Aujanique Fox
Sacramento,Ca
Summary
Produce quality work in a time efficient cost effective manner while utilizing skills and abilities surpassed through previous experience Great multitasker and critical thinker with devotion to accuracy and efficiency. Supervises and leads office to maximize and streamline functionality. Efficient Authorization Specialist with comprehensive knowledge of medical insurance policies, coding and procedures. Strengths include strong problem-solving skills, thoroughness in documentation and a keen eye for identifying inconsistencies.
Overview
16
16
years of professional experience
Work History
Authorization Specialist I
Centene, Superior Health Services
Sacramento, CA
01.2023 - 01.2025
- Researched patient eligibility, coverage information, and benefit levels.
- Entered data into electronic medical record system accurately and efficiently.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Reviewed authorization requests for accuracy and completeness.
- Tracked authorization statuses using electronic databases.
- Processed prior authorization requests in accordance with departmental guidelines.
Ecoshield Pest Control
Sacramento, CA
01.2018 - 01.2019
- Answered phones regarding customer questions or complaints
- Scheduled appointments and input data
- Wrote contracts, and generated letters for customers regarding billing and services
- Processed payments
- Dispatched for technicians
- Worked with a team to ensure company goals
Milestonz Americas Credit Jeweler
Natomas, CA
02.2016 - 04.2016
- Digitally managed records and client profiles
- Delegated credit checks
- Finalized contracts
- Exceeded company errands
Little Caesars Pizza
West Sacramento, CA
01.2014 - 01.2016
- Maintain high standards of customer service during high volume, fast paced operations
- Corresponded clearly and positively with coworkers and management
- Generated in point- of- service(POS) computer system for automated order taking
- Verified currency and credit transactions quickly and accurately
- Implemented procedures for safe food preparation, assembly, and presentation
- Resolved complaints promptly and professionally
- Cross-trained and coordinated scheduling with team members to ensure seamless service
- Took initiative to find extra task when scheduled duties were completed
California Glass Company
Lodi, CA
01.2009 - 01.2010
- Assist management in ordering materials
- Schedule appointments with clients
- Keep digital records of receipts and invoices
- Answer and field calls to correct departments
West Haven Power
Citrus Heights, CA
01.2022
- Exceeded company goals by retaining highest average
- Cold calling
Orkin Pest Control
Natomas, CA
01.2020
- Answered phones regarding customer questions or complaints
- Scheduled appointments and input data
- Wrote contracts, and generated letters for customers regarding customer regarding billing and services
- Processed payments
- Dispatched for technicians
- Worked with a team to ensure company goals
Education
High School Diploma -
01.2012
Skills
- Administrative matters
- Screening calls
- Managing calendars
- Composing documents
- Answering phones
- Organizing offices
- Professional interaction
- Confidentiality
- Tact
- Diplomacy
- Implementing directions
- Multi-tasking
- Punctuality
- Dependability
- Medical terminology expertise
- Claims management
- Prior authorization processing
- Data entry proficiency
Timeline
Authorization Specialist I
Centene, Superior Health Services
01.2023 - 01.2025
West Haven Power
01.2022
Orkin Pest Control
01.2020
Ecoshield Pest Control
01.2018 - 01.2019
Milestonz Americas Credit Jeweler
02.2016 - 04.2016
Little Caesars Pizza
01.2014 - 01.2016
California Glass Company
01.2009 - 01.2010