Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
10
10
years of professional experience
Work History
Transportation Specialist I/ Ride Recovery Team
Partnership Health plan of California
Redding, CA
03.2025 - Current
Manage transportation provider relationships to ensure quality of transportation services provided.
Coordinate transportation logistics to ensure timely delivery of healthcare services.
Develop contingency plans for various scenarios, ensuring minimal impact on operations during unexpected events.
Coordinate transportation services for hospital discharges for members, ensuring timely and efficient patient transfers
Process and manage Non-Emergency Medical Transportation (NEMT) requests received through helpdesk system
Handle real-time updates, including trip changes and cancellations, through RR helpdesk system
Respond to phone inquiries regarding failed trips and scheduling adjustments, resolving issues promptly
Collect and attach Physician Certification Statements (PCS) to ensure compliance with medical transportation requirements
Respond to inbound member calls regarding transportation concerns and same-day trip requests, resolving issues efficiently while maintaining service accuracy and responsiveness.
Managed same-day non-critical and critical trips, coordinating logistics, and ensuring timely execution.
Managed denial calls for transportation requests, ensuring clear communication of outcomes to members
Transportation Specialist I / TP Support
Partnership Health plan of California
Redding, Ca
01.2024 - 03.2025
Maintained professional, concise communication with members and providers across channels, contributing to improved service quality and retention.
Coordinated transport and ancillary services (meals, lodging) for members through direct engagement with providers and facilities, aligning with DHCS guidelines.
Initiated work start tasks for new transport assignments, including intake, eligibility checks, and resource planning to ensure seamless service delivery.
Used customer service expertise to manage member and provider complaints and grievances, escalating as necessary to ensure timely resolution.
Communicated non-transportation needs to the appropriate team for quick resolution.
Conducted eligibility checks and carved out benefit levels for members, aligning with program rules and policy guidelines.
Worked directly with transportation providers to ensure timely arrival of members to appointments, optimizing schedule adherence and reducing wait times.
Managed Transportation Provider (TP) support help desk, triaging inquiries and ensuring timely resolution.
Managed same-day non-critical and critical trips, coordinating logistics, and ensuring timely execution.
Lead Telephone Operator
MD Imaging
10.2022 - 01.2024
Operated a multi-line telephone system to answer incoming calls and directed callers to appropriate personnel.
Answered 500 calls on average daily.
Worked with phone system Service Representative (World Telecom or Utility Telephone) regarding various telephone issues (add, move, change, repair, troubleshooting of system).
Reviewed and approved phone system invoices.
Worked with Shasta Community Health to produce slide-fees for our low-income community.
Determined whether a patient is authorized for services through insurance before transferring to schedulers.
Prepared barium sulfate to be mailed to patients with instructions on how to prepare for their appointment.
Answered questions about organization and provided callers with addresses, directions, and other information as needed.
Emailed MDI employees daily Radiologists schedule and employee out list.
Scanned Disability Contracts into Medinformatix when sent by Department of Social Services. Sent report with signed contract when procedure was completed.