Summary
Overview
Work History
Education
Skills
Timeline
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ELAINE K. PERALES

San Antonio

Summary

Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.

Overview

17
17
years of professional experience

Work History

Advocate 4 Me

United Healthcare
San Antonio
08.2015 - Current
  • Leading team training/ new processes in team meetings, by sharing best practices and tools broadly
  • Maintain focus on member interactions without being distracted by other factors (e.g., system usage, pop-up alerts, VCC data)
  • Assist with issue management, focus on tasks due today and past due
  • Work special assignments on written Grievances to comply with Medicare guidelines
  • Assists supervisor with supporting team priorities to ensure all performance metrics are met
  • Provide OJT mentorship, selected for OJT coach and certified P.O.E.T
  • (professional on the job educational trainer)
  • Assists supervisor in monitoring employee and team performance by reviewing operational metrics and listening to and observing call management techniques pulling scheduled adherence reports when needed
  • Drive resolution of member questions/issues on the first call whenever possible (e.g., first-call resolution, one-and-done and provider exceptional customer service)

Tax Prepare (seasonal)

L.I.B Tax Services
San Antonio
01.2008 - Current
  • Assisted with the foundation of building cliental database
  • Provided detailed recordkeeping electronic filing system
  • Work independently and as a team player to ensure work load is accomplished in a timely manner to meet deadlines

Education

Administrative Assistant Certificate -

Career Point Institute
San Antonio, Texas
01.2007

Diploma -

Thomas Jefferson High School
San Antonio, Texas
01.2000

Skills

  • COSMOS
  • GPS
  • FACETS
  • ICUE
  • NICE
  • RX CLAIMS
  • MAESTRO
  • EDSS
  • ECAA
  • PAS
  • STARS
  • Microsoft Excel
  • Qualtrics
  • Nexidia
  • Qfiniti
  • WFM/RTA
  • IEX
  • Intradiem

Timeline

Advocate 4 Me

United Healthcare
08.2015 - Current

Tax Prepare (seasonal)

L.I.B Tax Services
01.2008 - Current

Administrative Assistant Certificate -

Career Point Institute

Diploma -

Thomas Jefferson High School

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ELAINE K. PERALES