I am a highly driven, personable and creative professional with valuable experience in customer service as well as office support. I am a dedicated individual who has an ambition to succeed in any given environment. I hope to bring my strong professional background, exceptional attendance and work ethics to a rewarding role in an influential organization. Accomplished professional with a proven track record at HCSC, Blue Cross Blue Shield of Texas, excelling in dynamic, high-pressure environments. Demonstrates unparalleled customer service and problem-solving skills, ensuring first-contact resolution and adherence to compliance standards. Expert in multitasking and effective communication, achieving significant improvements in customer satisfaction and operational efficiency.
Trian new hire associates to health insurance products, and process when all required training is completed
Supervise the daily activities of a group of associates by providing mentoring, coaching, 1:1, and guidance to health insurance product and make recommendations on areas of improvement.
Work with new hire assoicates to address employee relations issues
Coorinate all associates activities related to training, development and coaching sessions
Enage and develop each student in my class so they can achieve their full potential
Directly accountable for associate attrition, employee satisfaction, monitoring absences and attendance
Manage to operational protocol by keeping management apprised to real time situations
Ensure adherence to all company policies and procedures
Training associates on new or revised information relating to health care insurance services, product and or processes
Provide excellent internal and external pre authorization provider service via multi-channel requests focusing on first contact resolution.
Ensure integrity of providers information by following established procedures for submitting request to update information, submitting pre-authorization request
Demonstrate expert knowledge required to decision requests for pre authorization and medical information.
Display understanding of comprehensive medical terminology
Adhere to company policies and procedures to ensure compliance with state and federal agencies.
Accurately document the system of record and supporting applications.
Provide excellent internal and external pre authorization provider service via multi-channel requests focusing on first contact resolution.
Ensure integrity of providers information by following established procedures for submitting request to update information, submitting preauthorization request
Demonstrate expert knowledge required to decision requests for pre authorization and medical information.
Display understanding of comprehensive medical terminology
Adhere to company policies and procedures to ensure compliance with state and federal agencies.
Accurately document the system of record and supporting applications.
Dynamic Professional successfully prioritizes and multitasks while wearing many hats
Strong Communicator with the ability to collaborate effectively with diverse clientele
Innovative Problem-Solver who thinks outside the box to find effective, permanent solutions
Active Listener with the unique ability to adapt to individual traits and working styles