Fredneika Pickard
Phenix City,AL
Summary
Driven and determined individual combined with exceptional time management and customer service skills. Possess exceptional ability to multi-task to meet deadlines, and work very proficiently to meet and exceed company goals. Achieved extensive knowledge through electronic medical records program and now seeking to utilize knowledge in the industry with a thriving organization.
Overview
17
17
years of professional experience
Work History
Utilization Management Representative II
Elevance Health
Columbus, GA
07.2018 - Current
- Evaluated utilization requests to ensure compliance with established guidelines.
- Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
- Refers cases requiring clinical review to a Nurse reviewer.
- Responsible for the identification and data entry of referral requests into the UM system
- Developed training materials and conducted workshops to enhance team understanding of utilization processes.
Crew Member
McDonald's
Phenix City, AL
05.2012 - Current
- Receive and process customers' orders and answer questions on the menu
- Receive cash and credit/debit payments, and provide receipts and change
- Present customers with their orders
Customer Service Representative
Kohl's Department Stores, Inc
Columbus, GA
10.2009 - Current
- Assisted with returns, exchanges, and refunds while following store policies.
- Processed cash and credit transactions accurately and issued change as needed.
- Resolved customer concerns and complaints professionally, escalating issues when needed.
Food Service Worker
Compass Group Inc.
Columbus, GA
01.2016 - 07.2018
- Prepared and assembled food items according to safety and hygiene standards.
- Maintained cleanliness of dining and kitchen areas, ensuring compliance with sanitation regulations.
- Assisted in inventory management by tracking stock levels and reporting discrepancies.
- Delivered exceptional customer service, addressing inquiries and resolving issues promptly.
Collections Representative
TSYS - Westaff Temp Agency
Columbus, GA
01.2013 - 07.2013
- Collections Associate
- Conducted outbound calls on past due accounts
- Processed payments over the phone and brought customers' accounts back to current
- Set up customers on payment arrangements
Education
Associates in Applied Science - Electronic Medical Records
Motte College
Skills
- Critical thinking
- HIPAA compliance
- Professionalism and ethics
- Documentation accuracy
- Insurance verification
- Time management mastery
- Medical terminology proficiency
- Utilization management
- Teamwork and collaboration
- Documentation
Additional Information
Authorized to work in the US for any employer
Timeline
Utilization Management Representative II
Elevance Health
07.2018 - Current
Food Service Worker
Compass Group Inc.
01.2016 - 07.2018
Collections Representative
TSYS - Westaff Temp Agency
01.2013 - 07.2013
Crew Member
McDonald's
05.2012 - Current
Customer Service Representative
Kohl's Department Stores, Inc
10.2009 - Current
Associates in Applied Science - Electronic Medical Records
Motte College