LiveCareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Performance-driven and motivated professional with over 30 years of experience. Motivated, trustworthy, friendly and resourceful. Excellent time management and planning skills. Responsible with strong knowledge of office administration and common human resources operations. In-depth understanding of customer service, data entry and file management. Highly skilled in reviewing policies and suggesting actionable improvements aligned with industry best practices.

Skills
  • Systems/Database administration
  • Process and Operational improvement
  • Administrative support, MS Office, Spreadsheets, organizational skills
  • Data validation, problem resolution
  • Data Quality Assurance Processes
  • Records management, confidentiality, HIPPA, PII
  • Coding error resolution
  • Documentation and control
  • Clear oral/written communication, advanced math skills
  • Bookkeeping, account reconciliation, credit and collections
  • Drug inventory management
Education
American Public Charles Town, WV, Expected in 08/2021 Associate of Science : Business - GPA :
American Public University System Charles Town, WV Expected in 06/2022 Bachelor of Science : Business - GPA :
Work History
Child Care Resource Center - People Services Specialist/Human Resources Assistant
Sacramento, CA, 03/2019 - Current
  • Reduced process inconsistencies and effectively trained team members on best practices and protocols.
  • Maintained, updated and organized KidTrax database including participant enrollment, membership, attendance, medical, education and financial data for 6 Clubs (approximately 3,000 participants).
  • Promptly responded to inquiries and requests from prospective and current parents.
  • Handled high-volume paperwork and collaborated with Unit Directors to resolve membership and attendance issues, while maintaining accurate participant account data with manual forms processing and digital information updates.
  • Increased efficiency and performance by streamlining and digitizing enrollment processes.
  • Oversaw security and information retention policies and practices according to internal and government-ordered standards.
  • Set up and controlled user profiles and access levels for each database segment to protect important data.
  • Developed integrated spreadsheet and database reports for accumulating, formatting and organizing data and presented findings to management. Manipulated, transformed and analyzed data to aide key staff members with all aspects of participant enrollment and attendance.
  • Implemented forward-thinking initiatives to improve staff engagement and staff appreciation.
  • Streamlined HR efficiencies, coordinated and conducted new hire orientations, onboarding and training for new employees.
  • Reviewed and screened applicant resumes, interviewed candidates and conducted background checks and verification.
Baptist Healthcare System, Inc. - Senior Vendor Processor Coordinator
Corydon, IN, 04/2018 - 03/2019
  • Researched and resolved discrepancies to maintain accuracy.
  • Received and reviewed incoming documents and materials, while evaluating accuracy and quality of data entered in agency management system.
  • Minimized financial discrepancies by accurately analyzing report data to maintain accuracy, resolved discrepancies and devised appropriate solutions.
  • Reviewed provider coding information to report services and verify correctness. Managed quality assurance program, including on-site evaluations and internal audits.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Acted as worker's compensation medical claim subject matter expert, answering internal and external questions and inquiries, by using State and Federal guidelines as resources.
  • Reviewed outstanding requests and redirected workloads to complete projects on time while resolving medical claim problems, improving operations and providing exceptional client support.
Walmart Claims Management - Provider Liaison
City, STATE, 08/2017 - 04/2018
  • Resolved worker's compensation issues, improved operations and provided exceptional client support.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
  • Handled more than 100 calls per day to address patient, provider, insurance and claim adjustor inquiries, concerns and delinquent accounts.
  • Identified, researched and resolved billing variances to maintain system accuracy.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Reviewed provider coding information to report services and verify correctness.
  • Used State and Federal guidelines as resource or to answer questions when processing medical claims.
  • Maintained confidentiality of patient finances, records and health statuses.
Walmart - Pharmacy Technician
City, STATE, 06/2014 - 08/2017
  • Stocked, labeled and inventoried medication to keep accurate records.
  • Set up and modified patient profiles to include current information such as medications and insurance details.
  • Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
  • Coordinated verification, filling and processing over 300 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
  • Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items. Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Entered and processed patients' prescriptions into internal system.
  • Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.

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Resume Overview

School Attended

  • American Public
  • American Public University System

Job Titles Held:

  • People Services Specialist/Human Resources Assistant
  • Senior Vendor Processor Coordinator
  • Provider Liaison
  • Pharmacy Technician

Degrees

  • Associate of Science
  • Bachelor of Science

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