Customer Service Representative

E/EDRALIN C/CASTRO

prefers to go by childhood nickname- “Sebastian”

Emails: **********-***********@*****.***

Mobile:248-***-****

Address: Warren, MI 48092

PROFESSIONAL SUMMARY

Thorough and steadfast Office Employee with solid background top-notch administrative skills.

Great Verbal and Written Communication in claims submission.

Surpasses business targets while satisfying diverse customer demands. Independently manages clerical tasks such as routing correspondence and coordinating travel arrangements to keep business operations smooth and efficient. An Efficient claims specialist with dedication and skill to effectively manage business financial support, tends to employee needs and office administration requirements. Positive and upbeat with staff, business leaders and guests. Effectively orchestrate support for diverse office needs. Enthusiastic customer service representative eager to contribute to team success through arduous work, diligent and excellent organizational skills. Clear understanding of multi-tasking and training in time management. Motivated to learn, grow, and excel in any industry. Helpful Court Clerk with 8+ years' experience performing claims submission duties for KCI a DME Company and south coast family healthcare a rehab family clinic. Adept at preparing dockets and issuing orders of the court. Strong knowledge of authorization documents required and legal terms. Prepared to apply enthusiasm and expertise to new positions.

Most recent: WORK HISTORY

Arrr1 LLC: Property Manager- Sterling Heights, MI(February 2023-current) :Sympathetic and attentive to detail

Maintains property rentals by advertising and filling vacancies, negotiating and enforcing leases, and maintaining and securing the premises.

Establishes rental rate by surveying local rental rates and calculating overhead costs, depreciation, taxes, and profit goals.

Attracts tenants by advertising vacancies, obtaining referrals from current tenants, explaining advantages of location and services, and showing units.

Contracts with tenants by negotiating leases and collecting security deposit.

Accomplishes financial objectives by collecting rents, paying bills, forecasting requirements, preparing an annual budget, scheduling expenditures, analyzing variances, and initiating corrective action.

Maintains property by investigating and resolving tenant complaints, enforcing rules of occupancy, inspecting vacant units and completing repairs, planning renovations, contracting with landscaping and snow removal services,HOA

Maintains building systems by contracting for maintenance services and supervising repairs.

Secures property by contracting with security patrol service, installing and maintaining security devices, establishing and enforcing precautionary policies and procedures, and responding to emergencies.

Enforces occupancy policies and procedures by confronting violators.

Prepares reports by collecting, analyzing, and summarizing data and trends.

Accomplishes organization goals by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

[Work Hours & Benefits] Now that future property managers know what’s required of them, you may want to include details about your working hours and benefits. Discuss any flexible hour or workweek options, on-site meeting schedules, or travel requirements.

Netlink Software Group America, Inc- imaging Specialist

Madison Heights, MI (9-2020-Current"Laid off currently")

Follow client norms, maintain excellent quality, and resolve errors while copying documents and performing other tasks.

Ensure integrity of original documents through processing and packing and marking of prepared projects.

Check completion and correctness of forms, documents, and bills.

Identify and resolve problems in collaboration with the management.

Organize establishment to maintain quality and safety of services provided.

Oversee periodic repairs and upgrading of copy instruments.

Data Entry Maintains database by entering new and updated customer and account information.

Manage Sensitive correspondences, preparations of presentations and budgets, and varied documents. Ensure complete secrecy in managing confidential documents, utilize and acknowledge HIPPA regulations and manage document recovery. Proofread, merge and format documents whenever required.

Merge image documents with text documents and assist in printing procedures.

KFC- Cook, Food preparations, and Customer Service.

Madison Heights, MI (9-202*-**-****)

hard-working, enthusiastic team member who coordinates and relays exceptional communication skills with other team members. Responsible for taking customer orders, preparing food, and providing excellent customer service. Maintains a positive attitude, able to work in a fast-paced environment, and be able to take direction well. Serve customers by taking orders and payments, preparing food, and resetting the dining area. Maintain a clean and safe work and dining area by following all company procedures and guidelines. Assist in stocking supplies and keeping the restaurant well-stocked and organized. Maintains accurate inventory levels to manage food costs Adhere to all company policies and procedures, including health and safety regulations. Always provide friendly and courteous services to customers. Be a team player and contribute to a positive work environment. Handle customer complaints in a professional and efficient manner. Perform opening and closing duties as needed. Balance the register at the end of each shift. Train new team members as needed. Follow all recipes and preparation techniques.

QTC Holdings Inc. - Case Specialist

San Antonio, TX {12/2019 - 04/2020 }

Answer phones from an automated call distribution system.

Utilizes team building.

Records Management Court Processes

Proficient In [Software Word and Excell]

Docket Management

Creative Problem Solving/critical thinking.

Policy Analysis

Triage daily downloads of referrals.

ensure appropriate worksheets are assigned to the corresponding conditions as identified by the VA-Veterans Administration.

Verify appropriate CPT and clinical codes, assigned to each case.

Communicate directly with claimants and providers.

Obtain medical history for specific conditions.

Determine appropriate examinations, tests and

specialists required for each case.

Schedule appointments for examinees including follow-up appointments and rescheduled appointments.

Ensure all examinees and providers receive necessary documentation.

Confirm consultative reports and diagnostic test results received in a timely manner.

Meets and exceeds contract timeliness, guidelines in both scheduling and case management systems and

Other projects and duties as assigned.

Offers friendly and efficient service to all customers, manages challenging situations with ease utilizing critical thinking.

Actively listens to customers' requests with empathy, and sympathetic with

confirming full understanding before

addressing concerns.

