Data Entry Customer Service

Rachel Frazier

Home Phone 916-***-****

OBJECTIVE:

To use the skills, I’ve acquired to grow with a local company SKILLS & ABILITIES:

Office Management,File Management, Customer Service, Accounts Receivable, High Sales,Marketing, Promotions

,Mult i-Tasking, Data Entry, Account Management, Cold Calls Answers Phones, Scheduling Customer Retention, Work closely with management. Project management, 1. COMPUTER KNOWLEDGE:

Windows 95-2010 MSWord 6.0, MSExcel, MSPowerPoint, WordPerfect, MSOutlook, Internet/Intranet, QuickBooks, Adobe Photoshop

EMPLOYMENT:

2017-Present Phoenix Home Care and Hospice

Team lead for VA billing and collections

Electronically submitted claims through the use of software systems. Printed paper claims for insurance companies who did not accept them electronically.

Appeals for non and or short payment

Follow up on claims

Request authorizations and verify benefits

Printed and mailed statements to clients and organization accounts monthly. Reviewed client’s past due balances collect on pass due payments Received and posted payments from clients, insurance companies, and organization accounts. File appeals for non- paid claims

Resolved billing inquiries with private health insurance companies. Organized and maintained clients' records.

Performed administrative tasks around the office: making copies, faxing documents, etc. 2015-2017 Optum360 Sr. Collection Rep

Provide expertise or general claims support by reviewing, researching, investigating and accurately capturing the data/information necessary for processing and adjusting claims Analyze and identifies trends and provides reports as necessary Complete necessary adjustments to claims and ensures the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates) Complete on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements.

Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.g. on-line training classes, coaches/mentors) Meet the performance goals established for the position in the areas of: efficiency, quality, and attendance 2014-2016 Jeff’s Plumbing Office Manager

Maintains office services by organizing office operations and procedures; preparing payroll; controlling correspondence; designing filing systems; reviewing and approving supply requisitions; assigning and monitoring clerical functions.

Provided historical reference by defining procedures for retention, protection, retrieval, transfer, and disposal of records.

Maintains office efficiency by planning and implementing office systems, layouts, and equipment procurement.

Designs and implements office policies by establishing standards and procedures; measuring results against standards; making necessary adjustments.

Completed operational requirements by scheduling and assigning employees; following up on work results. Keeps management informed by reviewing and analyzing special reports; summarizing information; identifying trends.

Maintain office staff by recruiting, selecting, orienting, and training employees. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Contribute to team effort by accomplishing related results as needed. 2011-2013 Sears Holding, Dispatcher

Escalated customer service issues, Provide strong process-oriented leadership for essential Region Routing Center job functions, Contacts customers, Creates service orders (add-ons, corrections) as overflow from Service Order Clerical function, Responds to escalated customer service issues, Works through excess capacity (find jobs in SERVICEPower), Addresses Unresourced and Jeopardy trays (routing exceptions), Responds to technician route concerns, Addresses unplanned unavailability (technician absenteeism), Monitors NPS inquiry screen and NPS message screen, Considers and escalates special order requirements that may affect workload balance, Maintains routes taking into consideration district parameters and technician work/life balance, Notifies both the routing manager and technical manager of any route status irregularities or unusual requests by technicians to ensure timely service delivery to the customer, Communicates all requests for overtime to both the route manager and technical manager, Considers technician and call locations when evaluating service order assignments, Uses system tools to evaluate route solution efficiency and predict impacts to the business and customers, Communicates with routing team, technicians, customers, support departments and management on any issues that might affect timely delivery to the customer, Provides feedback on call growth, group specialization, road speed or any other parameter that might improve/affect the routing solution, Send/Answer message or phone calls as required by the business, Miscellaneous duties as assigned

2008-2011 CTP Coaching, Marketing and Business Services Specialist (Rancho Cordova CA) Market to local businesses Identify business that will be a good fit for the company, Document new contacts. Document daily follow-up with established contacts, Database by inputting all contacts Attend business related networking events Set up and confirm appointments with companies Attend scheduled meetings and trainings Design Marketing materials. Mailing, Appointment set up. Other duties as assigned 2006-2009 Salem Communications, Account Executive (Sacramento CA) Sell air time, Market clients business, Cold calling, Generate new business, Create radio campaigns for clients, Create proposals, Promotions, Copywriting, Branding, Networking High Sales, Accounts Receivable, Billing, E-mails, Faxing, Scanning, Photocopies, Operated under minimal supervision

2005-2006 Health Net of California, Customer Service Representative (Rancho Cordova CA) Process claims, Multi-phone lines, Data entry, File appeals, Resolve customer and provider issues. 2004-2005 Blue Shield of California, Customer Service Representative (El dorado Hills, CA) Process claims, Multi-phone lines, Accounts receivable,File appeals, Resolve customer issues. EDUCATION:

Heald Business College

Adult Training Center

American River College

Grant School District

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