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
4
4
years of professional experience
Work History
Member Support Specialist
Colorado Community Health Alliance
09.2022 - Current
Complete necessary assessments to determine which program benefits member will require.
Explain necessary documentation required to obtain additional Medicaid waivers or authorizations.
Explain and support filing of complaints and appeals against providers, facilities, and medical decisions.
Use mandatory scripting to answer calls while following standard operating procedures.
Assess members to determine if further care coordination is required and communicate with several agencies to verify and coordinate care for members.
Program Support Assistant
Tomah VA Medical Center
12.2020 - 05.2022
Provide administrative scheduling and appointment coordination for diagnostic testing and consultative appointments.
Ensure all necessary components and documentation are distributed to appropriate services in private institution where service will be provided.
Make eligibility determinations for various programs and generate authorizations for pre-authorized medical care.
Help establish new Coworker Relations/Emotional health support group within department.
Served as liaison between program team and other departments, fostering strong working relationships and ensuring clear communication channels.
Sales Support Associate
Meca Sportswear
02.2020 - 12.2020
Provide excellent service and attention to customers when face-to-face or through phone conversations.
Initiate sales with new customers by providing options tailored to customer.
Leverage Navision to input and compile data gathered from various sources.
Support sales staff by creating and managing online stores, completing and processing orders, and keeping senior staff informed.
Control inventory to eliminate expenses and ensure optimal stock.