BERLINDA WRIGHT
Gainesville,US
Summary
Results-driven, customer-centric individual with a diverse background and a proven track record of service excellence and exceptional outcomes as a Work Experience Coordinator, Career Preparation Instructor, Senior Staffing Coordinator, and Human Resources Specialist, excelling in community relations, employee relations, project management, and effective communication. Committed to fostering collaboration and adaptability to enhance organizational efficiency, ensure that guidelines governing policies and procedures are implemented with strict oversight, while driving innovative solutions to employability challenges.
Overview
10
10
years of professional experience
1
1
Certification
Work History
SUPPORT SERVICES COORDINATOR
AvMed Health Plans
Gainesville, FL
07.2024 - Current
- Deliver high service levels through strategic prioritization; improve stakeholder satisfaction
- Oversee community service projects with HR; enhance employee relations and collaboration
- Lead comprehensive training programs and documentation initiatives, earning recognition through Manager's All-Arounder Award
- Maintain meticulous documentation standards while managing multiple concurrent priorities, ensuring consistent service excellence
- Spearhead process optimization initiatives in correspondence management, driving substantial improvements in response times and team coordination
- Foster cross-functional partnerships to enhance service delivery, while implementing strategic workflow improvements for stakeholder satisfaction
FACILITIES SERVICES COORDINATOR
AvMed Health Plans
Gainesville, FL
11.2020 - 07.2024
- Built and maintained positive relationships with vendors and staff
- Oversaw special community service and employee relations projects in collaboration with Human Resources
- Orchestrated comprehensive mail operations and document processing, ensuring seamless handling of legal notices while maintaining strict compliance protocols
- Managed $6M facilities budget through strategic vendor contract optimization and service scheduling, achieving substantial cost reductions across multiple locations
- Cultivated strategic vendor partnerships to streamline operations, improve service delivery, and maintain consistent facility management standards
- Streamlined document processing workflows for legal notices while ensuring strict compliance adherence and maintaining comprehensive audit trails
- Coordinated with security teams to establish comprehensive emergency response procedures and fire safety protocols for all facilities
- Redesigned workspace layouts to maximize efficiency while enhancing employee comfort and operational functionality
CLINICAL PHARMACY TECHNICIAN
AvMed Health Plans
Gainesville, FL
01.2020 - 11.2020
- Managed multi-channel communication between members, physicians, and pharmacists, ensuring seamless information flow and authorization status updates
- Streamlined prior authorization workflows between healthcare stakeholders, managing complex pharmaceutical cases and ensuring compliance with regulatory standards
- Communicated decisions to members via USPS mail and notified ordering physicians through phone, fax, or email
- Led resolution of complex pharmaceutical authorizations, serving as primary liaison between members, physicians, and pharmacy teams
- Facilitated seamless information exchange among healthcare providers, optimizing authorization processes and enhancing member satisfaction
- Expedited urgent pharmacy authorizations while maintaining quality standards, driving efficient claims processing and provider communication
MEDICAL CREDENTIALING SUPPORT SPECIALIST
AvMed Health Plans
Gainesville, FL
01.2015 - 01.2020
- Streamlined provider credentialing operations through systematic management of CAQH roster, medical licensure updates, and compliance monitoring for certification requirements
- Executed critical provider network operations including application screening, certification tracking, and compliance verification procedures
- Led compliance monitoring initiatives for certification requirements, maintaining strict adherence to healthcare credentialing standards
- Collaborated with cross-functional teams to optimize credentialing workflows, fostering a culture of compliance and accountability
- Drove initiatives for timely provider licensure updates, ensuring uninterrupted healthcare services and maintaining network integrity
- Facilitated effective communication with providers, enhancing engagement and satisfaction while resolving issues promptly
- Monitored compliance metrics, identifying trends and implementing corrective actions to mitigate risks and ensure standards adherence
MEMBER ENGAGEMENT REPRESENTATIVE II
AvMed Health Plans
Gainesville, FL
10.2014 - 01.2015
- Managed incoming calls from members, representatives, and employers regarding healthcare plans, ensuring efficient and accurate assistance
- Referred inquiries to appropriate contacts when necessary to provide precise and timely information
- Documented all interactions comprehensively to support seamless follow-up and service continuity
- Followed comprehensive solutions for members' healthcare plan queries while ensuring compliance with HIPAA regulations and company protocols
- Coordinated with cross-functional teams to resolve escalated member concerns, ensuring seamless healthcare plan administration
Education
4th Year Honors BAHCS - Human and Consumer Sciences
Ohio University
Athens, Ohio12.2026
Skills
- Customer service
- Communication
- Collaboration
- Budgeting
- Event Planning
- Project Management
- Vendor Management
- Time management
- Empathy
- Multitasking
- Adaptability
- Documentation
- Service level agreements
- Strong organization
- Crisis management
- Incident management
- Proactive approach
- Workload management
Certification
Notary Public, Florida, 10/01/23
Volunteer Experience
- Grace Marketplace Homeless Shelter, Welcome Center, Cafe, 01/01/16, 06/01/16
- United Way, Reading Pal, 01/01/16, 06/01/16
- Haven Hospice, NODA Administrative, Vigil, Imminent, Respite Care, and Transportation, 03/01/17, Present
Timeline
SUPPORT SERVICES COORDINATOR
AvMed Health Plans
07.2024 - Current
FACILITIES SERVICES COORDINATOR
AvMed Health Plans
11.2020 - 07.2024
CLINICAL PHARMACY TECHNICIAN
AvMed Health Plans
01.2020 - 11.2020
MEDICAL CREDENTIALING SUPPORT SPECIALIST
AvMed Health Plans
01.2015 - 01.2020
MEMBER ENGAGEMENT REPRESENTATIVE II
AvMed Health Plans
10.2014 - 01.2015
4th Year Honors BAHCS - Human and Consumer Sciences
Ohio University
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