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Click here or scroll down to respond to this candidateSONIA ARGUELLO PHONE NUMBER AVAILABLEStreet Address EMAIL AVAILABLEEducation and Training:Bramson ORT College, College in New York City, New York (2006-2008) Computer Information Systems. Associate degreeUniversidad Politcnica de Nicaragua - UPOLIBachelor in Computer ScienceInstituto Politcnico Cristobal ColnHigh School DiplomaTechnical Skills:Bilingual ability to translate between English and Spanish technical information.Experience related environment (office, administrative, clerical, customer service, organization skills, quick typing skills, prior health care experience, medical scribe. ROI clerk). Supporting customers via phone, Chat E-mail.Computer savvy: Microsoft (Word, Excel, Access, PowerPoint. Publisher, Outlook, Office InfoPath, Office 365, Adobe Reader.)Data Entry- 49 WPMEagle System, Centricity System, Omni System, 3MD System, FujIris System, Orsos System, Health Bridge System, Verisma System, Alpha System, MD System, ERP Systems. ProSolv System, PayServ System, Web Strat System, RRA System, Core System, Cavo System.File Maker Pro.Twilio System, Calabrio System. Slack, Google Workspace (Drive Suite), Smart sheets, Team viewer, Django System. Salesforce System, Gainsight System, Macro Express Pro, April Tool(Intake Grid, Icue/ PNL/EPAL, DMEVS, C&S Authorization grid, etc), Facets, Macess, Genesis Softphone. LiveChat, SharePoint sites.,Others skill Visual C++, Visual Basic. HTML Web Development, Dream Weaver, Microsoft FrontPage.Work Experience:Century II Staffing, LLC ESS (Agency) ESS Northeast LLC (Client) Substitute Teacher Jan 2024 to presentProvide general supervision during class periods, interpreting lesson plans and creating reports.Follow lesson plans provided by the regular teacher to create a cohesive and consistent learning experience for students.Manage the classroom effectively to encourage student participation, minimize distractions and maintain a positive learning environmentSupervise students in and out of the classroom, including in the halls, on the playground and in the cafeteriaGap (10/2023 -01/2024)- Seeking Employment.United Health Group (Direct Client)Provider Service Advocate: Sep 2022 to Oct 2023Interacted with providers with the intent to develop a relationship with them and develop knowledge of our various products and multiple levels of benefits within each product to best assist our providers/customers.Received/Answered inbound calls from health care providers or members (physician offices, clinics)Identified the type of assistance the provider needs (COB, PCP benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits, Medicare/Medicaid appeals, access multiple systems to research customer problems and record inquiry types)Focused on resolving issues, navigating through complex computer systems to identify the status of the issue, and providing appropriate responses to callers via live chat.Delivered information and answered questions in a positive manner to facilitate strong relationships with providers and their staff.Completed the documentation necessary to track provider issues and facilitate the reporting of overall trends.Provided information as requested related to coverage determinations and appeals processes. Insight Global (Agency), United Health Group (Client) Data Entry Clerk: Apr 2022 to Sep 2022Interacted with providers with the intent to develop a relationship with them, responsible for Inputting data in different systems, and reviewing relevant documentation needed for claims processing.Received/Answered incoming phone calls from health care providers (physician offices, clinics) to identify the type of assistance the provider needs (benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits, others).Focused on resolving issues on the first call, navigating through complex computer systems.Delivered information and answered questions in a positive manner to facilitate strong relationships with providers and their staff.Completed the documentation necessary to track provider issues and facilitate the reporting of overall trends.Ascent an ACS Solution (Agency), Workday (Client)Data Entry Clerk (Night Shift): Apr 2022 to Jul 2022Maintained database by entering new customers and updated account information.Prepared source data for computer entry by compiling and sorting information.Processed customer and account source documents by reviewing data for deficiencies.Resolved deficiencies by using standard procedures.Completed search task within 10 minutes per item time frame. Escalates timely on blockers or unclarity.Entered customer and account data by inputting alphabetic and numeric information on a keyboard or optical scanner according to screen format.Verified entered customer and account data by reviewing, correcting, deleting, or re- entering data. Purges files to eliminate duplication of data.Tested customer and account system changes and upgrades by inputting new data. Secures information by completing database backups.Maintained operations by following policies and procedures and reporting needed changes. Robert Half (Agency) Company Elaborate (Client)Data Entry Clerk: Aug 2021 to March 2022Entered labs report information from one online database into another and responded to customer inquiries.Medical data entry of patient records and Lab Reports, transcribing data across multiple platforms.Proficiency with data entry and computer applications, high attention to detail/accuracy.Responsible for extracting labs for the Amazing Chart and MDLand system creating and entering the correct information.Verified the information entered by Health Jump and External/Task Us staff, ensuring that the information and data of the laboratories created are correct.Performed other duties as assigned. Inspect reports and sheets of data. Enter information into spreadsheets, databases, and Laboratories relationship management systems. Insight Global (Agency), United Health Group (Client) Data Entry Clerk: Jan 2021 to March 2022Made outbound and field inbound calls from contacts and interviewed them to determine potential exposure related to COVID-19.Handled a high volume of inbound and outbound calls with the Twilio Flex system.A keen understanding of the need for patient confidentiality and to conduct