Michele Standefer
Indian,IN
Summary
Reliable individual bringing 12 years of experience in healthcare environments. Maintains positive relationships with team members, RN's and providers. Remains polished and calm under extreme stress. Hardworking and passionate with strong organizational skills eager to secure entry-level team lead position. Ready to help team achieve company goals.
Overview
10
10
years of professional experience
Work History
Utilization Management Representative III
Elevance Health
08.2016 - Current
- Perform prior authorization review of services requiring notification.
- Act as liaison between Medical Management and internal departments when needed.
- Educate providers/members of situations that would require services to be pre-authorized prior to being rendered.
- Manage incoming calls, faxes and provider chats to determine if pre-authorization is required while maintaining my daily expected quota.
- Precept new hires and provide them with needed skills and documents to perform their new Utilization Management Representative position.
Customer Service Advocate
Elevance Health
12.2013 - 08.2016
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Completed opening and closing functions to meet operational needs.
- Supported call center associates by taking on escalated calls, handling complex concerns and achieving customer satisfaction targets.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Maintained and managed customer files and databases.
Education
Associate of Science - Medical Billing/Coding
Indiana Business College
Indianapolis, IN06.2006
Skills
- HIPAA Regulations
- Benefits Guidelines
- Leadership
- Utilization Management
- CPT Coding
- Outpatient Procedures
- Problem Resolution
- Creative Thinking
Timeline
Utilization Management Representative III
Elevance Health
08.2016 - Current
Customer Service Advocate
Elevance Health
12.2013 - 08.2016
Associate of Science - Medical Billing/Coding
Indiana Business College
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