1. DEIDRA CHELSEA
1060 E. 53rd Street #105
Los Angeles, CA 90011
(323) 326-5541
deidrachelsea@yahoo.com
JOB OBJECTIVE
As a Customer Service Professional, I am seeking to obtain a challenging position with an
organization that will allow me to utilize my knowledge, education, and experience while
providing and opportunity for growth and advancement.
SKILLS AND ABILITIES
Medicare Part D, Commercial Accounts
Knowledge of Explanation of Benefits for HMO, PPO, & POS
As400 CAD
IRIS System
CMS Audits SME
Queue Management Lead
Proficient in Microsoft Office
Typing 45 wpm /10 key (by touch)
WORK EXPERIENCE
OptumRx Senior Customer Service Rep 09/2005 to 10/2014 Costa Mesa, CA
Quality Specialist to develop improvement plans for their respective area of
responsibility based on quality analysis from the following sources: customer surveys,
telephone reports, error / defect reports, quality, production results, vendor issues.
Counsel patients regarding non-discretionary information, benefits, benefits eligibility,
verify copays, status of orders, and semi-routine claim or inquire questions. Help
advocates navigate through system to find benefit information. Process Prescriptions,
Data entry, Dispensing Medications, Identifying method of payment, order verification,
and trouble shooting. Answered inbound telephone call inquires; assists with orders, and
reimbursements
UCLA Physicians Billing 04/2005 to 09/2005 Los Angeles, CA
· Accounting Procedures ,Maintained business forms, Out Patient Registration
Responsible for patients billing and collections on research insurance denied on claims.
Perform follow ups on all accounts with an unpaid balance of guarantor responsibility on
aged accounts of 90-120 days. Work target files in a timely manner to ensure that
Patient Billing Office achieves its overall Collection standards and work quality
measures.
LAUSD Teacher's Assistant 07/2003 to 09/2005 Los Angeles, CA
· Counseling Office, Homed Schooled, Pharmacy Tech
Assist class with work, grade papers in multiple subjects, and type templates for test.
Take daily attendance, grade reports, heavy filing, & photo copying.
EDUCATION / TRAINING
Los Angeles Trade Technical College Los Angeles, CA
Crenshaw High School – Diploma – 1996 Los Angeles, CA
