Customer Service Data Entry

JOHAN DUC NGUYEN

**** ***** ****** # **

Westminster, CA 92683

917-***-****

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

OBJECTIVE

To obtain a position as a Scheduling Assistant where I can utilize my excellent Clinical, Communication and Customer service skills

SUMMARY OF QUALIFICATIONS

Experience in diverse healthcare support services setting Strong work ethic, self starter, and fast learner

Work well with internal and external customers, reliable, and flexible Bilingual in English and Vietnamese

PROFESSIONAL EXPERIENCE

Answer intake ACD queues and adhere to telephone performance requirements for call response time abandonment rates

Respond to questions about eligibility benefits and procedures for accessing behavioral health services Verify patient benefits and eligibility through health plan computer access and phone Perform data entry and route calls to the appropriate resource Determine type of calls to transfer to clinician for assessment and screening as defined by referral guidelines and protocols

Provide information on outpatient/inpatient services and policies Provide community based and other needed resources to members Solve complex issues on referrals, and offer routine, or urgent with assistance for appointments Intake and submit grievances for resolution

Support the admission, discharge, follow-up processes, and patient referrals Assist with arrangements, confirmations, and contracts of patient admissions Ensure level of care and documentation in accordance with state and federal policies Obtain data and input patient demographics and financial information Verify referral authorization, insurance coverage, and collected co-payments Maintain, pulled, and prepped charts

Schedule patients according to policies and procedures Experience and Knowledge of diverse type of insurance (HMO, PPO, Medi-cal,Medicare, Third party payer, etc)

Assist provider, member, insurance carrier in billing issues and status Perform necessary follow-ups of insurance claims

EMPLOYMENT HISTORY

Member Services Associate II Elevance Health, Indianapolis,IN (Office in Cypress, CA) 2013-2024 Customer Service/Sales Associate Bolsa Health&Wellness, Westminster, CA 2007-2013 Billing Assistant Acacia Adult Day Services, Garden Grove, CA 2006-2007 Admissions Coordinator Assistant Flagship Healthcare Center, Newport Beach, CA 2005-2006 EDUCATION AND TRAINING

Highschool Diploma,Adolphe Cherioux, Vitry, France Associate of Arts Degree in Business Administration, Jean Mace College,Vitry France Administrative Medical Assistant and Medical Billing & Coding,CCROP, Garden Grove, CA