Medical Professional with passion for population health and the well-being of others on an inter-sectional level. Seeking to continue career within the company, allowing for application of a dedicated performance in current role to grow into a supervisory position.
Overview
18
18
years of professional experience
Work History
Authorization Specialist I
Centene Corporation
11.2024 - Current
Initialized the original inventory management process and performed status updates on authorizations; cultivated the process from an individual solo task to a team task performed daily; increased productivity and TAT adherence while simultaneously freeing management to perform other necessary items.
Provide daily guidance since the opening of Florida as an unofficial "subject matter expert" to the team and a go-to person for the Therapy Advisor Team.
Initiated coaching of two Medical Directors on the roles of AS to facilitate the process and increase efficiency.
Able to perform the highest of complex authorization scenarios and tasks often requested by management or colleagues on either the Florida team.
Fix complex errors as they arise within the team or from the intake level, while ensuring timely delivery to appropriate tasks and queues, meeting deadlines.
Once named by management as a "knowledge bank" and given a project to create job aids for workflows and processes in Florida with one other colleague. Successful near completion of the project, partially released to the team.
Trainer in both individual coaching, mentorship, and group settings of up to 18 persons. Hosted on-spot training events for the team when new processes arose, with a demonstration. Creation of a Learning Journey in OneNote to help with the onboarding of new employees.
Worked alongside a colleague while without a direct supervisor performing tasks: inventory tracking, TAT monitoring, accuracy of authorization, answering questions from the team, including difficult and complex processes, ensuring all auth escalations were met in a timely fashion, and maintained a pseudo team lead role within the team, forwarding issues brought up to management as warranted.
Performed special tasks for management, such as error tracking of intake, development of a lesson plan for coaching a team member, repairing authorizations with ACHA complaints, mass-member authorizations from providers transferring care to another provider, Title XIX and Title XXI management as liaison with management on corresponding teams, incident reporting with professional documentation, and assistance in maintaining the Florida Facility Reference spreadsheet.
Processed authorization requests and escalations efficiently from various assigning sources, ensuring compliance with company policies and procedures.
Educated and developed a professional working relationship with medical professionals and providers to ensure a positive interaction for the face of the company, becoming a popular go-to for many providers. Assisted in resolving authorization-related inquiries from providers promptly and compassionately.
Near a 100% overtime acceptance rate, including holidays and weekends, to benefit the team's needs.
Completion of all mandated trainings early, and engaged in non-mandatory trainings to grow skills. Review of policies on Archer to stay up to date. Keep up to date on all upcoming events affecting workflow, including software updates and future changes, such as dual-enrolled eligibility. I stay up to date on company information by attending Town Hall meetings when possible, and following news networks.
Performance is always over 100% of the goal, up to 250% of the goal met monthly.
Received 5 Centene Impact awards from colleagues expressing gratitude and appreciation for dedication to teams.
Medical Documentation Specialist
Augmedix, Inc
02.2022 - 02.2023
Medical documentation for the Psychiatry Department at Colorado Mountain Medical Center.
Zero quality or error reports, with a 5-star provider rating.
Consistent 100% SLA turnaround deadlines
Assisted the Head of U.S. Training and Developers of Notewriter/Notebuilder with utilization updates and solutions to increase the efficacy of documentation software.
Google-based company, daily use of multiple Google work platforms.
Layoff due to no available work.
OPS Government Operations Specialist
Florida Department of Health, Pinellas County
09.2020 - 04.2021
COVID Historian for the Pinellas County Department of Health: Created and designed the large-scale project “Uncovering COVID” for DOH-Pinellas recording all efforts and events during COVID-19; large database creation in Access and Excel; Microsoft Office design; survey; photography; design; legal issue discovery and resolution; distribution.
Deputy Incident Commander for the largest COVID vaccine site in Pinellas County: managing a staff of over 60 people, including problem resolution, safety, duties and assignments, scheduling, and medical liaison officer, handling escalations and medical emergencies as needed. Coordination with local fire department, nursing, police, and health department officials to facilitate over 2,000 vaccines daily.
Safety Officer management of medium-scale health events; supervising 45+ persons; ICS 214, 208, 206, 203.
Emergency ICS Planning Section Chief for Special Needs Shelters (Level 1 Activation).
EMS Liaison for Special Needs Shelters during activation (Level 1 Activation)
Safety Lead for POD events with the management of 15 people; ICS 214, 208, 206.
Contact Tracer for COVID-19; maintained a caseload of 145 cases, contacting a minimum of 65 per day; created, developed, and introduced a professional publication for the Contact Tracing and Investigations department to distribute to citizens in multiple languages that were previously not available.
Outreach programs in underserved areas.
Contract employee contract completed.
Child Protective Investigator Trainee
Hillsborough County Sheriff's Office
11.2018 - 03.2019
Case Load: 15 cases
Achieved score of 95/100 on Florida Certification Exam
Secret Level Security Clearance (level 2)
Commendation in evaluation for Heroic Efforts during Nov 2018
Emergency Medical Technician Basic
Orange County Emergency Services
08.2010 - 11.2014
911 Response.
Commendation from the Medical Director: Above and Beyond the Call of Duty.
Obtained pre-hospital preceptor (Field Training Officer) for EMT-Basic.
2011: Obtained Emergency Medical Technician Intermediate certification in North Carolina on private time.
Developed and implemented a mass casualty incident training program based on National Standards (NIMS, ICS, FEMA).
Logistics Inventory Management.
Office experience assisting command staff, fire marshal, and the training department.
AMLS, PITLS, ITLS, Fit Responder Champion, Defense Tactics For EMS Certifications
Emergency Medical Technician Basic- Volunteer
Six Forks Rescue Squad
03.2008 - 07.2013
Volunteer: average 56 /72 hrs per week
Obtained Pre-hospital Preceptor for Basic EMT
Awarded 2 Code-Save Awards for Successful Cardiac Arrest Survival
RDU Airport Mass Casualty Incident Planning, Coordination Implementation
Education
Bachelor of Science - Public Health- Health Studies
The University of North Carolina
Greensboro, NC
05.2018
Associate of Arts - College Transfer
Wake Technical Community College
Raleigh, NC
2012
Skills
Former NC EMT-Intermediate with multiple certifications
Collaboration, Problem Solving, Descalations
Information gathering & Interviewing Skills
Professional documentation expertise
Advanced software application skills
Public Speaking Experience
Data analysis/ Epidemiology
Supervisor experience
Leadership, Training, Educating
A3 Level 31 Spanish Speaking (basic conversation)
Commendations
Commendation in Evaluation for Heroic Efforts in Nov 2018- Hillsborough County Sheriffs Office
Commendation for Above and Beyond Call of Duty given by Medical Director- Orange County Emergency Management
2 Cardiac Save Awards for Cardiac Arrest Resuscitation Efforts - Wake County Emergency Services/ Six Forks Emergency Services
Volunteering
Years of dedicated volunteering for various animal rescue groups nationwide, volunteer nanny, and community volunteerism with Activate Good NC.
Timeline
Authorization Specialist I
Centene Corporation
11.2024 - Current
Medical Documentation Specialist
Augmedix, Inc
02.2022 - 02.2023
OPS Government Operations Specialist
Florida Department of Health, Pinellas County
09.2020 - 04.2021
Child Protective Investigator Trainee
Hillsborough County Sheriff's Office
11.2018 - 03.2019
Emergency Medical Technician Basic
Orange County Emergency Services
08.2010 - 11.2014
Emergency Medical Technician Basic- Volunteer
Six Forks Rescue Squad
03.2008 - 07.2013
Bachelor of Science - Public Health- Health Studies