Danathy Renew
Bonham
Summary
Confident I will make a positive impact on your organization; I respectfully submit my résumé
Overview
13
13
years of professional experience
Work History
Prior Authorization Specialist CCR1
Elevance Health
11.2022 - Current
- Customer care rep, prior authorization via phone and fax, ensure each request is handled carefully and accurately.
- Implementing notations, attentive to rejected claims, ensuring HIPPA regulations are met
- Multitasking in a fast pace environment while maintaining professionalism, due diligence, and care.
- Multiple Monitors, rapid typing, ability to succeed alone and with a team.
- Inbound and outbound calls
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Knowledgeable in helping teammates with questions/guidance they may need.
- Medicaid, Commercial, Rx/Srx trained.
- Medicare trained.
- ePA trained.
Operations Manager/ Human Resources
Reliable Tech Heating Cooling and Plumbing LLC
01.2012 - 12.2021
- Dispatch technicians on service calls/ installations, handled clients with care and provided customer service, managed payroll along with background checks on potential employees
- Hire/termination responsibility reconciled books including profit and loss reports
- Registration of equipment installed in client's home, insurance claims, (any company vehicle accidents and or employee injury claims)
- Conducted interviews and handled any client concerns, complaints, comments
- I helped develop and revise policies and procedures for standard operations and procurement
- Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
- Enhanced customer satisfaction by establishing clear communication channels and addressing concerns promptly.
- Oversaw facility maintenance, ensuring optimal functionality of equipment and infrastructure at all times.
- Identified and resolved unauthorized, unsafe, or ineffective practices.
- Negotiated contracts with vendors and suppliers to obtain best pricing and terms.
- Assisted in recruiting, hiring and training of team members.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Managed purchasing, sales, marketing and customer account operations efficiently.
- Implemented business strategies, increasing revenue, and effectively targeting new markets.
Administrative Assistant/Secretary
Comfort Doctor Heating Cooling and Plumbing LLC
01.2016 - 12.2017
- Dispatch technicians on service calls/ installations, handled clients with care and provided customer service
- Registration of equipment installed in client's home
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Education
GED -
Rio Rancho
Rio Rancho, NM01-2016
Skills
- Critical thinking
- Proficiency
- Customer Service
- Technology Savvy
- Computer Skills
- Team Work
- Work Independently
- Strong Interpersonal and Effective communication skills
- Data entry
- Time management abilities
- Continuous improvement
- Adaptability
- Active Listening
- Organization
Accomplishments
- Supervised team of 15 staff members.
Certifications Training
- Medicare Part B
- Medicare Part C
- Medicare Part D
- Commercial PA
- Medicaid PA
- Quickbooks Training course
- CPR Certified
Customer Service Experience
Demonstrated experience and excellence in interacting. My long-term experience in customer service has taught me how to meet and exceed all parties involved. I ensure timely and professional communication that is easy to understand. I am known for my calm and cheerful demeanor, and excel at diffusing tense situations.
Business Systems
Demonstrated proficiency with MS Office suite and database software. I have worked with Microsoft Word, Field Edge, Service Titan, Google Calendar, Google Docs, QuickBooks, Service Titan, Pa Hub, Cos, Pulse, Pluto. I also adapt well to new software. I am highly dedicated to learning new skills and participate in the training needed to develop the skill sets required of my job. My long-term experience centers on excellent communication and presentation with an emphasis on customer care. I have a solid record of accomplishment in client management, developing and maximizing new business and procurement requests. I can effectively work as a team, independently, and solve any problems that may arise. I understand the basics of how facilities need to operate. I am known for taking pride in each position and my potential contributions.
Strengths Highlights
- Critical thinking
- Proficiency
- Impressive Work Ethic
- Friendly, Positive Attitude
- Training and Development
- Strong Interpersonal and Communication Skills
- Patient
- Welcomes constructive criticism
- Reliable and Honest
Timeline
Prior Authorization Specialist CCR1
Elevance Health
11.2022 - Current
Administrative Assistant/Secretary
Comfort Doctor Heating Cooling and Plumbing LLC
01.2016 - 12.2017
Operations Manager/ Human Resources
Reliable Tech Heating Cooling and Plumbing LLC
01.2012 - 12.2021
GED -
Rio Rancho
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