Data Entry Customer Service

Karolys Ureña-Rivera

**********@*****.*** 347-***-**** Middletown, NY

SUMMARY

Detail-oriented professional with 20 years of experience in data verification and correction, seeking a Data Entry Clerk role. Proven expertise in managing large volumes of data, ensuring accuracy, and maintaining confidentiality across various industries, including healthcare and legal services. Proficient in EPIC, Microsoft Office Suite, and multiple data management systems, with a strong focus on quality assurance and process improvement. WORK EXPERIENCE

Optum/United Health Group/NYC Health & Hospitals

Patient Access Representative/Scheduler Representative Nov 2024 - Dec 2024

• Data verification in patients accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Facilitated patient scheduling and registration for over 70 locations, ensuring accurate data entry and efficient use of EPIC and related systems.

• Managed inbound and outbound patient communications, delivering exceptional customer service and resolving inquiries and complaints with professionalism.

• Conducted insurance verifications and maintained confidentiality in handling sensitive patient information, adhering to HIPAA and privacy standards.

• Completed compliance training in OSHA, ADA, and HIPAA, and effectively navigated a fast-paced call center environment using multiple communication tools.

• Responsible for acquiring critical demographic, financial, medical and insurance information from patients in a professional, courteous, caring and compassionate atmosphere.

• Answers telephones in a professional manner. Schedules appointments.

• Verifies and updates patient demographic information.

• Updates registration and insurance information for existing patients Prime Clerk/Kroll

Data Remediation Specialist/CSR/Data Verification Dec 2021 - Apr 2022

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Communicated effectively and efficiently to all parties involved in obtaining verification information.

• Communicated any system or human errors directly to the company to ensure timely resolutions for documentation purposes.

• Conducted data governance analysis, ensuring adherence to compliance and privacy standards, and completed comprehensive training in Data Protection, Privacy, and AML.

• Executed daily audits and quality assurance checks, contributing to process improvement and enhancing customer experience through detailed audit surveys.

• Analyzed and addressed data anomalies, facilitated root cause analysis, and implemented corrective solutions to improve data quality and accuracy.

• Communicated effectively with team leads and managed customer service inquiries, maintaining professionalism and composure in high-pressure situations

Small Business Administration

Surge Loan Processing Assistant Sep 2021 - Nov 2021

• Data verification in credit borrowers accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Processed various borrower requests, including Subordinations, Release of Collateral, Liens, and 327 Actions, while managing payoff and mortgage verification requests efficiently.

• Conducted comprehensive loan administration tasks, such as loan collections, charging off loans, and executing lien searches, along with minor loan modifications.

• Managed high volumes of inbound and outbound communications, utilizing tools like Amazon and Microsoft Teams to address borrower inquiries and ensure accurate, timely responses.

• Analyzed and evaluated borrower requests by reviewing loan files, determining necessary data, and assessing the financial condition and implications for approval

Blue Cross Blue Shield of Rhode Island

Medicare Concierge Customer Service Representative Jun 2021 - Sep 2021

• Data verification in patients accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Addressed and resolved member complaints and inquiries efficiently, maintaining compliance with OSHA, ADA, and HIPAA regulations while utilizing various systems for data management and communication.

• Data verification in patients accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed high call volumes in a fast-paced call center environment, handling inquiries from the general public, prospective enrollees, and representatives with professionalism and accuracy.

• Collected and analyzed trend information to resolve non-routine business-related concerns, ensuring adherence to regulatory, accreditation, and internal processing guidelin Maximus

Bilingual Customer Service Representative Jan 2021 - Jun 2021

• Data verification in patients accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Achieved a perfect score of 100 on the State Wide Customer Service Final Test, demonstrating exceptional knowledge and proficiency in customer service protocols.

• Utilized various systems, including Health Commerce System (CDMS), Oracle Service Cloud, and Avaya 2050 IP Softphone, to manage inbound and outbound communications effectively for New York/Covid-19 Vaccine hotline and State Wide Customer Service.

• Completed comprehensive trainings in OSHA, ADA, and HIPAA compliance, ensuring adherence to all regulatory standards and maintaining consumer confidentiality at all times.

• Assisted consumers with inquiries related to Medicaid, Medicare, and other insurance processes, maintaining a calm and friendly demeanor to de-escalate stressful situations and provide accurate informatio Sobo & Sobo, LLP – Law Firm

Paralegal (Personal Injury) Jan 2014 - Jul 2014

• Managed and maintained accurate client and case data using the Trial Works system, ensuring seamless tracking and retrieval of critical information.

• Assisted in the preparation and drafting of legal documents such as Verified Summons & Complaints and settlement demands, contributing to efficient case management and resolution.

• Facilitated client interactions by conducting follow-ups, translating communications from Spanish to English, and addressing grievances, enhancing client satisfaction and case outcomes. Raymour & Flanigan – Furniture Store

Customer Service Representative Oct 2013 - Dec 2013

• Handled diverse customer service and administrative tasks, efficiently resolving customer issues and calming upset clients to rebuild trust and loyalty.

• Demonstrated proficiency in managing high-volume telephone and front-desk reception, including translating communications from Spanish to English.

• Maintained accurate records of customer interactions and transactions, assessed complaint validity, and coordinated billing arrangements and adjustments.

