Customer Service Data Entry

LYNNETTE A. WALKER

*** ****** **. *******, ** ***89• Ph: 655-7083 • Email: ********.******@*****.***

QUALIFICATIONS SUMMARY

Highly personable HealthCare/Customer Service Professional, seeking a position with a progressive and diverse organization that will allow me to utilize my education and work experience.

• 12 years of customer service experience, meticulous with exceptional communication and organizational skills.

• Ability to coordinate and complete multiple projects in a timely manner.

• Work efficiently as a team player.

• Demonstrate expertise in data entry, telephone support, scheduling and thorough knowledge of computer software and detail oriented.

• Expertise in resolving escalated customer service issues.

• Proficient with Microsoft Office System (including Microsoft Word, Microsoft Excel, Microsoft PowerPoint®, Microsoft Access, and Microsoft Outlook®).

PROFESSIONAL EXPERIENCE

Department of Veteran Affairs – Vallejo, CA

Program Support/ Insurance Verification 2009-Present

Position Description

• Organize, verify, re-verify, input and update Veterans’ insurance files.

• Communicates daily with the insurance companies to obtain current insurance information.

• Help facilitated the Northern California UR clerk to determine whether or not precertification/authorization is required for the patient’s inpatient and outpatient’s visit.

• Primarily concentrate on UR for San Francisco VA.

• Works closely with the UR nurses.

• On a daily basis work on the scheduled operations list (both inpatient and outpatient), inpatients stays, and outpatient’s visits (which includes diagnostic, PT/OT/ST, and mental health).

• Completes the UR Process: obtaining authorizations for inpatient and outpatient stays.

• Confirm if the patient’s visit is Service Connected (SC), Combat Vet related, is tort or worker’s comp visit, related to Military Sexual Trauma (MST), Agent Orange (AO), and many others.

• When a Veteran has sensitive information I confirm and, when needed, obtain a Release of Information (ROI).

• Menu functions used on a daily basis: CPRS, Claims Tracking, TPJI, Buffer, Patient Insurance, Scheduled Operations List, Vista Imaging, Deliver Ex, Gains & Losses, Patient Movement List, Patients Encounters, View Registration, and Mailman.

UNITED HEALTH GROUP – San Francisco, CA 2007-2008

Benefit/Account Installation

• Benefit Installation and Updates on New and Old Accounts.

• Translation of Medical Codes.

• Updated Blue Cross/Blue Shield Accounts.

• Proficient in Lotus Notes, Microsoft Outlook, Excel, 10 key, Data Entry, FACETS, LINX, CBMS, CMM, and RTMS.

Intake Coordinator 2005-2007

• Provided initial telephonic contact and system data entry for members seeking MH/SA services.

• Assist UBH Providers who are requesting services on behalf of Health Plan Members

• Registered patients and updated insurance information.

• Answered telephones, entered and maintained referral/intake information using a database, processed referrals.

• Maintained cooperative working relationships with staff, families and agency personnel.

• Completed various forms and reports, etc.

YARD BIRDS HOME CENTER – San Pablo, CA 1995-2005

Cashier Supervisor

• Supervised 15 cashiers and trained new hires.

• Maintained positive working relationship with staff and other supervisors.

• Answered switchboard phone system and ordered merchandise.

• Daily balance of cashier registers and audit cashiers hourly.

• Assist customer service desk as needed.

• Developed excellence in sales training courses.

EDUCATION AND TRAINING

Medical Terminology & Computer Science • NAPA COLLEGE – Napa, CA

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