Kelly Nguyen
Memphis
Summary
Detail-oriented Customer Service and Healthcare Support Specialist with experience in premium processing, reconciliation, claims review, and billing support.
Overview
5
5
years of professional experience
2028
2028
years of post-secondary education
1
1
Certification
Work History
Managed Care Representative
Maximus
Remote
12.2024 - 02.2026
- Coordinated patient enrollment in managed care programs and verified eligibility.
- Facilitated communication between healthcare providers and insurance companies.
- Reviewed claims for accuracy and compliance with policy guidelines.
- Assisted patients in understanding their benefits and coverage options.
- Updated and maintained patient records in electronic health systems efficiently.
- Performed data entry into internal databases while ensuring accuracy of information entered.
- Conducted research on member eligibility and benefits information.
Billing and Claims Representative
IQVIA
10.2024 - 01.2025
- Answered customer inquiries via phone, email, and chat.
- Provided customer service to patients by answering questions about medications and health-related topics.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Processed incoming claims and ensured accurate data entry into management systems.
- Assisted customers with inquiries and provided clear information on claim statuses.
- Reviewed claims for completeness and flagged missing information for resolution.
Assistant Manager
Milano Nail & Spa
Cypress
08.2023 - 10.2024
- Supervised daily operations including scheduling shifts, assigning duties.
- Managed customer service inquiries and complaints in a timely manner.
- Developed and implemented strategies for providing excellent customer service experience.
- Reviewed customer feedback and complaints to identify areas for improvement in customer service processes.
- Performed cash handling and register operations with accuracy and integrity.
- Oversaw daily operations including opening and closing procedures and cash handling processes.
- Trained new employees on proper cash handling procedures and customer service standards.
- Verified accuracy of documents, such as invoices and receipts, to ensure proper cash handling procedures were followed.
Pharmacy Technician
Walgreens Pharmacy
Cypress
10.2022 - 07.2023
- Assisted pharmacists in filling prescriptions and managing medication inventory
- Operated pharmacy software to manage prescriptions and patient records.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Answered customer inquiries and provided accurate information regarding products and services.
Data Entry Administrator
Just N Time
Memphis
12.2020 - 09.2022
- Entered data accurately into company databases and management systems.
- Maintained organized records by categorizing documents and files efficiently.
- Processed incoming information requests and responded in a timely manner.
- Collaborated with team members to streamline data entry processes and workflows.
Education
Associate of Applied Science - Nursing
Lone Star College System
Spring, TXHigh School Diploma -
Memphis Virtual Schools
MemphisSkills
- Premium Processing and Reconciliation
- Billing and Financial Reporting Support
- Data Entry & Accuracy (High Volume)
- Customer Communication (Phone/Email/Tickets)
- SOP Practice and Variance Resolution
- Claims & Policy Knowledge
- Administrative Support
- Cash Handling
Languages
- English, Full Professional
- Vietnamese, Fluent Bilingual
Certification
Certified Pharmacy Technician Trainee
Timeline
Managed Care Representative
Maximus
12.2024 - 02.2026
Billing and Claims Representative
IQVIA
10.2024 - 01.2025
Assistant Manager
Milano Nail & Spa
08.2023 - 10.2024
Pharmacy Technician
Walgreens Pharmacy
10.2022 - 07.2023
Data Entry Administrator
Just N Time
12.2020 - 09.2022
Associate of Applied Science - Nursing
Lone Star College System
High School Diploma -
Memphis Virtual Schools