Darjonae Collins
Tracy,CA
Summary
Accomplished and results driven professional seeking to represent an establishment committed to growth and high ethical standard with the desire to build and maintain long-term relations. My dedication will assist in the administration of productivity within the company. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
15
15
years of professional experience
Work History
MRI Scheduler/ Authorizations
Golden State Orthopedics And Spine
11.2021 - Current
- Answered phone calls and answered questions from potential customers.
- Acted as first point of contact and set appointments for prospective clients.
- Handled complaints and questions, and re-directed calls to other team members.
- Scheduled and confirmed appointments and meetings for senior management team.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Maintained consistent follow-up on status of prior authorization requests.
- Calculated estimated copay based on current insurance benefits.
Lab Runner/on call
Kaiser Permanente
01.2019 - 06.2021
- Collect and prepare specimens in a timely manner
- Sort packages and ships lab test
- Stocking and receiving shipments.
Driver
Hertz HLE
01.2018 - 01.2020
- Transport Vehicles to numerous body shops, pick-ups, inspections.
Health Plan Authorization Representative
01.2017 - 01.2018
- Enter prior authorization request for medical services, accurately code each requested service and procedure, and verify member eligibility, identify other payer source and determine health plan primacy, assist with determining if requested services are within the memberâs scope of benefits, if prior authorization is required and if the requested services requires clinical reviews for medical necessity by an RN/Pharmacist, respond to providers, members, claims, and member services inquires, Medicare and CCS knowledgeable, Inform providers and members of approval/denial/modification of requests, appeal determinations via verbal and written communication, generating reports related to California Children Service referrals, specialized programs, and specialty referrals
- Epic Knowledgeable, Ability to handle multiple telephone calls concurrently
Administrative clerk
Kaiser Permanente
01.2014 - 01.2017
- Providing support to the company through both administrative and clerical duties
- Providing a high standard of service to clients
- Processing incoming and outgoing mail
- Involved in typing and creation of documents as well as processing information
- Data Entry, Processing, Mailing
- Epic knowledgeable, ability to handle multiple telephone calls concurrently
- Enter prior authorization request for medical services, accurately code each request service and procedure, and verify member eligibility, identify other payer source and determine health plan primacy.
Cashier/Barista
Starbucks â
01.2012 - 01.2014
- Built and developed solid working relationships by having a positive outlook
- Excellent and courteous customer service
- Processing phone orders
- Attention and an eye for detail
- Creating stock displays
- Knowledge of health, safety, and hygiene in the retail food production environment
Inventory Associate
W.I.S. International
01.2009 - 01.2012
- Counted and wrapped inventory
- Stocked rooms
- Auditors or material recording clerks
- Managing incoming and outgoing materials
- Ordering raw materials for a business.
Education
Certificate - Nursing Administration
Carrington College
10.2023
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Adrian's Beauty College
Tracy, CA2011
High School Diploma - undefined
Merritt College â
Oakland, CA2009
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Merrill F. West High School â
Tracy, CA2008
Skills
- Problem Solving & Decision Making Knowledge of Software
- Excellent Customer Service Skills Excellent Office Skills
- CORE COMPETENCIES
- EXCEPTIONAL ORGANIZATIONAL SKILLS - Consistently recognized by peers for exceptional talents in fast-paced
- Environments
- STRONG SENSE OF RESPONSIBILITY - Solid professional standards; excellent track record of dependability Maintain
- Focus on achieving results
- ADMINISTRATION AND MANAGEMENT - Knowledgeable of business and management principles
- CUSTOMER SERVICE - Consistently demonstrate responsiveness, strong customer focus, and ability to build good
- Customer relationships
- Active Listening
- Clerical Support
- Teamwork and Collaboration
- MS Office
- PPE Compliance
- Data Entry
- Organization and Time Management
Timeline
MRI Scheduler/ Authorizations
Golden State Orthopedics And Spine
11.2021 - Current
Lab Runner/on call
Kaiser Permanente
01.2019 - 06.2021
Driver
Hertz HLE
01.2018 - 01.2020
Health Plan Authorization Representative
01.2017 - 01.2018
Administrative clerk
Kaiser Permanente
01.2014 - 01.2017
Cashier/Barista
Starbucks â
01.2012 - 01.2014
Inventory Associate
W.I.S. International
01.2009 - 01.2012
Certificate - Nursing Administration
Carrington College
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Adrian's Beauty College
High School Diploma - undefined
Merritt College â
undefined
Merrill F. West High School â
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