Results-oriented professional with extensive experience in customer service and team collaboration. Proven track record of streamlining operations, resolving issues efficiently, and leveraging data analysis to support client needs and enhance service delivery.
Work History
Account Manager
6 Months
Schneider Logistics | 02.2026 - Current
Manage client accounts to ensure satisfaction and retention.
Coordinated logistics operations and track shipments effectively.
Assist in resolving customer inquiries and issues promptly.
Develop relationships with clients to understand needs and provide tailored solutions.
Monitor key performance indicators to enhance service delivery quality.
Support contract negotiations by preparing documentation and proposals.
Maintain accurate records of all client interactions and transactions.
Increased client satisfaction by building strong relationships and addressing their needs promptly.
Successfully resolve escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
Provide comprehensive reporting on account performance, enabling clients to make data-driven decisions about future investments.
Authorization Specialist
8 Months
Action Seating & Mobility | 06.2025 - 02.2026
Processed insurance authorizations efficiently to ensure timely patient access to mobility equipment.
Collaborated with clinical staff to gather necessary documentation for authorization requests.
Communicated with insurance providers to resolve discrepancies and expedite approvals.
Reviewed and verified claims data for accuracy, reducing error rates in submissions.
Maintained detailed records of authorization requests and outcomes using internal databases.
Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Kept records of customers' charges and payments.
Collected data and performed trend and variance analysis to mitigate risk arising from bad debt.
Front Desk Billing Specialis
4 Months
Eyecare Associates | 02.2025 - 06.2025
Processed patient billing and insurance claims to ensure timely reimbursement.
Reviewed and corrected billing discrepancies to maintain accurate financial records.
Assisted patients with billing inquiries, providing clear explanations of charges and payments.
Collaborated with healthcare providers to gather necessary documentation for claim submissions.
Utilized electronic health record systems for efficient data entry and retrieval of patient information.
Implemented streamlined procedures for billing processes, enhancing overall efficiency in operations.
Researched and resolved billing discrepancies to enable accurate billing.
Trained new staff on billing software functionalities and best practices for accuracy in transactions.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Worked with multiple departments to check proper billing information.
Enhanced customer satisfaction with timely and accurate invoice generation.
Care Management Coordinator
5 Years 9 Months
Humana Insurance Company | 12.2018 - 09.2024
Assessed patient needs and developed tailored intervention strategies for chronic conditions.
Coordinated care plans to enhance patient engagement and health outcomes.
Collaborated with multidisciplinary teams to streamline care delivery processes.
Facilitated communication between patients, providers, and insurance representatives for seamless service coordination.
Monitored compliance with healthcare regulations and quality standards in care management practices.
Mentored junior staff on best practices in care coordination and patient advocacy techniques.
Maintained accurate documentation of patient information, assessments, interventions, and progress in electronic medical records.
Assessed patients'' needs and connected them to appropriate community resources for ongoing support.
Reduced hospital readmissions by monitoring patients'' progress post-discharge and adjusting care plans as needed.
Provided culturally competent care by considering individual preferences, beliefs, and values when developing care plans.
Managed a diverse caseload of patients with various health conditions, requiring adaptability and excellent time management skills.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide the the the highest quality of care.
Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Designed and introduced leadership development, coaching and team management model, resulting in the promotion of employees into increased levels of responsibility.
Advocated for patients'' needs to ensure they received appropriate services while navigating complex healthcare systems effectively.
Education
No Degree - Human Services
National American University | Minneapolis, MN | 09-2013