Kevin Williams
Austin,TX
Summary
Accomplished Authorization Specialist II at Centene, adept in prior authorization processing and insurance verification, with a proven track record of enhancing workflow efficiency. Excelled in team collaboration and effective communication, significantly contributing to departmental goals. Skilled in Microsoft Office and medical terminology, consistently exceeding productivity targets by fostering a collaborative environment. Team "champion" for the rollout of new initiatives and projects. Real time problem-solving of complex authorizations and reconciliation of complex reports for the team. Many success stories as the "Go-to" team member for the one on one mentoring of new team members and tenured teammates struggling to meet error/productivity goals.
Overview
13
13
years of professional experience
Work History
Authorization Specialist II
Centene
07.2018 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Consistently leads team in productivity, routinely completing 40-50 authorizations daily
- Team "champion" for the troubleshooting and initial evaluation of functionality in regards to new applications and work processes.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Central Claims Representative / Call Center
Progressive Insurance
08.2016 - 09.2017
- - licensed adjuster/file owner of auto accident claims in 40+ states
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Collaborated with internal departments and external vendors to resolve claims.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
Technology Supervisor / Team Lead
Sam's Club
09.2011 - 08.2016
- - supervisor over the electronics, photo lab, and cell phone kiosk (supervising 15-20 associates)
- - responsible for all hiring and training of associates within those areas
- Handled all customer relations issues in a gracious manner and in accordance with company policies.
- Communicated clear expectations and goals to each team member.
- Recognized and rewarded outstanding work performance to cultivate a positive and collaborative member service culture.
- Open communication and associate development thru coaching and accountability.
Education
No Degree - Psychology
Westmont College
Santa Barbara, CAHigh School Diploma -
Arcadia High School
Arcadia, CASkills
- Prior authorization processing
- Data entry proficiency
- Medical terminology expertise
- Insurance verification
- HIPAA compliance
- Microsoft office
- Effective communication skills
- Teamwork and collaboration
- Problem-solving abilities
- Critical thinking
- Team collaboration
- Attention to detail
Timeline
Authorization Specialist II
Centene
07.2018 - Current
Central Claims Representative / Call Center
Progressive Insurance
08.2016 - 09.2017
Technology Supervisor / Team Lead
Sam's Club
09.2011 - 08.2016
No Degree - Psychology
Westmont College
High School Diploma -
Arcadia High School
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