Versatile professional with a background in project management and effective communication, demonstrated at the State of Washington Healthcare Authority. Excelled in roles requiring the application of Six Sigma LEAN and meticulous adherence to state laws, enhancing operational efficiency and client satisfaction. Skilled in Microsoft Office and staff training, consistently achieving significant improvements in team performance and service delivery. Known for reliability and adaptability, with swift capacity to learn and apply new skills with a proactive approach in delivering effective solutions.
Overview
28
28
years of professional experience
Work History
Benefit Eligibility Specialist 3 (MAS3/ERB)
State of Washington Healthcare Authority
01.2022 - Current
Counsel customers and members of Public Employees Benefit Board (PEBB) and/or School Employees Benefits Board (SEBB) programs regarding coverage and access to services.
Apply extensive knowledge of Medicare Advantage and supplement plans as well as non-Medicare plans and how to enroll clients into these programs.
Follow laws, policies and procedures when reviewing applicant data to determine eligibility for benefits.
Communicated with people from various cultures and backgrounds on benefit eligibility and coverage.
Use excellent communication skills to effectively communicate with customers and peers using a high degree of verbal and listening skills and maintaining thorough knowledge of complex program guidelines and regulations.
Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
Participate in committee and project teams such as process improvement feedback and activities; employee resource groups; team meetings or Health Care Authority (HCA) material review.
Collect, organize and analyze data, summarize the findings and develop conclusions using LEAN processes for project management.
Scheduled appointments with applicants to gather information and explain benefits processes.
Coffee Master and Barista Trainer
Starbucks Corporation
01.2016 - 12.2021
Supervised a team of 12 partners during peak work hours, managing efficiency to Starbucks standards while ensuring we following state labor laws and food handling regulations.
Consistently created a wide variety of hot and cold drinks and food orders of varying complexities.
Utilized excellent multitasking abilities to juggle multiple drink orders, ensuring timely completion and satisfied customers.
Trained and coached new baristas accurately to the standards of quality, safety, cleanliness and efficiency to Starbucks standards.
Pleasantly interacted with customers during hectic periods to promote a fun positive environment.
Medical Billing Specialist
Chase Chiropractic and Massage Therapy
01.2013 - 12.2015
Precisely evaluated and reviewed client information for accuracy and thoroughness across multiple insurance companies and verified benefits and eligibility.
Communicated with insurance providers to obtain prior authorization as needed and communicate the outcome to clients.
Provided direct client services and counseled clients in the areas of health insurance, disability and other health related benefits.
Answered phones assisting clients and scheduling appointments as needed.
Reviewed patient records, identified medical codes, and created billings to process medical claims.
Event Planner and Leader
Girl Scouts of Western Washington
01.2007 - 12.2017
Oversaw projects for regional activities, troop activities and fundraising opportunities coordinating with any participating vendors.
Managed event logistics and operations. Coordinated schedules and timelines for events including project scope and budget.
Performed event coordination and hosting for large parties and gatherings attended by hundred of girls.
Lead overnight training weekends for leaders and volunteers in various locations.
Develop and led presentations at public events using a microphone and slideshows.
Assist Restaurant Manager
Papa Murphy Take and Bake Pizza
01.1997 - 12.2007
Assisted restaurant manager in financial duties such as cash management, banking and payroll administration.
Supervised 20 employees, hired new staff and when appropriate dismissed employees following business protocols.
Ensured compliance with health department regulations by maintaining a clean and safe dining environment.
Motivated staff to perform at peak efficiency and quality.
Identified team weak points and implemented corrective actions to resolve concerns.
Immediately resolved issues with patrons in person and on the phone by employing careful listening and communication skills.
Education
Bachelor of Arts - Organization Leadership
Arizona State University
Tempe, AZ
01-2024
Bachelor of Arts - Project Management
Arizona State University
Tempe, AZ
01-2023
Green Belt Certification - LEAN
Six Sigma Global Institute
Olympia, WA
01-2023
Skills
Project management
Six Sigma LEAN application
Effective interpretation of state laws and agency policies and rules
Effective communication skills
Medical codes and billing
Microsoft Office (Word, Excell, OneDrive, PowerPoint, Outlook and Teams)
Staff Training
Timeline
Benefit Eligibility Specialist 3 (MAS3/ERB)
State of Washington Healthcare Authority
01.2022 - Current
Coffee Master and Barista Trainer
Starbucks Corporation
01.2016 - 12.2021
Medical Billing Specialist
Chase Chiropractic and Massage Therapy
01.2013 - 12.2015
Event Planner and Leader
Girl Scouts of Western Washington
01.2007 - 12.2017
Assist Restaurant Manager
Papa Murphy Take and Bake Pizza
01.1997 - 12.2007
Bachelor of Arts - Organization Leadership
Arizona State University
Bachelor of Arts - Project Management
Arizona State University
Green Belt Certification - LEAN
Six Sigma Global Institute
Similar Profiles
Jessica LaneJessica Lane
Medical Assistant Program Specialist 2 at State of Washington - Health Care AuthorityMedical Assistant Program Specialist 2 at State of Washington - Health Care Authority
Transit Field Supervisor / Bus Street Operations at Washington Metropolitan Area Transit AuthorityTransit Field Supervisor / Bus Street Operations at Washington Metropolitan Area Transit Authority