Data Entry Service Representative
Resume:
Quavetta Montgomery
*****.************@*****.***
Ocoee, Fl 34761
Education:
Columbia College Orlando, Fla (AS/Human Services) August 2015- Graduate 2017
Maynard Evans High School, Orlando, Fla. Graduated 2004
Special Skills:
Customer service representative, organized, detail oriented, receptionist, problem solving, fashion design, coordinator, data entry, faxing, filing, receiving incoming calls, cashier experience, shipping and receiving, sales, watching calls, using dual monitors, specialty pharmacy data entry, healthcare office setting, Insurance coordinating, technical support for patient’s online portal, Familiar with Epic system, scheduling appointments, physician referrals, and Center referrals and other various healthcare office duties.
Employment History:
Orange County Public School-Meadowbrook Middle School (Discipline Clerk/school clerk III) April 2023 Performs clerical secretarial duties for several assistant principals/assistant directors primarily in the areas of student discipline and attendance. Acts as liaison between parents/students and school-based administrative staff. Monitoring maintaining safety for students and faculty. Also, performs a variety of office support tasks in-person for administrators in APS including answering telephones, filing, copying, posting, data entry, typing, and word processing. Greets school visitors and answers telephones; refers callers and responds to routine inquiries in a courteous manner.
Centauri Health Solutions (Account Representative, Risk Adjustment, outreach Specialist, Chat Rep) Feb 2019-March 2023
Account Rep Helping patients that have no healthcare insurance when they go to any Orlando Health affiliated hospital such as Winnie/Arnold Palmer, Dr. Phillips, South Lake Hospital, South Seminole, and Orlando Regional Medical Center. We help with getting the patient's Medical Bill paid for that DOS-date of service time of admit to discharge date, we help with DCF (department of children and families) through the whole application process with giving verifications for patient and keeping the patient updated of application status. Outreach Specialist Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screening. Interviews patients/members via phone to gather personal/sensitive information to decide eligibility for various programs. Clarifies eligibility data with patient or member. Compiles, records, and evaluates personal and financial data to verify completeness and accuracy, Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required, Initiates procedures to refer patient/member to other agencies for assistance as appropriate, Monitors actions to ensure goals are met. Risk Adjustment Called providers offices on behalf our insurance carrier, scheduled office appointments onsite exaction to collect medical records, review incoming records and upload them into record system, checked invoice status for payment, escalated accounts over to health plan, Prepared invoices and contacted copy centers. Chat help assisting member’s when they use the self service website to apply for benefits and answer any questions they may have.
Cedars Sinai/TTEC (Medical Referral Specialist) July 2018
Effectively and efficiently responds to consumers, doctors and employees requesting general information and inquiring about appointment and insurance opportunities. Ensures compliance with all internal and external policies and regulations (including HIPAA). Demonstrates effective communication through proper tone, pace, volume, grammar, and pronunciation. Demonstrates courtesy, active listening, and empathy in each interaction. Documents each transaction completely and accurately. Escalates transactions when defined by protocols.
Takes initiative to stay up to date on innovative programs or services to respond
appropriately to inquiries by attending and taking part in training, and meetings as assigned.
CVS Specialty (Pharmacy Service Representative/benefits agent BCBS Call center) Orlando, Fla April 2016 – July 2018
Each day help millions of people on their path to better health and people with chronic
illnesses. Supportive role in each person’s unique health experience and in the greater health care
environment—from advising on prescriptions to helping manage chronic and specialty
conditions and getting the patient’s medication ship to a local pharmacy, doctor’s office or directly to their front door on time.
Optum, Inc. (Healthcare Call Center) Orlando, Fla Sept. 2011- April 2016
Duties: Assisting members with their Medicare Advantage plans questions, medical claims, and
prescription drug coverage questions. Helping them with any answers needed to assist with them health insurance (Anthem Blue Cross Blue Shield Acct). Data entry
Continued….
Lil Citizens (Childcare) Orlando, Fla. May 2008- March 2010
Supply quality caregiving activities for children ages 0 Months – 5 yrs who are enrolled in the Child Care
Center. Helping students with their fine motor skills and adjusting to classroom environment.
Wackenhut security (Unarmed Security officer) Orlando, Fla August 2007- March 2008
Supplying safety for the citizens at the Booking and release center, scanning bags, monitoring
small courtrooms, running x-ray machine and keeping the public safe.
Taco Bell (Food Services) Orlando, Fla. June 2006- February 2005
Cashier, food prep, Inventory control, customer service, stocking, and other restaurant duties.
5-7-9 (Retail) Orlando, Fla. September 2006- January 2007
Cashiering, Inventory review, pricing/stocking of merchandise, organization of items, up sales,
and other store duties given.
References Available upon request
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