 2018 to November 2020

· Monitor accounts monthly

· Identify outstanding account receivables

· Investigate historical data for debts and bills

· Took actions to encourage timely payments

· Process payments and refunds

· Responded to calls and emails from clients with inquiries pertaining to their accounts

· Conducted research and resolved payment discrepancies

· Contact clients and discuss their overdue payments

· Document client accounts to display actions taken

· Prepare and present reports on collection activities and progress

· Process insurance carrier appeals

Healthcare Calendar Coordinator

CONTINENTAL INTERPRETING SERVICES, INC. - Yorba Linda, CA

January 2016 to November 2017

· Schedule contractors via phone calls, email, and through scheduling system. Once interpreter request is filled, confirmed interpreter via phone and email

· Contact contractors on a regular basis to ensure request coverage for our clients.

· Communicate regularly with clients to update them on the status of their interpreter request and confirm when contractor booked.

· Coordinate daily interpreting schedule for large amount of healthcare order requests and contractor availability.

· Forecast unfilled request and prioritize efforts to focus on immediate needs while also focusing on future needs.

· Respond to discrepancies in schedule or services from clients and interpreters.

· Act diplomatically with diverse and sometimes difficult personalities.

· Exercise judgment, tact, and extreme confidentiality within every interaction.

· Perform other duties as needed and assigned.

· Maintain monthly calendar

· Answer incoming phone calls, emails

· Receive service request from customers via phone, email, fax and inputs request information into computerized tracking system.

Receptionist

CONTINENTAL INTERPRETING SERVICES, INC. July 2011 to November 2012

· Handle all incoming calls and passed messages to appropriate personnel

· Schedule appointments and requests for interpreters

· Heavy Data Entry

· Heavy Filing

· Respond to daily email requests

· Pick up and sorted daily incoming mail

· Daily utilization of copy and fax machines

· Schedule depositions in company conference room

Education

HIGH SCHOOL DIPLOMA

BUENA PARK HIGH SCHOOL June 2007

Skills

•Data entry

•Customer service

•Accounting

•Clerical experience

•Accounts receivable

•Organizational skills

•English

•Time management

•Schedule management

•Translation

•Communication skills

•Research

•Filing

•Office experience

•Front desk

•Administrative experience

•Microsoft Office

•Cashiering

•Sage

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