Hardworking and passionate job seeker successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Member of Second Baptist Church-Woodway Campus since August 2017.
Baptized at Second Baptist Church-Woodway Campus on August 5th, 2017.
Adult choir member from August 2017 to March 2020, returned November 2022 to current.
Volunteer Kid's Choir -1st thru 5th grade. January 2023 to current.
Volunteer Prayer Ministry.
Member of Fountain of Life Bible Study.
Co-Facilitator of Master Life class. January 2023 to current.
Choir Softball team member.
Spiritual Gifts:
Evangelism
Pastoring
Encouragement
Overview
36
36
years of professional experience
Work History
Client Support Specialist
Premier Medical Appeals
06.2020 - Current
Interacted with team members across departments to research and resolve customer issues.
Responded to all client inquiries and asked appropriate questions to facilitate resolution.
Delivered outstanding service to clients to not only maintain but to extend relationship for future business opportunities.
Cross-trained and provided backup support for organizational leadership.
Assist other staff members with questions and new hire training.
Root cause analysis of health insurance claim and authorization denials.
Phone calls to insurance companies to obtain information pertaining to claim denials, appeal information, and appeal status.
Complete and accurate documentation of all case files while maintaining HIPPAA compliance.
Utilize Microsoft Excel for 4 of our biggest client's monthly reports and invoicing.
Often assigned special projects and tasks that are detail oriented.
Advance EMT
Bayou City EMS
11.2019 - 03.2020
Ensured that all ambulance equipment, vehicle, and supplies are stocked, are within expiration dates, and working effectively.
Adhered to all rules and regulations regarding high quality patient care.
Documented each ambulance run including patient's vital signs and patient care provided in thorough and timely manner.
Drove ambulance according to all protocols, Texas state driving regulations, while maintaining patient and staff safety standards.
Advanced EMT / Dispatcher
Health Quest EMS
02.2017 - 10.2019
Maintained accurate patient records and documentation of treatments to enable tracking history and safeguard HIPPAA information.
Conducted equipment and vehicle checks to maintain continuous and safe operation.
Communicated with patients about pain, comfort, and needs during transportation and preliminary medical care.
Assisted with lifting and moving patients.
Dispatched wheelchair vans and ambulances to various locations based on need.
Coordinated pick up times and drop off times of patients.
Answered over 60 incoming calls per day in professional and timely manner.
Documented all calls and dispatched according to location and mode of transportation needed.
Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save staff and patient wait times.
Claims Trainer
Prudential Healthcare / Aetna Healthcare
08.1987 - 01.2000
Worked independently with minimal supervision, setting priorities and demonstrating excellent project management skills.
Led large-scale, high-impact projects from start to finish with minimal or no supervision to achieve specific training goals.
Trained and mentored over 400 new personnel hired to fulfill various roles.
Created training material for and trained staff from all departments in 4 sessions, each session included about 200 people.
Analyzed and evaluated training effectiveness and program outcomes.
Coordinated training schedules across sites with supervisors and managers to optimize training initiatives and work-flow management
Developed lesson plans, instructional materials and written practice tests for claim processing and new hire training courses.
Utilized Microsoft Power Point to make presentations to be used during training classes.
Wrote and updated training manuals for claim processing guidelines according to strict company guidelines and protocols.
Reviewed and validated quarterly claim audits, successfully appealed audit errors, and made suggestions for training on based on audit findings.
Won national 2nd prize for outstanding customer service. My coworker was not able to travel due to illness. I volunteered to travel in her place. Reward of recognition: personal computer and printer.
Education
No Degree - Advanced EMT Certificate
Houston Community College
Houston, TX
12.2019
No Degree - Entrepreneurship
Houston Community College
Houston, TX
12.2017
High School Diploma -
Hanford High School
Richland, WA
01.1977
Skills
Client Relationship Building
Interpersonal and Written Communication
Knowledgeable in Microsoft Word, Excel, and Power Point
Family Nurse Practitioner at Premier Medical Alliance- Bergen Medical AssociateFamily Nurse Practitioner at Premier Medical Alliance- Bergen Medical Associate
Administrative Law Judge at AZ Department of Economic Security, Office of AppealsAdministrative Law Judge at AZ Department of Economic Security, Office of Appeals