Janae Offutt
Vanderbilt Medical Center
Nashville,TN
10
years of professional experience
Detail-oriented Case Manager experienced in claims processing, benefits verification, and insurance authorization. Achieved timely patient authorizations and resolved CPT code discrepancies through effective communication with clients and healthcare professionals. Knowledgeable Store Manager skilled in coordinating logistics and optimizing transportation schedules, recognized for reducing delivery times and maintaining service quality.
Work History
EVS Dispatcher
6 Months- Coordinated emergency responses by efficiently dispatching medical personnel and resources to critical situations.
- Monitored and managed real-time communication between healthcare teams, ensuring seamless operations during high-pressure scenarios.
- Implemented process improvements that enhanced response times and increased overall team efficiency in emergency operations.
- Trained new dispatch staff on protocols, systems, and best practices to maintain high standards of service delivery.
Assistant Store Manager
8 Months- Led daily operations to ensure efficient store management and optimal customer service.
- Developed and implemented staff training programs, improving team performance and engagement.
- Oversaw inventory management processes, enhancing stock accuracy and reducing waste.
Store Manager
8 Months- Oversaw inventory control, cash management, and store opening and closing procedures to ensure operational accuracy and security.
- Managed daily operations to ensure smooth functioning of the store, maintaining a clean, safe environment for customers and employees.
- Addressed customer complaints promptly and professionally, resolving issues to maintain positive relationships with clientele.
- Directed daily operations to facilitate seamless store functionality while ensuring cleanliness and safety for customers and employees.
- Oversaw daily store operations, ensuring efficient workflow and high customer satisfaction.
- Managed inventory control processes, optimizing stock levels and reducing waste.
Store Manager
9 Months- Developed and implemented promotional strategies to enhance product visibility and sales performance.
- Analyzed sales data to identify trends, driving adjustments in merchandising strategies.
- Trained and mentored staff on best practices in customer service and sales techniques.
- Fostered a collaborative team environment, enhancing employee engagement and retention rates.
Pharmacy Specialist
3 Years 1 Month- Deliver clinical excellence with each patient encounter.
- Enhanced patient care by accurately filling prescriptions and providing medication counseling.
- Educated patients on the importance of medication adherence for better health outcomes.
- Enhanced patient care by accurately filling prescriptions and providing tailored medication counseling to improve patient understanding.
- Developed strong relationships with patients, ensuring trust and loyalty through personalized attention and care.
- Increased customer satisfaction by addressing concerns promptly and offering professional advice on medication usage.
- Coordinated with insurance companies to resolve billing issues, alleviating financial burdens for patients and facilitating access to medications.
- Increased customer satisfaction by addressing concerns promptly and offering professional advice on medication usage.
Store Manager
1 Year- Oversaw daily operations, ensuring smooth store functioning while fostering a clean, safe environment for customers and employees.
- Administered inventory control and cash handling while coordinating store opening and closing procedures.
- Managed daily operations to ensure smooth functioning of the store, maintaining a clean, safe environment for customers and employees.
- Managed store employees successfully in a fast-paced environment through proactive communication and positive feedback.
- Addressed customer complaints promptly and professionally, resolving issues to maintain positive relationships with clientele.
Credentialing Specialist
6 Months- Maintained active status for all providers by completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid.
- Collaborated with healthcare providers to gather information for timely and accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Enrolled providers in Medicaid, Medicare, and private insurance plans, ensuring compliance with all requirements.
Verification Specialist
3 Months- Conducted calls to employers to verify information provided by applicants on job applications.
- Communicate effectively and proficiently to all parties involved in attaining verification information.
- Prioritized workload efficiently, managing multiple cases simultaneously without compromising on quality or accuracy.
- Engaged in performance reviews, utilizing feedback for continuous improvement and professional development as a Verification Specialist.
- Maintained a high level of professionalism when interacting with external parties during the verification process.
- Actively participated in training sessions and shared knowledge with team members to foster a collaborative work environment.
Customer Service Rep
4 Years 8 Months- Answered questions regarding premium payment and billing, providing clear and accurate information to enhance customer understanding.
- Explained statements, helped customers understand various pieces of insurance paperwork, and answered questions regarding insurance premium payments.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved escalated customer calls by addressing concerns directly and providing solutions. efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Appeal Associate
2 Years 4 Months- Processed claims, obtained prior authorizations, filed appeals, batched EOBs, and verified benefits by coordinating with various insurance companies, while correcting CPT code errors.
- Maintained high customer satisfaction through proactive support and resolution of inquiries.
- Developed and implemented strategies to increase customer satisfaction and engagement.
- Maintained customer satisfaction and contributed to company success.
- Greeted customers and provided assistance to enhance overall customer experience.
- Reliable and driven, with strong time management and prioritization abilities.
- Greeted customers and offered assistance for increased customer satisfaction.
- Optimized departmental processes with the implementation of innovative strategies, resulting in improved efficiency and reduced costs.
- Established strong relationships with key stakeholders, facilitating effective communication across departments and teams.
Case Manager
4 Months- Undertook assessments, monitored progress, planned interventions, advocated for clients, and linked consumers with rehabilitation and support services.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Developed and implemented comprehensive case management plans addressing client needs and goals, promoting positive outcomes.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Coordinated essential services for clients, enhancing overall well-being and fostering self-sufficiency.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies based on evolving circumstances.
Authorization Specialist
3 Months- Interviewed and assisted patients with authorization documents.
- Ensure payment for services by verifying benefits with insurance provider.
- Monitored and tracked patient authorizations, notifying supervisor of expired dates to maintain compliance.
- Verified benefits with insurance provider to ensure timely payment for services rendered.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Provided clinical staff with timely updates on status of prior authorizations, facilitating smoother patient care processes.
- Maintain appropriate logs or reports according to professional, state and federal requirements.
Education
High School Diploma
Associate of Science - Business Management
Skills
Logistics Coordination
Service Coordination
Provider Relations
Credentialing processes
Provider enrollment
Claims
Facility support
Workforce Management
Process Improvement
Inventory Management
Microsoft office
Multitasking and organization
Customer service
Team building
Safety Protocols
Timeline
EVS Dispatcher
Vanderbilt Medical Center
02.2026 - CurrentRead More
Assistant Store Manager
Twice Daily
09.2025 - 05.2026Read More
Store Manager
7-eleven
01.2025 - 09.2025Read More
Store Manager
Mapco
12.2024 - 09.2025Read More
Store Manager
Dollar General
05.2023 - 05.2024Read More
Pharmacy Specialist
CVS Caremark
08.2021 - 09.2024Read More
Credentialing Specialist
AMN Healthcare
07.2021 - 01.2022Read More
Verification Specialist
Navient Healthcare
02.2021 - 05.2021Read More
Appeal Associate
Cigna
04.2018 - 08.2020Read More
Case Manager
Zander Insurance
10.2017 - 02.2018Read More
Authorization Specialist
TriWest
02.2017 - 05.2017Read More
Customer Service Rep
CVS
08.2016 - 04.2021Read More
Strayer University
Associate of Science from Business Management
Read More
Nashville Magnet School of The Arts
High School Diploma
Read More