Detail-oriented Scale Operator/Warehouse support worker with 10 years operating scales supporting drivers and customer service. Excellent track record of appropriate communication and accurate documentation. Handled up to 100 clients per day.
Overview
7
7
years of professional experience
Work History
Prior Authorization Representative
Dimitri Dermatology
01.2023 - 08.2023
Verified eligibility and compliance with authorization requirements for service providers.
Contacted insurance companies to obtain prior authorization for medical procedures and medications.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Processed new medication and refill requests for authorization.
Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Managed Prior Authorizations for topical medications for 13 clinics
Scale House Clerk
T Parker Host
05.2021 - 01.2023
Ensure accurate documentation of scale transactions.
Operates a weigh scale for the scrap yard, weighing customers in and out.
Gave scale tickets to customers, signed waste manifests and documented incoming waste.
Operated weigh scales and issued tickets when necessary.
Communicated with operators to share information related to product.
Used Personal Protective Equipment properly to avoid injury and contact with hazardous materials.
Account Advisor I/Claims Adjuster
Blue Cross Blue Shield
07.2020 - 09.2022
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
Wrote appeal letters to insurance companies for denial of claims.
Answered customer questions regarding account discrepancies or problems.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Assistant Manager
Sherwin-Williams Paint Store
03.2016 - 08.2019
Supervised day-to-day operations to meet performance, quality and service expectations.
Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
Cleaned and maintained warehouse in compliance with OSHA safety standards.
Oversaw upkeep of equipment and physical condition of warehouse, identifying and ordering needed repairs, renovations, and replacements.