Jeremiah Rodriguez
Prior Authorizations Specialist
Colorado Springs,CO
Summary
Dedicated Criminal Justice undergraduate at UCCS nearing degree completion, with professional experience in operations supervision and comprehensive administrative analysis. Proven track record of accuracy, initiative, and conflict resolution in high-pressure environments. Maintains a 3.4 GPA while balancing full-time employment. Disciplined candidate ready to leverage a strong academic foundation and robust work ethic as a Deputy Recruit at the El Paso County Sheriff's Office. Committed to contributing effectively to law enforcement initiatives and enhancing community safety through diligent service.
Overview
5
5
years of professional experience
4048
4048
years of post-secondary education
Work History
Prior Authorization Specialist
Gastro Care Partners
04.2024 - Current
- Earned a promotion to Prior Authorization Specialist within 10 months by demonstrating exceptional attention to detail and initiative.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Reduced turnaround time for prior authorization decisions by implementing more efficient review process.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
- Input all patient data regarding prior authorizations into system accurately.
- Participated in cross-departmental training sessions to enhance understanding of prior authorization criteria and procedures.
Operations Supervisor
Staples, The Office Supply Superstore
02.2023 - 03.2024
- Ensured appropriate security measures were followed during money handling processes, safeguarding company assets effectively.
- Monitored staff performance and provided feedback for improvement.
- Resolved customer complaints in a timely manner to maintain customer satisfaction.
- Supervised warehouse activities such as loading and unloading shipments, picking orders, packing items for shipment.
- Trained new employees on proper job functions and company policies and procedures.
- Managed daily operations for optimal performance, ensuring smooth workflows and timely completion of tasks.
- Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
Package Handler
FedEx
05.2022 - 08.2022
- Transported parcels between loading docks and delivery vehicles.
- Followed safety regulations to maintain safe work environment.
- Collaborated with other package handlers to provide prompt and accurate delivery of orders.
- Improved package handling efficiency by implementing proper sorting and organizing techniques.
- Contributed to increased productivity by working effectively in high-pressure situations.
- Proved successful working within tight deadlines and a fast-paced environment.
Crew Member
Chipotle Mexican Grill
05.2021 - 07.2021
- Performed cashier duties such as taking orders, collecting payments and providing change.
- Cleaned restaurant area by sweeping floors, wiping tables and emptying trash receptacles.
- Provided excellent customer service to maintain a positive atmosphere for guests.
- Adhered to health department regulations regarding food handling procedures.
- Completed opening and closing tasks such as setting up workstations, cleaning surfaces and restocking supplies.
- Worked well with teammates and accepted coaching from management team.
- Demonstrated strong multitasking abilities without compromising quality or efficiency.
Sales Advisor
Best Buy
09.2020 - 12.2020
- Provided customers with information on products and services available.
- Demonstrated product features and benefits to potential customers.
- Gathered customer feedback to improve sales strategies.
- Identified customer needs and tailored solutions accordingly.
- Collaborated with team members to achieve monthly sales goals and improve overall performance.
- Handled difficult situations professionally by addressing customer complaints and finding mutually beneficial solutions, preserving long-term relationships.
Education
Bachelor of Arts - Criminal Justice
University of Colorado At Colorado Springs
Colorado Springs, CO12-2026
High School Diploma -
Thomas B. Doherty High School
Colorado Springs, CO05.2021
Skills
- Verbal & Written Communication
- Data entry
- Workflow management
- Detailed Documentation & Reporting
- Professional Communication (Verbal/Written)
- Decision-Making Under Pressure
- Team Leadership & Supervision
- Critical Thinking
- Data Accuracy & Records Management
- Criminal Justice Fundamentals
- Confidentiality & Ethics
Accomplishments
- Promoted to a corporate roll within 10 months at my current employer.
- Promoted to Operations Supervisor due to hard work and excelling in the work environment with great leadership skills.
- Maintaining a 3.4 GPA while working full-time.
- DECA member and mentor during my Junior and Senior year in high scool.
Timeline
Prior Authorization Specialist
Gastro Care Partners
04.2024 - Current
Operations Supervisor
Staples, The Office Supply Superstore
02.2023 - 03.2024
Package Handler
FedEx
05.2022 - 08.2022
Crew Member
Chipotle Mexican Grill
05.2021 - 07.2021
Sales Advisor
Best Buy
09.2020 - 12.2020
Bachelor of Arts - Criminal Justice
University of Colorado At Colorado Springs
High School Diploma -
Thomas B. Doherty High School
Education and Training
Currently enrolled at University of Colorado Springs - Criminal Justice Major