Summary
Overview
Work History
Education
Skills
Languages
Accomplishments
Timeline
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Beatriz Guerra

Dania Beach,FL

Summary

Bilingual Highly motivated professional with 5 years of entrepreneurial and management experience. Skillfully creates and maintains professional and loyal relationships with co-workers, staff and clients while managing administrative and sales employees. Comfortable working independently as manager and leader and as collaborative team member. Applies business acumen and experience and exercises decisive judgment to meet and exceed organizational goals.

Overview

10
10
years of professional experience

Work History

Store Owner

Wagging Tails Pet Supplies
5151 Davie RD, FL
01.2022 - 04.2024
  • Performed daily operations such as opening and closing the store, cashiering, stocking merchandise.
  • Implemented marketing campaigns to increase brand visibility and attract new customers.
  • Managed inventory levels, restocking shelves as needed.
  • Maintained records of sales, profits and losses within the store.
  • Ensured compliance with state and local laws regarding business operations.
  • Negotiated contracts with vendors to secure best prices for products.
  • Provided training for employees on product knowledge and customer service techniques.

Appeals and Grievances Specialist

Centene ( Sunshine Health)
Plantation, FL
11.2018 - 12.2019
  • Coordinated and managed various programs or projects to achieve established objectives.
  • Balanced competing priorities through deliberate project and time management practices.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Reviewed appeals submitted by patients and providers to ensure accuracy and compliance with policies.
  • Prepared written responses for customer inquiries regarding their appeals status.
  • Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.

Front Desk Specialist

Dental Care Group Kids
Aventura, FL
10.2017 - 10.2018
  • Greeted patients upon arrival, ensured all paperwork was completed accurately and in a timely manner.
  • Verified patient insurance coverage, communicated any changes to the appropriate personnel.
  • Assisted with scheduling of appointments, managed phone calls and emails from patients.
  • Performed administrative duties including filing charts, collecting payments and reconciling daily transactions.
  • Assisted with training new staff members on their responsibilities at the front desk area.

Network Development Coordinator

MCNA Dental
Fort Lauderdale, FL
03.2014 - 09.2017
  • Developed Compliant Medicaid dental networks throughout the United States by identifying, contracting, and assisting all new dental providers with contracting process. Communicated via direct mail campaigns, blast emails and faxes to providers.
  • Maintained contract database. Created a quarterly audit report of provider information to maintain compliance. Followed up with providers and provided customer service.
  • Collaborated with staff from all departments across two states. Trained new office hires and field representatives on provider contracting.
  • Identified discrepancies in provider credentials, such as license expiration dates or incomplete paperwork.
  • Provided guidance and support to staff members regarding credentialing requirements and regulations.

Education

High School Diploma -

South Plantation High School
Plantation, FL

Some College (No Degree) - Business Administration and Management

Strayer University
Fort Lauderdale

Skills

  • Employee Scheduling
  • Financial Tracking
  • Business Administration
  • Inventory Control
  • Networking and business development
  • Operations Management
  • Sales management
  • Problem-solving capabilities
  • Effective communication abilities
  • Proofreading
  • Provider Relations
  • Credential verification

Languages

English
Native/ Bilingual
Spanish
Native/ Bilingual

Accomplishments

  • 5 Star Business Owner on Google
  • Marketing/ Commercial personal for MCNA Dental

Timeline

Store Owner

Wagging Tails Pet Supplies
01.2022 - 04.2024

Appeals and Grievances Specialist

Centene ( Sunshine Health)
11.2018 - 12.2019

Front Desk Specialist

Dental Care Group Kids
10.2017 - 10.2018

Network Development Coordinator

MCNA Dental
03.2014 - 09.2017

High School Diploma -

South Plantation High School

Some College (No Degree) - Business Administration and Management

Strayer University
Beatriz Guerra