Charnelle Gordon
Brooklyn,NY
Summary
Dynamic Authorization Specialist at Centene with expertise in medical terminology and claims management. Proven track record in processing authorizations efficiently, enhancing workflow accuracy, and fostering effective communication. Recognized for strong problem-solving abilities and attention to detail, contributing to improved service delivery in healthcare operations.
Overview
14
14
years of professional experience
Work History
Authorization Specialist
Centene
Brooklyn,NY
10.2017 - 02.2026
- Evaluated and processed authorization requests for healthcare services, ensuring adherence to established policies.
- Collaborated with healthcare providers to gather necessary documentation for authorization approvals.
- Maintained accurate records of authorizations in electronic systems to support efficient workflows.
- Communicated effectively with team members to resolve discrepancies in authorization processes.
Driver
Approve Transportation
Brooklyn, NY
05.2017 - 09.2017
- Ensured timely delivery of goods, maintaining strict adherence to schedules and routes.
- Conducted regular vehicle inspections, ensuring compliance with safety regulations and operational standards.
- Collaborated with dispatch teams to optimize routing efficiency and reduce fuel consumption.
- Assisted in training new drivers on best practices for safety and customer service excellence.
- Maintained accurate logs of driving hours, vehicle mileage, and maintenance records for compliance purposes.
- Followed all relevant traffic laws and safety regulations.
- Utilized GPS and other navigation tools to plan routes and stay on schedule.
- Followed proper safety procedures and protocols while loading, unloading and operating vehicles.
- Developed strong relationships with clients, fostering trust through professionalism and reliability in transportation services provided.
- Completed routine pre- and post-trip inspections to evaluate vehicles and assess maintenance needs.
- Communicated with dispatchers and other personnel to coordinate transportation schedules.
- Communicated with passengers to provide information and assistance for excellent customer service and positive experiences.
Teacher Assistant
Building Educated Leaders for Life
The Bronx, NY
03.2012 - 05.2012
- Supported classroom activities, fostering an engaging learning environment for diverse student needs.
- Assisted lead teacher in developing lesson plans, enhancing curriculum delivery and effectiveness.
- Facilitated small group instruction, promoting individualized learning and skill mastery among students.
- Monitored student progress, providing feedback to improve academic performance and engagement.
- Collaborated with educators to implement behavioral management strategies, ensuring a positive classroom atmosphere.
- Organized educational materials and resources, streamlining classroom operations for efficient lesson execution.
- Contributed to a more organized classroom setting by maintaining accurate records on student attendance, assignments, and progress reports.
- Increased student engagement with dynamic lesson plans designed to accommodate diverse learning styles.
- Participated in professional development opportunities to stay current on the latest teaching trends and methodologies, enhancing overall effectiveness as an educator.
- Assisted students with special needs in achieving academic success through individualized instruction and personalized support strategies.
- Improved student comprehension by implementing innovative teaching methods and incorporating visual aids in lessons.
- Promoted a positive learning environment by establishing clear expectations and maintaining open lines of communication with students, parents, and staff.
Education
No Degree - Buisnes
Borough of Manhattan Community College
New York, NYSkills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Documentation and reporting
- Microsoft office
- Effective communication skills
- Policy interpretation
- Application review
- Applicant engagement
- Verbal communication
- Data entry
- Record keeping
- Telephone etiquette
- Benefits administration
- Social services
- Medicaid
- Confidentiality
- Recordkeeping and data input
- Document processing
- Sales proficiency
- Information analysis
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Excellent communication
- Critical thinking
- Organizational skills
- Team collaboration
- Decision-making skills
- Active listening
In process of becoming a licensed cosmotoligist
Currently enrolled in empire beauty school learning and developing all the skills to be successful in the beauty industry i am.looking to specialize in hair coloring and hair braiding
Timeline
Authorization Specialist
Centene
10.2017 - 02.2026
Driver
Approve Transportation
05.2017 - 09.2017
Teacher Assistant
Building Educated Leaders for Life
03.2012 - 05.2012
No Degree - Buisnes
Borough of Manhattan Community College