An organized and dependable candidate successful at managing multiple priorities with a positive attitude looking for a challenging position where I can showcase my skills and contribute to the growth of an organization.
Overview
7
7
years of professional experience
Work History
Grievance and Appeals Rep 3
Humana
12.2022 - Current
Research Cases Prepared detailed reports summarizing appeal outcomes for management review, enabling data-driven decision-making processes within the department
Manage client medical denials by conducting analytic review of documentation to determine the decision of a case
Prioritizing requests and interpreting and adapting to new procedures, processes, and techniques
Highly experienced in CAS
Process and finalize appeals and grievances with agreed-upon turnaround time.
Underwriting
Amerisave Mortgage
06.2022 - 10.2022
Gather documents from third parties such as bank statements and insurance documents
Review bank statements, 401k statements, stock, and investment statements Communicate with LO’s, processors, and underwriters to insure we have everything we need for a loan to close
Analyze income, assets, and liabilities.
Disclosure Desk
Amerisave Mortgage
07.2020 - 06.2022
Send out CD’s
Make changes to a loan
Fast paced
Disclose multiple loans a day
Make sure everything meets compliance guidelines.
Customer Service
Amerisave Mortgage
10.2019 - 07.2020
Gather information from customers
Help customers refinance, purchase, and cash out
Speak with multiple people a day making inbound and outbound calls.
Data Entry/Benefit Specialist
Pharmacord
06.2019 - 10.2019
Providing medication for patients that are no longer able to afford medication they are prescribed
Taking inbound and outbound calls File and organize paperwork used to enter data into programs to keep a record of original documents
Enter personal customer information into database as collected upon forms and spreadsheets.
Benefit Specialist
RX Crossroads
12.2018 - 06.2019
Completing the patients BI Viewing and verifying patients drug coverage Ability to interact with members
Upon reviewing of procedure codes from the provider, obtain prior authorization and communicates with all parties involved regarding benefit eligibility
Send out medications to members
Assistant Manager
Diversified Consultants INC.
06.2017 - 12.2018
Able to multitask while speaking with customers and updating accounts accordingly
Leadership and excellent people skills Ability to manage other people while taking on my own day to day task as well
Ability to hit a quota each month
Maintain a positive, energetic, and motivated demeanor.