Experience

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  Lifeline Treatment Services

  • Oakland, California

  • Front Office Manager

    • Jan 2008 - Present
    • Oakland, California

    At fourteen years old, I accepted my first position with the City of Berkeley Auditor under the tutelage of the executive assistant and learned the value of customer service. I held those values from that position to the present. I approached this value; every person you encounter is and can potentially be your customer. I don't believe in the word over qualified. The more you can offer your customer, the better you serve them. I bring a wealth of cultivating, mentoring, in supervisory roles such as Call Center Supervisor for client’s executive, operations and call center personnel. I possess and have extensive experience in accounting in hospital and health care administration environments. I exceeded management’s expectations as a Training Specialist by implementing a new training program, facilitated new and existing employee training for Operations and Call Center units by creating innovative training material, utilizing hands-on shadow training and provided ongoing training for personnel including management. I am an expert at analysis and research regarding project management, client, State and Federal regulations and ad hoc requests. I have superlative expertise in quality assurance and ensuring client regulations are adhered to. I possess exemplary client interfacing and networking abilities. I take a proactive approach to my personal development and utilized a network with internal and external constituents. I strategized my mentoring via internet or training and participated in all courses to enhance my performance, speak with and ask for mentoring with managers and tenured staff and collaborated with colleagues. Because of this, I embarked on a project called 'THE LOTUS FLOWER EXPERIENCE' which provide middle, senior management and individual contributor professionals with creating innovative and imaginative resumes, professional portfolios and effective interviewing techniques.

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  Career Alliance

  • East Bay Area

  • Customer Service/Medi-Cal Billing/Accounting Clerk

    • Jan 1995 - Present
    • East Bay Area

    Upgraded office filing system by placing all official files/documents online and going paperlessPerformed all general reception responsibilities such as answering all incoming calls, transferring, taking and forwarding messages Handled all official correspondenceConducted research for all administrative reports and identify issues relating to procedures and guidelines Reviewed all reports for auditing purposes to comply with state and federal regulations Maintain Medi-Cal accounts and reconciliation of billing Provide clerical support regarding vendor accounts receivables via client database

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  Amerisource Bergen

  • California

  • Reimbursement Analyst

    • Jan 2014 - 2016
    • California

    Summary: Customer Service, Healthcare Administration, Reimbursement Analytics, Patient Assistance Programs (PAP), Copay Assistance, Financial Consultation, Benefit Verification, Independent Oncology/Hematology Independent Foundation Referrals.Professional SummaryI’m strongly dedicated with an excellent record of providing quality service to all my customers, clients, & constituents’. I have over twenty years plus acquired knowledge & Education in HealthCare Administration. I’ve also Facilitated training, mentoring & Supervisory responsibilities for Customer Support representatives & Operations staff. Additionally, I’m adept at Oncology consulting, Patient Assistance Programs, being primary liaison collaborating with customers’ Human Resources in daily administration, maintenance, customer Open enrollments for fortune 500 Corporations, Customer renewals, Accounts receivables & billing, Custom programming charges, Billing & Claims Health & Welfare Benefits i.e. Traditional, Managed, & Open Choice, HMOs’, Dental, Life, disability & Workers’ Compensation, Self & fully insured products, Government/Subsidized insurance including Medicare, Medicaid, Medi-Cal, Healthy Families for Children, & Expatriate employees insurance products.

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  Aetna US Healthcare

  • Health Care Administration/Eligibility Analyst

    • Jan 2005 - Feb 2012

    Spearheaded development of critical client renewal in order to increase long-term business stabilitySecured 75% of existing business to 36 plus month contracts; allowed team to focus on targeting new opportunitiesIdentified need for and designed creative financial structures for imaging partnerships which resulted in significant business expansion with both new/existing clientsServe as primary analyst responsible for new case installation, determining best file structure, and created ID Cards to the specification of client requests with continuous administering and maintenance of eligibility via electronic alpha and numeric files utilizing the RUMBA database (client based program) and BMS for active, COBRA, retiree, Medicare and disability populations for medical, dental, vision and life insurance Proactively review and streamline processes for external/internal constituents (plan sponsors/HR executives), employee eligibility data sent received via electronic feeds that conform with client business systems Serve as liaison and primary contact for corporate Human Resources (HR) in the maintenance of electronic employee/enrollee/retiree and other populations’ records regarding the administration of products such as Traditional, Managed Choice, Open choice, HMO, dental, life insurance and disability products

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  Electronic Data Systems (EDS)

  • Rancho Cordova, California

  • Eligibility and Operations Training Specialist

    • Jul 1998 - Sep 2005
    • Rancho Cordova, California

     Provide research, develop and implement process improvements regarding training strategy for over 500 call center and operations personnel by utilizing client or Government regulations and internal procedures Organize, conduct and facilitate initial and subsequent training for new and existing call center and operations personnel  Create, develop, effective training material for Customer Service and Operations personnel, middle and senior management, internal and external constituents such as the State of California, train-the-trainer sessions and fellow colleagues