Elanor Clabough
Tucson,AZ
Summary
Detail-oriented individual with exceptional communication and project management skills. Demonstrated ability to handle multiple tasks effectively and efficiently in fast-paced environments. Proactive in identifying and addressing issues, with a strong focus on optimizing processes and supporting team objectives.
Overview
28
28
years of professional experience
Work History
Senior Grievance and Appeals Coordinator
Banner Health
10.2022 - Current
- Managed timelines effectively by scheduling hearings or mediations as required, meeting all deadlines consistently.
- Provided exceptional customer service by promptly responding to inquiries from appellants and other stakeholders.
- Streamlined appeals process for increased efficiency through consistent tracking and monitoring of cases.
- Developed strong working relationships with internal and external stakeholders, fostering a collaborative environment for efficient resolution of appeals.
- Acted as a departmental resource on appeals matters.
- Organized and managed appeals caseloads, prioritizing high-priority cases for timely resolution.
- Coordinated with medical professionals and subject matter experts for case reviews, obtaining necessary clarification for accurate decision-making.
CUSTOMER SERVICE SUPERVISOR
Coresource, Inc., A Trustmark Company
01.2008 - 01.2018
- Coached team members to deliver hospitable, professional service while adhering to set service models.
- Enhanced team productivity through regular coaching, feedback, and performance evaluations.
- Facilitated cross-functional initiatives between teams for improved coordination in addressing complex customer needs.
- Monitored call center data to assess trends, proactively implementing solutions for identified issues.
- Identified customer service trends to provide recommendations for process and procedural improvements.
- Conducted regular quality assurance checks on team interactions with customers, ensuring adherence to company standards.
RECEPTIONIST
The Heart Center of Southern Arizona
01.2008 - 01.2008
- Answering phones, Schedule Follow Up Appointments and procedures
- General Clerical Duties
Patient Keeper Coordinator
Southwest Kidney Institute, PLC
01.2006 - 01.2008
- Responsible for operations & daily oversight of Patient Keeper
- Training physicians & staff on program/device for capturing charges at the point of care
- Troubleshoot and maintain device/program interface with company database
- Data entry.
Data Services Supervisor
Inpatient Physicians Network D.B.A. Apogee Medical Group
01.2003 - 01.2006
- Responsible for supervision, education & general orientation of data entry personnel including writing evaluations
- Training physicians on programs/device for capturing charges at the point of care
- Responsible for operations & daily oversight of data services.
Head of insurance & Bonding
American Contractor Business Services
01.2002 - 01.2003
- Data Entry using Lotus Database
- Sales of Insurance, Bonding & Product services
- Company set up for construction business from Sole Proprietor to Incorporated.
Receptionist
M.L. Stern & Co
01.2001 - 01.2002
- Answer phones with 6 Line Capacity
- General clerical duties
- Meet & Greet clients.
Hospital Corpsman
United States Navy
01.1997 - 01.2001
- Responsible for operations & daily function of Emergency Room with a $35K budget every quarter
- Supervised 15 writing evaluations biannually
- Patient care.
Education
High School Diploma -
Tennyson High School
Hayward, CAAssociate of Arts - Liberal Arts And General Studies
Pima Community College
Tucson06.2014
Bachelor of Arts - Healthcare Administration
University of Arizona
Tucson, AZ11.2024
Skills
- Data entry proficiency
- Effective communication abilities
- Self Motivation
- Critical Thinking
- Reliability
- Training development
- Problem-solving capabilities
- Strong analytical skills
- Attention to Detail
References
Available upon request
Timeline
Senior Grievance and Appeals Coordinator
Banner Health
10.2022 - Current
CUSTOMER SERVICE SUPERVISOR
Coresource, Inc., A Trustmark Company
01.2008 - 01.2018
RECEPTIONIST
The Heart Center of Southern Arizona
01.2008 - 01.2008
Patient Keeper Coordinator
Southwest Kidney Institute, PLC
01.2006 - 01.2008
Data Services Supervisor
Inpatient Physicians Network D.B.A. Apogee Medical Group
01.2003 - 01.2006
Head of insurance & Bonding
American Contractor Business Services
01.2002 - 01.2003
Receptionist
M.L. Stern & Co
01.2001 - 01.2002
Hospital Corpsman
United States Navy
01.1997 - 01.2001
High School Diploma -
Tennyson High School
Associate of Arts - Liberal Arts And General Studies
Pima Community College
Bachelor of Arts - Healthcare Administration
University of Arizona
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