Abigail Barahona
Green Bay,WI
Summary
Dynamic healthcare professional with 2+ years of Medicare sales and customer service experience, skilled in policy communication, team coordination, and compliance. Known for driving results through meticulous attention to detail and data-driven decision-making. Eager to bring my expertise to a Utilization Management Coordinator role at United Healthcare, where I can enhance team performance and elevate patient care.
Overview
3
3
years of professional experience
Work History
Telesales Agent
United Healthcare
De Pere, WI
04.2024 - Current
- Mastering Policy Communication: Consistently translated complex Medicare policies into clear, actionable insights for clients, ensuring they made well-informed decisions. This skill seamlessly aligns with guiding technical staff through procedural changes.
- Championing Continuous Learning: Proactively engaged in comprehensive training sessions on the latest Medicare updates and system enhancements, preparing me to effectively facilitate process and systems training for both new hires and seasoned staff.
- Orchestrating Workload Efficiency: Skillfully managed a diverse portfolio of client cases, balancing priorities and achieving sales targets. This experience equips me to strategically distribute and oversee assignments, ensuring UM technical staff meet performance standards.
- Elevating Client Satisfaction: Took ownership of client concerns, resolving issues swiftly and maintaining high satisfaction levels. This proactive approach mirrors the vigilance required in monitoring turnaround times and supporting the UM team in delivering optimal performance.
- Ensuring Precision and Compliance: Maintained rigorous adherence to Medicare regulations and internal guidelines, demonstrating an eye for detail and a commitment to accuracy—key attributes for excelling in utilization management activities.
Inbound Customer Service Representative
Humana
De Pere, WI
07.2021 - 03.2022
- Expert in Navigating Healthcare Systems: Provided comprehensive support to members by addressing their inquiries about health plans, coverage, and benefits, showcasing my ability to quickly understand and communicate complex healthcare information.
- Proactive Problem-Solver: Resolved a high volume of member issues with efficiency and empathy, often exceeding performance targets. This experience underscores my ability to manage and support a team in meeting productivity standards in a UM setting.
- Exceptional Communication Skills: Delivered clear, concise explanations of policies and procedures to members, ensuring they fully understood their options—skills that directly translate to guiding and mentoring technical staff in the UM department.
- Focused on Accuracy and Compliance: Ensured all interactions adhered to company policies and regulatory guidelines, maintaining a high level of accuracy and attention to detail—critical for performing utilization management activities.
- Team Collaboration and Support: Frequently collaborated with peers and supervisors to enhance service delivery, demonstrating a team-oriented mindset and readiness to support the UM Supervisor/Manager in achieving performance goals.
Education
Google Cybersecurity Career Certificate - Information Technology
Google
Remote05-2024
High School Diploma -
Berean Academy Homeschool
Green Bay, WI05-2020
Skills
- Healthcare Policy Communication
- Utilization Management
- Data Analysis and Reporting
- Workload Management
- Team Coordination and Support
- Training and Development
- Compliance and Regulatory Knowledge
- Attention to Detail
- Time Management
References
References available upon request.
Timeline
Telesales Agent
United Healthcare
04.2024 - Current
Inbound Customer Service Representative
Humana
07.2021 - 03.2022
Google Cybersecurity Career Certificate - Information Technology
Google
High School Diploma -
Berean Academy Homeschool