Jeremy Ross
Summary
Motivated Shift Leader enthusiastic about helping team members meet and exceed objectives with compassionate leadership. Talented trainer and operational problem-solver with front-line experience and collaborative nature. Resourceful in balancing customer, company and employee needs.
Dynamic individual with hands-on experience and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Administrative professional with extensive experience in managing office functions and supporting executive teams. Proven ability to optimize workflow and implement process improvements to achieve operational excellence. Recognized for strong collaboration skills and results-driven approach, ensuring reliable support and adaptability to changing requirements.
Overview
18
18
years of professional experience
Work History
UM Administration Coordinator 2 Inbound Clinical
Humana
10.2022 - Current
- Responsibilities Be a part of our Care Delivery Clinical Team - as a UM Administration Coordinator you will engage with the clinical team to coordinate the needed documentation and communication needed for our members to develop lifelong well-being and health and assure compliance with all regulatory requirements
- Focus: Managing incoming calls from providers/members
- Works with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
- Process incoming referrals, and prior authorizations
- Assists clinical staff with triaging cases for clinical review
- Handle resolution/inquiries from members and/or providers
- Job Functions work with providers to obtain, prepare, and disseminate clinical information for members admitted to either acute inpatient or post-acute or facilities, adhering to standard time-frames and procedures
- Complete provider outreach within specified time-frames to obtain standard patient clinical information for all patients identified for review, per program workflow and protocols
- Complete provider outreach on a daily basis to collect discharge information for all discharges and complete updates to patient discharge information in the clinical system
- Monitor receipt of requested patient clinical information into assigned inbox and prepare for nurse use through timely identification and labeling
- Monitor receipt of census reports from facilities and complete updates or case build using pertinent patient case information in the clinical system as needed
- Complete updates to letters using the letters templates available in the system to support nurses and clinical leadership in sending the proper, timely correspondence to patients and providers
- Complete required documentation, including but not limited to: UM Activity Documentation Form, referrals to Financial Recovery, etc
- Provide general administrative support pertaining directly to clinical activities to the observation management and Concurrent Review clinical staff
- Performs other responsibilities as required
- Will to rotate weekend on call responsibilities as needed
Shift Lead
Walgreens
10.2016 - 12.2023
- Delegated tasks to employees and monitored activities and task completion
- Resolved customer complaints and reported issues to senior management
- Completed opening and closing duties to facilitate business operations
- Uphold company standards and compliance requirements for operations and cleanliness
- Coached and trained employees and created daily work schedules and assignments to boost efficiency and enhance operations
- Teamed with peers, technicians and pharmacists to prioritize and complete orders
- Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system
- Documented receipts, employee hours and inventory movements
- Counted inventory, resolved discrepancies and completed paperwork to keep system accurate and current
- Created and improved daily operational plans, including production schedules and optimizing task flows
- Assisted with performance reviews to identify areas of improvement
- Created fun team building activities to engage staff in up-selling to meet revenue targets
- Provided coaching and reinforced standards to foster superior performance from crew members and others throughout organization
- Coordinated shift-based inventory receiving, auditing and restocking
- Evaluated, reconfigured and performed equipment maintenance to support operational goals
- Counted cash on hand at shift change and closing to determine shortages or overages and prepare bank deposit statements
- Supervised, motivated and led employees to maintain productivity and customer service levels
- Complied with company safety procedures, policies and regulations to promote safe working environment
- Positioned skilled staff in key areas throughout shift to optimize department productivity
- Coordinated daily shift changes to facilitate tasks and handle special needs or requests
- Assisted general manager with operations game plan and company initiatives implementation
- Generated reports to assess performance and adjusted workflows to realign with targets
- Documented production levels, materials used and special incidents to keep management informed of daily activities
- Organized daily workflow and scheduled staff vacations for adequate coverage
- Resolved customer complaints and issues and offered thoughtful solutions to maintain customer satisfaction.
- Oversaw cash handling procedures, ensuring accuracy and proper documentation at all times.
LINE COOK
Red Robin
07.2013 - 10.2016
- Operated fryers and grills according to instructions to maintain safety and food quality
- Sanitized food preparation areas, grills and equipment to avoid cross-contamination from raw items
- Kept stations stocked and ready for use to maximize productivity
- Followed proper food handling methods and maintained correct food temperature for high scores on health inspections
- Restocked food items throughout shift to prepare necessary ingredients for cooking and timely service
- Maintained hygienic kitchen by regularly mopping, disinfecting workspace and washing all utensils and glassware
- Set up and performed initial prep work for food items such as soups, sauces and salads
- Maintained consistent quality and high accuracy when preparing identical dishes every day
- Grilled and deep fried various foods from meats to potatoes
- Washed and peeled ingredients to prepare for different meals and recipes
- Conducted daily inspections and maintained food sanitation and kitchen equipment safety reports
Dietary Aide
Parkway medical center
05.2006 - 03.2014
- Served specific meals to patients with special dietary needs
- Helped with meal prep for daily meals, following strict sanitation and food handling guidelines
- Assisted patients with special needs to eat meals, providing kindness and patience
- Delivered snacks to nurse station for distribution to specific residents
- Reported and documented resident changes in consumption or behaviors
- Cleaned and maintained dining room during and after each meal service
- Stocked food and other supplies for main kitchen and units as needed
- Worked closely with team members to update cleaning protocols and increase aide efficiency
- Offered alternative menu choices to meet diet prescription guidelines while enabling clients to receive optimal food preferences
- Observed food intake, reporting progress and dietary problems to dietician
Education
High School Diploma -
Waggener High School
Louisville, KY06.2010
Skills
- Supervision
- Staff development
- Team Supervision
- Issue resolution
- Project planning
- Office Administration
- Document Control
- Team Collaboration
- Telephone Etiquette
- Attention to Detail
- Time Management
- Inbound phone call handling
- Data Collection
- Microsoft Access
- Project Management
- Data Entry
- Tech-Savvy
- Handling Complaints
- Microsoft Excel
- Inventory Management
- Employee Development
- Customer Service
- Relationship Building
- Administration and Operations
- Goal Setting
- Multitasking and Organization
- Decision-Making
Timeline
UM Administration Coordinator 2 Inbound Clinical
Humana
10.2022 - Current
Shift Lead
Walgreens
10.2016 - 12.2023
LINE COOK
Red Robin
07.2013 - 10.2016
Dietary Aide
Parkway medical center
05.2006 - 03.2014
High School Diploma -
Waggener High School