Brenda Alejandre
Bakersfield,California
Summary
Authorization coordinator with extensive experience in case resolution and compliance at 24 Hour Home Care. Proven ability to train diverse teams, including internal, external, and offshore personnel. Demonstrated success in enhancing productivity through strategic resource allocation and effective collaboration. Skilled in authorization management, driving process improvements while upholding patient confidentiality standards.
Overview
10
10
years of professional experience
Work History
Authorization Coordinator
24 Hour Home Care
08.2022 - Current
- Demonstrated strong understanding of authorization lifecycles, utilization tracking, compliance standards, and SLA management.
- Supervised large caseload pipelines, allocated resources to optimize workflow and ensure timely processing.
- Resolved complex cases, addressing provider and member concerns in collaboration with operations to enhance service delivery.
- Reviewed documentation for accuracy and necessity assessments.
- Leveraged reporting tools to monitor KPIs, identify trends, and implement process improvements.
- Onboarded, trained, and mentored offshore teams and temporary coordinators, developing training materials to ensure workflow accuracy.
- Maintained quality and productivity standards across distributed teams through mentoring and supervision, ensuring adherence to best practices.
Head Concierge
Citibank (Citi)
06.2019 - 07.2022
- Monitored team performance using production metrics, quality benchmarks, and customer satisfaction indicators to enhance service quality.
- Collaborated with compliance, legal, and operational support teams to resolve escalations and streamline workflows, achieving sustainable process improvements.
- Maintained accurate documentation and record retention while ensuring adherence to audit requirements in highly regulated environments.
- Supervised high-risk operational functions with strict adherence to regulatory and internal compliance standards, ensuring audit readiness and process accuracy
Receptionist
H&R Block
01.2016 - 12.2019
- Managed complex scheduling across providers and staff, optimizing appointment allocation to prevent conflicts and maintain operational efficiency
- Conducted outbound outreach to confirm appointments and provide documentation guidance, ensuring preparedness and minimizing processing delays
- Audited and maintained sensitive documentation for accuracy and compliance with regulatory and organizational standards
Education
Business Management -
California State University, Northridge
Northridge, California06-2024
Skills
- Authorization management
- Regulatory compliance
- Compliance adherence
- Utilization tracking
- Case documentation
- SLA management
- Training and development
- Team collaboration
- Patient confidentiality
Languages
Spanish
Full Professional
Accomplishments
24 Hour Home Care Most Improved of the Year Award 2025
Timeline
Authorization Coordinator
24 Hour Home Care
08.2022 - Current
Head Concierge
Citibank (Citi)
06.2019 - 07.2022
Receptionist
H&R Block
01.2016 - 12.2019
Business Management -
California State University, Northridge