Detail-oriented customer service professional with expertise in managing inbound and outbound calls while ensuring HIPAA compliance. Proficient in data entry and mentoring new staff, contributing to team efficiency and high-quality service.
Overview
11
11
years of professional experience
Work History
Referral Specialist II
Centene
Remote
05.2021 - 06.2026
Conducted outbound calls to providers to gather critical information for case management.
Directed cases to pre-authorization nurses for additional assessment.
Ensured HIPAA compliance while handling patient information securely.
Entered and maintained authorization data in Trucare system to ensure accuracy and accessibility.
Provided training and mentorship to new staff members upon management's assignment.
Facilitated mentorship for medical management employees to develop their skills and enhance team capabilities. to medical management employees through mentorship and training initiatives.
Behavior Technician
Centria Healthcare
Dallas, Texas
05.2017 - 05.2021
Implemented behavioral skill acquisition and behavior reduction protocols to support client progress.
Facilitated parent and caregiver training aligned with individualized treatment plans to enhance support strategies.
Collected and summarized data on observable client behavior to inform treatment adjustments.
Communicated effectively with parents and caregivers regarding client progress.
Ensured timely completion of documentation per established Centria procedures.
Chat Support Representative
Sitel
Remote
05.2015 - 05.2017
Responded to customer inquiries via online chat, ensuring timely and effective support.
Engaged customers in conversations to identify needs and provide effective solutions.