Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
10
10
years of professional experience
1
1
Certification
Work History
PROVIDER SUPPORT II / SR CARE ADVISOR
UnitedHealthcare
11.2021 - Current
Liaised between providers, patients and health plans to resolve issues.
Analyzed and processed complex authorization documentation, improving turnaround times for approvals.
Processed complex medical claims ensuring compliance with regulatory requirements.
Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
NBBC TREASURY SALES ASSOCIATE II
Wells Fargo
04.2018 - 11.2021
Responsible for developing and maintaining knowledge of a variety of financial products and services.
Coordinated communication between borrowers and lenders to facilitate timely loan processing.
Developed and maintained strong customer relationships, providing exceptional service and advice.
Maintained book of business for new and existing TM clients.
Developed and implemented fraud detection strategies to enhance operational efficiency.
BENEFITS SPECIALIST
EPIC Hearing Healthcare
04.2017 - 04.2018
Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
Streamlined claim processing for quicker reimbursements, implementing a digital documentation system.
Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
BILLING REPRESENTATIVE
Mercury Insurance
05.2015 - 03.2017
Problem resolution including investigating issues and responding to customer inquiries (i.e Policy status, payments, due dates, lapses) regarding account status, billing procedures and payment schedules
Obtained relevant policies, reviewed wording to validate coverage and escalated issues to facilitate claims process.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Vice President, Network Management North Texas and Oklahoma at UnitedHealthcareVice President, Network Management North Texas and Oklahoma at UnitedHealthcare
*Sr. Advisor II Blended Support for Insulet Corp. at Concentrix Global Holdings, Inc. (promoted)*Sr. Advisor II Blended Support for Insulet Corp. at Concentrix Global Holdings, Inc. (promoted)