Billing Data Entry & Customer Service Specialist
Resume:
MELINA GIRARDI BALBUENA
Billing Data Entry Specialist Data Management Healthcare Compliance Customer Service Excellence
******.*******.********@*****.***
https://www.linkedin.com/in/melina-girardi-593b95335? utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app 173 Calle Texidor, San Juan, 00917
EXPERIENCE
Billing Data Entry
Optum United Health Group 06/2021 - Present San Juan PR Transfer data from imaged accessions into mainframe applications Data entry of billing mnemonics and all required billing information that appears on imaged requisitions (such as US postal address, medical codes, insurance carrier details etc.)
Ensure that all needed 'edits' are met and missing information is updated for billing
Research and resolve billing errors with additional information received from client or patient
Review bills denied by payer/insurance due to eligibility criteria Research and update bills to resolve denials for re-billing Navigate multiple computer applications (MS Word, MS Excel, Online applications, Mainframe applications as BFE, etc.) Research in computer applications to perform data entry (address, billing codes, reject codes etc.)
HIPAA regulations, ICD-10 codes
Advance Customer Service Representative
Encore Global Solutions LLC
08/2018 - 06/2021 San Juan, Puerto Rico
Maintained QA standards for staff, ensured calls were compliant with firm standards
Escalated issues as needed, and maintained communication with customers and management team
Trained staff and monitored progress
Provided exceptional customer service while responding to diverse and sensitive situations
Handled all inquiries regarding customer's internet subscriptions via phone, email and chat
SUMMARY
Skilled and highly experienced individual with an
extensive background in the healthcare and
customer service industry. Experienced customer
service professional with + 8 years in various
client-facing roles. Skilled in conflict resolution and CRM software, consistently achieving high
customer satisfaction. Wide range of experience
and knowledge (+4 years) in data entry, health
insurances and records, medical terminology,
federal laws and regulations such as Privacy Act of 1974, Freedom of Information Act (FOIA) and
Health Insurance Portability and Accountability Act
(HIPAA). Highly critical tinker with effective
researching skills. Proactive and reliable
multitasker with excellent organization skills and ability to prioritize patient and staff needs
KEY ACHIEVEMENTS
Accuracy In Billing
Processed over 1,000 billing entries weekly
with 98% accuracy rate.
Enhanced Customer Service
Resolved 95% of customer inquiries within
first contact, improving customer
satisfaction rate by 15%.
Billing Error Reduction
Reduced billing errors by 40%, improving
monthly revenue collection for the team.
Staff Training Success
Trained 20+ staff members, increasing
team efficiency by 25% over two years.
LANGUAGES
English Advanced
Spanish Advanced
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EXPERIENCE
Customer Service Representative and Sales
Simple Mobile Solutions 09/2013 - 07/2016 Woodbridge
$19,800 Annual income
Hours/Week: 40hrs
Supervisor: Cesar Bonilla
May contact: 703-***-****
Worked as a team member performing cashier duties, product assistance and sales
Greeting customers, understanding their needs, and providing tailored solutions
Addressing customer inquiries, resolving issues, and handling complaints Served as the company's only bilingual Spanish/English customer service representative
Assisting customers with troubleshooting technical issues related to their devices
Paying attention to customer needs and understanding their requirements Adjusting to changing situations and learning new products and technologies
Understanding mobile devices, plans, accessories, and the latest technology trends
Provided Money Gram services, a reliable person-to-person money transfer service
Balanced legal duties to prevent fraud and money laundering, requiring customer identification
Responsible for ensuring the service is used for lawful purposes, not for illegal activities
IT Services Consultant
IT Services 02/2013 - 08/2013 Montevideo- Uruguay
Consulting and business solutions organization
Assisted technicians to install security cameras at new Target's stores in the USA and Canada
Identified camera problems and strengths and collected data Troubleshot issues with users and monitored
Collaborated with the global team to resolve IT support cases Activated equipment after completing the secured installation guidelines Customer Service Representative
Gol Airlines Atento 01/2010 - 02/2013 Montevideo- Uruguay Salary was in Uruguayan currency
Announced flight status updates and information about gates changes over the airport's SABRE system
Created and booked reservations
Processed reservations, coordinated stand-bys and monitored cabin availability
Protected customer's baggage from loss
Responded politely to passenger complaints regarding ticketing and baggage handing
Inbound/outbound telephone calls
Reschedule flights
EDUCATION
Medical Patients Records and hospital statistics & Hospital Pharmacy
Escuela Nacional de Enfermería
03/2010 - 12/2010 Montevideo, URUGUAY
SKILLS
Cashier CRM CRM Software
HIPAA Microsoft Excel
Microsoft Office Microsoft Word
Sabre Mobile Devices Gmail
TRAINING / COURSES
Course Title
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