Administrative specialist with extensive experience in case management and service coordination. Proven track record in enhancing client care through effective communication and meticulous record-keeping. Consistently achieves seamless service delivery and ensures regulatory compliance, contributing to operational success.
Overview
18
18
years of professional experience
Work History
Customer Care Manager
Elevance Health
05.2018 - 11.2025
Develop and implement personalized care plans
Coordinate and schedule services with healthcare providers, social workers, and other professionals
Conduct assessments to identify individual client needs and eligibility for services
Monitor and review client progress and service effectiveness
Ensure compliance with all relevant regulations and guidelines
Advocate for client needs and preferences
Maintain detailed and accurate client records
Facilitate communication between clients, families, and service providers
Address any issues or emergencies related to client care promptly
Perform regular follow-ups to adjust care plans as necessary
Participate in training and professional development opportunities
Care Coordinator
Superior Health Plan
Lubbock, TX
08.2016 - 04.2018
Facilitated care management activities, collaborating with teams to ensure delivery of services by healthcare providers and partners, achieving continuity of care and enhancing member satisfaction.
Engaged members through phone outreach and home visits to discuss care/service plans, next steps, available resources, and ongoing education, addressing questions and concerns regarding recommended care.
Coordinated care activities per care/service plans, collaborating with healthcare and community providers to adapt to changes or progress, ensuring alignment with member needs.
I collaborated with care managers and practitioners to facilitate member services and ensure continuity of care.
Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.
I ensured accurate documentation and maintenance of member records in compliance with state regulations.
I thoroughly educated myself on state’s rules, regulations and laws pertaining to Medicaid in order to comply with all policies and standards.
Texas Works Advisor I
Texas Health and Human Services Commission
Lubbock, TX
06.2015 - 07.2016
My work duties involved reviewing eligibility files, interviewing clients, documenting client information, determining benefits, verifying case data, and explaining program benefits and requirements.
Obtained, verified, and calculated income and resources to determine client financial eligibility for social services programs.
Verified program eligibility, calculated benefit amounts, and established duration of eligibility according to Texas regulations.
Conducted face-to-face and telephonic interviews with clients and authorized representatives to gather information for benefit eligibility determination.
Processed and communicated case status and changes to clients and authorized representatives to ensure understanding of eligibility outcomes.
Explained program benefits, requirements, and rights of appeal to clients and authorized representatives to enhance their understanding of available resources.
Recalculated and processed changes to client benefits such as overpayments, adjustments, or restoration of benefits when income or household changes were reported.
Performed routine eligibility determinations for social services programs.
Office Manager
Zach's Club
Lubbock, TX
06.2008 - 08.2011
Managed daily operations of gym office.
Collaborated with businesses to create corporate gym membership programs, enhancing service offerings.
I worked the front desk and work customer service on a daily basis.
I answer phones, make copies, send out faxes, file, and handle daily office activities.
Entered new contracts and updated current member accounts to ensure accurate records.
I set up the accounts to be billed on a monthly basis.
Collected past due accounts and initiated collections process for accounts delinquent over three months.
Data Input
Texas Tech Health Sciences Center
Lubbock, TX
01.2008 - 05.2008
I worked in the Internal Medicine billing department.
Entered completed reports into the computer system, maintaining data integrity and accessibility.
Pulled medical records for Internal Medicine doctors, ensuring all signature requirements were met and data accuracy before sending to coders.
Organized and filed medical records, answered phones, and facilitated communication between coders and doctors while performing data input.
Student Assistant
Texas Tech Health Sciences Center
Lubbock, TX
08.2007 - 12.2007
Executed various administrative tasks for supervisor, including pulling medical records, entering reports, answering phones, sending faxes, making copies, and filing.
Maintained organized records for coders in surgery department, ensuring efficient access to necessary information.
Worked as a part-time student assistant in the Surgery Billing Department.