Lori Zobel
Alpharetta,GA
Summary
Efficient customer service specialist known for high productivity and ability to complete tasks swiftly. Excels at communication, problem-solving, and time management, ensuring smooth operation within healthcare settings.
Overview
10
10
years of professional experience
Work History
Prior Authorization Specialist
Optum
Alpharetta, GA
08.2024 - Current
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Provided guidance to providers regarding the prior authorization process.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
Clinical Administrative Coordinator
United Health Care
Dallas, NC
10.2022 - 08.2024
- Assisted with the coordination of scheduling and maintaining patient appointments.
- Provided direct support to clinicians in the form of appointment reminders, follow-up calls, and other related duties.
- Handled incoming phone calls from patients and responded to inquiries accordingly.
- Demonstrated our 5 core values of Integrity, Compassion, Relationships, Innovation and Performance.
- Participated in additional campaign for an External client.
- Chosen to be part of a pilot program in order to test the new scheduler program
Compliance and Safety Representative
Wag!/ Remote US
Tempe, AZ
03.2021 - 04.2022
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
Member Services Specialist
Dial America
Athens, GA
03.2015 - 09.2018
- Provided excellent customer service to members and guests by responding promptly to inquiries and resolving any complaints or issues.
- Responded quickly and efficiently to emails sent by current or prospective members regarding their account status or service needs.
- Ensured that all customer service policies were being followed correctly by employees providing assistance over the phone or online chat systems.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Education
Associate of Arts - General Studies
Johnson County Community College
Overland Park, KS05-1984
Skills
- Data Entry
- Medical Terminology
- Critical thinking abilities
- Patient Scheduling
- Medical terminology knowledge
- Exceptional Customer Service skills
- Demonstrated excellent deescalation skills
Timeline
Prior Authorization Specialist
Optum
08.2024 - Current
Clinical Administrative Coordinator
United Health Care
10.2022 - 08.2024
Compliance and Safety Representative
Wag!/ Remote US
03.2021 - 04.2022
Member Services Specialist
Dial America
03.2015 - 09.2018
Associate of Arts - General Studies
Johnson County Community College
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