Data Entry Administrative Assistant

Sultan Shareef

Anaheim, CA ***** 714-***-**** adzp7i@r.postjobfree.com

Professional Summary

Experienced Claims Processor/Data Entry Specialist, possessing over a decade of expertise in processing and evaluating medical claims with a strong focus on precision accuracy and adherence to regulation. I’m enthusiastic about joining a dynamic organization where I can contribute accurate and efficient claim processing and data entry.

Professional Skills

Data Entry/50 wpm

10-Key by Touch

Claims Processing

Microsoft Office Suite (Word, Excel and Outlook)

Customer Service

Healthcare Experience

Adept Multi-tasker

Administrative Support

Work History

Employment Development Department (EDD), 12/2012 – 07/2023

Claims Audit Representative (Contractor), Remote

Reviewed and investigated employer separation factors for unemployment insurance cases forwarded by the State.

Conducted telephone interviews with claimants and employers to obtain factual and incomplete information.

Reviewed fraudulent unemployment insurance claims and assessed wages & earnings.

Assisted in the efficient handling of intricate claims and insured that open, denied or suspended claims were properly addressed and that all necessary line items on forms were completed.

Carelon Behavioral Health, 05/2015 - 08/2020

Claims Processor I, Cypress, CA

Data input of 150-200 CMS-1500 forms into the claims system.

Processed medical claims according to established criteria for payment or denial.

Corrected and adjudicated claims furnished through Electronic Data Interchange (EDI).

Replied to inquiries from providers regarding submitted disputes.

Spafax, 10/2013 - 03/2015

Administrative Assistant (Contractor), Orange, CA

Performed clerical duties such as procuring office supplies, attending to phone calls, greeting clients,

and updating purchase orders in the organization’s database.

Assessed content and media components to verify precision and authenticity.

Contacted distributors and airline clients thru email to authenticate content.

Compiled reports utilizing Microsoft Excel when tracing purchase orders.

APR Consulting Inc./Kaiser Permanente, 10/2011- 5/2012

Medical Claims Processor (Contractor), Downey, CA

Processed over 100+ Medicare claims per day with exceptional precision.

Verified the patient’s insurance coverage and benefits.

Followed up on declined claims to substantiate prompt patient payment and resolution.

Monitored and revised the current status of claims in the claims processing system.

Coordinated with other departments to facilitate resolution of claim related issues.

Aerotek/Anthem Blue Cross, 10/2010 – 04/2011

Medical Data Entry Clerk (Contractor), Orange, CA

Handled 150-200 medical claims per day.

Implemented modifications to customer's accounts and conducted follow-up phone calls for missing information.

Accurately and swiftly transcribed numerical information into a designated database utilizing a 10-key pad.

Compiled a record of filed claims and outstanding claims on a spreadsheet.

United Healthcare, 03/2007 – 01/2009

Accounts Receivable, Cypress, CA

Reviewed, analyzed, and retrieved outstanding receivables on member’s accounts.

Assisted members in resolving their account balances through facilitating collection calls and setting up payment arrangements.

Accountable for recording all invoices pertaining to receivables and kept a precise track of aging reports.

Managed over thirty incoming calls daily relating to resolving overdue accounts

Education

DeVry University – Long Beach, CA

Business Administration

Fullerton JC – Fullerton, CA

Computer Science

Savanna High School – Anaheim, CA

General Studies

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