Cecilia Bradbury
Sacramento,CA
Summary
I am bilingual Spanish/English, with 100% fluency in speaking, reading and writing both languages. I am proficient in MS Work, Excel and Outlook. I type 35 wpm and have knowledge in the CA MED system. Experience on HcN 360, Sales Force and Epic. I am detail-oriented team player with strong organizational skills and the ability to handle multiple projects simultaneously with a high degree of accuracy. I have proven as well to become an asset and contribute to a company's success
Overview
9
9
years of professional experience
Work History
Authorization Representative I
Coram Healthcare
09.2019 - Current
- Developed strong relationships with insurance companies, facilitating effective communication and increasing approval rates for authorizations.
- Enhanced overall department productivity by consistently meeting or exceeding monthly goals for completed authorizations.
- Assisted in training new Authorization Representatives, sharing best practices to enhance overall team performance.
- Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
- Actively contributed ideas during team meetings on how to improve existing processes or address challenges faced by the department.
- Conducted thorough reviews of medical documentation for accuracy and compliance before submitting authorization requests.
- Managed high-volume workloads while maintaining a high level of accuracy on all submitted authorizations, showcasing strong attention to detail.
Customer Service Representative II
Maximus
02.2017 - 09.2019
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Educate customers about Medicaid and Medicare insurance plans
- Assisted Management to monitor calls for quality and assurance purposes
Data Entry Processor
Maximus
04.2016 - 02.2017
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Obtained scanned records and uploaded into database.
- Sorted documents and maintained organized filing process.
Education
Associate of Science - Digital Media
Universidad Autonoma De Guadalajara
Guadalajara, Mexico10.1999
Skills
- HIPAA Compliance
- Accuracy and Precision
- Teamwork and Collaboration
- Medical terminology understanding
- Data entry proficiency
- ICD-10 knowledge
- EMR systems
- Epic
- Customer Service
- Attention to Detail
- Multitasking Abilities
- Reliability
Languages
Spanish
Native or Bilingual
Timeline
Authorization Representative I
Coram Healthcare
09.2019 - Current
Customer Service Representative II
Maximus
02.2017 - 09.2019
Data Entry Processor
Maximus
04.2016 - 02.2017
Associate of Science - Digital Media
Universidad Autonoma De Guadalajara
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