Seeking a challenging position in an organization where I can utilize my skills and experience to improve operations, increase productivity, and generate individual and collective growth.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Supervisor
HPOne
Lake Mary, FL
08.2022 - Current
Directed and supervised team of 15-20 employees in daily operations.
Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
Tracked progress on projects and provided timely feedback to staff members.
Conducted weekly meetings with team members to discuss upcoming tasks and project deadlines.
Trained, mentored, coached, evaluated, and terminated staff as necessary.
Monitored employee productivity levels on a regular basis to identify areas of improvement.
Evaluated employee performance through periodic reviews and documented results accordingly.
Coordinated employee schedules according to shift changes and availability.
Provided ongoing training to address staff needs.
Reviewed completed work to verify consistency, quality and conformance.
Established and enforced clear goals to keep employees working collaboratively.
Responded to employee concerns or complaints by coordinating with human resources team to solve issues.
Evaluated needs of departments and delegated tasks to optimize overall production.
Senior Case Manager
CareMetx
Orlando, FL
11.2020 - Current
Coordinated support services and optimized communication between healthcare workers and patients
Collaborated with various healthcare providers to facilitate delivery of services
Cooperated with local service providers, outreach workers, case managers and collaborative agencies to facilitate services for members
Constructed case notes and comprehensive reports, including data entry
Protected patient data in alignment with HIPAA privacy protocols
Handled the Patient Assistance program for the entire team, which include scheduling deliveries sent to the client.
Senior Reimbursement Specialist
United BioSource Corporation
Orlando, FL
01.2020 - 11.2020
Piloted a new drug that was FDA approved in 2020
Case managed patients accounts
Assisted doctor's offices with acquiring prior authorizations, appeals, and anything else needed to get approval of said medication
Completed insurance benefit investigations
Handled incoming and outgoing phone calls
Answered any questions needed to assist the patients and doctor's offices
Assisted with other departments outside of my own
Assisted my supervisor with creating spreadsheets or assisting my peers.
Patient Care Specialist
AssistRx Inc.
Orlando, FL
10.2018 - 01.2020
Handled over 60 customer accounts daily in the pharmacy
Correctly priced and filed prescriptions after filling
Answered patient questions regarding medication
Communicated with insurance companies for billing purposes and overrides
Communicated directly with doctors' offices via telephone, fax and email
Appropriately resolved customer issues, complaints and questions
Specialty Precertification Trainer
Aetna
Orlando, FL
01.2014 - 06.2018
Reviewed specialty medications according to company guidelines and procedures
Assisted members and representatives with concerns and questions
Assisted doctor's offices with their precertification needs
Piloted and implemented new programs and systems
Organized and led training sessions for representatives and managers.
Supervisor
Kaiser Permanente//CVS
Orlando, FL
11.2009 - 01.2014
Licensed in life, health, and annuities
Managed a team of 25-30 non-licensed agents
Coached and trained the agents in order to assist them in meeting and exceeding department goals
Handled escalations, schedules, reports, quality, and all disciplinary forms
Organized and conducted weekly meetings in order to keep my team updated on any company changes and promotions
Coached team members in order to make sure individual and collective metrics were met.