Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
6
6
years of professional experience
Work History
Grievances and Appeals Analyst
Elevance Health
06.2023 - Current
Prepares written responses to all members and providers that appropriately addresses each complainant's issues and are structurally accurate.
Maintains detailed records and organized documentation to facilitate smooth appeals processing, ensuring all relevant information was readily available for review.
Identifies and engages with clinical resources, as necessary, using sound, fact-based decision-making skills to render a decision for non-clinical complaints.
Maintains confidentiality and complies with HIPAA rules and regulations.
Operations Assistant/RBT
Bluesprig Pediatrics
08.2021 - 06.2023
Collected and analyzed data and monitored progress and efficacy of individualized treatment plans.
Assisted with building life and social skills useful for everyday activities and interactions.
Planned and implemented individualized interventions as part of behavior treatment plans.
Organized and filed important company documents, spreadsheets and reports.
Assisted with training of new employees, offering constructive feedback on completion of job tasks.
Supervised day-to-day facility operations in accordance with set policies and guidelines.
Scheduled appointments, meetings and interviews for employees and clients.
CCA
Northside Hospital Atlanta
01.2021 - 07.2021
Self-motivated, with a strong sense of personal responsibility.
Assist patients with activities of daily living.
Performed vital checks.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Manager/Hostess/Server Shift Leader
Metro Cafe Diner
02.2018 - 11.2020
Trained and acclimated new servers to restaurant's culture and operations.
Created positive guest experience by listening to guest needs and recommending options to meet requests.
Supervised serving staff to drive high level of hospitality and food excellence.
Leveraged proper serving etiquette to promote inviting dining atmosphere.
Managed opening and closing duties to facilitate restaurant operations.
Maintained knowledge of menu items, ingredients and preparation methods to assist guests with menu selection.
Leveraged POS system to receive and take guest orders and process payment.
Calculated charges, issued table checks and collected payments from customers.