Sonya Williams
Los Angeles,CA
Summary
Trained in Epic Software use and administration with knowledge of authorizations and medical updates. Dedicated to excellent customer service and best-in-class collaboration. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
7
7
years of professional experience
Work History
Home Care Provider
IHSS In Home Support Services
03.2023 - Current
- Assisted patients with dressing, grooming, and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Assisted disabled clients to support their independence and well-being.
- Assisted patients with personal requirements for housekeeping and grooming assistance.
- Cooked tasty, nourishing meals for patients to promote better nutrition.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress
Authorization Specialist/Scheduler
Pyramid Staffing -Kaiser
07.2022 - 10.2022
- Processed and certified documents for accuracy and compliance with government regulations.
- Communicated with people from various cultures and backgrounds on application process.
- Assisted clients with accurate eligibility form, application, and document completion.
- Resolved discrepancies with client applications to verify eligibility.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Trained staff on current eligibility requirements and policies
Hollybrook Senior Living
Robert Half Office Team
01.2020 - 04.2020
- Checked-in late-arrival guests, collected payments and verified reservation details to maintain customer satisfaction.
- Contacted housekeeping staff and maintenance department to resolve issues with guest rooms.
- Scheduled client meetings and appointments with office employees and collected vital information.
- Coordinated correspondence and scheduling between administration, employees and clients using calendaring software.
Regulatory Compliance Specialist
Ca. Regulation Of Labor Laws
07.2018 - 01.2020
- Maintained and archived regulatory paperwork.
- Performed and documented quality control checks to maintain compliance with company initiatives.
- Prioritized project-related tasks to efficiently complete essential tasks.
- Prepared and maintained document inventory for core dossier preparation.
- Implemented regulatory guidance procedures for employees.
- Wrote or updated standard operating procedures, work instructions, or policies.
Complex Authorization Specialist
Kelly Services
08.2017 - 12.2017
- Identified referral and authorization requirements of patients' insurance plans by using various online resources according to department workflows.
- Identified appointments and procedures requiring authorization by monitoring schedules, system reports, and dashboards.
- Requested and prepared documentation required to support medical necessity for services being authorized.
- Verified insurance eligibility and benefits and updated patients' insurance information.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
HEDIS Service Associate II
Aerotek Staffing- Anthem Blue Cross
01.2017 - 03.2017
- Helped a large volume of medical offices every day with a positive attitude and focus on customer satisfaction.
- Responded to customer calls and emails to answer questions about products and services.
- Provided accurate answers and solutions to customer concerns, inquiries, and complaints.
- Reviewed and implemented points from regulators and internal audits to improve control and customer service standards.
- Updated accounts with timely maintenance processing to keep records accurate and compliant with HEDIS requirements.
Complex Authorization Specialist
Areotek Staffing
06.2016 - 11.2016
- Completed referrals and prior authorizations according to department guidelines and workflows.
- Verified insurance eligibility and benefits and updated patient's insurance information.
- Requested and prepared documentation required to support medical necessity for services being authorized.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Education
High School Diploma -
Luther Burbank High School
Sacramento, CA06.1985
Skills
- Community Integration
- Clinical Information Systems
- Wellness Support
- Surgical Procedures
- Physician Communication
- Procedures Compliance
- Appointment Scheduling
- Regulatory Processes
Timeline
Home Care Provider
IHSS In Home Support Services
03.2023 - Current
Authorization Specialist/Scheduler
Pyramid Staffing -Kaiser
07.2022 - 10.2022
Hollybrook Senior Living
Robert Half Office Team
01.2020 - 04.2020
Regulatory Compliance Specialist
Ca. Regulation Of Labor Laws
07.2018 - 01.2020
Complex Authorization Specialist
Kelly Services
08.2017 - 12.2017
HEDIS Service Associate II
Aerotek Staffing- Anthem Blue Cross
01.2017 - 03.2017
Complex Authorization Specialist
Areotek Staffing
06.2016 - 11.2016
High School Diploma -
Luther Burbank High School
Similar Profiles
Li ZhangLi Zhang
IHSS Care Provider at IHSS (In Home Support Services) LA County ServicesIHSS Care Provider at IHSS (In Home Support Services) LA County Services
Amanda HernandezAmanda Hernandez
Caregiver at IHSS In Home Support ServicesCaregiver at IHSS In Home Support Services
Pasha MalonePasha Malone
IHSS Provider at IHSS In Home Support ServicesIHSS Provider at IHSS In Home Support Services
Windy YatesWindy Yates
Health Care Aide at IHSS In Home Support ServicesHealth Care Aide at IHSS In Home Support Services
Steve SobelSteve Sobel
VP OF CREATIVE DEVELOPMENT/Lead Copywriter at Critical Content/SK Global GroupVP OF CREATIVE DEVELOPMENT/Lead Copywriter at Critical Content/SK Global Group