MAYA BROOKS
Brookfield,IL
Summary
Healthcare operations and case management leader with 15+ years of experience driving patient advocacy, resource navigation, appeals, prior authorizations, and workflow optimization across complex care environments. Expert in crisis de-escalation, fraud investigation, and interdisciplinary coordination that strengthens access to medical, mental health, and community services. Recognized for strategic problem solving, clear communication, and delivering efficient, person-centered support that improves outcomes and operational performance.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Neighbor Resources Director
Share Food Share Love Food Pantry
Brookfield, IL
01.2023 - Current
- Leveraged Bridge to Benefits to conduct eligibility screenings, generate referrals, and streamline access to public benefits, reducing barriers for vulnerable households
- Increased monthly household service volume by 50% through improved intake, outreach, and coordinated support
- Built partnerships with community agencies and local government to expand resource networks, increasing access to critical support
- Developed program documentation, funder reports, and outcome tracking to inform stakeholders and support funding initiatives
- Implement tracking systems that improved reporting accuracy by 40% and supported successful grant renewals
Member Onboarding/Case Management
Molina Healthcare
Oak Brook, IL
05.2022 - 09.2026
- Completed 1,200+ medical, psychosocial, cognitive, and social needs assessments with a 98% accuracy rate
- Delivered consistently accurate case notes and regulatory documentation, achieving flawless audit compliance
- Assured member safety and equitable access to essential services during high-risk situations
- Generated high‑value reports that captured trends, outcomes, and actionable opportunities for program enhancement
- Reduced documentation errors by 45% through improved workflows and quality controls
Appeals & Grievances Specialist
Molina Healthcare
Oak Brook, IL
03.2021 - 05.2022
- Investigated clinical and administrative issues across multiple systems to determine root causes, resolve discrepancies
- Developed and enforced contact agreements to strengthen accountability and continuity of care
- Analyzed provider/member dispute and grievance data to identify trends and performance gaps, providing insights that informed leadership decisions and led to process improvements
- Produced audit-ready summaries, case narratives, and documentation for internal reviews, regulatory reporting, and quality assurance requirements
- Supported two consecutive audit cycles with zero findings, contributing to targeted strategies for enhanced case resolution
Collections & Authorization Specialist Lead
Health Resource Solutions
Lombard, IL
12.2018 - 03.2021
- Led audits, charge reviews, and billing reconciliations to identify discrepancies, strengthen accuracy, and protect revenue integrity
- Increased first-pass claim approval from 78% to 94% by reviewing clinical and administrative documentation
- Prevented denials by evaluating clinical and administrative documentation, improving first-pass claim approval and reducing billing errors
- Streamlined prior authorization and appeals workflows, improving turnaround times and minimizing delays in patient services
Education
Human Services
College of DuPage
Glen Ellyn, ILSkills
- Case Management
- Mental Health Support
- Health Risk Assessments
- Appeals and Grievances
- Prior Authorizations
- Crisis De-escalation
- Community Resource Navigation
- Program Evaluation
- Interdisciplinary Collaboration
- Revenue management
Certification
Mental Health First Aid USA - NAMI (Certified May 2025)
Timeline
Neighbor Resources Director
Share Food Share Love Food Pantry
01.2023 - Current
Member Onboarding/Case Management
Molina Healthcare
05.2022 - 09.2026
Appeals & Grievances Specialist
Molina Healthcare
03.2021 - 05.2022
Collections & Authorization Specialist Lead
Health Resource Solutions
12.2018 - 03.2021
Human Services
College of DuPage