Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
AdministrativeAssistant
Rebecca Avila

Rebecca Avila

Multi-tasking Aficionado & Resourceful Collaborator
San Antonio,Texas

Summary

Seasoned collaborator experienced in meeting needs, improving processes, and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills. Seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Successful at responding to shifting business needs and priorities. Well-versed in operational assessment strategies and functional analysis methodologies.

Overview

12
12
years of professional experience
3
3
years of post-secondary education
3
3
Certificates

Work History

Clinical Appeals Coordinator

United Healthcare
San Antonio, TX
02.2011 - Current

As a member of the Appeals & Grievance department, my daily tasks include accessing, analyzing, and compiling documents and health care data from multiple platforms, investigating escalated issues, and using macros to produce documentation templates. I have become immersed in several knowledge areas and work collaboratively or independently to perform various tasks such as gathering requirements, executing action plans and project plans, identifying risks, and partnering as a trainer to develop key resources for the team.

Additional Responsibilities Include:

  • Acted as departmental resource on appeals matters.
  • Coordinated with senior specialist to compose appeal responses.
  • Created, composed and maintained appeal response templates.
  • Checked documentation for accuracy and validity on updated systems.
  • Reviewed 40+ patient cases per week and verified insurance coverage information.
  • Discovered root causes of problems and identified appropriate solutions.
  • Queried databases for information needed for report processing.
  • Investigated system issues and implemented resolutions to reduce downtime.
  • Identified clear connections between policies and business results to eliminate or reduce confusion and help employees achieve goals.

Education

Bachelor of Arts - Psychology

Southern New Hampshire University
07.2021 - 08.2022

Associates Degree - Art

Northwest Vista College
San Antonio, TX
01.2007 - 08.2008

Skills

Microsoft Office

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Accomplishments

  • 2022 Collaborated with team of 10 in the development of automated macro system.
  • 2022 Designed a workflow solution for Appeals Department, resulting in increased accuracy and efficiency documentation.
  • 2021 Meeting Business Goals Award
  • 2020 Hard Work and Dedication Recognition
  • 2019 Cross-Functional Collaboration Recognition “Thank you for all your flexibility while still maintaining your production."
  • 2018 Team Player Recognition
  • 2018 Time Management Recognition
  • 2017 Time Study Assistance Recognition
  • 2017 Quality Under Pressure Recognition “Thanks for the awesome work you do when are pressed for time to complete an urgent in rocket speed. You provide great teamwork, support and excellent details to meet timelines. You make my job more efficient!”
  • 2016 Training Recognition
  • 2016 Flexibility Recognition “Thank you Rebecca for being very flexible in your schedule and your days while assisting with the training for the new team.”

Certification

Business Analysis & Process Management

Timeline

Business Analysis & Process Management

08-2022

Bachelor of Arts - Psychology

Southern New Hampshire University
07.2021 - 08.2022

Clinical Appeals Coordinator

United Healthcare
02.2011 - Current

Associates Degree - Art

Northwest Vista College
01.2007 - 08.2008

UX Design Professional Certificate

Data Analytics Professional Certificate

Rebecca AvilaMulti-tasking Aficionado & Resourceful Collaborator