Summary
Overview
Work History
Education
Skills
Experience
Education and Training
Timeline
Generic

Sharae Smith

Baker,LA

Summary

Efficient Authorization Specialist known for high productivity and ability to complete tasks swiftly and accurately. Possess specialized skills in insurance verification, and regulatory compliance that ensure smooth authorization processes. Excel in communication, problem-solving, and time management which facilitate effective collaboration with healthcare providers and insurance companies.

Overview

14
14
years of professional experience

Work History

Authorization Specialist 1

Centene Corporation
05.2024 - Current
  • Processed authorization requests for medical services and procedures efficiently.
  • Complies with all policies and standards
  • Remains up-to-date on healthcare, authorization processes, policies and procedures
  • Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination
  • Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines

Customer Service Advocate 1

Centene Corporation
Baton Rouge , LA
01.2023 - Current
  • Provide accurate, valid, and complete information to members/providers in a timely manner via phone
  • Deliver fast, friendly and knowledgeable service for routine questions and complaints.
  • Complete continuing education and training programs for professional development.
  • Document all activities for quality and metric reporting through CRM application.
  • Maintain performance and quality standards based on established call center metrics
  • Insurance verification
  • Assist providers with checking claim/ authorization status and provide detail information
  • Promote company's web portal to providers and members for self service options
  • Make outbound calls to Provider's office to confirm that providers are accepting new patients.
  • Make outbound calls to members to follow up with members request and other needs.
  • Display strong telephone etiquette, effectively handling difficult calls.

Client Service Specialist

Hancock Whitney Bank
Denham Springs, LA
12.2019 - Current
  • Built sustainable client relationships built on trust by applying excellent communication and interpersonal skills.
  • Managed and updated physical and digital client account information to keep records accurate and current.
  • Greeted incoming customers to provide immediate, friendly and knowledgeable support.
  • Responded quickly to customer concerns and inquiries by phone or email
  • Promoted client satisfaction by working with operational teams in proper resolution of service issues.
  • Received and submitted payments, updated account information and provided receipts.
  • Documented conversations with customers to track requests, problems and solutions.
  • Managed minor issues involving clients and accounts, escalating situations that required additional assistance to Team Lead for immediate attention.
  • Researched issues and made quick decisions to achieve efficient and effective resolutions.

Customer Advocate

Speedy Cash Inc
Baton Rouge , LA
03.2016 - 12.2019
  • Greet customers
  • Process Payments via cash and debit card
  • Process Title and Payday Loans
  • Load, unload and verify ATM
  • Engaged with customers and worked to resolve product and service issues.
  • Consulted with customers to discuss concerns and offer detailed information.
  • Performed extensive research on all inquiries and concerns to achieve complete client satisfaction.
  • Researched problems with benefits, accounts and services with speed and accuracy.
  • Proactively recommended changes based on consumer needs and market trends to grow company.
  • Verify Checks, Load/Unload Check Cards
  • Assisted customers during selection process and helped choose perfect products to meet individual needs.

Administrative Assistant

Tensas Nursing Home
Newellton, LA
05.2011 - 01.2016
  • Greeting Patients and Family
  • Answering and Directing Calls
  • Update Patient Medical Records
  • Scheduling Appointments
  • Bookkeeping
  • Organized and maintained filing and document management systems by coordinating, archiving and purging files.
  • Maintained inventory in supply closet to prevent shortages.
  • Entered invoice data into company database and updated details, including customer contacts and delivery dates to keep information current.
  • Tracked and submitted employee timesheets to accounting department for payroll processing.
  • Controlled building access by supplying key cards to employees and visitors.

Education

High School Diploma -

Madison High School
Tallulah, LA
05.2011

Skills

  • Money handling
  • Document management
  • Conversational skills in English
  • Customer support
  • Database maintenance
  • Call Center Operations
  • Microsoft Office expertise
  • Conflict mediation
  • Office equipment proficiency
  • High-energy attitude
  • Inbound and Outbound Calling
  • Quality assurance controls
  • Detail Oriented
  • Active Listening Skills
  • 10-Key
  • Multi-tasker

Experience

["Secretaries and Administrative Assistants, Except Legal, Medical, and Executive"],[],["Customer Service Representatives"]

Education and Training

other

Timeline

Authorization Specialist 1

Centene Corporation
05.2024 - Current

Customer Service Advocate 1

Centene Corporation
01.2023 - Current

Client Service Specialist

Hancock Whitney Bank
12.2019 - Current

Customer Advocate

Speedy Cash Inc
03.2016 - 12.2019

Administrative Assistant

Tensas Nursing Home
05.2011 - 01.2016

High School Diploma -

Madison High School

Similar Profiles

CREATE PROFILE