contact tracing without disclosing the identity of the patient (case).Performed COVID-19 contact tracing, based on a high volume of reported positive cases/exposures.Followed up the script with the Salesforce system to inform contacts about the importance of quarantine and isolation and what to do if symptoms develop. Collecting and recording accurate information using the Salesforce system and Smart Sheets system.Completed call notes and escalated to a supervisor, research required case information before making a call. Collect and record information on symptoms into the CRM. Assisted with Spanish interpretation.Provided contacts with approved information about quarantine or isolation procedures.Collaborated with designated local authorities in supporting the isolation and quarantine of individuals; maintained ongoing virtual communication to monitor symptoms.Provided contacts with regulated vaccination and scheduled appointments in the Smart Sheets system.Green Key (Agency) Medreview (Client)Data Entry Coding Processor: Feb 2020 to Dec 2020Assisted the Assistant Director of Cost Outlier with the daily grouping.Reviewed emails from Cost Outlier staff or UHC to respond to their grouping inquiries.Assisted Assistant Director of Cost Outlier with daily Grouping of Outlier claims.Reviewed UHC inquiries to be answered in two days time.Responded to all DRG denial inquiries; provided supporting documentation and coding clinic guideline references to dispute appropriately.Pricing Coding and Billing.Gap (11/2019-01/2020)- Seeking Employment.Suny Downstate Medical Center (Direct Client)Medical Record Assistant II : May 2014 to Oct 2019.Responsible for maintaining the files included in a patient's health information portfolio, including medical history, and other services.Communicated with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.Ensured all deficiencies were located during the assembling and analysing process that is entered into the 3M System. SeparatedMedical records into appropriate record types and upload them into the electronic medical record system.Responsible for pickup and tracking of medical records upon patient discharge, and daily report discharges.Uploaded records requests and patient authorization forms including processing medical record requests.Assisted in the clearing of all physicians charts via Health Bridge and 3M by contacting other physician offices to request records and notify all appropriate departments when a physician is removed from the suspension status.Coded all operative reports from Centricity System, Omni System, MD Report System, and FujIRS System.Managed Health Bridge and Eagle Systems for importing medical records into the Alpha System. Scanning Records into the electronic medical record system. Use office printer for records, faxing and copying documents, create not received list and communicate for tracking, send out boxes to archive personnel.Checked Operating Room Schedule in Eagle System. And print the Schedule in the Orsos System. Performs clerical technical duties associated with coding and Billing processes and procedures.Obtained all patient medical imaging and uploaded any imaging discs into the internal imaging system. Answer telephones, and doors and take requests for medical inpatients and Outpatients records. Assists with Spanish interpretation.Guidance Staffing (Agency) Long Island College Hospital (Client) Executive Secretary May 2013- April 2014Responsible for supporting high-level executives and management or entire departments.Provided administrative support and performed numerous duties, including scheduling, writing correspondence, emailing, handling visitors, routing callers, and answering questions and requests.Provided administrative and clerical support to departments or individuals.Filed and retrieved corporate documents, and reports for Cardiac Catheterization report. Scheduling appointments and registering patients into the Eagle System.Responsible for all general administrative duties including phones, typing, copying, filing, mailings, and scanning. Used spreadsheets and databases to efficiently store.Prepared, compiled, and maintained travel vouchers and records. Relayed directives, instructions, and assignments to executives.Guidance Staffing (Agency) Suny Downstate Medical Center (Client) Executive SecretaryMay 2013Provided administrative support and performed numerous duties, including scheduling and clerical support.Scheduled appointments and Registered patients into the Eagle System.Answered phones and provided necessary information to the individual departmental managers and processing information.Guidance Staffing (Agency) Suny Downstate Medical Center (Client) Senior Accounting Clerk : Oct 2008 to Jun 2012Maintained financial records with updates as required, Operated accounting software programs to process business transactions, like accounts payable and receivable, disbursements, expense vouchers, and receipts.Processed input timesheet date to the TIMA (Time and Attendance System.)Updated and filed computer printouts for distribution of state payroll checks via the PayServ System.Provided accounting and clerical support to the accounting department for various requests.Prepared bank deposits, general ledger postings, and statements for hospital accounts and executive reporting.Functioned in accordance with established standards, procedures, and applicable state and federal laws.DAgostino Supermarkets (Direct Client)Cashier / Deli Clerk : Apr 2006 to May 2013Took payments from customers and provided them with the appropriate change when applicable.Greeted customers when they enter the establishment.Provided responsive, exceptional service to deli counter customers by answering questions, and greeting customers entering establishments.Received payment by cash, check, credit cards, vouchers, or automatic debits Establish or identify prices of goods, services, or admission, and tabulate bills using calculators, cash registers, or optical price scanners.Maintained clean and orderly checkout areas.(Deli) Customer service. Prepared deli items and cooked heated items. Control of cost inventories.Maintained the highest quality standards in food preparation.Followed sanitation procedures. Preparing, slicing, weighing, pricing, and wrapping.Experienced using slicing machine. |
