Cheerful and upbeat professional with history of exceeding expectations. I am calm and composed in stressful situations and capable of leading through empathy, acknowledgment, decisive communication and focused trainings.
Responsible for assisting and supporting PAR's with Side-By-Sides, trainings, coaching and meetings. Training the PAR's using creative and engaging methods, proven to be more successful. Complete Daily Stats, QMR and OBC reports. Help to create and present weekly Huddles. Assist other Supervisors when needed. Collaborated on projects to create Training E Module/Facilitator Guide for 01 MRC, and to rewrite the CSP Queue articles. Participated in special projects with different departments to improve processes. Partnered with another Assistant Supervisor on projects/trainings and adjusted our working hours to help each of our teams. I continue to take courses and attend seminars consistently to learn how to be better leader.
Responsible for assisting and guiding PAR's in helping Members, Doctors and Pharmacists with various requests. Handled Supervisor/ escalated calls with professionalism and empathy. I Have been trained in and worked in several queues, assignments and special projects. I have been TAP trained and am currently assisting in New Hire training.
Responsible for creating/completing prior authorizations with Doctors, Pharmacists and Members. Specialize in Medicare D and Medicaid (dedicated team for SCAN and UCARE). Handle multiple tasks at a time to make sure cases are done correctly. Followed all Medicare, Medicaid, HIPAA, and private insurance regulations and requirements.
Greeted Customers, phones, scheduled appointments.
All A/R, including collections.
Created and Closed all customer files.
Initial inspection of all vehicles.
Liaison between insurance companies and Customers.
Answer customer phone calls and dispatch crew.
All aspects of Customer Service.
Scheduling crew and appointments.
Record keeping and general office duties.