Overview
Work History
Education
Skills
Professional Summary
Timeline
Generic

Chanelle Barrett

1628 Harrisburg Lane, Suisun City,CA

Overview

5
5
years of professional experience

Work History

Call Center Representative

Sutter Medical Foundation
11.2018 - 06.2021
  • Scheduled routine appointments including imaging and preoperative appointments.
  • Submitted prescription refill requests, authorizations, and referrals to providers for approval.
  • Obtained patients' demographics, health insurance information, and medical records.
  • Communicated with patients, insurance companies, and medical facilities over phone.

Regulatory Affairs Specialist

Partnership HealthPlan Of California
12.2017 - 07.2018
  • Investigated fraud cases and mitigated risks related to loss of protected health information.
  • Managed privacy incident caseload and initiated HIPAA reports to DHCS privacy office.
  • Collected data for recurring managed care reports due to federal, state, and other entities.
  • Audited departments to ensure activities were properly performed for a DHCS or DMHC audit.

Appeals and Grievances Coordinator

Blue Shield Of California
08.2016 - 11.2017
  • Examined insurance claims, contract agreements, and policies to determine health coverage.
  • Resolved time-sensitive cases in compliance with legal and regulatory requirements.
  • Responded to inquiries regarding case statuses in a competent and professional manner.
  • Prepared response letters for member and provider complaints, grievances, and appeals.

Education

Bachelor Of Science - Business Administration

California State University
Sacramento, CA
05.2025

Certificate Of Achievement - Legal Studies

Sacramento City College
Sacramento, CA
05.2025

Associate of Arts - Economics

American River College
Sacramento, CA
12.2022

Skills

  • Strong problem-solving aptitude
  • Excellent verbal and written communication
  • Professional, flexible, accurate, and detailed
  • Exceptional workflow
  • Excellent time management
  • Microsoft Office: Word, Excel, and Outlook

Professional Summary

Results-driven professional with experience in regulatory compliance, data analysis, and client support, who streamlined processes and enhanced organizational efficiency.

Timeline

Call Center Representative

Sutter Medical Foundation
11.2018 - 06.2021

Regulatory Affairs Specialist

Partnership HealthPlan Of California
12.2017 - 07.2018

Appeals and Grievances Coordinator

Blue Shield Of California
08.2016 - 11.2017

Bachelor Of Science - Business Administration

California State University

Certificate Of Achievement - Legal Studies

Sacramento City College

Associate of Arts - Economics

American River College
Chanelle Barrett