Conscientious and compassionate human resources professional with drive for helping employers recruit, develop and retain qualified candidates. Skilled at partnering with management teams to build employee-centric cultures promoting positive morale and optimizing productivity. Motivating and positive with excellent interpersonal, coaching and communication skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Human Resources Manager
Discovering Healthy Foods
06.2020 - Current
Enhanced employee retention by implementing effective talent management strategies and fostering a positive work environment.
Conducted thorough internal investigations, addressing employee concerns with fairness and transparency.
Spearheaded successful recruitment campaigns, attracting top-tier talent to fill key company positions.
Reduced time-to-hire metrics by optimizing recruiting processes, utilizing technology, and streamlining candidate screening methods.
Managed employee relations issues professionally, resolving conflicts efficiently while maintaining confidentiality at all times.
Optimized payroll processing procedures for accuracy and timeliness using advanced software solutions.
Maintained human resources regulatory compliance with local, state and federal laws.
Motivated employees through special events, incentive programs, and constructive feedback.
Facilitated onboarding sessions and on-the-job training for new hires, bolstering employee job position knowledge and skillset.
Processed employee claims involving performance issues and harassment.
Supervisor of Provider/Member Services
Texas Children’s Hospital
09.2018 - 06.2020
Coordinate and supervise day-to-day workflow within the Call Center
Partners with other members of management team to address complications when they arise
Prioritizing work and delegating tasks to ensure proper coverage of functions(i.e., assist as part of a team in the overall management of call flow)
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Creates and analyzes reports designed to monitor overall operations and performance of the call center (e.g Quantify Data, Trending KPI’s, etc.)
Responsible for coaching and developing team members in all areas of performance including, but not limited to metrics and behaviors related to the customer experience
Administers counseling and corrective actions for employees displaying problematic behaviors while maintain appropriate progressive discipline logs and partners with Human Resources on facilitating the termination process.
Researching and expediting claims when Identified to have paid over and under the Schedule TMHP Fee.
Escalated Complaints Supervisor
Texas Children’s Hospital
06.2017 - 09.2018
Responsible for gathering, analyzing, and reporting verbal and written member/provider complaints, grievances and appeals
Accountable for preparation and transmittal of case files to external third-party reviewers, physician reviewers and independent entities (e.g Texas TIERS)
Ensures that detailed and accurate notes are documented in each member/provider account encountered
Sustains general understanding of exactly how TCHP’s services are requested, authorized and provided
Supports the Provider Relations Field Reps to resolve claims and payment issues
Receives and track monthly data from 834 Eligibility Files Loaded to QNXT
Daily/Monthly PCP auto-assignments via Qnxt
Engages in escalated conversations with providers, while assisting with problem resolution of topics related to claims, authorizations, credentialing, etc
Receives and process Specialist and PCP terminations
Streamlined operations for increased efficiency through regular process reviews and implementing necessary changes.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
Facilitated collaboration between team members on projects requiring cross-functional expertise for successful outcomes.
Maintained compliance with company policies, objectives, and communication goals.
Assistant Project Manager
Texas Children’s Hospital
04.2016 - 06.2017
Improved project efficiency by streamlining communication channels and implementing time-saving tools.
Assisted in the successful completion of projects by coordinating tasks, monitoring progress, and maintaining documentation.
Enhanced team collaboration through regular meetings, clear communication, and shared goalsetting.
Aided in achieving project objectives through diligent monitoring of timelines, milestones, and deliverables.
Maintained a safe working environment by enforcing compliance with safety standards, protocols, and regulations at all times.
Developed and maintained project documentation for reliable records.
Delivered high level of service to clients to both maintain and extend relationship for future business opportunities.
Updated customers and senior leaders on progress and roadblocks.
Led team meetings to assess project progress and plan appropriately to meet delivery targets.
Facilitated workshops to collect project requirements and user feedback.
Customer/Provider Service Rep I & II
Amerigroup Managed Care
08.2014 - 04.2016
Created sustainable relationships and trust with customer accounts through open and interactive communication
Addressed customer complaints, provided appropriate solutions and alternatives within HHSC STAR/CHIP time limits
Provided accurate, valid and complete information by using the right methods/tools
Executed a positive, empathetic and professional attitude toward customers at all times to ensure my individual level quality assurance of 98% or higher
Facilitated information flow between patient, insurance management, operations and quality assurance to guarantee call center objectives were met
Served as liaison for my team manager and performed management duties when the manager was out of office by delegating tasks to my peers and acting as a knowledge base for call support.
Customer Service Representative I, II, and III
Medical Transportation Management
01.2011 - 08.2014
Manage relationships with customers until the issue is resolved
These issues may not only be technically challenging but politically charged and/or mission critical situations requiring the highest level of customer service
Identified complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Research and discover methods for improvement of service and make detailed recommendations to management
Assist management with career development activities for team members including performance management, informal feedback, training, and resourcing
Monitored work-flow to ensure tasks are completed within timeliness standards which are driven by HHSC/MTM's Contractual Agreements for Non-Emergency Transportation.
Assistant Manager
GOODWILL INDUSTRIES OF HOUSTON
08.2009 - 12.2011
Lead the team to deliver maximum sales results and an engaging experience for all internal and external customers
Trained, developed, and supervised team members
Ensured proper handling and processing of incoming donation flow in and out of the store in accordance with Goodwill Policies and Procedures
Assisted in the scheduling and productive use of labor force
Ensured store security according to Goodwill Policies and Procedures
Education
Bachelor of Science - Psychology
University of Houston Downtown
Houston, TX
01.2023
Associate of Science - Psychology
Houston Community College
Houston, TX
01.2018
High School Diploma -
Houston Can Academy
Houston, TX
01.2004
Skills
Ability to apply detailed knowledge of organizational procedures to make independent decision
Proven ability to manipulate small pieces of data with accuracy
Ability to complete task within specified time frames; while utilizing time management skills
Ability to read, understand, and apply a variety of interrelated instructions, such as those found in guidelines, regulations, and policies
Robust ability and skills to perform high-volume data entry
Employee Handbook Development
Recruitment
Performance Assessment
Organizational Development
Employee Onboarding
Leadership Development
Employee Relations
Talent Management
Online Position Posting
Training and Mentoring
Recruitment and Hiring
Workforce Improvements
Exit Interviews
Background Checks
Working knowledge of computer functionality and use of Internet In addition to, Microsoft Word, Excel, Outlook, EPIC, QNXT 540, Harmony, Vital, Macess, Clarity, Navitus, TMHP, and Cactus