Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Eladia Bonilla

Oceanside,CA

Summary

Experienced Prior Authorization Specialist with a successful background of working closely with multiple medical facilities and health insurance companies to secure preapproval for procedures. Detail-oriented performer and the ability to excel in remote work environment. Over 3 years of experience and exceptional multitasking skills. Additionally, serving as a dedicated soldier, meeting and exceeding service expectations for 8 years, while maintaining commitment to excellence. Applies trained disciplines and effective communication tactics to remain composed.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Soldier

Army Reserve
03.2023 - Current
  • Trained in infantry tactics, weapons and medical procedures for well-rounded field support.
  • Maintain accurate records for equipment inventory to ensure operational readiness.
  • Utilized critical thinking skills to solve complex problems while working under pressure in dynamic environments.
  • Developed strong leadership skills through training and hands-on experience in high-pressure situations.

Provider Services Specialist

Evolent Health
10.2020 - 12.2023
  • Managed high volumes of inbound calls to initiate or adjust prior authorization requests for diagnostic imaging, injections, surgeries, and physical medicine.
  • Cultivated a positive caller experience through active engagement, utilizing clinical questioning techniques to understand caller requirements and accurately capturing vital information for all cases.
  • Partnered with callers to ensure understanding of specific health plan processes through the provision of concise, step-by-step guidance.
  • Utilized conflict management skills to address occasional caller complaints and defuse potentially stressful circumstances.
  • Clarified doubts and concerns regarding the prior authorization process and multiple health plan decisions.


Culinary Specialist

California National Guard
03.2015 - 03.2021
  • Effectively communicated with colleagues to ensure smooth operation during meal shifts.
  • Maintained a high standard of cleanliness in the kitchen while overseeing meal preparation.
  • Assisted in ordering food, and supplies and adhering to an approved expense budget.
  • Maintained accurate inventory of kitchen supplies and equipment
  • Moved and stocked products weighing 60 pounds on a regular basis.


Customer Service Representative

GreatCall
12.2017 - 10.2018
  • Provided exceptional customer service on a daily basis
  • Responded to high volume of inbound calls from existing and new customers.
  • Answered customer questions and provided appropriate solutions.
  • Verified customer accounts to access data such as devices on account, billing, and troubleshooting.
  • Maintained a costumer focus by listening actively and maintaining composure.
  • Adhered to schedules and managed time efficiency to achieve monthly goals.
  • Consistently adhered to the company's policies, demonstrating high standards of professionalism and integrity.

Pharmacy Technician

Walgreen's Pharmacy
06.2017 - 07.2017
  • Assisted pharmacist with diverse tasks during externship supervision.
  • Worked closely with a team of technicians to provide excellent patient care.
  • Logged patient information and insurance details in the TeamRX computer system.
  • Assisted with prescription-related tasks, including receiving, scanning, and filling.

Education

AS Degree in Pharmacy Technology - Pharmacology

San Joaquin Valley College
05.2017

Culinary Specialist Diploma - Culinary Specialist

Joint Culinary Center of Excellence
02.2016

Skills

  • Customer Service
  • Phone Calls
  • CPT
  • ICD 10
  • Medical Terminology
  • Health Insurance
  • Critical Thinking
  • Pharmaceutical Knowledge

Certification

California State Board of Pharmacy License

HIPPA

CPR/BLS, First AID (Red Cross)

Combat Life Saving (CA Army National Guard)

Certificate of Achievement (CA Army National Guard)

Certificate of Achievement (Department of the Army)


Timeline

Soldier

Army Reserve
03.2023 - Current

Provider Services Specialist

Evolent Health
10.2020 - 12.2023

Customer Service Representative

GreatCall
12.2017 - 10.2018

Pharmacy Technician

Walgreen's Pharmacy
06.2017 - 07.2017

Culinary Specialist

California National Guard
03.2015 - 03.2021

AS Degree in Pharmacy Technology - Pharmacology

San Joaquin Valley College

Culinary Specialist Diploma - Culinary Specialist

Joint Culinary Center of Excellence

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Eladia Bonilla