JAYLEN WILTZ
Houston,TX
Summary
Experienced with managing authorization processes and ensuring compliance. Utilizes analytical skills and attention to detail to handle authorization requests effectively. Strong understanding of regulatory requirements and collaborative teamwork.
Overview
8
8
years of professional experience
Work History
Authorization Specialist
Old Republic International
San Ramon, CA
08.2023 - Current
- Enhanced workflow efficiency through clear communication of authorization needs and status updates between departments.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Interpreted home warranty plans and contract coverage.
- Reduced equipment downtime by maintaining detailed records of repairs, parts usage, and warranty information.
Debt Collector
Credit Acceptance
Southfield, MI
04.2022 - 12.2022
- Remained calm, stayed professional and provided exceptional service on calls, even interacting with difficult individuals.
- Processed payments over the phone and set up recurring auto drafts.
- Secured payments by following up with customers which disregarded promise to pay.
- Interviewed customers to determine reasons for delinquency, source of income and next pay date to build solutions for financial solutions.
- Review accounts to determine payment plan compliance.
- Conveyed current account information and obtain payments
- Interfaced with customers to bring accounts current with suitable repayment plans.
Customer Service Representative
Alorica - CVS Caremark
Houston, TX
09.2017 - 02.2022
- Responded to customer requests for products, services, and company information.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Delivered prompt service to prioritize customer needs.
Education
High School - Business Administration And Management
Carver High School For Applied Tech/Engineering/Arts
Houston, TX06.2016
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- Microsoft office
- Documentation and reporting
- Effective communication skills
- Data entry
- Verbal communication
Timeline
Authorization Specialist
Old Republic International
08.2023 - Current
Debt Collector
Credit Acceptance
04.2022 - 12.2022
Customer Service Representative
Alorica - CVS Caremark
09.2017 - 02.2022
High School - Business Administration And Management
Carver High School For Applied Tech/Engineering/Arts