Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Owner/Operator
VOG Cleaning and Services
08.2011 - Current
Cleaning and providing miscellaneous services t residential and business offices.
Prior Authorization Specialist
West at Home - Alorica
09.2022 - 02.2023
Input all patient data regarding claims and prior authorizations into system accurately.
Analyzed medical records and other documents to determine approval of requests for authorization.
Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Researched denied claims and contacted insurance companies to resolve these issues.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Tracked referral submission during facilitation of prior authorization issuance.
Communicated with people from various cultures and backgrounds on application process.
Assisted clients with completion of applications and paperwork.
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Marketing rep
Alorica
06.2018 - 04.2021
For Mail order healthcare provider
Performed data entry for orders, customer information, shipments, and medications
Managed client records
Set up client appointments
Performed customer service surveys
Provided policy and service information
Assisted customers with a warm and professional attitude
Answered general questions
Responded to claim inquiries
Responsible for tracking and maintaining inventory
Handled online orders and credit card transactions
Determined customers' needs and provided brand awareness and recommendations to fulfill requirements.
Responded to customer inquiries promptly and professionally to increase customer satisfaction.
Analyzed industry trends and benchmarked competitors to inform marketing strategies.
Acquired, developed and frequently serviced over [50] new accounts.
Identified appropriate marketing channels and target customers for campaigns.
Conducted primary and secondary research to better understand customer needs and behaviors.
Utilized specialized software to capture and process data.
Used various market research tools and techniques to gather, analyze and interpret data.
Patient Account Recovery Specialists
Medco Services
01.2020 - 03.2020
Inbound and outbound calls to collect payment on patient hospital accounts
Provided account oversight, validating practices and verifying contract compliance.
Evaluated pending service calls daily for assigned customers.
Contacted customers to discuss past-due accounts and negotiated payment plans.
Responded to customer inquiries and provided detailed account information.
Maintained accurate records of customer accounts, payments and payment plans.
Worked with customer to create debt repayment plan based on current financial condition.
Listened to customers and negotiated solutions that met creditor and debtor needs.
Researched billing errors and discrepancies to initiate corrective action.
Established relationships with customers to encourage payment of delinquent accounts.
Monitored customer accounts for payment delinquency and initiated collection efforts.
Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
Customer Service Representative
Amazon Flex
04.2019 - 09.2019
Assist customers with account activity, such as order confirmation, refunds, shipping info, and account maintenance.
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Answered customer telephone calls promptly to avoid on-hold wait times.
Updated account information to maintain customer records.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Responded to customer requests for products, services, and company information.
Clarified customer issues and determined root cause of problems to resolve product or service complaints.
Processed customer service orders promptly to increase customer satisfaction.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Investigated and resolved customer inquiries and complaints quickly.
Exhibited high energy and professionalism when dealing with clients and staff.
Met customer call guidelines for service levels, handle time and productivity.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Maintained up-to-date knowledge of product and service changes.
Followed up with customers about resolved issues to maintain high standards of customer service.
Educated customers about billing, payment processing and support policies and procedures.
Church Administrator
The Stone Christian Center
12.2014 - 03.2019
Keep church calendar updated, ensure meetings, deadlines and quotas are met, accommodate guests and guest speakers, assist the pastor and follow up with invites and events, schedule and plan group meetings and one on one meetings, newsletters and announcements
Accomplishments
Taking stress on other leadership and the pastor.
Directed administrative and secretarial support for pastors, program directors and volunteers at church.
Maintained church calendar by collecting information about upcoming events and reserving appropriate spaces for regular meetings and special activities.
Handled church correspondence, member database and building scheduling.
Created and updated membership rosters, church documents and basic reports.
Greeted visitors, callers and members of congregation courteously and promptly
Coordinated office events, seminars and meetings for staff and clients.
Created organized filing system to manage department documents.
Analyzed and solved multi-faceted problems that effected executive leaders and business initiatives.
Completed bi-weekly payroll for 15 employees.
Improved office operations by automating client correspondence, record tracking and data communications.
Cultivated strong relationships with vendors and partners supporting administrative operations.
Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
Education
Associate of Science - Human Resource Management
Virginia College
Birmingham, AL
09.2011
None - Computer Information Systems
Calhoun Community College, CISJ. F. Drake State Technical College
Huntsville
2008
Certified in Data entry and office filing - Business Administration