Sladjana Miletic
Elk Grove,CA
Summary
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
7
7
years of professional experience
Work History
Clinical Service Coordinator
Blue Shield of CA
Rancho Cordova, CA
07.2022 - Current
- Data entry, including authorization forms, high-risk member information, and verbal HIPAA authorizations information, for case creation.
- Serves as the initial point of contact for providers and members in the medical management process by telephone or correspondence.
- Work in a production-based environment with defined production and quality metrics.
- Process Faxed, Web Portal, or Phoned-in Prior Authorization or Hospital Admission Notification Requests.
- Assign initial Extension of Authority (EOA) days.
- Assists with system letters, requests for information, and data entry.
- Intake (received via fax, phone, or portal). Data entry, including authorization forms, high-risk member information, and verbal HIPAA authorizations information, for case creation.
Supervisor
Delta King/ Pilothouse Restaurant
Sacramento, CA
03.2018 - Current
- Resolved customer complaints regarding food quality or service issues promptly and courteously.
- Responsible for closing the restaurant.
- Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
- Maintained records of employee performance, attendance, leave requests, and disciplinary actions taken when needed.
- Oversaw restaurant maintenance and cleanliness, assigning tasks to individual team members in alignment with operational and customer needs.
- Supervised and coordinated activities of restaurant staff to ensure customer service standards are met.
- Assigned duties and shifts to restaurant staff according to workload requirements.
Education
High School Diploma -
Mira Loma High School
Sacramento, CA05-1994
Skills
- Care Coordination
- Quality Improvement
- Clinical Documentation
- Clinical assessment
- HIPAA Compliance
- Unit leadership
- Organizing staff schedules
- Unit supervision
Accomplishments
- Achieved company goals in opening accounts and loans at 100%
- Received prizes in gift cards for constant achieving quarterly goals
- Recipient of 4 performance based bonuses and employee of the month award
- Provided required weekly, monthly and quarterly reports listing sales figures and loan track records
- Researched, calmed and rapidly resolved client conflicts to prevent loss of accounts
References
Reference upon request
References
References available upon request.
Timeline
Clinical Service Coordinator
Blue Shield of CA
07.2022 - Current
Supervisor
Delta King/ Pilothouse Restaurant
03.2018 - Current
High School Diploma -
Mira Loma High School
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