Highly-motivated individual with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Prior Authorization Specialist
Ascension St. Vincent
Jacksonville, FL
09.2024 - Current
Facilitated communication between providers, payers and health plans regarding prior authorization processes.
Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Contract And Billing Administrator
DEX Imaging
Jacksonville, USA
10.2022 - 07.2024
Implemented an efficient contract management system, resulting in a 20% reduction in contract processing time and improved accuracy in contract data entry
Streamlined the billing process by creating standardized templates and automating invoicing, leading to a 30% decrease in billing errors and a faster turnaround time for client payments
Conducted regular audits of contract terms and conditions to ensure compliance and mitigate financial risks, resulting in a 95% accuracy rate in contract billing and revenue recognition
Property Manager
Real Estate Management
Jacksonville, USA
11.2020 - 09.2023
Oversaw all aspects of property management operations, including tenant communication, lease negotiations, rent collection, and maintenance coordination
Conducted regular property inspections to ensure adherence to safety and maintenance standards, promptly addressing any issues to uphold the property's value and reputation
Resolved tenant complaints quickly and effectively while ensuring customer satisfaction
Precertification Specialist
UNC Chapel Hill
Chapel Hill, NC
04.2018 - 09.2020
Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
Maintained detailed documentation of all activities related to the precertification process.
Input claim, prior authorization, and other important medical data into system.
Education
Associate of Applied Science - Criminal Justice
Florida State College
Jacksonville, FL
01-2026
Skills
Proficient with using the entire MS Office Suite including Word, Excel, Access, and PowerPoint
Understanding medical terminology, procedures, and coding systems (like ICD-10, CPT, and HCPCS codes) for reviewing and processing prior authorization requests accurately
The ability to provide clear, professional, and responsive service while maintaining positive business relationships
Trained to identify potential risks in contract terms and suggest mitigation strategies
Skilled with juggle multiple tasks at once, such as handling maintenance requests, conducting inspections, and managing finances
Familiar with managing a team, motivating staff, delegating ask, and ensuring everything runs smoothly
Registered Nurse at Ascension St. Vincent 86th St./ Progressive Coronary Care UnitRegistered Nurse at Ascension St. Vincent 86th St./ Progressive Coronary Care Unit