Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
15
15
years of professional experience
Work History
Utilization Management Assistant
Firstsource Molina Healthcare
07.2019 - 09.2026
Managed utilization review processes, ensuring compliance with healthcare regulations and internal policies.
Coordinated communication between clinical teams and payers to facilitate timely approval of services.
Reviewed clinical documentation for accuracy, improving operational efficiency and reducing processing delays.
Led training sessions for new staff on utilization management protocols and system navigation.
Contributed to a positive workplace culture by fostering strong relationships with colleagues across various disciplines within the organization.
Enhanced patient satisfaction through prompt response to inquiries regarding treatment plans, coverage details, and billing issues.
Ensured accurate data entry into electronic health record systems to support informed decision-making by medical professionals.
Customer Service Representative
CVS/caremark
04.2015 - 10.2019
Resolved customer inquiries via phone, email, and chat to ensure satisfaction and retention.
Processed medication orders accurately using pharmacy management software to support operational efficiency.
Trained new team members on procedures and systems to enhance service delivery and performance.
Monitored customer feedback and suggested improvements to enhance service quality and experience.
Collaborated with pharmacy staff to streamline workflows, reducing wait times for customers significantly.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Manager
McDonald's
05.2011 - 10.2015
Managed daily operations, ensuring compliance with quality and safety standards.
Trained and mentored team members to enhance service efficiency and customer satisfaction.
Oversaw cash handling procedures, maintaining accuracy in daily financial reporting.
Analyzed customer feedback to identify improvement opportunities for service delivery.
Developed staff schedules to ensure optimal coverage during peak hours.
Collaborated with upper management on promotional strategies to increase sales revenue.
Education
Associate of Science - Medical Office And Billing Specialist
Ulitimate Medical Academy
Clearwater, FL
05-2022
Skills
Teamwork and collaboration
Friendly, positive attitude
Customer service
Problem-solving
Time management
Computer skills
Multitasking Abilities
Excellent communication
Organizational skills
Attention to detail
Dependable and responsible
Flexible and adaptable
Timeline
Utilization Management Assistant
Firstsource Molina Healthcare
07.2019 - 09.2026
Customer Service Representative
CVS/caremark
04.2015 - 10.2019
Manager
McDonald's
05.2011 - 10.2015
Associate of Science - Medical Office And Billing Specialist
Ulitimate Medical Academy
Personal Information
Work Permit: Authorized to work in the US for any employer
Visa Status: Authorized to work in the US for any employer