To obtain a position where I can capitalize my knowledge and experience.
05/2016 to 01/2017
Office ClerkMalama Market － Pahoa, Hi
Gave feedback when cashier needed help.
Trouble shoot system with cashier's when they had trouble.
Managed cashier's breaks and counted them out keeping track of overage and shortages.
Counted safe - recorded my findings.
Western Union and Money Order agent.
04/2013 to 01/2019
Health Net Federal Services － Rancho Cordova, CA
Transitioned to permanent with same work responsibilities when employed with TEMPORARY AGENCY Kelly Services.
04/2011 to 03/2016
08/2010 to 04/2011
Mail Stop CA 903-01-06
08/2005 to 04/2010
Intermediate Operations ProcessorBlue Shield of California － El Dorado Hills, Ca
Contract providers with Blue Shield of California, researched online for proper research needed for provider to be participating i.e.
Arts of INC.
DBA - Medical Board License.
Upkeep providers file information in a high volume environment, made calls to verify demographics and updated when needed.
Designated processor PHARMACY, FACILITY & TRICARE contract processing which includes DME & HME.
Intake Rep 1Health Net, Inc － Rancho Cordova, CA
Validates patient and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service.
Determines whether patients are eligible to receive health care benefits under the insurance program by determining the patients' status/eligibility the Primary Care Manager (doctor) type, and the appropriate referral/authorization path.
Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests.
Uses sound judgment in making decisions in order to keep the referral/authorization process moving forward in accordance with contractual timeliness standards.
Follows step-by-step instructions, including redirecting patients into the provider network for care, as required by contractual standards.
Formulates brief sentences/paragraphs from referral/authorization orders and prepares correspondence in business letter format to provide clinical information to servicing providers.
Generates letters and reviews to validate that they are going to the correct providers/patients, and that the provider/patient demographics and reason(s) for services to be rendered are correct.
Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.
Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks.
Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve.
Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.
Works as a team member; cooperates, assists and collaborates with co-workers to achieve goals and department success, and takes personal responsibility for achieving outstanding customer service.