Luciana J. freelancer experto en Database, Management, Traducción al portugués, Traducción al Español, Ventas, Asistente de administración, Servicio al Cliente, Medio ambiente, Seguros, Traducción al Inglés

Luciana J.

English/Portuguese Ambassador/Translator

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Sobre mí
Being trilingual in English, Portuguese, and Spanish I have the ability to interact with a wide demographic of people and provide excellent customer service acting as a liaison between the company and all customers. Throughout my career I have worked extremely hard to respond promptly to customer needs and ensure compliance with company requirements. The skill sets I bring into a career are interpersonal skills, great oral communication and teamwork. This allows me to function at a high level with  all groups and individuals and maintain a high level of customer service.
Historia laboral
Central Challenges of American National Security, Strategy and the Press - Harvard Extension University. (Grade: 95%)

Greater Orlando Aviation Authority: Orlando International (MCO) and Executive (ORL) Airports

Ambassador - Portuguese/Spanish speaker
•    Strong Customer Service background.
•    Fluency in English, Portuguese and Spanish.
•    Assisting passengers with information regarding aircraft's departure and arrivals.
•    Directing passengers to boarding areas.
•    Assisting passengers with documentation/tickets/reservations.
•    Providing correct and accurate information to all passengers through a professional manner while  demonstrating proper level of empathy.
•    Able to work flexible shifts.
•  Demonstrated excellent communication and teamwork skills as well as follow through, taking accountability for my work and complying with Orlando International Airport requirements.


Physicians United Plan
Credentialing Specialist
April 2014 – June 2014


Promoted to Credentialing Specialist due to my passion to provide an exceptional customer service.
Excellent Customer Service experience with members providing satisfaction and professional assistance regarding to network incoming inquiries and also acting as a liaison between the members, the company and it’s all departments.
Able to work flexible shifts.
Demonstrated excellent communication and teamwork skills as well as follow through, taking accountability for my work and asking questions when needed.
Supports the collections, documentation, organization and presentation of credentialing evidence required for external surveys and state audits.
Assist in annual review and evaluation of delegated entities.
Supports supervisor in tracking and monitoring department performance in meeting goals, including timeliness and productivity requirements.
Assist in training new team members on job functions and policy and procedures.
Responsible for ensuring credentialing policies and procedures meet all organizational, state regulatory and external accreditation requirements.
Reviews practitioner applications and Re-credentialing with tight deadlines.
Reviews and documents findings of practitioner performance and credentials.
Prepares summaries for peer review and presents to credentialing committee for review.
Adheres to strict confidentiality guidelines and Code of Conduct standards; conforms to defined processes in compliance with quality standards and regulatory requirement.
Assist Health providers with questions pertaining to credentialing.
Entering applications, group applications, and re-credentialing in credentialing software and obtains missing information or documents, as needed.
Supports team in monitoring updates to expired licenses, certificate of Insurance, Liability certificate of Insurance and Board Certifications.
Assisting, preparing and sending welcome packets to providers after committee approval.
Assist internal departments with request and information.
Preparing files to ensure credentialing policies and procedures meet all URAC requirements and supports company’s process for achieving URAC re-accreditation.
                             

Physicians United Plan
Credentialing Coordinator (Providing high level of customer service to all associates)
– Promoted to Credentialing and Customer Service Specialist
November 2013 – April 2014

Excellent Customer Service experience with members providing satisfaction and professional assistance regarding to network incoming inquiries and also acting as a liaison between the members, the company and it’s all departments.
Responsible for general coordination of Physician’s United Plan Credentialing program to ensure credentialing policies and procedures meet all organizational state regulatory and external accreditation requirements.
During my position as a Credentialing Coordinator I have exceed the expectations for quality and quantity in my first 90 days and I have demonstrated ability to use critical thinking skills to continuing learning and mastering the whole credentialing process.
Entering applications and group of applications in credentialing software and obtain missing information or documents, as needed.
Reviews and documents findings of practitioner performance and credentials.
Prepare files to ensure that credentialing policies and procedures meet all URAC requirements and supports PUP’s process for achieving URAC re-accreditation.
Assist health providers with questions pertaining to credentialing.
Mails re-credentialing applications to providers and logs receipt of re-credentialing applications.
Prepares and sends welcome packets to providers after committee approval.

Physicians United Plan
Customer Services Representative – Promoted to Credentialing Coordinator (Providing high level of customer service to all associates)
September - November 2013

Providing excellent customer service to all associates of Physicians United Plan regarding to Plans and Benefits of the Health Care Organization.
Updating member’s files with correct information regarding any changes on their health care plan, primary care physicians and demographic changes.
Assist member with routine questions pertaining to why, when and how to effectively use the Health Care Insurance Plan and the type of coverage for each and every category of plan.
Preparing reports and summaries for peer and for supervisors review.
Adheres to strict confidentiality guidelines and Code of Conduct standards.

Metro PC’S Store
Sales – Sales Associate
June – September 2013

Receiving incoming calls from clients with requests for assistance related to their cell phone service.
Working in a sales environment to provide cell phones and service plans to the different needs of our clients.
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Posición del perfil: Bronze

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