WORK HISTORY

South Coast Family Healthcare -

Office Coordinator, Santa Ana, CA {6/2018 - 05/2019 }

Reports on daily office activities to assists the

Managers and specialists to stay on top of dynamic conditions and make initiative decisions.

Interacts with customers, professionally by phone, email, or in-person to provide information and direction to desired staff members.

Delivers clerical support by efficiently managing a wide range of routine and

unusual requirements.

Input and update physical files and digitized records.

Maintains and organizes for easy updating and retrieval by

authorized team members.

Works collaboratively with office staff/healthcare providers to

maintain smooth operations and team readiness for unexpected demands.

Created and implemented a secure filing system for sensitive employee and client documents. Maintained office supplies, and inventory by checking stock and ordering new supplies as needed. •Verified benefits for chiropractic, acupuncture, massage therapy and physical therapy services.

Submit authorizations when required.

Maintains office environment.

Collaborate closely with healthcare providers pertaining to patient information and care.

KCJones Brazing Company - Parts Inspector

Warren, MI {09/2017 - 04/2018}

Experienced in operating heavy machinery to transport equipment weighing several pounds.

Performed thorough inspections on machine parts and various mechanical assemblies using precise measuring.

Completed visual inspections to gather product data and unique characteristics.

Utilized hand tools, instruments, gauges, and equipment to complete accurate measurements and noted results for official records.

Evaluated and assembled more than goal oriented in product per month.

Conducted tests and diagnostic procedures using tools such as

analyzers, multimeters, and power supplies.

Checked color, shape, texture and grade of products and materials, against established templates, charts, and samples.

Located and investigated production concerns and assists management by implementing corrective actions.

Inspects automotive and engineering parts coming off the furnace and performs leak test duties.

Loads and unloads and position parts on the furnace belt for customer specifications.

Observe the flow of material through the furnace to avoid pile ups as well as reporting problems immediately to the supervisor.

Communicates with other team members regarding part requirements and assists team members with their parts so they do not fall behind on orders.

Tracks production pieces loaded in furnace, work orders, job numbers, time limits, and rejected parts, daily on furnace report.

Transports fixtures such as prophite trays or pans from backside of furnace to front side as required.

Maintains cleanliness of workstations as well as other areas of the shop as instructed by supervisor.

Performs other duties as instructed by the supervisor.

Utilized Computer programs and MS Office Applications related to assignment.

Self Employed - Home Care Provider: Caregiver

Metro Detroit, MI

01/2012 - 09/2017

Assisted patients with handling daily chores and errands also Assisted patients to their appointments,

cleaning personal spaces and purchasing supplies.

Coordinated daily medicine schedules and administers the client’s symptoms, address and enhance quality of life.

Assisted disabled clients in any way necessary to facilitate independence and well-being.

Followed nutritional plans to prepare optimal meals, including purchasing ingredients from local shops.

Assisted patients with bathing, dressing, grooming, and feeding needs, helping to overcome and adapt to

mobility restrictions.

Offers support for client mental and

emotional needs to enhance physical outcomes and overall happiness.

Maintained a clean, safe and

well-organized patient environment.

Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support.

Developed rapport to create a safe and trusting environment for care.

Supervised daily activities and aided in activities when required.

Worked to improve and enhance patient lives through effective and compassionate care.

Established nutritious meal plans and prepared daily offerings to meet patient dietary needs.

Interacted kindly with patients and families and displayed a positive,

outgoing attitude, resulting in

establishment of long-term, professional

relationships.

Monitored progress and documented any patient health status, changes, and completed a daily diary to update the healthcare teams on a daily bases.

Assisted patients with caring for themselves by teaching proper, safe use of ambulation assistive devices such as canes or walkers.

Encouraged patients to participate in safe physical activity to improve mood, and overall wellness.

Assisted patients with personal requirements, including keeping spaces clean and helping with grooming.

Kept patients mentally alert by interacting with entertaining activities, conversing and reading aloud to patients, and sometimessing to assist in enducing memory problems.

Checked vital signs on a timely basis and contacted the healthcare team regarding any patient health concerns or behavioral changes.

Increased medication knowledge and medical terminology process through consistent research and continuing education.

Actively analyzed behavior and emotional responses of clients.

Consults with the healthcare team to address concerns and protect each patient from any harm.

KCI Technologies DME Inc. - Claims Specialist II

San Antonio, TX {10/2007 - 08/2012 }

Answer phones from an automated call distribution system.

Triage daily downloads of referrals.

ensure appropriate worksheets are assigned to the corresponding conditions as identified by healthcare organizations.

Verified and obtained appropriate CPT and CLINICAL NOTES, specifically assigned to each case.

Communicate directly with claimants and providers to obtain medical history for specific conditions to determine appropriate examinations, tests and specialists required for each case.

Schedule appointments for examinees, including follow-up appointments and rescheduled appointments.

Ensure all examinees and providers receive necessary documentation.

Confirm consultative reports and diagnostic test results received in accordance, within a timely manner.

Meets and exceeds contract timeliness guidelines in both the scheduling and case management systems and other projects and duties assigned.

Worked to maintain an outstanding attendance record, consistently arriving at work early and ready to start immediately.

EDUCATION:

Ultimate Medical Academy, ONLINE:

Clearwater FL (2022-2024)

Degree: currently working on bachelor’s degree in medical Billing and Encoding

Healthcare Solutions and Career Group

Detroit, MI (2014)

No Degree: diploma “Certified Nursing Assistant “

75 hours of Certified Nursing

Assistant Training supervised and

trained with RN, BSN, MSN

Irenes Myomassology Institute

Southfield, MI 2003/2004 Massage Therapy

Warren Mott High School class of “1998”

High School Diploma: Warren, MI

References on another file

Contact this candidate