Cooley Godward Kronish, LLP – Law Firm

Executive Clerk Sep 2008 - Dec 2008

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed and updated the Liberty 3 system and library inventory, ensuring accurate cataloging and streamlined accessibility of legal resources.

• Enhanced library organization by implementing precise signage and labeling, facilitating efficient research and retrieval processes

Satterlee Stephens, LLP - Law Firm

Records Clerk Feb 2008 - Aug 2008

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Maintained and updated legal records using IP Foundation and Legalkey systems, ensuring accurate filing and organization of client-related documents in adherence to departmental procedures.

• Entered and managed data in the firm's tracking database, efficiently retrieving and sorting files to support seamless document access and accountability

Ropes & Gray, LLP - Law Firm

Records Analyst Oct 2007 - Feb 2008

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Utilized IP Foundation and Legalkey systems to meticulously maintain and organize legal records, ensuring accurate preparation and indexing for off-site storage.

• Entered and managed data within the firm's tracking database, adhering to department procedures to ensure the integrity and accessibility of all records

Akin Gump Strauss Hauer & Feld, LLP - Law Firm

Receptionist Sep 2007 - Oct 2007

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed a multi-line switchboard to efficiently direct calls and provide exceptional service to clients and visiting attorneys.

• Organized transportation arrangements and ensured clients and attorneys received attentive assistance and guidance

Ostrolenk Faber Gerb & Soffen, LLP- Law Firm

Records Clerk/Receptionist/Mailroom Apr 2007 - Jul 2007

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed multi-line switchboard operations and facilitated client interactions, ensuring seamless communication and exceptional service delivery for clients and visiting attorneys.

• Executed comprehensive document management tasks, including scanning large documents for patent and trademark filings, preparing shipments with FedEx and DHL, and performing data entry using Juris Software Golenbock Eiseman Assor Bell & Peskoe, LLP- Law Firm Records Clerk/Receptionist Aug 2006 - Apr 2007

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed a multi-line switchboard, greeted clients and visiting attorneys, coordinated car services, and ensured that all visitors received appropriate attention and assistance.

• Maintained comprehensive records by logging incoming and outgoing packages, preparing files for off-site storage, and utilizing software tools such as Opus and Docs Open for efficient document management Mendes & Mount, LLP- Law Firm

Records Clerk May 2006 - Aug 2006

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Managed the organization and filing of legal records and documents for the Aviation and Professional Liability Departments, ensuring efficient retrieval and maintenance of client files, correspondence, pleadings, and billing documents.

• Utilized File Surf and Elite software to accurately enter data, prepare and index files for off-site storage, and streamline departmental filing processes

Daniel H. Cook Associates- Insurance Company

Receptionist/Customer Service/Mailroom Aug 2005 - May 2006

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Provided comprehensive customer service and administrative support in a high-volume environment, effectively resolving customer issues, translating communications, and maintaining detailed records of interactions and transactions.

• Facilitated claims processing and billing adjustments using specialized software, supported mailroom operations, and performed bookkeeping tasks for the accounting department utilizing QuickBooks Yeshiva University Benjamin N. Cardozo School of Law Administrative Assistant to the Financial Aid and Student Accounts Office Apr 2001 - Aug 2005

• Data verification in student accounts.

• Experience in correcting errors, supplementing missing data, removing duplicate data.

• Processed billing and application fees while maintaining and updating comprehensive filing systems, ensuring accuracy and efficiency in financial transactions.

• Analyzed and verified student and family financial information using SCT Banner System and National Student Loan Data System, contributing to informed financial aid decisions.

• Managed a high volume of communications, screening and responding to calls, voicemails, and emails to facilitate effective office operation

EDUCATION

Ashford University

Master of Public Administration, Public Administration Jun 2011

Ashford University

MBA, Human Resource Management

Apr 2009

Pace University

BA, Finance

New York, NY

May 2007

Interboro Institute

Associates Degree, Business Management

New York, NY

Apr 2004

SKILLS

Fluent in Spanish and English • Operating Systems: Windows (95/98/Xp/Vista/Win7/Win8/Win10) • Software: EPIC, Infinity, G Suite, Confluence, Slack, Continu, Salesforce, SendSafely, Admin, Capital Access Financial System

(CAFS), LANA, CLCS, ELIPS, Post Servicing, E-Tran, LIRA, Rapid, Pay.gov Agent, SLTrack, Oracle Knowledge Infocenter, Salesforce, Zelis, Prime, Facets, RSD Folders, Dayforce, Blue University (LMS), Emdeon, Calabrio, Calabrio for QA, Blue Web, Blue Squared, ACI Payment Portal, Service Now, LPAR, Concur, Siebel, Maxe, eMedNY Production, Absorb, Microsoft Teams, Zoom, Pipkins, Avaya 2050 IP Softphone, Health Commerce System

(CDMS), Oracle Service Cloud, Nice in Contact CXOne (VCC Phone), New York/Covid-19 Vaccine • Office Suite

(Word, PowerPoint, Excel, Access, Outlook) • Firefox, Internet Explorer, QuickBooks, IP Foundation, Legalkey, Liberty 3, Elite, File Surf, Opus, Worldox, Uniflow Software, Mediatrac, Imaging and Scanning Legal Documents Into the Adobe System, Trial Works, Google Workplace, 10-Key, Microsoft 365

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