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Service Representative -Data Entry

Location:
New York City, NY
Posted:
May 17, 2025

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Resume:

Kimberly Ortega

**** ********* ***

Bronx, Ny ***6-

929-***-****

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

August 2022 - August 2024

Provider service representative

Village care max

-Data entry of authorizations request from contracted and non-contracted providers.

-Handled incoming calls.

-Handling inbound/outbound calls as needed to provide resolution.

-Helping the UM department with incoming service requests.

-Process outpatient and inpatient hospital request.

-Educate callers on Medicare plans and benefits for patients.

September 2021 - August 2022

Clinical/compliance coordinator

Ultimate care agency

-coordinating intel and revisits for nurses on the field

-Send DME request for patients.

-Reassuring that visits to our patients are done to each and every patient at agency.

-Coordinating nurses’ schedules

-Responsible for organizing and overseeing the daily activities for each nurse in our department.

-Record keeping and medical billing for each contract and services we are affiliated with.

July 2021- September 2021

CDPAP Coordinator

Ultimate Care Agency

-bilingual CDPAP coordinator

-intake of new cases into the agency

-conducted weighing calls and managed communication with insurance providers.

-Proficient in Microsoft Office Suite, HHA Exchange, and Internet

-communication with the employees’ clients and their family members

-Supervising and maintaining consumers electric records.

-Ensuring satisfaction of our services for the consumer.

June 2020 - February 2021

Contact tracing monitor.

United health care

-The responsibility for contacting people who have been exposed to COVID -19 and providing health education and guidance to interrupt ongoing disease transmission.

- Undergoing a new project to help stop the spread of Covid throughout New York City.

- Making sure all contacts are being called and important information is noted after every call is made.

December 2019 - May 2020

Front desk Receptionist

Wilson Avenue dental LLC

Brooklyn, NY

-Greeting patients as they arrive and answering the phones.

-Scheduling and cancelling patient appointments.

-Dental Charting and Treatment Planning.

-Completing and filing insurance forms and dental billing records.

-Managing the finances of a dental practice.

-Implementing procedures and policies for smooth operations and staffing.

-Scheduling client appointments.

-Hiring, training and supervising staff.

-Managing insurance claims.

-Performing marketing and public relations.

June 2018 - December 2019

Medical Receptionist

Health and wellness pain management

Brooklyn, Ny

-Greet and check-in patients.

-Collect personal/insurance information

-Manage scheduling/rescheduling and verify patient appointments.

-Coordinate physician schedules and maintain patient flow by communicating patient arrivals and delays.

-Use EMR software to manage patient records files. Enforce and uphold patient confidentiality as required by HIPAA and clinic.

-Ordered diagnostics tests and communicated results to the provider.

-Facilitated daily administrative functions, including customer service and inventory management.

January 2016- June 2018

Front desk coordinator

European wax center

Manhattan, Ny

-Greet guest and guided them to their suite.

-Responsible for making guests next reservations and further reservations to the day and time they needed

-I am also responsible for checking people in and out. Also, we have a call center and I would pick up calls and accommodate guests with any reservation and service they need.

- Charging guest making sure they purchase packages to help them save money and stay committed to the company.

-Responsible for team monthly meetings to ensure team is

August 2015-January 2016

Hancock pharmacy INC.

Brooklyn, Ny

-I worked as a technician with the assigned pharmacist of the day.

-I would also make the control substance order for the next day for the patients

-I would also work in the inventory as a store front manager made sure there was nothing missing.

-cashier / cash handling assistant.

Education

Highschool Diploma

Brooklyn, Ny

Enterprise business and technology

I would gladly accept a full or part time job that will apply with my daily schedule.

Skills-

Fluent in English & Spanish.

Performing overarching administrative activities including scheduling, reception, documentation, inventory management, and invoicing/collections while adhering to internal procedures and HIPPA regulations. Excelling at balancing multiple tasks while providing top-level organization, interpersonal, and communication skills.

My skills in general administration and organization, along with my dynamic collaborative abilities and my positive attitude and work ethic, position me to excel in this role, and I am confident my additional strengths will readily translate to your environment. The chance to offer more insight into my qualifications would be most welcome. Thank you for your consideration; I look forward to speaking with you soon.

References are available upon request.



Contact this candidate